祛寒通络方离子导入联合来氟米特与依托考昔治疗寒湿痹阻型类风湿关节炎疗效观察

目的：探讨祛寒通络方离子导入联合来氟米特与依托考昔治疗寒湿痹阻型类风湿关节炎的疗效。方法：选择2020年2月—2022年2月我院收治的寒湿痹阻型类风湿关节炎患者102例,随机分为两组,各51例。对照组实施来氟米特与依托考昔治疗,研究组在此基础上联合祛寒通络方离子导入治疗。对比两组临床疗效、治疗前后中医证候积分、实验室指标变化,并统计不良反应发生情况。结果：研究组临床疗效优于对照组(P<0.05);治疗后研究组各项中医证候积分低于对照组(P<0.05);治疗后研究组ESR、CRP及RF水平均低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论：对寒湿痹阻型类风湿关节炎患者采用祛寒通络方离子导入联合来氟米特与依托考昔治疗具有较好的临床疗效,安全性较高。     

三种椎动脉型颈椎病动物模型的比较研究

目的:通过比较三种造模方法的科学性,以期为椎动脉型颈椎病的实验研究提供最合理的造模方法。方法:分别采用注射硬化剂造模法、力学平衡失调造模法、混合造模法制备3组椎动脉型颈椎病大鼠模型。通过X线影像分析各组大鼠颈椎退变情况;运用HE染色法进行小脑组织形态学观察;采用ELISA法测定各组大鼠血浆ET含量。结果:与空白组比较,三种模型的影像学评分、血浆ET含量均明显增加,差异有显著性(P0.01);力学平衡失调造模组与混合造模组组间影像学评分比较无统计学意义,但均高于注射硬化剂造模组(P0.05);三组模型大鼠的血浆ET含量比较无差异。结论:三种模型制作均成功;力学平衡失调造模法与混合造模方法要优于注射硬化剂造模法。     

踝关节扭伤的康复治疗

踝关节扭伤是一种常见的运动损伤,也是全身最常见的关节扭伤。扭伤后可引起踝关节的内外侧韧带及下胫腓韧带损伤。轻者为侧副韧带部分撕裂,重者为韧带断裂伤,甚至可出现撕脱性骨折、软骨面损伤等。踝关节扭伤可分为内翻型和外翻型,临床以内翻型多见。多因为足外缘着地、足部突然内收而引起。其临床症状主要表现为踝关节疼痛,活动功能受限,关节周围皮肤青紫且肿胀,伤足不敢用力着地,跛行步态,活动时疼痛加剧等。如果失治或者误治,易造成习惯性扭伤。踝关节扭伤后再次受伤的可能性比正常踝关节高40％-70％。     

Clinical observation of tendon-regulating manipulation plus core stability training for non-specific low back pain

Objective

To evaluate the clinical efficacy of tendon-regulating manipulation plus kinesiotherapy in treating low back pain.

Methods

Sixty patients were randomized into a treatment group and a control group by using the random number table, 30 cases in each group. The treatment group was intervened by tendon-regulating manipulation plus kinesiotherapy, while the control group was by the tendon-regulating manipulation alone. The lumbar lordosis was measured by X-ray (side view), the pain was evaluated by analgesy meter, the lumbar range of motion was by using goniometer, and the function was judged by Oswestry disability index (ODI) before and after treatment, and the therapeutic efficacy was also observed.

Results

After treatment, the pain level was significantly reduced, lumbar lordosis was significantly increased, the lumbar range of motion was markedly improved, and the ODI score significantly dropped (all P<0.05) in both groups; the improvement of each item in the treatment group was more significant than that in the control group (all P<0.05). The total effective rate was 90.0% in the treatment group versus 63.3% in the control group, and the difference was statistically significant (P<0.05).

Conclusion

In the treatment of low back pain, tendon-regulating manipulation plus kinesiotherapy can mitigate topical pain, improve the motion of low back, enhance the quality of life, and produce a more significant therapeutic efficacy compared to tendon-regulating manipulation alone.