156 CASES OF GILLES DE LA TOURETTE'S SYNDROME TREATED BY ACUPUNCTURE

The principle of clearing Yangming and nourishing the kidney and heart was adopted in the treatment of 156 cases of Gilles de la Touretie's Syndrome with acupuncture. The total effective rate was 92.3%, and the cure rate in children aged 11-15 years was markedly higher than that in children 6-10 years of age. Among 84 cases with abnormal EEC, the pathological waves in 54 disappeared or ameliorated after the treatment.     

TREATMENT OF ATROPHIC CHOLECYSTITIS BY REGULATING THE FUNCTION OF THE SPLEEN -A Report of 50 Cases

Fifty cases of atrophic cholecystitis were treated mainly by regulation of the function of the spleen. Of them, 21 cases were cured, 18 markedly effective, and 7 effective. The total effective rate was 92.0%. By comparison of results of ultrasonography B performed before and after treatment, it was shown that both the longitudinal and transverse inner diameters of gallbladder cross section increased evidently, and the condition of atrophy was improved remarkably after treatment.     

Acupuncture Treatment for Multiple Aortitis ——A Clinical Report of 40 Cases

In order to evaluate the therapeutic effects of acupuncture-moxibustion on multiple aortitis, 80 cases （with involvement of the main arteries in the head and arms） were randomly divided into a treatment group treated with acupuncture-moxibustion, and a control group treated with TCM and western drugs. The therapeutic effects were compared. The total effective rate was 95% in the treatment group （including 15% of the cure rate and 62.6% of the marked relief rate）, and the total effective rate was 75% in the control group （including 12.5% of the marked relief rate）. There was a significant difference in the therapeutic effects （P〈0.01） between the two groups. It can be concluded that acupuncture-moxibustion is obviously superior to the routine drug therapy for treatment of multiple aortitis.     

鼻内窥镜术治疗慢性鼻窦炎鼻息肉896例

目的 探讨内镜鼻窦手术的治疗方法及效果.方法 对我院2005年1月至2009年12月期间行鼻内镜手术治疗的896例慢性鼻窦炎鼻息肉患者的临床资料进行回顾性分析.结果 术后随访3个月的患者868例,治愈677例(78%),好转152例(17.5%),无效39例(4.5%),总有效率95.5%;术后随访1年以上者376例,治愈248例(65.9%),好转90例(24%),无效38例(10.1%),总有效率89.9%.结论 经鼻内镜手术是治疗慢性鼻窦炎鼻息肉的有效方法,定期的随访及药物治疗有利于提高疗效. Abstract： Objective To study the therapy procedures and the curative effect of endoscopic sinus surgery. Methods Retrospective analysis of clinical data on 896 cases of chronic nasosinusitis who were treated with endoscopic sinus surgery from January 2005 to December 2009 in our hospital was done. Results Eight hundred and sixty-eight cases were followed-up for three months after operation,677 cases(78%)were cured,152 cases(17.5%)were improved, the other 39 cases(4.5%)were not effective,and the total effective rate was 95.5%;376 cases were followed-up for more than one year after operation,248 cases(65.9%)were cured,90 cases(24.0%)were improved,but the other 38 cases(10.1%)were not effective,and the total effective rate was 89.9%. Conclusions The endoscopic sinus surgery is an effective method for chronic sinusitis.The follow-up regularly and reasonable medical treatment are important to improve curative effect.     

A COMPARATIVE OBSERVATION ON TREATMENT OF HEART FAILURE DUE TO DIASTOLIC INSUFFICIENCY OF THE LEFT VENTRICLE -A Report of 43 Cases

43 cases of heart failure due to diastolic insufficiency of the left ventricle were treated with TCM differential treatment as the treatment group, the total effective rate being 86.0%. Statistically significant duTerence (P< 0.05) in the therapeutic effects was found between the treatment group and the control (25 cases) group. Improvement of the left ventricular diastole in the treatment group was more obvious than that of the control group (P< 0.01), while contractility of the left ventricle was also improved to a certain extent.     

