简介:目的将为疱疹带状疱疹观察包围针灸的临床的效果。有疱疹带状疱疹的六十个病人随机被划分成二个组,一个治疗组和控制的方法组织,在各个的30个盒子。在治疗组的盒子与在有斑点的区域上包围针灸,Acyclovir的静脉内的注入和Ne-Ne激光放射被对待。当时,那些与Acyclovir的静脉内的注入和Acyclovir的热门申请在控制组被对待软膏。治疗学的效果在治疗的二堂功课以后在两个组被估计。治疗组显然是的结果更好处于有效的率比控制组织,水泡的地势,水泡枯竭,疼痛的地势和疼痛的完全的地势的时间(P<0.05)。结论包围针灸,与Acyclovir和He-Ne激光放射的静脉内的注入结合了,在为疱疹带状疱疹的治疗学的效果是显著的并且值得临床的申请。
简介:Objective:Toprovidedetailedinformationofcoronamortisforilioinguinalapproachasananteriorapproachtotheacetabulumandpelvis.Methods:Thecourse,branchesanddistributionofthevascularconnectionbetweentheobturatorsystemandtheexternaliliacorinferiorepigastricsystemslocatedoverthesuperiorpubicramuswereobservedon50hemipelviseswithintactsofttissues.Results:Duringthedissections,72%ofthecadavericsideshadatleastonecommunicatingvesselbetweentheobturatorsystemandtheexternaliliacorinferiorepigastricsystemsonthesuperiorpubicramus.Theaveragediameteroftheconnectingvesselwas2.6mm(range,2.0-4.2mm).Itcoursedoverthesuperiorpubicramusoriliopubiceminenceverticallytoentertheobturatorforamenandexitthepelvis.Theaveragedistancefrompubicsymphysistothevascularconnectionsbetweentheobturatorandexternaliliacsystemswas52mm(range,38-68mm).Conclusions:Vascularconnectionsbetweentheobturatorsystemandtheexternaliliacorinferiorepigastricsystemswerefoundoverthesuperiorpubicramuswithahighincidence.Theyarepronetodamageduringtheilioinguinalapproachasananteriorapproachtotheacetabulumandpelvis.Thus,coronamortislocatedoverthesuperiorpubicramusdeservesgreatattentionduringtheilioinguinalapproach.
简介:CLINICALANDEXPERIMENTALSTUDYOFKILLINGEFFECTONHELICOBACTERPYLORICLINICALANDEXPERIMENTALSTUDYOFKILLINGEFFECTONHELICOBACTERPYLOR...
简介:Objective:Toobserveclinicaleffectofcombinedmixtureoftraditionalchinesesandwesternmedicine"PIANTANNING"intreatmentofischemiccerebrovasculardiseasesandchangeofbrainatlas.Methods:In6660patientswithischemiccerebrovasculardisease,thecurativeeffectof"PIANTANNING"andbrainatlaswereobservedandother30caseswerecomparedwithtreatmentofDextran.Results:Aftertreatment,patient'sclinicalsymptomsandrecovereddegreeofmyodynamiaandbrainatlasimprovedsignificantly.Totaleffectiveratewas96.7%.Butthecontralgroupwas80.0%.Therewasasignificantdifferencebetweenthem(p<0.05).Conclusion:The"PIANTANNING"producedagoodclinicalcurativeeffectintreatmentofischemiccerebrovasculardiseasesandthesideeffectwasonlyafew.Soitcanbeappliedverywellinpatientswithischemiccerebrovasculardisease.Theappliedvalueofbrainatlaswasverygood.
简介:AbstractBackground:Mallet fracture is avulsion of the terminal extensor tendon from the base of the distal phalangeal bone with a bony fragment. This study was performed to evaluate the anatomical characteristics of mallet fractures, investigate a new mallet fracture classification system using anatomical and imaging methods, and discuss the treatment schemes for different types of mallet fracture.Methods:Sixty-four fresh cadaveric fingers were divided into four groups, and models of different types of mallet fracture with distal interphalangeal joint instability were established by dissecting 25%, 50%, 75%, and 100% of the bilateral collateral ligaments. The effect of mallet fractures on the stability of the distal interphalangeal joint was then observed. The lateral radiographs of mallet fractures in 168 patients were analyzed and classified according to the involvement of the joint surface in the fracture, the thickness of fracture, the untreated time after injury, and the complication of distal interphalangeal joint palmar subluxation. Forty-seven patients were surgically treated by reconstruction of extensor tendon insertion, the Ishiguro method, or single Kirschner wire fixation.Results:The established mallet fracture model showed that the distal interphalangeal joint was stable when the bilateral collateral ligaments were cut off by 25% (t= -0.415, P = 0.684) and significantly unstable when this range was ≥50% (50% transection: t= -6.363, P < 0.001; 75% transection: t= -17.036, P < 0.001; 100% transection: t = -30.977, P < 0.001, respectively). The mallet fractures were divided into Types I, II, and III (fracture involving <20%, 20%-50%, and >50% of the joint surface, respectively). Type II was further divided into Types IIa and IIb according to whether the course of injury was < or ≥2 weeks, respectively. The mean post-operative flexion of the distal interphalangeal joint was 63.4° ± 7.9°, and the mean extension lag was 6.7°± 4.6°.Conclusions:The lateral collateral ligament is the main factor that maintains the stability of the distal interphalangeal joint. Classification that combines the involvement of the joint surface in the fracture, the thickness of the fracture, and the untreated time after injury is reasonable and will help to choose an appropriate operational method.
