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简介:Objective:Tocomparethetherapeuticeffectofpointpenetrationmethodoflongneedleandthatofwesterndruginthetreatmentofkneeosteoarthritis.Methods:Thesimpleandrandomizedgroupingmethodwasusedinpresentstudy.Results:Theeffectiverateintheacupuncturegroupwas87.5%,andinthewesterndruggroupwas55.6%,thesignificantdifferencewasfoundbetweentwogroupsinthetherapeuticeffect(P<0.01).Conclusions:Thetherapeuticeffectofpointthroughpointwithlongneedleinthetreatmentofkneeosteoarthritiswasbetterthanthatofwesterndrug.
简介:Tosutdythemechanicalpropertiesandtheclinicalresultsofminimum-contactplateinthetreatmentoffractures.Methods:Four-pointbendingandtorsiontestswereconductedtocomparethenewminimumcontactplate(MCP)withdynamiccompressionplate(DCP)andlimitedcontactdynamiccompressionplate(LC-DCP).Thefracturehealingtimeandgrowthofhonycalluswereobservedin29casesoflongbonefracturefixedwithMCPtoevaluatetheadvantagesofthiskindofplate.Results:The29patientswhounderwentMCPwerefollowedupfrom6to14months.Theaveragehealingtimeforfemoral,tibialandhumeralfractureswas12,13and10weeks,respectively.Allfractureswerehealed.Nodisplacementoffracture,screwpullout,deformationorhreakoftheplatewerefound.Conclusions:ThebendingstiffnessofMCPissignificantlygreaterthanthatofDCPandLC-DCP(P<0.05).MCPcanprotecttheperiostealhloodsupplyagainstavascularosseousnecrosisandacceleratehonehealing.Itisakindofreliableandeffectiveplateintreatmentoffractures.
简介:AIM:Tocomparetheconjunctivalepithelialtoxicitiesofthreenewer-generationfluoroquinoloneswithoutpreservatives.·METHODS:Inaprospective,randomized,doubleblindcomparativestudy,47eyesof47patientswithaprimarypterygiumwereenrolled,anddividedrandomlyintothreegroups(levofloxacin0.5%,gatifloxacin0.3%,andmoxifloxacin0.5%).Afterpterygiumsurgerywiththesameconjunctivalautografttechnique,eachpatientmaintainedaregimenwitharandomlyassignedfluoroquinoloneeyedrop.Patientswereexaminedeveryotherdayaftersurgeryuntiltheepitheliumhadcompletelyhealed.Photosweretakenandusedtomeasuretheareaofresidualepithelialdefects.Conjunctivalhealingtimeandspeed(initialdefectarea/healingtime(mm~2/d)comparedineachgroupusingKruskal-Wallistests.·RESULTS:Therewerenosignificantdifferencesinmeanage,gender,andconjunctivaldefectsizeofthedonorsitebetweenthesegroups.However,themeanofconjunctivalhealingtimeandspeedwerestatisticallydifferentineachgroup.Themeanofconjunctivalepithelialhealingtimewas8.93±2.69d(levofloxacingroup),10.31±2.96d(gatifloxacingroup),and13.50±4.10d(moxifloxacingroup),P=0.006.Themeanconjuctivalepithelialhealingspeedwas6.18±1.39mm~2/d(levofloxacingroup),5.52±1.68mm~2/d(gatifloxacingroup),and4.40±1.30mm~2/d(moxifloxacingroup),P=0.003.·CONCLUSION:Withouttheinfluenceofpreservatives,levofloxacinandgatifloxacinmightbelesstoxictotheregenerationofconjunctivalepithelialcellsandcauseafasterconjunctivalwoundhealingrelativetomoxifloxacin.