PRESERVATION OF THE HYPOTHALAMIC STRUCTURES IN THE TOTAL RESECTION OF CRANIOPHARYNGIOMA

Objective. To explore an effective method of surgical management of craniopharyngioma. Subjects and methods. Fifty patients with craniopharyngioma had total and subtotal tmnor ectomy. Therewere 29 males and 21 females, ranging in age from 15 to 56 years (mean 34. 1 years). MR imaging showed that the tumors were located in the superior seLlar region in 24 cases, in superior scLla region and extended into the third ventricular floor in 19 cases, into parasella in 3 cases and down to intrasella in 4 cases. Complete cystic tu-mors were found in 5 cases, while the partial cystic tumor in 24 cases and complete solid tumors in 21 cases. Pterion-al approach was used in 48 patients and subfrontal approach in 2 patients. Great attention was paid to the preserva-tion of the perforating arteries from the carotid, posterior and anterior communicating and anterior choroidal arter-ies to the hypothalamic structures. The clinical outcome was evaluated according to the COS scale. Results. Of the 50 patients surgically treated, 47 patients obtained total ectomy of the tumor and 3 patients with the secondary surgery had subtotal ectomy of the tumor. The pituitary stalk was prescrvod in 29(58% ) pa-tients, severed in 14 patients and unidentified in 7 patients. Forty - six patients regained a normal life; one pa-tient needed assist in life. Of the 3 deaths, one patient died of diabetes insipidus, one of inhalation asphyxia,and another one of water and sodium disorders. Conclusion. Avoidance of the injury to the neural structures in the third ventricu]ar floor and prescrv‘ation of the perforating arteries to hypothalamus are the key to achieve good surgical results in treating craniopharvngioma.     

Treatment for 63 cases of the elderly with choledocholith by duodenoscope

Objective To explore the effect of duodenoscope in the treatment for the elderly cases.Method Retrospective analysis of the treatment by duodenoscope for 63 elderly patients (all aged over 80 years old) with high risk choledocholith from Jan 2006 to Dec 2010.Results All of the 63 cases obtained a success in the endoscopic operation.The operative time was within 15~60 min.Endoscopic stone extraction was performed on 21 cases,bile duct plastic stent in 35,of them 2 cases had the second operation because their stones were too big.In 2 cases of 9 who suffered from acute obstructive suppurative cholangitis (AOSC),plastic stents were placed.In the rest 7 cases,nasobiliary drainages (NBD) were inserted,on 4 of the 7 cases,stone extraction were performed 5-7 days later,in 3 of the 7 cases,stents were inserted for the second time,of the 3 cases,2 were found blood oozing on the surface of wound after EST (endoscopic sphicterectomy),the bleeding was stopped by local spray of noradrenaline,no hematorrhea or perforation occurred.Postoperative choledochitis was found in 1 case,to whom anti inflammatory therapy was applied.Pancreatitis was found in 3 cases,blood amylase increasing in 12,who were cured with fast,pancreatic secretion inhibition and anti inflammatory drugs.One patient died of acute left heart failure (ALHF),no death from the bile duct diseases or concerned were found.Conclusion Although many basal diseases of the elderly increase the risks in the endoscopic treatment,it proves to be practical for it has less complications,high security and definite curative results.     

Clinical Observation on 930 Child Epilepsy Cases Treated with Anti-epilepsy Capsules

1090 cases of child epilepsy were divided randomly into two groups:the treatment group(930 cases treatedwith anti-epilepsy capsules)and the control group(160 cases treated with luminal).The results showed thatin the treatment group,534 cases were markedly effective,241 effective,96 improved,46 ineffective,and 13aggravated,with a total effective rate of 83.33%;while in the control group,64 cases were markedlyeffective,19 effective,38 improved,29 ineffective,and 10 aggravated,with a total effective rate of 51.88%.The treatment group showed an obviously higher total effective rate than that in the control group(P<0.01).After treatment,cases in the two groups all had lower frequency of epilepsy attacks and shorter duration ofeach attack as compared with that before treatment(P<0.01),but the situation was obviously better in thetreatment group.The anti-epilepsy capsules had very good effect on various types of epilepsy,especially onautonomic epilepsy and on epilepsies due to wind,phlegm,or terror as differentiated in TCM.Aftertreatment,the recovery rate shown by EEG examination was 54.3% in the treatment group,while 38.4% inthe control group,the former being obviously higher than the latter(P<0.01).     

