精心打造公共卫生安全区

近年来，山东省东营市卫生工作在市委、市政府及山东省卫生厅的正确领导与指导下，认真贯彻预防为主的方针，坚持统筹城乡经济社会发展的思路，以创建公共卫生安全区为总抓手，在农村构建农民健康保障体系，在城工创建国家卫生城市，不断完善全市公共卫生服务网络，提高公共卫生服务水平，有力地保障了人民群众的身体健康，促进了经济社会的协调发展。     

谷雨节气的养生保健

谷雨是春季的最后一个节气.有雨水生百谷的含义,常言道,"清明断雪,谷雨断霜",谷雨后气温回升加快,雨量开始增多.《月令七十二候集解》:"三月中,自雨水后,土膏脉动,今又雨其谷于水也.盖谷以此时播种,自上而下也."     

惊蛰当天晚睡早起,养阳护肝

惊蛰,二月节.《夏小正》曰正月启.蛰,言发蛰也.万物出乎震,震为雷,故曰惊蛰.是蛰虫惊而出走矣.译为:中国现存最早的科学文献之一《夏小正》中说,农历正月启蛰,就是蛰伏的昆虫开始从冬眠中逐渐的苏醒,但还没有出来活动.也将这称之为发蛰.蛰伏的万物出土是由于震动,震动的原因是因为春雷.所以说是雷声惊动了蛰伏的昆虫,蛰虫受到了...     

尼可地尔术前干预对心脏病患者行髋关节置换术的心肌保护作用

目的探讨尼可地尔术前干预对心脏病患者行髋关节置换术的心肌保护作用。方法对2018年6月至2020年12月南通大学附属医院如皋分院117例行髋关节置换术患者的病历资料进行回顾性分析, 根据术前是否给予尼可地尔分为两组, A组常规术前全身麻醉, B组于术前给予尼可地尔。比较两组手术相关指标、炎性因子水平、心肌损伤及主要心血管不良事件(MACE)发生情况。结果两组手术时间、术中出血量、术中补液量、尿量、术后1 d Ramsay镇静评分、术后1 d视觉模拟量表评分、住院时间比较差异无统计学意义(P>0.05)。B组术后血清白细胞介素6、肿瘤坏死因子-α、C反应蛋白、心肌肌钙蛋白I、肌酸激酶同工酶、肌红蛋白、脂蛋白相关磷脂酶A2水平均低于A组[(388.15 ± 56.20)μg/L比(456.34 ± 65.18)μg/L、(34.24 ± 8.90)μg/L比(40.26 ± 10.22)μg/L、(27.54 ± 5.52)mg/L比(30.25 ± 5.61)mg/L、(0.10 ± 0.05)μg/L比(0.19 ± 0.08)μg/L、0.059 ± 0.019比0.099 ±...     

The Qi-regulating Massotherapy for Treatment of Tonic HeadaChe in 150 Cases

Objective： To observe the therapeutic effects of the qi-regulating massotherapy （通脉调气推拿法） for treatment of tonic headache. Methods： According to different clinical types, 150 cases of tonic headache were treated by the qi-regulating massotherapy. Evaluations were done according to the scores for physiology, behavior, intensity of pain, and the therapeutic effects. Results： After treatment, the total score in the 150 cases significantly decreased as compared with that before treatment （P〈0.01）. The total effective rate was 93.3%, and the effective rates for all the types were over 90%. Conclusion： The qi-regulating massotherapy is indicated for all types of tonic headache with obvious therapeutic effects.     

腹部推拿配合针灸治疗瑞士人肝郁气滞型广泛性焦虑症80例临床观察

Objective To observe the clinical effect of abdominal Tuina and acupuncture in treating Swiss generalized anxiety disorder (GAD). Methods 80 patients of GAD caused by liver depression-qi stagnation were randomly recruited into a treatment group and a control group, 40 patients in each. The treatment group was treated with abdominal tuina & acupuncture; while the control group was treated with acupuncture exclusively. Clinical effects and hamilton anxiety scale (HAMA) score were observed in both groups before and after the treatment. Results ①There was significant difference in total efficacy between the two groups CP<0.05), and the treatment group was better than the control group. ②The HAMA score of the two groups after the treatment was lower than that before the treatment, and the difference was significant (P< 0.05). There was also significant difference of HAMA score between the two groups after the treatment (/><0.05), with the treatment group showing better results than the control group. Conclusion Abdominal tuina combined with acupuncture has sound effects in treating Swiss GAD due to liver depression-qi stagnation.     

