理筋通督手法治疗颈性眩晕临床研究

目的:观察理筋通督手法治疗颈性眩晕的临床疗效。方法:将120例颈性眩晕患者随机分成3组,理筋通督组、传统手法组及安慰剂组。理筋通督组采用理筋通督手法;传统手法组采用传统手法;安慰剂组口服维生素C。结果:理筋通督手法可显著减缓患者基底动脉舒张期最低血流速度(P0.05)。理筋通督组有效率为93.67%,传统手法组有效率为67.5%,安慰剂组有效率为17.5%,3组比较差异有统计学意义(P0.05),理筋通督组明显优于其他两组。结论:理筋通督手法治疗颈性眩晕临床疗效显著。     

萃取法氯化血红素脱铁的研究

报导了一种氯化血红素(Hemin)脱铁的 TBP萃取新方法,在萃取时间1 h,萃取剂磷酸三丁酯(TBP)加入量为Fe量的10~20倍,盐酸加入量为硫酸体积的 1/3,稀释剂选用非极性的苯和萃取温度 40℃等条件下,氯化血红素的脱铁率和血卟啉及血卟啉衍生物的含量分别达到了 99.01%和 95.05%。采用此方法不但降低了生产成本,而且还缩短了生产周期。     

推拿治疗颈性眩晕研究进展

颈性眩晕(Cervical vertigo)是由颈椎或颈部软组织病变所引起的以眩晕为主要表现的临床综合征,是临床常见病、多发病。颈性眩晕命名较多,有“椎动脉型颈椎病”、“椎动脉压迫综合征”、“椎基底动脉供血不足”、“椎动脉缺血综合征”及“椎基底动脉供血不足(VBI)”等多种名称。最早由barre和lieou提出,     

人引导骨再生修复颌骨缺损的组织学观察

背景：引导骨再生对于成骨的引导及成形效果在基础研究及动物实验中已得到充分肯定,但国内有关人的颌骨骨缺损后引导骨再生中新生骨的组织学观察是一个空白。 目的：应用组织学检查了解人引导骨再生修复颌骨骨缺损的成骨效果。 方法：选取引导骨再生治疗颌骨骨缺损患者19例24个部位,于治疗后6个月行种植术中,中空钻取出术区新生骨,组织学观察,评价成骨效果。 结果与结论：所取新生骨可见不同发育阶段的骨形成。近根尖段骨中主要为板层骨,而冠方新生骨主要为纤维性骨形成,内含类骨组织及软骨性骨,极少板层骨。提示人颌骨骨缺损经引导骨再生后6个月成骨效果肯定,但远期效果还有待进一步观察。     

富血小板纤维蛋白新生诱导骨的组织学观察

BACKGROUND: In previous experiments, we have confirmed that platelet rich fibrin has the ability of osteoinduction, and have conducted a preliminary study on its microstructure and biomechanics. However, little is reported on its histology research. OBJECTIVE: To compare the histological changes after implanting platelet-rich fibrin, Bio-Oss and autologous bone and to analyze the pros and cons of platelet-rich fibrin implantation for repair of bone defects. METHODS: As previously reported, animal models of critical bone defects were established respectively on the bilateral femoral condyles of 12 beagle dogs. Then, platelet-rich fibrin, Bio-Oss+collagen membrane (Bio-Oss group) and autologous bone (autologous bone group)+collagen membrane were respectively implanted. At 3, 6, 8 and 12 months, one experimental dog from each group was killed, respectively, and histological observation was performed. Another beagle dog as blank control was enrolled to establish the animal model of critical bone defects, with no implantation. RESULTS AND CONCLUSION: At 3, 6, 8 and 12 months after implantation, there were significant differences in the new bone formation speed and amount between the platelet-rich fibrin group, Bio-Oss group and autologous bone group. These three kinds of bone grafts all had osteoinductive ability to different extents. In the platelet-rich fibrin group, the osteogenic effects were better at 3 and 6 months, and the new bone was similar to natural one; in the autologuos bone group, bone necrosis was noticeable at 3 and 6 months, but the osteogenic effects became better at 8 months, and the new bone was similar to natural one at 12 months; in the Bio-oss group, the osteogenic effects were similar to those in the platelet-rich fibrin group, but the residual of Bio-oss was visible at 12 months; in the blank control group, no bone formed at 3 months, indicating the animal model of critical bone defects was made successfully. In brief, the platelet-rich fibrin has good osteoinductive ability, with shorter time and better quality.       

