手术切开复位配合外固定器治疗桡骨远端不稳定性骨折的临床疗效观察

目的：比较桡骨远端不稳定性骨折外固定器治疗与手法复位治疗的临床效果。方法：将40例桡骨远端不稳定性骨折患者按就诊顺序随机分为外固定器治疗组（A组）及手法复位治疗组（B组），两组均行基础药物治疗，A组采用手术切开复住安装外固定器治疗，B组用手法复位石膏固定治疗，复位均在X线监控下进行，6周后拆除外固定器及石膏，并进行指导功能锻炼。术后当天、2周、6周、1年随访并摄片复查。用Dienst标准行功能评估。比较两组的临床疗效。结果：A组复位质量和疗效优于B组（P〈0．05）。结论：手术复位配合外固定器治疗桡骨远端不稳定性骨折是一种安全、简便、实用的方法。     

内科常见疾病中医证治国际标准(草案)冠心病心绞痛

冠心病心绞痛(angina pectoris)是冠状动脉供血不足,心肌急剧的、暂时的缺血与缺氧所引起的临床综合征.本病发病多由冠状动脉粥样硬化引起.临床主要表现为前胸阵发性的压榨性窒息样感觉,疼痛主要位于胸骨后部,可放射至心前区与左上肢,持续数分钟,经休息或舌下含服硝酸甘油后迅速消失.     

原发性高血压

原发性高血压(Primary Hypertension)是一种以体循环动脉压升高为主要特征的临床综合征,通常简称高血压(Hypertension).其病因与发病机理尚未完全清楚,多认为是在一定的遗传背景下由于多种后天环境因素作用使正常血压调节机制失代偿所致.临床主要表现为血压升高,头晕头痛,时发时止,或头重脚轻,耳鸣心悸.     

急性肾小球肾炎

急性肾小球肾炎（acute glomerulonephritis）简称急性肾炎（AGN）,是以急性肾炎综合征为主要临床表现的一组疾病。本病常因β溶血性链球菌感染所诱发的免疫反应引起,自身免疫反应也可能参与了发病机理。其特点为急性起病,临床主要表现为血尿、蛋白尿、水肿、少尿和高血压,     

针刺结合康复训练治疗中风偏瘫的临床研究概况

针刺是治疗中风偏瘫的主要方法,但随着现代康复医学的发展,目前治疗中风偏瘫的趋势是针刺和现代康复手段结合,且取得了一定进展。笔者现将近年来针刺结合康复训练治疗中风偏瘫的文献综述如下。1针刺结合康复训练的方法1.1阳经取穴结合康复训练孟祥慧等[1]以手足阳明经为主取穴,调和气血运行、疏通经脉通路,康复训练     

Effect of An-pressing manipulation on the serum levels of T-AOC and CK-MM in volunteers with delayed onset muscle soreness in biceps brachii

Objective

To observe the effect of An-pressing manipulation on biceps brachii with delayed onset muscle soreness (DOMS) in healthy male volunteers.

Methods

A total of 30 male college student volunteers were randomly divided into a blank group, a model group and a treatment group, 10 cases in each group. Subjects in the blank group did not receive any intervention; subjects in the model group received active weight-bearing eccentric exercise on the non-favored side of the upper limb to establish the models, while not receiving any treatment; subjects in the treatment group received both the same modeling and An-pressing manipulation treatment. The subjective rating of perceived exertion (RPE), subjective soreness sensation threshold and soreness grade were evaluated before modeling, immediately after modeling, and 24, 48, 72, 96 and 120 h after modeling. Serum total antioxidant capacity (T-AOC) was measured before modeling, immediately after modeling, and 24, 48 and 72 h after modeling. Serum creatine kinase MM isoenzyme (CK-MM) was measured before modeling and 24, 48 and 72 h after modeling.

Results

At 24, 48, 72 and 120 h after treatment, the soreness grades of the treatment group were lower than those of the model group (all P<0.05). The RPE scores of the treatment group were lower than those of the model group (all P<0.05) immediately after modeling, at 24, 48, 72, 96 and 120 h after modeling. The subjective soreness sensation threshold of the treatment group was higher than that of the model group immediately after modeling, at 24, 48, 72 and 96 h after modeling (all P<0.05). Immediately after modeling, T-AOC value in the treatment group was higher than that in the model group and blank group (both P<0.05). CK-MM of the treatment group was lower than that of the model group at 48 h and 72 h after modeling (P<0.05).

Conclusion

An-pressing manipulation shows a certain therapeutic effect on biceps brachii with DOMS by strengthening the body's antioxidant and anti-damage abilities, which can effectively reduce the pain and accelerate the recovery from fatigue damage.

     

按法刺激心俞、大杼对缺血再灌注损伤模型兔血清心肌肌钙蛋白、磷酸肌酸激酶同工酶水平的影响

目的探索按法刺激心俞、大杼对缺血再灌注损伤心肌的保护作用。方法将60只兔随机分为正常组、模型组、假手术组、模型+按压心俞组、模型+按压大杼组,5组正常饲养,模型组、模型+按压心俞组、模型+按压大杼组给予造模处理,假手术组只做开胸,不予以结扎冠状动脉,模型+按压心俞组和模型+按压大杼组分别按压心俞和大杼,观察各组的心电图ST段变化、血清心肌肌钙蛋白(cT nI)和磷酸肌酸激酶同工酶(CK-MB)含量变化、梗死区心肌病理变化。结果与正常组比较,模型组、模型+按压心俞组、模型+按压大杼组结扎后ST段均抬高,再灌注后ST段再回落,差异没有统计学意义;与模型组比较,模型+按压心俞组、模型+按压大杼组血清cT nI和CK-MB均有降低,cT nI降低没有统计学意义,CK-MB降低有统计学意义。结论按法刺激心俞和大杼穴均能对缺血再灌注心肌起保护作用。     

全经针刺法对恢复期脑梗死脑血流动力学影响的临床研究

目的：运用多普勒超声（TCD）检测治疗前后脑血流动力学的改变,探讨全经针刺法对恢复期脑梗死患者脑血流动力学的影响及可能机制。方法：将60例患者随机分为两组,治疗组30例,采取全经针刺法及基础治疗,对照组30例,给予常规刺法及相同的基础治疗,利用经颅多普勒超声（TCD）对照观察治疗前后双侧大脑中动脉（MCA）的平均血流速度（Vm）、脉动指数（PI）的变化。结果：①治疗组和对照组治疗后,患者双侧MCA的Vm均上升（P〈0.01、P〈0.05）,病灶侧Vm上升幅度均较非病灶侧大（P〈0.01）;治疗组MCA病灶侧Vm上升幅度较对照组大,差异有高度统计学意义（P〈0.01）;②两组治疗后,病灶侧PI值均下降,差异有统计学意义（P〈0.01、P〈0.05）;治疗组病灶侧PI下降幅度较对照组明显（P〈0.05）。结论：全经针刺法可提高恢复期脑梗死患者大脑中动脉的Vm,降低大脑中动脉PI,提示其可改善脑血液循环、增加脑血管血流的供应,并且优于常规针刺法。