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  • 简介:【摘 要】 目的:探讨多囊卵巢综合导致的不孕临床治疗措施,为临床治疗提供参考依据。 方法: 2017年 2月至 2018年 5月我院对 50例患者进行分析,将患者分成了两组,一组使用常规治疗,一组使用中医分期治疗,对两组的临床治疗情况进行对比分析。 结果:对两组患者进行了随访研究,对患者的治疗情况进行评价,常规治疗的患者妊娠率是 56.00%( 14/25),中医分期治疗的患者妊娠率是 80.00%( 20/25),两组的妊娠率对比存在统计学差异性, P<0.05。 结论:多囊卵巢综合征引发的不孕在进行治疗的时候,使用中医分期治疗方式具有比较好的效果,患者的妊娠率有显著的提升,临床中患者的症状改善明显,可以进行推广使用。   【关键词】 中医分期治疗 ;多囊卵巢综合 ;不孕    [Abstract] Objective: To explore the clinical treatment of infertility caused by polycystic ovary syndrome (PCOS), and to provide reference for clinical treatment. Methods: from February 2017 to may 2018, 50 patients in our hospital were analyzed. The patients were divided into two groups, one group was treated with conventional therapy, the other group was treated with traditional Chinese medicine by stages. The clinical treatment of the two groups was compared and analyzed. Results: two groups of patients were followed up and evaluated. The pregnancy rate of routine treatment was 56.00% (14 / 25), and that of traditional Chinese medicine staging was 80.00% (20 / 25). There was statistical difference between the two groups (P < 0.05). Conclusion: in the treatment of infertility caused by polycystic ovary syndrome, the use of traditional Chinese medicine staged treatment has a better effect, the pregnancy rate of patients has significantly improved, the clinical symptoms of patients improved significantly, can be used for promotion.

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  • 简介:摘要股骨转子间骨折临床常见,手术治疗的关键在于及时固定和尽早行康复锻炼,以防止卧床并发的发生。目前常用的固定系统在治疗不稳定股骨转子间骨折时失败案例并不鲜见。笔者认为,人体正常股骨近端解剖类似于杠杆结构,其支点应位于张力骨小梁与压力骨小梁交汇点处。由于此支点靠近身体中轴,故能承受体重并完成各向活动。股骨转子间骨折破坏了股骨转子张力和压力骨小梁及股骨近端的生理杠杆,使压应力与张应力失衡、支点消失而形成髋内翻。以往多种手术方式都是根据股骨矩与外侧壁的骨折形态进行固定,无法恢复股骨近端"杠杆-支点"的平衡,无法重建生理支点,导致固定失败。笔者回顾既往关于股骨转子间骨折治疗的相关文献,分析股骨转子间骨折治疗失败的原因,并基于股骨近端解剖和生物力学特点,首次提出股骨转子间骨折治疗应遵循"杠杆-支点平衡"关系。"杠杆-支点平衡"理论的提出,能很好地解决以往内固定系统存在的问题,为股骨转子间骨折的治疗开启一个新的方向。

  • 标签: 股骨骨折 外科手术 生物力学 杠杆支点平衡
  • 简介:[摘要 ]目的:研究分析老年阴道炎患者接受六味地黄汤的临床治疗情况,并为患者提供了中医体质辨识治疗,分析两种治疗方式联合使用的效果。方法: 2016年 1月至 2019年 1月我院对 60例老年阴道炎病例进行了分析研究,分成两组,对照组使用六味地黄汤,研究组除了对照组的治疗方式还使用了中医体质辨识治疗,两组共治疗了 60天。对患者的临床治疗效果进行对比。 结果:患者接受治疗前,研究组的阴道健康评分平均是( 6.74±0.25),对照组的该指标平均是( 4.09±0.47),两组的结果对比存在统计学差异性, P<0.05。研究组的临床有效率是 93.33%( 28/30),对照组的临床有效率是 16.67%( 4/24),两组的有效率对比不存在统计学差异性, P>0.05。 结论:六味地黄汤对老年阴道炎的治疗效果较好,结合中医体质辨识治疗的效果更加突出,临床中患者的改善明显,所以可以进行推广使用。    [关键词 ]老年性阴道炎 ;中医体质辨识 ;六味地黄汤 [Abstract] Objective: To study and analyze the clinical treatment of Liuwei Dihuang Decoction for the elderly patients with vaginitis, and to provide the patients with TCM Constitution identification treatment, and to analyze the effect of the combination of the two treatment methods. Methods: from January 2016 to January 2019, 60 cases of senile vaginitis were analyzed and studied in our hospital. They were divided into two groups. The control group was treated with Liuwei Dihuang Decoction. In addition to the treatment of the control group, the study group was treated with TCM Constitution identification treatment. The two groups were treated for 60 days. The clinical treatment effect of the patients was compared. Results: before treatment, the average vaginal health score of the study group was (6.74 ± 0.25), and that of the control group was (4.09 ± 0.47). There was statistical difference between the two groups (P < 0.05). The clinical effective rate was 93.33% (28 / 30) in the study group and 16.67% (4 / 24) in the control group. There was no statistical difference between the two groups (P > 0.05). Conclusion: Liuwei Dihuang decoction has a good effect on the treatment of senile vaginitis, and the effect is more prominent in combination with TCM Constitution identification. The symptoms of the patients in the clinic are improved obviously, so it can be used widely.

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