苍肉散加痢特灵穴位敷贴治疗小儿寒湿型腹泻的疗效研究

目的:观察苍肉散加痢特灵穴位敷贴对小儿寒湿型腹泻患者的临床效果观察。方法:选取我院2012年10月~2014年10月小儿寒湿型腹泻患者104例,随机数表法分组为对照组52例,选择西药方法进行疾病治疗;观察组52例,选择苍肉散加痢特灵穴位敷贴方法进行治疗。对比两组寒湿型腹泻患儿在治疗效果。结果:观察组寒湿型腹泻患儿中,治愈患儿36例,好转患儿15例,未愈患儿1例,临床治疗总有效率为98.08%;对照组寒湿型腹泻患儿中,治愈患儿27例,好转患儿13例,未愈患儿12例,临床治疗总有效率为76.92%(P0.05)。结论:临床选择苍肉散加痢特灵穴位敷贴方法进行治疗,可以充分发挥祛湿温里以及杀菌的功效,发挥显著健脾和胃以及理肠止泻的效果。     

两种骨修复材料修复兔颅骨骨缺损：X射线评估效果

背景：虽然生物源性和无机源性骨组织替代材料各自的引导新骨再生的能力都得到证实,但目前就生物源性与无机骨组织替代材料对于颌骨缺损病理改变的骨增量和成骨效果有无差异尚无定论。 目的：对比观察无机源性与生物源性骨组织替代材料在骨缺损再生修复中引导骨组织再生的能力与特点及差异。 方法：建立成年新西兰兔颅顶骨洞型骨缺损模型,前方和后方洞型骨缺损区分别采用无机源性与生物源性骨粉填充并用胶原生物膜覆盖,保留硬脑膜面与海奥胶原膜双层膜之间的血凝块。于术后12,16,24周通过X射线观察分析骨缺损区组织修复状况。 结果与结论：术后12,16,24周生物源性骨粉组和无机源性骨粉组新生骨量随时间增加明显上升,且生物源性骨粉组新生骨量均明显多于无机源性骨粉组新生骨量(P ≤ 0.05)。结果说明无机源性与生物源性骨粉均可起到引导新骨再生完全修复骨缺损的作用,但生物源性骨粉修复骨缺损效果优于无机源性骨粉。 关键词：生物源性;无机源性;骨组织替代材料;骨缺损; 引导骨组织再生;生物材料与组织工程 doi:10.3969/j.issn.1673-8225.2010.34.004     

少林一指禅绝技与一指禅推法的关系

通过考证少林一指禅绝技与一指禅推法的起源与传承,及对两者特点、练功方法、练功基础的比较,得出少林一指禅绝技的练功方法在一指禅推法中被采用,少林一指禅功夫的动作要领在疾病治疗过程中也被运用。并进一步用佛教"万物归一"将推拿中各种手法用一指禅推法来作为代表,所以有"手法宗一指禅"的说法。     

地塞米松不同给药途径对下颌阻生牙拔除术后反应的影响

目的探讨地塞米松在拔牙后局部应用与全身应用对拔牙后反应的影响。方法选择需要拔除下颌阻生牙的患者随机分为两组,A组在拔牙创面填地塞米松磷酸钠注射液浸湿的明胶海绵;B组仅在拔牙创面上填明胶海绵,术后口服醋酸地塞米松片0.75 g,2次/d,连续3 d。观察两组拔牙后反应的发生情况。结果局部应用地塞米松与全身应用地塞米松均能有效缓解拔牙后反应,两组间拔牙后反应发生情况无明显差异。结论拔牙创面局部填塞地塞米松较全身应用地塞米松更方便,且效果相当,并可避免全身应用糖皮质激素的副作用,值得临床推广使用。