Clinical Observation in 102 Cases of Chronic Pelvic Inflammation Treated with Qi Jie Granules

Objectives:To observe the therapeutic effects of Qi Jie Granuleon chronic pelvic inflammation.Method:The therapeutic effect,T-lymphocytic subgroups and indexes of blood rheology were observedwhen 102 cases of chronic pelvic inflammation in the treatment group were treated with Qi Jie Granule,and another 70 cases were treated with Qian Jin Pian as the controls.Results:The total effective rate was96.08% in the treatment group,but 84.29% in the control group with a significant difference between thetwo groups(P<0.01).Qi Jie Granule was also found effective in improving blood viscosity and regulatingT-lymphocytic subgroups,and the difference before and after the treatment was also very significant(P<0.05 or P<0.01).Conclusion:The nature of chronic pelvic inflammation is qi deficiency and bloodstasis in accordance with the theory of traditional Chinese medicine(TCM).As a drug that is indicated forchronic pelvic inflammation,its mechanism may be related to the improved blood circulation,acceleratedinflammatory absorption and regulated immune function.     

Primary tracheobronchial amyloidosis in China: Analysis of 64 cases and a review of literature

Primary tracheobronchial amyloidosis (TBA) is a rare pulmonary disease.A systematic review was performed on 64 cases of primary TBA in China and progress in the diagnosis and treatment of this disease is discussed.The Chinese biological and medical databases from 1970 to 2010 were searched and 75 cases of complete clinical and pathological data were identified.The clinical characteristics of the disease were summarized and longitudinal comparisons were made of diagnostic and treatment methods over time.The results showed that the morbidity associated with primary TBA has increased over recent years.The clinical manifestations were non-specific.Progressive dyspnea, cough and sputum were the most common symptoms.The percentage of patients undergoing computed tomography (CT) scan has increased over the years.The bronchoscopy and transbrochial lung biopsy (TBLB) were usually sufficient to establish the diagnosis.Treatment was reported for a total of 44 cases.Bronchoscopic Nd:YAG laser irradiation, argon plasma coagulation (APC) and drugs administration such as steroids and colchicines were reported to be effective in some patients.It is concluded that the demographic characteristics and clinical manifestations of primary TBA patients in China are largely consistent with findings reported in other countries.Dramatically more cases were reported in recent years, mainly due to the extensive application of bronchoscopy since 1990s.Chest CT scan provides important clues for the diagnosis of the disease.The definite diagnosis was confirmed by bronchoscopic findings and Congo red staining of biopsy specimen.Bronchoscopic Nd:YAG laser irradiation, argon plasma coagulation (APC) and drugs administration, such as steroids and colchicines were reported to be effective in some patients.     

胸椎管狭窄症的术式选择

目的探讨胸椎管狭窄症的手术方式。方法回顾分析1992年8月～2008年4月期间治疗的胸椎管狭窄症患者124例,使用传统椎板切除减压32例,前方经胸减压植骨内固定2例,后方加侧前方减压3例,多椎板整块切除法减压87例。采用日本矫形外科协会（JOA）胸脊髓病评分法,术前评分为（4.31±1.85）分。结果随访时间12～138个月,平均30个月,随访时JOA评分为（9.15±1.97）分,与术前比较差异有统计学意义（t=30.125,P=0.000）,其中优49例,良52例,改善15例,无变化4例,加重4例,优良率为81.45%（101/124）,总有效率为93.55%（116/124）。并发症：术中有硬膜撕裂或缺损的12例患者,均给予仔细修复,再加严密缝合切口各层组织,术后未形成脑脊液漏;皮肤浅表感染3例,经换药愈合。随访临床和X线片均未见胸椎不稳定表现。结论胸椎管狭窄症的后路减压效果满意,多椎板整块切除法具有减压彻底、操作安全和疗效肯定等优点,前路减压植骨内固定只适用于局限型OPLL和胸椎间盘突出症。     

