Objective To investigate the therapeutic effects of using short stick pressure therapy to eliminate trigger points in the neck and shoulder region of neck type of cervical spondylosis.Methods A total of 80 cases of neck type of cervical spondylosis patients admitted to our hospital from September 2021 to September 2022 were selected as the research objects.According to the random number table method,they were treated with basic drugs and divided into two groups,each of the 40 cases.The control group was treated with placebo,and the observation group was treated with trigger stick therapy with short stick.Results Visual analogue scale(VAS)score and number of cervical spine dysfunction index charts(NDI)score in both groups decreased after treatment compared with before treatment(P<0.05),and the scores of the observer group were lower than those of the control group(P<0.05).At the end of treatment course,the total effective rate of the observation group(92.50%)was higher than that of the control group(75.00%),and the difference was statistically significant(P<0.05).Conclusion The short stick therapy with trigger point has a good clinical effect on neck type of cervical spondylosis,could effectively relieve the pain and improve the clinical symptoms,and is worthy of clinical application.

目的 探讨半夏厚朴汤对腰椎管狭窄术后胃肠道功能紊乱的疗效.方法 将60例患者随机分为两组.对照组30例采用术后宣教以及常规治疗,观察组30例在对照组基础上加用半夏厚朴汤加减治疗.结果 观察组29例和对照组28例,总有效率分别为89.7%、64.3%,两组比较差异有统计学意义(P<0.05).观察组术后首次排气排便时间以及首次肠鸣音恢复时间均明显短于对照组,差异有统计学意义(P<0.05).两组治疗后VAS评分较治疗前明显降低,差异有统计学意义(P<0.05),且观察组VAS评分明显低于观察组VAS评分,差异有统计学意义(P<0.05).结论 半夏厚朴汤可以改善腰椎管狭窄患者术后胃肠道功能紊乱的临床症状,在一定程度上可以减轻疼痛,疗效优于常规治疗.

Objective To observe the clinical curative effect of unilateral biportal endoscopy(UBE)in the treatment of extreme lateral lumbar disc herniation(ELLDH).Methods From June 2019 to June 2022,25 patients with ELLDH were treated with UBE-guided discectomy,including 16 males and 9 females.The age ranged from 26 to 62 years with a mean of(53.67±17.45)years.History ranged from 3 d to 10 years.There were 9 cases of internal foraminal type(type Ⅰ),13 cases of external foraminal type(type Ⅱ)and 3 case of mixed type(type Ⅲ).There were 8 cases of L4/5 space and 17 cases of L5/S1 space.All the patients underwent anterior and lateral lumbar X-rays,CT and MRI scans before surgery.The visual analogue scale(VAS)pain score and Oswestry disability index(ODI)assessed lower limb and lower back pain and functional recovery before surgery and at 3 d and 3 months after surgery,respectively.Macnab criteria evaluated the immediate surgical outcome.Results The UBE technique was used to treat ELLDH.The operative time was(79.79±23.97)min,the intraoperative bleeding volume was 40～80 mL,with an average of(55.80±10.74)mL.Follow-up time was(7.02±4.26)months.Preoperative VAS of lower limb was(7.04±0.92),lower back VAS was(3.49±1.52),ODI was(35.03±2.97)%.Compared with the preoperative results,the lower limb VAS was(2.17±0.61),lower back VAS was(1.48±0.43),and ODI was(18.77±3.15)%on day 3 after surgery,lower limb VAS was(1.38±0.65),lower back VAS was(1.03±0.48)and ODI was(6.05±1.80)%on the 3 months after surgery were improved(P＜0.05).The excellent and good rate was 96.0%(excellent 20,good 4,fair 1),and no obvious complications were observed during the follow-up.Conclusion UBE is effective,with little trauma,clear intraoperative visual field,good intraoperative experience,and less traumatic and safe in the treatment of ELLDH.

妇人伤寒学说在楼英《医学纲目·伤寒部》中作为独立的一部分内容,包含了张仲景、王海藏等前人的思想,同时也囊括了楼英独到的理论见解.楼英在继承各医家学术思想的同时,也十分注重"和血养血".对于热入血室,楼英除用仲景之法外,还强调和血以预防热入血室的发生.对于妊娠伤寒,楼英选用王海藏妊娠六合汤之法,其以四物汤为底,和血养血,固胎护元.对于妇人产后伤寒,楼英以血为本,或补气血以扶正,或下恶露以祛邪.