新型帕胺缓释剂对高血压患者的血压及生存质量的影响

Asfirst－usedantihypertensivetoprimaryhypertension，di－uretichasproventodecreasetheincidencerateandfatalityrateofcardiacdiseaseandangiopathyagainandagain．Itisadvocatedthatlow－doseandstabilizingantihypertensiveshouldbeusedac－cordingtoInternationalSpecialityGuides．Indapadmideisammo－nia－sulfonic－acidamidethiazides．Whenitdecreasetheresistancesofbloodvessel，improvethecompliancesofartery，andrelievethethickeningofleftventricle，indapadmidecannotinfluencethemetabolismofsaccharideandlipid．…     

Pathophysiological changes and mechanism of cerebral pathological after high-energy firearm wound in extremities of dogs

INTRODUCTIONExtremityinjuriesarecommoninmodernfirearmwounds，constitut－ing５０％－６０％ofthetotal[１－２]．Remoteeffecti．e．remoteorgansortissuesinjurywilloccurbesidesseriousandextensiveinjuryofthelocalinjurytractandsurroundingtissues，inwhichcerebralinjuryiscommon[３－５]．PaststudiesshowedextremityinjuriescouldcausechangesinEEG，neuropeptide，andcerebralcirculation．Butnore－portonC－fosgeneexpressionwasfound．SUBJECTSANDMETHODSExperimentalanimalgrouping，establishmentofanim…     

透穴针刺法治疗痹症222例

Background：Itisconsideredthatarthralgiasyndromeincludescervicalspondylopathy，scapulohumeralperiarthritis，kneejointret－rogradedegeneration，calcaneuspainetc．．Point－through－pointacupuncturemeansatreatmentwithoneneedlepenetratingtwopointsonceresultinginseparatingadhesion，dredgingthechannel，relievingpainquickly．IntraditionalChinesemedicinepainoccurswhenthechannelisnotdredged．Weobservedthisinourstudy．Objective：Toobservethetherapeuticeffectofpoint－through－pointacupunctureonarthralg…     

曲美他嗪对陈旧性心肌梗死康复期运动耐量的影响

Persistentinsufficientflowofcoronaryarterywillleadtohi－bernationofpartialmyocardiumfollowingmyocardialinfarctionduetocoronaryheartdisease，andthusdecreasingheartfunction，ex－ercisetolerance，andqualityoflifeduringrehabilitationphase．TMZ，theinhibitorof３－KAT，playsthecardinalroleinen－ergymetabolismofmyocardium．Inpresentstudy，weobservedim－pactofTMZonexercisetoleranceofpatientswitholdmyocardialinfarction．１Subjectsandmethod１．１Subjects５８patientssufferedfromcoronaryscopyorclini－…     

中国部分地区中老年人群骨质蔬松症流行病学研究

Theresearchisthelargesteffortonosteoporosisthathasbeenundertaken，andoneofthefewcountry－wideglobalefforts．TheresearchisespeciallyimportantwiththesuggestionthatChinesehavelowbonedensityingeneral，andtherapidagingoftheChinesepopulation犤１－２犦．１Materialsandmethods１．１SubjectsSubjectswereobtainedwithinformedconsentfrom５５９３HannationalityandregisteredinfiveareasofChinaincludingNorth，South－middle，East，South－westandNorth－eastbythestrati－fied－multi－steps－clustersamplingmethod…     

Prevention and exercise therapy of osteoporosis for older population

INTRODUCTIONOsteoporosisofolderpopulationsisknownasretrogressiveosteo－porosiswhichistheresultofagingofbonesandbelongstothepri－maryosteoporosisII．Withthepassoftime，reductionofmaterialandmatrixofbones，bonebecomesthin，decreaseofnumberofbonetrabecula，risksoffractureandfragilitywillincrease．PREVENTIONOFOSTEOPOROSISINOLDERPOPULA－TIONDietpreventionFoodsourceofcalciumandphosphorusMildproductsisthemostampleincalcium．Somegreensandfishisalsoampleincal－cium．Thefollowingi…     

The utilization of interventional therapy in recovery of cervical spondylopathy

Cervicalspondylopathyisoneofcommondiseaseindepartmentoforthopaedies．Ithappenedinoldpeopleusually，buttheincidenceageisyounger，thisdiseasebringshugepainanddiscommoditytopa－tients，soit'simportanttosearchsimpleandeffectiverecoverymethod．Atpresentmostofpatientscan'tgetwellcompletelyusing，non－operationtherapysuchasmassageandphysicaltherapy．PCDtreatingcervicalspondylopathyisonekindofsimpleandefficientin－terventionaltherapyutilizedinrecentyears．Wehadtreated２６pa－tientswithPCDandtheallth…     