简介:Inthisarticle,theauthorsholdthattheevidence-basedmedicine(EBM)isanewmedicalactionproducedatthehistoricmomentinclinicalpractice,whichispromotingdevelopmentofthemedicineandeventhewholelifescienceinafullynewtrainofthoughtendmethod.FurtherthebrieflyintroducedcontentsaretheeffectofEBM,thedifficultyofutilizingintheacupunctureclinicalpracticeandhowtoresolvethem.ItishighlyrecommendedthatthedoctorsoftheacupuncturesciencefieldshouldstudyEBManditseffectanddifficultiesinpracticeasearlieraspossible,insistentlyassimilatenewknowledgeandkeepabreastofthetimes'progresstofacilitatethefurtherdevelopmentofacupunctology.
简介:目的:观察电针对中风后抑郁患者抑郁情绪及神经功能缺损程度的影响。方法:选择经临床、CT或MRHY-实的中风患者90例,按随机数字表分为3组,每组30例。三组患者均给予中风常规治疗,电针组加用电针,西药组加用氟西汀,对照组加用安慰剂,连续60d。结果:与对照组比较,电针组、西药组患者的汉密尔顿抑郁量表(HamiltonDepressionRatingScale,HAMD)和改良爱丁堡-斯堪的纳维亚评分(ModifiedEdinburgh—ScandinaviaStrokeScale,MESSS)下降,Barthel指数评分上升(P〈0.05);电针组、西药组总体疗效无显著差异,电针组、西药组总体疗效优于对照组。结论:电针能改善抑郁表现,促进神经功能康复。
简介:Peripheralfacialparalysisisacommondiseasewithmanifestationoffacialparalysis.Theauthor'sclinicalobservationon50casesoffacialparalysistreatedmainlywithacupunctureshowedaneffectiverateof98%,andtheremarkableeffectivenesswasreportedasfollows.50casesofoutpatientswhichconsistedof14malesand36femaleswereobserved.Theoldestwas61yearsandtheyoungest24years,withanaverageageof36years.33caseshadfacialparalysisontherightsideandother17casesontheleftside.Theshortestdurationwasonedayandthelongest19months.Treatmentwasdoneonceeveryotherdayandacoursecomprisedoftentreatments.Mainacupoints:Chengqi(ST1),Sibai(ST2),Juliao(ST3),Dicang(ST4),Jiache(ST6),Xiaguan(ST7),Sizhukong(TE23),andHegu(LI4),etc.werealladoptedineverytreatement.ComplementaryacupointswereYingxiang(Li20),Cuanzhou(BL2),Yangbai(GB14),andChengjiang(CV24).Methods:Gauge28filiformneedles(1cunatlength)wereused.Intheneedlingprocess,manipulationsofevenreinforcingandreducingincombinationwithlifting-thrustingandtwirling-rotatingwereabopted.Theneedlingsensationwasmadetoincreaseonlywithinthepatient'sbearablethresholdandtheneedleswerewithdrawnimmediatelyfollowingmanipulatingtheneedlesforawhile(about3min).Shallowinsertionofacupunctureneedleswascarriedoutthroughoutthewholetreatmentprocess.Criteriaofthetherapeuticeffect:Cure:Theclinicalsynptomsdisappearedompletelyaftertreatment(facialmusclewasnormal).Effective:Somesymptomswereimprovedbutfacialexpressionwasstillslay.Noeffect:Symptomsremainedthesameafterthetherapy.Results:80%ofthe50cases,namely27caseswithleftfacialparalysisand13caseswithrightsidefacialparalysis,werecured.7cases(14%)showedsignificantimprovement,2cases(4%)effectiveness,and1case(2%)noeffect,thusthetotaleffectiveratewas98%.Conclusion:Patientswithshorterdurationofdisease(withinamonth)hadhigherrecoveringratethanthos