高频超声检查用于评估电刺激治疗后产后腹直肌分离变化的临床价值

探讨高频超声检查用于评估电刺激治疗后产后腹直肌分离变化的临床价值。方法 回顾性选取2020年4月—2022年1月在我院进行产后6周电刺激治疗的52例腹直肌间距离＞2.0 cm的产妇作为治疗组,另选取同期年龄、孕次、生产方式等匹配的产后6周行保守治疗的51例腹直肌间距离＞2.0 cm的产妇作为对照组。采用高频超声检查所有产妇的脐上3 cm、脐部、脐下3 cm腹直肌分离间距离,并进行统计学分析。结果 治疗后,治疗组脐上3 cm、脐部腹直肌分离发生率低于对照组（2=4.257、6.448,均P＜0.05）;静息状态下,治疗组脐上3cm、脐部腹直肌间距离差值高于对照组（分别t=2.924、3.482,均P＜0.05）;屈曲状态下,治疗组脐上3 cm、脐部腹直肌间距离差值高于对照组（t=2.094、t=2.504,均P＜0.05）。结论 高频超声能够有效显示孕妇产后电刺激治疗前后腹直肌分离程度和恢复情况,有利于临床诊断和治疗效果评估     

Flexi-bar运动训练联合神经肌肉电刺激治疗产后腹直肌分离的效果

目的:探讨Flexi-bar运动训练联合神经肌肉电刺激(NMES)对产后腹直肌分离的治疗效果.方法:选取2019年1月至2020年12月在郑州大学第五附属医院分娩后发生腹直肌分离的产妇288例,随机数字表法分为3组,每组96例.A组患者接受NMES治疗,30 min/次,3次/周;B组接受Flexi-bar运动训练,1...     

腹直肌分离研究进展

腹直肌分离是指腹部腹直肌沿腹白线向两侧分离,导致前腹壁肌群力量减弱,对腹内压稳定、腹腔脏器支撑、腹壁的骨盆稳定等功能造成影响,从而引起一系列生理功能障碍的疾病,主要表现为腹部膨隆、腹部不适、排便困难、腰背部疼痛等。目前腹直肌分离已逐渐引起临床医师及患者的重视,但关于腹直肌分离的研究方向较多,研究结果也不一致。本文就腹直肌分离的病因、诊断方法和治疗方案的研究进展作一综述。     

85例产妇产后腹直肌分离的超声特点与临床特征

目的探讨85例产妇产后腹直肌分离的超声特点与临床特征。方法选取85例产后腹直肌分离产妇作为研究对象,并统计产后1周及产后42 d高频超声检查的腹中线状况、超声回声情况,比较产后1周及产后42 d的腹直肌间隔、腹直肌厚度数值。结果 85例产妇产后腹直肌分离超声检查显示:腹中线连续性好腹直肌间距增宽74例,腹中线连续性中断腹直肌间距增宽11例;多数为强回声,其中高低不等回声11例,窄带样中强回声34例,纤维样略强回声40例。临床特征多见腹白线增宽、皮肤松弛、下腹隆起、腹正中线区深压痛等。产后1周的腹直肌间隔指标较产后42 d高,腹直肌厚度指标较产后42 d低,差异有统计学意义(均P<0.05)。结论产后腹直肌分离超声特点多见腹中线增宽、回声增强。常见的临床特征以腹白线增宽、皮肤松弛、下腹隆起、腹正中线区深压痛为主。     

早期自主训练治疗产后腹直肌分离的效果观察

目的:观察产后腹直肌分离实施早期自主训练后的疗效。方法:选取2017年12月—2018年12月在我院行产后康复治疗的86例产后腹直肌分离患者的临床资料,在治疗师的指导下均行自主训练,观察疗效。结果:本次参加的患者经训练总有效率达100%(86/86),其中显效57例(66.28%),有效29例(33.72%)。早期自主训练能有效地预防孕晚期、产后妇女易发生腹直肌分离症,取得较为显著的临床效果。结论:孕晚期、产妇早期进行自主训练能有助于改善产后腹直肌分离,恢复腹直肌的效果明显,值得临床应用推广。     