顽固性颈性眩晕不同治疗方案的前瞻性研究

Vertigoofcervicaloriginisrelatedofvertebralarterycom－pressionsyndromedevelopedbyprolapsedofintervertebraldisc，disorderofzygapophysialjoint，andmyofascitisintheneckre－gion．Somedatareporteditaccompaniedthechangeofmicrocir－culationandbloodviscosityalso．Itmaybemulti－agents．Inthistheprospectivestudy，１８３patientsofobstinatevertigocausedcervicalsyndromewiththechangeofmicrocirculationandbloodviscosityweretreatedwithoneofthreeprojectsdifferently．Agroup，acupotomentandmanipulativereduction；…     

Clinical significance of rehabilitative education for diabetes patients

Background：Diabetesisakindofchronicallypermanentdisease．Managementduringhospitalizationwasinsufficient．Now，healtheducationistheimportantprojectindiabetesstudy．Patients＇lifestyle，attitudetoconditionandprevioustreat－mentshowedobviousimpactondiabetescontrol．Someinvestigatorsindicatedpatientshadlessknowledgeaboutdiabetes－relatedmat－ters，andtheirself－healthideawasunobvious．Theyrarelyabidedbyphysicians＇demands．So，rehabilitativeeducationisimportantfordiabetespatients．Objective：To…     

Treatment of myocardiac injury caused by tricyclic antidepressant

INTRODUCTIONTricyclicantidepressanthassometoxiceffectonheart，myocardicinjuryisacommonadverseeffectwhichmaincharacteristicareabnormalityofEKG，changeofTwave，deviationofSTsegmentandprolongationofPRandQ－Tinterval．Noself－conscioussymp－tomsisfoundinclinic．CompoundDanshendrippingpillisthecommondrugintreatmentofcoronaryheartdiseaseandmyocardiacinjury．Wetrytotreatmyocardiacinjurycausedbytricyclican－tidepressantbycompoundDanshendrippingpill．MATERIALSANDMETHODSMaterials８６pa…     

MR imaging of stress reactions, muscle injuries, and other overuse injuries in runners

Running-related injuries are increasingly common, and most often due to overuse. This article briefly discusses the biomechanics of running, and a general review of stress lesions of bone; site-specific reviews of bony stress lesions and other running-related soft tissue injuries; and associated MR imaging findings.     

银质针在温热针法中热传导作用

目的探讨不同针具在人体组织的热传导性能 ,为进一步研究银质针疗法可能的作用机理提供依据。方法将诊断为腰腿痛病患者 2 3例 ,用不同直径和材料的银质针、不锈钢针刺入腰部的L4、L5横突 ,控制温度分别设定为 60℃、70℃、10 0℃ ,测定皮肤进针点及进针点向针尖 2 5cm处针身的温度变化。结果两种不锈钢针针身温度随着控制温度的增加 ,温度变化不明显(P >0 0 5 ) ;银质针的针身温度升高明显 (P <0 0 1)。结论银质针在人体组织的热传导性能比不锈钢针好 ,温热银质针对慢性软组织损害治疗效果比不锈钢针好 ,可能与银质针良好的导热性能有关。     

小儿急性骨髓炎的超声诊断价值

目的探讨超声检查对小儿急性骨髓炎的诊断价值。方法回顾性研究18例小儿急性骨髓炎患者的超声检查资料，观测小儿急性骨髓炎的骨髓腔、骨质、骨膜及局部软组织的病变范围、内部回声及彩色血流信号。结果小儿急性骨髓炎中，发生于股骨6例，胫骨8例，肱骨3例，髂骨1例。超声影像显示骨质破坏，局部软组织水肿，骨膜下脓肿，骨髓腔及周围软组织积脓。结论骨膜下脓肿是急性骨髓炎的重要特征；超声是诊断小儿急性骨髓炎的有效影像学检查方法，在临床具有实用价值。     

Reliability, validity and responsiveness of the fear-avoidance beliefs questionnaire: methodological aspects of the Norwegian version.

