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    find Author "于俊" 3 results
    • Effects of Lanthanum Carbonate on Serum Calcium and Phosphorus of CAPD Patients with Chronic Renal Failure Receiving Calcitriol Pulse Therapy Due to Secondary Hyperparathyroidism

      ObjectiveTo explore and discuss the effects of lanthanum carbonate on serum calcium and phosphorus of continuous ambulatory peritoneal dialysis (CAPD) patients with chronic renal failure receiving calcitriol pulse therapy due to secondary hyperparathyroidism (SHPT). MethodsCAPD patients caused by SHPT in peritoneal dialysis centre of the Qingdao Municipal Hospital of Eastern Hospital from March to June, 2013 were selected and randomly divided into two groups (lanthanum carbonate group and calcium carbonate group). The lanthanum carbonate group were treated with oral lanthanum carbonate and calcitriol pulse therapy, while the calcium carbonate group were treated with calcium carbonate and calcitriol. Change of levels of serum calcium, phosphorus and iPTH were observed and statistic analysis was conducted using SPSS 17.0. ResultsA total of 40 CAPD patients were included, 20 cases in each group. After 12-week treatment, levels of serium phosphate (t=5.095, P=0.000) and iPTH (t=1.225, P=0.000) in the lanthanum carbonate group were significantly lower than those before treatment. The levels of serum calcium (t=1.127, P=0.001) and phosphate (t=2.035, P=0.000) in the lanthanum carbonate group were significantly lower than those in the calcium carbonate group (P < 0.05). ConclusionLanthanum carbonate serves as a useful approach to improve hypercalcemia and the hyperphosphatemia in CAPD patients receiving calcitriol pulse therapy due to SHPT.

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    • 雙套圈交叉加壓縫合法治療手指近側指間關節側副韌帶損傷

      目的總結雙套圈交叉加壓縫合法治療手指近側指間關節側副韌帶損傷的療效。 方法2008年12月-2013年2月,采用雙套圈交叉加壓縫合法治療18例(20指)近側指間關節側副韌帶起、止點斷裂患者。男10例,女8例;年齡18~56歲,平均36.5歲。致傷原因:扭傷10例(10指),絞傷5例(7指),戳傷3例(3指)。損傷指別:示指8指,中指8指,環指4指。患指關節屈伸活動受限;側方應力試驗(+)。2例(2指)合并細小撕脫骨塊。傷后至手術時間2~10 d,平均6.5 d。 結果術后切口均Ⅰ期愈合,無手術相關并發癥發生。患者均獲隨訪,隨訪時間8~50個月,平均30個月。術后患指均無疼痛、關節穩定,側方應力試驗(-),關節分別遺留不同程度梭形腫脹。術后8個月,根據總主動活動度系統評定方法:獲優12指,良7指,差1指,優良率95%。 結論雙套圈交叉加壓縫合法治療手指近側指間關節側副韌帶損傷療效滿意。

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    • 克氏針雙夾扣法固定治療遠節指骨背側基底不穩定骨折

      目的總結克氏針雙夾扣法固定治療遠節指骨背側基底不穩定骨折的療效。 方法2008年9月-2014年3月,對15例遠節指骨背側基底不穩定骨折患者采用切開復位、克氏針雙夾扣法固定。男12例,女3例;年齡18~53歲,平均32.5歲。致傷原因:戳傷8例,扭傷2例,摔傷3例,擠壓傷2例。損傷指別:示指5例,中指3例,環指2例,小指5例。受傷至手術時間2~9 d,平均3.8 d。 結果患者術后切口均Ⅰ期愈合。15例均獲隨訪,隨訪時間6~20個月,平均12.5個月。X線片示骨折均愈合,愈合時間5~8周,平均6.1周。術后8~12周,平均9.2周取出內固定物。末次隨訪時,根據總主動活動度(TAM)評價標準評定手指功能,獲優9例,良5例,中1例,優良率93.3%。 結論克氏針雙夾扣法固定治療遠節指骨背側基底不穩定骨折,可使骨折、關節復位且固定牢固,允許手指早期功能鍛煉,是一種有效治療方法。

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  • 松坂南