脑卒中患者社会支持与自我概念的相关性研究

目的探讨脑卒中患者社会支持与自我概念的关系,为患者身心康复提供干预依据。方法采用社会支持量表（SSRS）和田纳西自我概念量表（TSCS）对76例脑卒中患者和76例健康人群进行问卷调查,将数据输入SPSS 13.0统计软件进行比较分析。结果脑卒中患者SSRS评分[（34.31±3.57）分]明显低于健康人群[（39.86±3.42）分],差异有统计学意义（P〈0.01）;脑卒中患者TSCS量表总分为（246.58±18.68）分明显低于健康人群的（264.62±17.69）分（P〈0.01）,但自我批评因子分[（47.83±5.42）分]明显高于健康人群[（41.32±4.86）分],差异具有统计学意义（P〈0.01）;SSRS评分与TSCS评分间具有相关性（P〈0.01）。结论脑卒中患者社会支持水平较差,表现为消极的自我概念。社会支持是影响脑卒中患者心理健康的重要因素,医务工作者应关注其自我概念和社会支持状况,以促进患者身心康复     

慢性病患者自我认知和健康行为状况调查

目的：调查慢性病患者自我认知与健康行为状况,了解两者间的关系,为干预慢性病患者提供依据。方法：采用田纳西自我概念量表（TSCS）和健康促进生活方式量表（HPLP）对100例慢性病患者和100例健康人群进行调查,所有数据均被输入SPSS16.0统计软件进行处理。结果：慢性病患者TSCS总分为（247.34±18.41）分,明显低于健康人群的（263.62±19.72）分（t=6.03,P〈0.01）。慢性病患者HPLP总分为（140.27±15.34）分,明显低于健康人群的（174.65±14.29）分（t=16.40,P〈0.01）。HPLP与TSCS得分值存在相关性。结论：慢性病患者自我认知及健康行为状况较差,自我认知影响健康行为,提高认知水平有助于增强健康行为。     

小切口椎板开窗治疗腰椎间盘突出症32例

目的探讨小切口椎板开窗治疗腰椎间盘突出症(LDH)的疗效。方法将71例单侧、单节段单纯的LDH患者随机分成A、B两组。A组采用小切口椎板开窗,B组采用标准的全椎板切除或扩大椎板切除。所有病例随访1~3年,平均2.5年。结果A组优19例,良5例,中4例,差4例,总有效率87.5%。B组优13例,良9例,中9例,差8例,总有效率79.5%。两组比较差异有显著性(P<0.05)。两组中以腿痛为主要症状接受手术治疗者疗效优于同组中以腰、腿痛为症状者。结论小切口椎板开窗治疗LDH手术创伤小,效果好。     

自我概念量表在功能性消化不良患者中的应用研究

目的:探讨功能性消化不良患者的自我概念状况,为临床心理干预提供依据。方法:采用田纳西自我概念量表(TSCS)对100例功能性消化不良患者(研究组)和100例健康人群(对照组)进行调查和比较。结果:研究组伦理自我因子评分与对照组比较,差异无统计学意义(P>0.05)。研究组自我批评因子分明显高于对照组,差异具有统计学意义(P<0.01)。研究组自我认同、自我满意、自我行动、生理自我、心理自我、家庭自我、社会自我、自我总分与自我批评等因子分明显低于对照组,差异具有统计学意义(P<0.01)。结论:功能性消化不良患者自我评价较低,严重影响其疾病康复。临床治疗中应关注其认知状况,积极给予其心理干预,以促进其身心恢复。     