OBJECTIVE: To evaluate reliability, validity and responsiveness of the Fear-Avoidance Beliefs Questionnaire (FABQ) for use in Norwegian patients with low back pain. DESIGN: A prospective cohort study with 2 groups. PATIENTS: The questionnaire was tested in 123 patients with acute low back pain and 50 patients with chronic low back pain. METHODS: A translation and cross-cultural adaptation was performed. Test-retest reliability was assessed in 28 patients with chronic low back pain. Responsiveness was assessed in acute low back pain. RESULTS: Two factors for the FABQ were confirmed; fear-avoidance beliefs about work (FABQ-Work) and physical activity (FABQ-PA), accounting for 60% and 54% of the total variance in acute and chronic low back pain, respectively. For FABQ-Work and FABQ-PA internal consistency was 0.90 and 0.79, intra-class correlation coefficients 0.82 and 0.66, minimal detectable changes 12 and 9 points, and coefficients of variation were 16% and 23%. The FABQ correlated weakly to moderately with pain, disability, distress, and clinical variables. Standardized response means were low for FABQ-Work (0.32) and moderate (0.56) for FABQ-PA. Both FABQ subscales showed initially floor and/or ceiling effects. CONCLUSION: The Norwegian FABQ version had acceptable factor structure, internal consistency, test-retest reliability and construct validity. The responsiveness of the FABQ-Work was low, and for the FABQ-PA moderate, in the acute sample.     

Injury in the Australian sport of calisthenics: a prospective study

The aims of this study were to determine the rate, anatomical regions, onset, severity, and type of injury in the sport of calisthenics and compare injuries reported by elite and non-elite participants. Prospective reports of injuries were collected over a 12-month period from 550 elite and non-elite calisthenics participants. The participants recorded the number of training sessions, competition, and performances per week, hours of training, and information on any injuries sustained each week during the survey period. Five hundred and fifty participants reported 190 injuries during the survey period, 0.4 injuries per participant year or 0.3 injured participants per participant year. The odds ratio of injury in the elite to the non-elite group was 2.0 (95% CI 1.3 to 2.9). Injuries to the lower back (32.4% of all injuries), hip thigh and groin (25.4% of all injuries) were most common. Activities involving lumbar extension (29.8% of all injuries and 61.0% of lower back injuries) were perceived by participants to have led to injury. In general, injuries were minor and mainly involved soft tissue structures (95.6% of all injuries). Participants had difficulty in identifying why their injuries had occurred. Calisthenics participants did not report high injury rates, but activities that involve lumbar extension are implicated in low back injuries and warrant further attention     

Ultrasound of lower limb sports injuries

Musculoskeletal ultrasound utilises high-frequency linear transducers to produce high-resolution images of soft tissue structures. It is an increasingly useful tool in the assessment of both acute and chronic musculoskeletal injuries; it is relatively cheap, portable and can be used to facilitate targeted injections. In this review paper, we aim to provide a summary on the normal and abnormal appearances of skeletal tissue in the setting of acute and chronic lower limb sporting injuries.     

Role of MR imaging in the management of injuries in professional football players

This article discusses the effectiveness of MR imaging in evaluating the injuries of both upper and lower extremities in the professional football player. Topics include bone, joint and soft tissue disorders, and injuries resulting from overuse or trauma of the shoulder, elbow, forearm, and wrist; the pelvis and hip, lower extremity muscle and tendon, knee, and ankle.     

Acupuncture for chronic low back pain: diagnosis and treatment patterns among acupuncturists evaluating the same patient

BACKGROUND: There is increasing need to examine the effectiveness of acupuncture and other alternative therapies for common conditions. However, little attention has focused on the variability in acupuncturists' assessment, diagnosis, and treatment patterns. METHODS: Seven office-based acupuncturists practicing Traditional Chinese Medicine evaluated the same patient with chronic low back pain and provided data regarding principal assessment techniques, diagnoses, and therapeutic recommendations. RESULTS: A high diagnostic agreement existed among 5 of 7 acupuncturists. However, recommended treatments included varying numbers and locations of acupuncture points. Recommendations varied between 5 and 14 points requiring 7 to 26 needles, since many points were intended for bilateral application. Of 28 acupuncture points selected, only 4 (14%) were prescribed by two or more acupuncturists. Most recommended various forms of adjuvant heat. CONCLUSIONS: Seven acupuncturists agreed considerably in the diagnoses for the same patient with chronic low back pain, but treatment recommendations varied substantially. Clinicians and researchers must recognize treatment recommendation variations and the challenges they present for study design and interpretation.     

Emergency department evaluation and treatment of the shoulder and humerus

The shoulder girdle is a versatile anatomic structure with a wide range of mobility and function. Its soft tissue and skeletal components are subject to a variety of injuries spanning from overuse syndromes to acute trauma. This article reviews the key historical and physical examination techniques of the shoulder, and special attention is paid to proper imaging in the emergency department, which aids in the diagnosis of specific disorders. This article also reviews the various therapeutic options, including surgery.