简介:目的:讨胃经穴在胃肠实热型肥胖症治疗中的作用。方法:51例胃肠实热型肥胖症患者随机分为两组,治疗组以胃经取穴为主,对照组采用俞募配穴法取穴。隔日治疗1次,1个月为1个疗程,共治疗3个疗程。观察患者的症状、体征的变化,测量治疗前后的肥胖指标及血瘦素、血脂、血糖、ACHE等实验室指标。结果:与对照组相比,胃经组可显著减少各项肥胖指标(P〈0.01);改善肥胖患者的高瘦素血症(P〈0.05)和脂代谢紊乱(P〈0.05);逆转肥胖患者的副交感神经功能亢进的失衡状态(P〈0.05)。结论:经穴位可以作用于肥胖发生和发展的多个环节,是治疗胃肠实热型肥胖症的关键而有效的选穴。
简介:Objective:ToobservethetherapeuticeffectofacupuncturetherapyplusChinesemedicinalherbsinthetreatmentof38casesofsenilepatientswithhemiplegia.Methods;Atotalof69senilestrokepatientswererandomlydividedintotreatmentgroup(n=38,acceptingacupunctureplusherbalmedicinetreatment)andcontrolgroup(n=31,acceptingherbalmedicinetreatmentonly).PrincipalacupointsusedwereBaihui(GV20),Jiquan(HT1),Jianyu(LI15),Quchi(LI11),Zhongwan(RN12),Siqiang(Extraacupoint)andZusanli(ST36),combinedwithotheracupointsaccordingtothesymptoms.Theseacupointswerepuncturedwithfiliformneedlesandstimulatedwithuniformreinforcing-reducingmethod,onceeverydayexceptSundays,with30sessionsbeingatherapeuticcourse.ChinesemedicinalherbsusedwereHuangqi(RadixAstragali,黄芪)30g,Dangshen(RadixCodonopsisPilosulae,党参)30g,Danshen(RadixSalviaeMiltiorrhizae,丹参)30g,Chishao(RadixPaeoniaeRubra,赤芍)30g,Chuanxiong(RhizomaLigusticiChuanxiong,川芎)10g,Dilong(Lumbricus,地龙)10g,Niuxi(RadixAchyranthisBidentatae,牛膝)15g,Jixueteng(CaulisSpatholobi,鸡血藤)30gandGancao(RadixGlycyrrhizae,甘草)6gwhichweredecoctedinwatertobetakenonedoseeveryday(inthemorningandevening),continuouslyfor60days,with30daysbeingatherapeuticcourse.Results:Aftertreatment,intreatmentandcontrolgroups,ofthe38and31cases,18(47.37%)and8(25.81%)experiencedremarkableimprovement,18(47.37%)and18(58.06%)wereeffective,and2(5.26%)and5(16.13%)hadnosignificantchanges,withthetotaleffectiveratesbeing94.74%and83.87%respectively.Simultaneously,indexesofbloodrheologyaswholebloodratiohighshearviscosity(WBRHSV),wholebloodratiolowshearviscosity(WBRLSV),plasmaratioviscosity(PRV),hematacrit(HCT)andfibrinogen(Fib)wereremarkablyreducedincomparisonwithpre-treatment,meaningimprovementofthemicrocirculation(P<0.05-0.01).Conclusion:Theres
简介:Objective:Toobservetherevascularizationandtheopportunityofcross-fingerflap.Methods:Ananimalmodelwasdevelopedtopermitdailymonitoringofneovascularizationoftheflapwithautoradiography,tissuetransparenttechnique,grossobservationandhistologicalexamination.Results:Therevascularizationoftheflapwaschieflyraisedfromthesurroundingtissues.Thepediclesof334cross-fingerflapsofthepatientsweresuccessfullydividedfrom1to5dafteroperations,averagely3.3d.Allofthecasesshowedsatisfatoryresultsaccordingtoafollow-upsurveyof3to72mon.theresultsfurtherprovedthattherevascularizationofthecross-fingerflapshadaccomplishedwithin3d.Conclusions:Itsuggeststhatthedivisionofacrossfingerflapcanbecarriedoutbetweenthe3rdand5thdayafteroperationwithahighdegreeofsafety.
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简介:AbstractBackground:Cardiovascular (CV) disease is the leading cause of morbidity and mortality in adults with type 2 diabetes (T2D). The aim of this study was to determine the CV risk in Chinese patients with T2D based on the 2019 European Society of Cardiology (ESC) and the European Association for the Study of Diabetes (EASD) guidelines on diabetes, pre-diabetes, and CV diseases.Methods:A total of 25,411 patients with T2D, who participated in the study of China Cardiometabolic Registries 3B study, were included in our analysis. We assessed the proportions of patients in each CV risk category according to 2019 ESC/EASD guidelines.Results:Based on the 2019 ESC/EASD guidelines, 16,663 (65.6%), 1895 (7.5%), and 152 (0.6%) of patients were included in "very high risk," "high risk," and "moderate risk" categories, respectively. The proportions of patients in each category varied based on age, sex, body mass index, and duration. While 58.7% (9786/16,663) of elderly patients were classified to "very high risk" group, 89.6% (3732/4165) of patients with obesity were divided into "very high risk" group. Almost all patients with a duration of diabetes >10 years had "very high risk" or "high risk." However, 6701 (26.4%) of Chinese T2D patients, who had shorter duration, and one or two risk factors, could not be included in any category (the "unclear risk" category).Conclusions:In China, most patients with T2D have "very high" or "high" CV risk based on 2019 ESC/EASD guidelines. However, the risk of patients in "unclear risk" group needs to be further classified.