全程一体化健康教育改善抑郁障碍患者抑郁情绪及心理障碍的效果

目的 探讨临床全程一体化健康教育对抑郁障碍患者抑郁情绪、自我概念矫治效果,为促进患者的心理康复提供依据.方法 60例住院抑郁障碍患者随机分为对照组(28例)和研究组(32例),2组均给予抗抑郁药物治疗,对照组给予支持性心理护理和一般性健康教育指导,研究组则给予临床全程一体化健康教育.采用汉密顿抑郁量表(HAMD)、自我概念量表(TSCS)以及症状自评量表(SCL-90)评定两组干预前后临床效果.结果 干预前,研究组HAMD、TSCS和SCL-90总分分别为(24.8±4.3)分、(249.68±16.23)分、(136.39±34.26);对照组分别为(24.9±4.2)分、(248.74±17.32)分、(136.52±35.04)分.两组比较差异无显著性(t值分别为0.09,0.22,0.01,均P＞0.05),干预后,研究组HAMD、TSCS和SCL-90总分分别为(19.7±2.8)分、(263.55±19.53)分、(114.22±18.75)分;对照组分别为(22.4±3.3)分、(253.66±18.37)分、(134.56±32.64)分,两组差异具有显著性(t值分别为3.43,3.11,3.01,均P＜0.01,TSCS评定中,研究组除自我批评[(40.16±4.96)分]低于对照组[(45.77±5.25)]外(t=7.29,P＜0.01),其余10个因子均明显高于对照组,差异具有显著性(P＜0.01).结论 临床全程一体化健康教育能够改善抑郁障碍患者抑郁情绪,塑造积极的自我概念,提高心理健康水平.

Abstract：

Objective To explore the effect of whole course integrated health education on depressive emotion and self-concept modification in depressive patients and to improve their psychological rehabilitation. Methods Sixties depressive inpatients treated with antidepressive drugs were randomly assigned to receive supportive psychological nursing and general health education (control group 28) or whole course integrated health education (experimental group 32). Hamilton Depression Scale ( HAMD), Tennessee Self-Concept Scale (TSCS) and Symptom Checklist 90(SCL-90) were used before and after intervention to evaluate the clinical effects of two groups. Results Before interventions,the total scores of HAMD,TSCS and SCL-90 were (24.8 ±4. 3) ,(249.68 ±16.23) and(136.39±34.26)in experimental group and (24. 9 ±4. 2) , (248. 74 ± 17. 32) and( 136. 52 ± 35.04) in control group, with no significant difference between two groups (all P ＜ 0.01). After intervention, the total scores of HAMD, TSCS and SCL-90 were (19.7±2.8),(263.55±19.53) and (114.22 ± 18. 75) in experimental group and (22.4 ± 3. 3), (253. 66 ± 18. 37) and (134. 56 ± 32. 64) in control group, with significant difference between two groups (all P＜0.01). Conclusions Whole course integrated health education can improve depressive emotion of patients with depression, develop their positive self-concept and boost their mental health level.     

肺得康配合咳喘温热磁疗贴治疗支气管哮喘的临床研究

【目的】通过观察吸入肺得康（沙丁胺醇和丙酸培氯米松的混合微粉吸入剂）配合咳喘温热磁疗贴治疗支气管哮喘的效果,探讨其对支气管哮喘患者免疫失衡的调解作用。【方法】对200例确诊为支气管哮喘缓解期的门诊患者随机分为两组,对照组和治疗组各100例,两组同时吸入肺得康早晚各吸1粒,3个月进行1次剂量调整,治疗组在此治疗基础上每年三伏天的第1天开始在双侧肺腧穴、肾腧穴及膻中穴加用咳喘温热磁疗贴,3 d一换连用1个月,连续贴3年。两组均连续观察3年治疗情况,治疗时及3年后分别观察肺功能及免疫功能变化,3年后评价疗效并进行统计学分析。【结果】治疗组：显效68例,好转28例,无效4例,总有效率为96%;对照组：显效46例,好转40例,无效14例,总有效率为86%,两组总有效率相比差异有显著性（P〈0.05）,治疗组肺功能FVC、FEV1、MMEF及LgG在治疗前后有显著改变,且与对照组比较（P〈0.05）。【结论】正规的局部抗炎治疗配合咳喘温热磁疗贴的应用可以明显改善患者的临床症状,减少发作,提高免疫功能,可作为临床治疗支气管哮喘选择的最佳方案之一。 更多还原     

