笔者基于横络解结理论,影像引导下针刀治疗腕管综合征(CTS)30例,现报道如下. 1 临床资料 30例患者均来自2019年10月至2021年1月山东省千佛山医院疼痛科门诊和病房,其中男12例,女18例;年龄40～75岁,平均(60±14)岁;病程2～28个月,平均(18.4±5.7)个月.均符合美国神经病学学会的CTS临床诊断标准[1]:①正中神经支配区域三个半手指(即拇指、示指、中指,半个环指)出现感觉异常;②前臂、肘关节或肩关节可伴有放射性疼痛,手无力或麻木,前臂或手长时间保持一种姿势可能加重症状,休息不能缓解甚至加重;③腕关节或手做重复活动后出现症状,通过改变姿势或摇动手腕可能缓解;④正中神经返支支配的鱼际肌感觉减退或萎缩.且超声下显示患者腕横韧带与正中神经发生粘连,卡压正中神经.

《伤寒论?自序》中蕴涵着丰富的儒家思想内涵,强调作为一名医者,应有广博之仁爱;要尊重患者,善待患者,谨记"忠恕之道";在义利取舍方面,应当重义轻利,懂得取舍;在荣辱观方面,应明耻知辱,懂得明耻有方;在治学方面,应秉持谋道不谋食的基本原则,勤求古训,博采众长;在为人或为医方面,应根据天人之规律,把握中庸之道,视死别生.

目的 建立阴虚型颈椎病大鼠模型,并对模型进行评价.方法 36只SD大鼠分为阴虚型颈椎病模型组、颈椎病模型组、空白对照组,每组各12只.阴虚型颈椎病模型组采用颈肌离断+剥夺睡眠的方法建立大鼠模型,颈椎病模型组采用颈肌离断的方法建立大鼠模型,空白组不作处理正常饲养.观察每组大鼠不同时间窗的行为学表现差异,心率、血压、痛阈值、体重变化,采用ELISA法测定血清cAMP、cGMP、cAMP/cGMP含量变化,观察颈椎间盘HE染色后的组织形态变化并按照Miyamoto椎间盘形态学分级评分标准对颈椎间盘评分.结果 颈椎病造模后,模型大鼠颈椎间盘形态评分升高(P＜0.01),椎间盘退变,痛阈值降低(P＜0.01).阴虚型颈椎病造模后,与颈椎病模型组和空白组相比,模型大鼠兴奋性升高,皮毛暗淡,口唇、鼻、爪、尾色红少泽,抓取反抗剧烈咬人,心率、血浆cAMP含量和cAMP/cGMP比值均升高(P＜0.01),体重、血压、痛闽值均降低(P＜0.01).结论 通过病-症模型复合的方式可建立阴虚型颈椎病大鼠模型,阴虚可加重颈椎病疼痛症状.

Objective:Traditional Chinese Medicine Trichosanthes pericarpium results from the pericarp of Trichosanthes kirilowii Maxim or Trichosanthesost hornii Harms.This herbal medicine had been used to cure coronary heart disease patients for two thousand years in China.This study aims at to evaluate the pharmacodynamical effect in myocardial infarction protection and to research into the underlying mechanism of this protection.Methods: To make acute myocardial ischemia animal model,1 hour after the last administration,the left anterior descending coronary branch were ligated in male Wistar rats that have received intragastrical administration for 4 days.Rats in different groups were given Trichosanthes pericarpium decoction,the Chinese nostrum Fufangdanshenpian(the positive control drug),and 0.9 % sodium chloride solution.6h after of operation,myocardial tissue was stained with triphenyltetrazolium chloride(TTC).The degree of myocardial infarction was evaluated by electrocardiograph(ECG),the infarction area and the infarction rate.To evaluate the myocardial injury,serum levels of creatine-kinase(CK),creatine-kinase-MB(CK-MB),lactate dehydrogenase(LDH) and aspartate-amino transferase(AST) were detected in these different groups of rats.Moreover,in order to find out the mechnism by which Trichosanthes pericarpium to protect myocardial infarction,the content of malondialdehyde(MDA) and superoxide dismutase(SOD) in myocardial tissue were measured.Results: The effective dose of the Trichosanthes group is 30g/kg.Compared with that in the model group rats,the myocardial infarction rate of rats in the Trichosanthes group decreased evidently(P < 0.05),the serum activity of CK,CK-MB,LDH,AST and α-HBDH were also obviously low(P < 0.05 or P < 0.01).The myocardial MDA content was markedly reduced,but the activity of SOD in the myocardial increased observably(P < 0.05).Conclusion: The protective effect of Trichosanthes pericarpium on the rats acute myocardial ischemic is significant,this effect may relate to that Trichosanthes pericarpium may play important role in membrane lips superoxide clear.

目的:探讨老年髋部骨折患者的护理方法。方法:对39例老年髋部骨折患者进行充分的术前准备及并发症评估与处理,术中进行相应的术中护理,术后加强常规护理,认真观察并预防感染,进行正确的康复锻炼及出院指导等。结果:术后发生并发症3例;泌尿系统感染2例,给予抗感染后病情得到控制;切口愈合不良1例,2周后愈合出院;均无关节功能废退,无深静脉血栓形成。结论:做好手术全过程护理,尤其是加强术后护理,对于巩固手术疗效和促进患者的康复至关重要。

<正>血液透析(HD)是终末期肾脏病(ESRD)患者主要的替代治疗方法,近年来随着技术的不断完善,ESRD患者的生存期得以延长,生活质量得到改善,但心血管并发症仍是威胁患者生命的棘手问题。美国肾脏病资料库显示,心血管疾病

从临床及实验研究两方面综述中药散收并用治疗肿瘤的研究进展,以期为抗肿瘤研究提供依据,指导临床治疗.参考文献14篇.

瓜蒌具多种药理活性,含多种化学成分,多数成分药理活性未知。瓜蒌中生物学活性已明确的几种成分,包括栝楼酸、α-菠菜甾醇、栝楼仁二醇、苷类、氨基酸等;系统介绍上述每种成分的结构、物理化学性质、药理作用及其作用机制。参考文献27篇。

全髋关节置换术是骨关节科常见的难度较大的手术,自2003年以来,本院共为41例患者施行全髋关节置换术,效果满意,现将其围手术期的护理及康复训练体会总结如下. 1 临床资料

2002年3月～2006年12月,我们收治动静脉内瘘透析患者139例,对内瘘给予精心护理,效果满意.现报告如下. 1 资料与方法 1.1 临床资料 本组139例,男76例,女63例,21～80岁.慢性肾小球肾炎58例,慢性间质性肾炎29例,糖尿病肾病41例,高血压肾动脉硬化5例,多囊肾尿毒症4例,红斑狼疮性肾病2例.