Conservative treatment of shoulder disorders

The extreme complexity of the shoulder joint results from the coordinated activity of five different articulations and the supporting soft-tissue girdle. Any perturbation of this system has deleterious biomechanical consequences to the shoulder muscular girdle integrity and will eventually lead to pain and functional limitations. A functional diagnosis of the lesion will always be a prerequisite for a targeted conservative therapy. Treating pain is often the basis of the treatment, but it should rapidly be implemented with a broad range of physiotherapeutic techniques and manual therapy as well when appropriate. The guidelines for therapy include an active stabilisation program in case of joint instability and passive mobilisation whenever functional limitations are present. This paper deals with the different problem-oriented interdisciplinary therapeutic modalities used in frequent shoulder problems.     

输卵管妊娠的保守治疗

异位妊娠是严重危害妇女的常见病,近10～2 0年来有明显增加的趋势。在美国仍是孕妇死亡的第二大原因,为孕早期死亡的第一大原因[1] 。近2 0年美国异位妊娠率增加达6 1倍。国内冯炜炜等在1970例异位妊娠的分析中10年时间内异位妊娠的发率增加6 4倍(异位妊娠与分娩数之比1 0∶42 4增至1 0∶6 6) [2 ] 。梁心玲等对比近前后10年间异位妊娠的发生情况由1∶3 2 3上升至1∶3 9 3 [3 ] ,上升8 2倍之多。在异位妊娠患者中有相当部分妇女是未婚或有保留生育功能要求者,同时由于近来高敏感度放免测定βHCG及高分辨B超和腹腔镜的开展,人们保健意识的…     

Conservative treatment of postvagotomy disorders

Drug and spa conservative treatment of postvagotomy aftereffects has been reviewed. The analysis covers the use of enzymes, cholinergic blocking agents, cyproheptadine hydrochloride, amitriptyline hydrochloride, L-Dopa, diphenoxylic acids and opioids in dumping syndrome; benzohexonium and metoclopramide in gastrostasis; diphenoacids and opioids in postvagotomy diarrhea. Oral and external use of mineral water and mud applications proved most beneficial spa treatment modalities.