农村留守经历对大学新生逆境商与自我概念的影响

目的:探讨农村留守经历大学新生逆境商(AQ)与自我概念的特点及相互关系.方法 :采用AQ量表和田纳西自我概念量表对287名农村留守经历大学生以及133名农村无留守经历大学生进行评测.结果 :留守经历大学生中,女生的忍耐因子评分高于男生(P<0.05).不同共留守时间农村留守经历大学生间的AQ量表各因子评分及总分差异均无统计学意义(P>0.05).6~11岁开始留守大学生的AQ量表总分均高于<6岁和>11岁者(P<0.05和P<0.01),控制因子评分高于<6岁者(P<0.05),延伸因子评分显著高于>11岁者(P<0.01).留守经历大学生的生理自我和自我认同因子评分均低于无留守经历大学生(P<0.05).留守经历大学生中,女生的道德自我、家庭自我和自我行动因子评分均高于男生(P<0.05~P<0.01),自我批评因子评分显著低于男生(P<0.01).留守经历大学生的AQ总分与自我概念各因子均存在相关关系,道德自我与社会自我对AQ总分有正性预测作用.结论 :与无留守经历大学生相比,留守经历大学生的AQ发展水平无明显不同,自我概念发展水平相对略低.     

负性情绪对慢性心力衰竭患者自我概念的影响研究

目的：探讨负性情绪对慢性心力衰竭患者自我概念的影响。方法：采用抑郁自评量表（SDS）、焦虑自评量表（SAS）及田纳西自我概念量表（TSCS）对100例慢性心力衰竭患者进行测评,将结果与和100例健康人群进行比较。结果：①慢性心力衰竭患者SDS、SAS评分明显高于健康人群,差异具有统计学意义（P〈0.01）。②慢性心力衰竭患者TSCS总分明显低于健康人群,差异具有统计学意义（P〈0.01）。③TSCS分与SDS、SAS具有负相关性（r=-0.308～-0.434,P〈0.01）。结论：慢性心力衰竭患者自我评价较低,焦虑抑郁情绪能够降低自我概念水平,临床治疗中,应帮助患者消除负性情绪,提高自我概念水平。     

康复新液治疗小儿口腔溃疡124例疗效观察

目的：观察研究康复新液治疗小儿口腔溃疡疗效。方法：将2013年2月至2013年8月我科室治疗的124例口腔溃疡患儿随机均分成两组,两组均常规给予口服复合维生素B片治疗,1片/次,3次/d。对照组在此基础上给予双料喉风散喷剂治疗,在清洗溃疡面后直接喷于患处,3次/d;治疗组采用康复新液治疗,对于0~1岁的患儿,用棉签蘸取少许康复新液涂抹于溃疡处,并喂服3ml康复新液3次/d对于1岁龄以上患儿,将康复新液5ml含于口中3~5min再咽下3次/d。疗期间两组患儿均禁止使用其他治疗口腔溃疡药物,治疗后对比两组临床疗效。结果：治疗组总有效59例,总有效率为95.16%;对照组总有效53例,总有效率为85.48%。治疗组溃疡愈合时间平均为（2.31±1.05）d;对照组为（5.48±1.57）d,两组差异具有统计学意义（P〈0.01）。结论：康复新液治疗小儿口腔溃疡疗效显著,可有效加快溃疡愈合时间,缩短疗程。