呼吸推挤法联合仿生物电疗在产后腹直肌分离康复护理中的效果分析

目的:分析呼吸推挤法联合仿生物电疗在产后腹直肌分离康复护理中的效果。方法:选取2017年5月—2018年11月收治的产后腹直肌分离患者85例为观察对象,随机数表法分为对照组42例、研究组43例,分别进行自主训练康复、呼吸推挤法联合仿生物电疗康复,对比两种康复护理方式下产后腹直肌分离的康复效果。结果:研究组产妇腹直肌功能改善情况显著优于对照组,差异有统计学意义(P<0.05);研究组患者腹直肌分离距离更小、腰背疼痛程度减轻,腹部松弛症状改善,脊柱生理弯曲恢复,骨盆前倾症状减轻,差异有统计学意义(P<0.05)。结论:为产后腹直肌分离患者采用呼吸推挤法联合仿生物电疗康复效果显著。     

不同分娩方式产后盆底功能结局的分析对比研究

目的：比较不同分娩方式产后盆底功能的结局指标。方法：采用单中心对照研究,将我院2016年4至10月产后3~6个月复查的足月产妇按纳入及排除标准,分为剖宫产组、阴道分娩组。收集患者基本情况,通过盆底功能结局评估指标对2组产妇盆底肌力、表面肌电值及盆底功能障碍性疾病（pelvic floor dysfunction,PFD）分布进行对比分析。结果：142例阴道分娩及146例剖宫产分娩产妇在尿失禁、子宫脱垂及腹直肌分离发生率上有统计学差异（P=0.00）,阴道分娩组子宫脱垂及尿失禁发生率高于剖宫产组,而腹直肌分离发生率低于剖宫产组。2组浅深肌群的Ⅰ、Ⅱ类肌纤维肌力、快肌肌纤维上升时间及恢复时间、慢肌肌纤维平均肌电值比较差异无统计学意义（P>0.05）;而2组静息阶段平均值、快肌（Ⅱ类肌）肌纤维最大值、慢肌（Ⅰ类肌）肌纤维变异性、治疗前肌电评分、腹肌参与度比较差异有统计学意义（P<0.05）,阴道分娩产妇快肌肌电最大值及腹直肌分离发生率均小于剖宫产产妇。结论：阴道分娩与剖宫产均对盆底肌力、表面肌电值造成损伤,可能导致盆底功能障碍性疾病的发生。     

产后腹直肌分离影像评估与康复治疗研究进展

腹直肌分离(DRA)已逐步发展为妊娠期和产后妇女的主流疾病之一,并且由其诱发的腰背痛、盆腔脏器脱垂、二便失禁以及腹疝更是成为影响产后妇女生活质量的重大健康问题。然而,关于DRA的危险因素、危害性、评估标准及治疗方案在国内外医疗行业内并未达成共识,故而很大程度上影响医者执行系统化、标准化的DRA管理方案,进而可能出现过度治疗、影响产后腹直肌分离恢复进程等负面效应。现通过总结归纳产后腹直肌分离的影像评估与康复治疗研究现状,旨在为DRA的临床治疗提供理论指导,不断推动影像与康复技术在DRA中的应用,加快国内外DRA诊疗共识的形成。     

高频超声对产妇腹直肌和耻骨联合分离的预测价值

目的 观察高频超声对产妇腹直肌、耻骨联合分离的预测价值.方法 将208例经临床表现、体征和CT检查确诊的产后腹直肌、耻骨联合分离症患者作为观察组,根据分娩方式分为阴道分娩组(n=168)和剖宫产组(n=40),选取同期健康产妇100例作为对照A组,未孕妇女80例作为对照B组;观察组于产后第3天和第42天,对照A组于产后...     

生物反馈电刺激联合盆底肌锻炼在产后盆底功能康复治疗中应用效果观察

目的：探讨生物反馈电刺激联合盆底肌锻炼对产妇产后盆底功能康复的影响效果．方法将2011年9月至2013年1月在曲靖市妇幼医院住院分娩并于产后42 d复查的320例产妇随机分2组,观察组采取生物反馈电刺激联合盆底肌锻炼的康复治疗手段,对照组不采取任何治疗措施．治疗3个月后比较2组产妇的盆底肌张力、阴道肌电压以及尿失禁发生率．结果观察组产妇盆底肌张力以及阴道肌电压的改善情况显著优于对照组（P〈0.05）;观察组产妇尿失禁发生率显著降低（P〈0.05）．结论生物反馈电刺激联合盆底肌锻炼可以帮助产妇提高盆底肌张力,降低尿失禁发生率,进而提高产妇的生活质量．     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.