腹部推拿配合针灸治疗瑞士人肝郁气滞型广泛性焦虑症80例临床观察

Objective To observe the clinical effect of abdominal Tuina and acupuncture in treating Swiss generalized anxiety disorder (GAD). Methods 80 patients of GAD caused by liver depression-qi stagnation were randomly recruited into a treatment group and a control group, 40 patients in each. The treatment group was treated with abdominal tuina & acupuncture; while the control group was treated with acupuncture exclusively. Clinical effects and hamilton anxiety scale (HAMA) score were observed in both groups before and after the treatment. Results ①There was significant difference in total efficacy between the two groups CP<0.05), and the treatment group was better than the control group. ②The HAMA score of the two groups after the treatment was lower than that before the treatment, and the difference was significant (P< 0.05). There was also significant difference of HAMA score between the two groups after the treatment (/><0.05), with the treatment group showing better results than the control group. Conclusion Abdominal tuina combined with acupuncture has sound effects in treating Swiss GAD due to liver depression-qi stagnation.     

SIMPLE OBESITY AND OBESITY HYPERLIPEMIA TREATED WITH OTOACUPOINT PELLET PRESSURE AND BODY ACUPUNCTURE

161 cases of simple obesity with or without hyperlipemia were treated by pellet pressure onauricular acupoints plus body acupuncture for 3 months in a single-blind experiment.Pa-tients on Capsulae Oiei Oenothera Erythrosepalae were taken as positive controls.Bodyweight,circumference of chest,abdomen,arms and legs,the appetite,sleep,bowelmovement,blood TC,TG and HDL-C were recorded for comparison.The results indicatedthat treatment in the auricular and body acupoint group was superior to treatment in thecontrol group.In the acupoint group body weight dropped by an average of 5.04 kg in84.55% of the patients,who also showed decreased appetite,blood TC and TG.     

人工膝关节置换髌骨处理的对比分析

目的总结髁型人工膝关节置换髌骨处理原则。方法通过回顾性分析，对比人工膝关节置换术髌骨成形组与髌骨置换组间的临床效果差别。结果36例（47膝）行髌骨成形术，20例（24膝）行髌骨置换术。随访18～60个月，平均48．8个月，两组患者的HSS评分、屈膝角度以及髌前疼痛情况无差别。结论在目前的技术水平条件下，对形态和运动轨迹都良好的髌骨，仅行髌骨成形术可取得良好临床效果。对行髌骨置换的患者，正确的假体安放以及各部件之间的良好匹配是取得良好效果的关键。     

摩腹法对肠易激综合征模型结肠组织脑肠肽表达的影响

[目的]从脑肠肽角度探讨摩腹法干预肠易激综合征(IBS)的作用机制。[方法]把新西兰白兔随机分为正常组、模型组和手法组,模型组和手法组用0～2℃冰水灌胃21 d以建立肠易激综合征,手法组运用摩腹法操作10 d,采用免疫组化方法对以上3组结肠组织P物质(SP)、血管活性肠肽(VIP)、胆囊收缩素(CCK)进行半定量分析。[结果]模型组结肠黏膜SP表达的阳性面积、不透光率密度值明显减少,VIP增多(P<0.05),经摩腹干预后,SP表达升高,VIP降低,与正常组比较无显著性差异(P>0.05),3组CCK表达无显著性差异(P>0.05)。[结论]结肠SP和VIP表达异常可能是IBS的致病因素之一,摩腹法可以通过调节局部肠道SP和VIP的功能来治疗IBS。