目的 探討陽性激發點推拿聯合依托芬那酯凝膠治療對頸肩背肌筋膜炎的臨床療效。 方法 收集2011年2月－10月確診為頸肩背肌炎的患者52例，采用隨機對照試驗,其中26例采用依托芬那酯凝膠加陽性激發點推拿（治療組），另外26例采用傳統推拿進行常規推拿手法治療（對照組）。對兩組患者5次治療后的療效率、每次治療后的疼痛面譜量化評分、7個月后隨訪疼痛復發率等療效進行對照分析。 結果 治療組和對照組經連續治療5次后，總有效率分別為96.15%和80.77%，差異均有統計學意義（P＜0.05）；疼痛面譜量化評分治療組在第一次治療后就較對照組改善明顯，差異有統計學意義（P＜0.05）；7個月后隨訪疼痛復發人數治療組較對照組少，差異有統計學意義（P＜0.05）。 結論 陽性激發點推拿聯合依托芬那酯凝膠治療方案對改善頸肩背肌筋膜炎引發的頸肩背部疼痛不適等癥狀優于傳統推拿組，值得臨床推廣運用。
Drug-eluting stents have great impact to the coronary artery bypass grafting(CABG) in cardiac surgery. Someone even believes that it could replace the surgery procedure. However, the drug-eluting stents are not so ideally in the clinic practice. There are no significant difference between drug-eluting stents and bare metal stents in the mortality and the angina recurrence in middle-long term follow-up. The same results are in the compare with the CABG. As the challenge of the drug-eluting stents, the cardiac surgery has many aspects practice and progress in the harvest of the bypass graft. In the article, the change of the CABG conduit in the era of drug-eluting stents are reviewed.
目的 探討加用網片盆底重建術（PROSIMA）治療盆腔器官脫垂患者的圍手術期護理方法。 方法 對2010年6月－2011年6月收治的23例盆腔臟器脫垂患者施行的PROSIMA護理措施進行回顧性總結。 結果 23例患者術后尿失禁癥狀明顯好轉，舒適感增加；僅1例發生尿潴留，予重置尿管后順利排尿；治愈率達100%。術后6個月復查時均無陰道壁膨出或穹隆脫垂，未出現下尿路感染、網片侵蝕、下肢疼痛等并發癥。 結論 有效的護理措施可減少PROSIMA術后并發癥，對提高手術成功率、促進患者康復有明顯作用。
Krüppel-like factor 4 (KLF4) is a member of the sample Kruppel transcription factor protein family, is an evolutionary conservative contain zinc finger transcription factors, involved in regulating many cellular processes, such as cell growth, proliferation, differentiation and invasion, KLF4 expression in a variety of tissues and cells in the body, has widely in many physiological and pathological conditions. Many studies have shown that KLF4 is involved in neurobiological processes such as neuroinflammation, oxidative stress, apoptosis and axon regeneration, and is closely related to a variety of nervous system diseases such as epilepsy, stroke, and Alzheimer’s disease. Now KLF4 in its role in the development of nervous system diseases were reviewed, help to understand the pathogenesis of the disease and clinical treatment for diseases of the nervous system to provide potential targets.
ObjectivesTo systematically review the application of evidence-based medicine (EBM) combined with problem-based learning (PBL) method in clinical teaching.MethodsDatabases including WanFang Data, CNKI, VIP, CBM, PubMed and EMbase were searched to identify eligible randomized controlled trials that compared EBM plus PBL with traditional lecture based learning (LBL) method in clinical teaching from inception to March 28th, 2020. Two reviewers independently screened literature, extracted data and assessed risk bias of included studies. Statistical analysis was performed using Stata 14.0 software.ResultsA total of 33 randomized controlled trials with 2 855 students were included. The results showed that students in EBM combined with PBL group obtained better scores of specialized theory (WMD=6.87, 95%CI 5.08 to 8.66, P<0.001), skills examination (WMD=10.57, 95%CI 8.98 to 12.16, P<0.001) and case analysis (WMD=9.79, 95%CI 4.71 to 14.88, P<0.001), comparing with those in LBL group. Besides, EBM combined with PBL method improved students’ overall ability including independent learning capability, clinical thinking ability, problem-solving capability, literature exploring capacity, communication and presentation skills and team-work ability.ConclusionsApplication of EBM combined with PBL method can improve clinical teaching quality.
目的:探討白內障超聲乳化術中發生后囊破裂的原因及處理措施。方法:總結我科2006～2008年近3年間施行的白內障超聲乳化術患者508眼,人為將超乳手術過程分為超聲乳化、吸出皮質、植入人工晶體三個階段,對發生術中后囊破裂的26眼患者進行原因分析。結果:發現后囊破裂可發生在手術每個階段,發生原因多與術者操作技巧有關,少數與患者自身因素有關。結論:嚴格的篩選患者,提高手術技巧,醫生高度的責任心,良好的超乳設備是預防及處理手術并發癥的關鍵。
目的：總結汶川地震中骨折患者的康復治療及其傷情分析，為災難醫學中骨折患者的康復治療提供經驗。方法：收集四川大學華西醫院地震傷員康復中心的112例骨折患者資料，對傷情進行分析并對其康復治療情況進行總結。結果：經康復治療后患者的日常生活活動能力明顯提高。結論：康復治療對骨折患者非常重要。
【Abstract】ObjectiveTo investigate the relationship of magnetic resonance diffusion-weighted imaging (DWI) to histology in the patients of chronic viral hepatitis. MethodsThirty-five patients of chronic viral hepatitis who received liver biopsy and 10 healthy volunteers were included in this study. All of them underwent DWI on a 3.0T MRI device. Apparent diffusion coefficient (ADC) of the liver were measured respectively when b value were set as 100, 400, 600 and 800 s/mm2. Biopsy specimens were scored for fibrosis and necroinflammation according to the Knodell histology activity index (HAI). ResultsWhen b value was set as 800 s/mm2, statistical difference was showed between the fibrosis group and the nonfibrosis group, statistical difference was also shown among the different degrees of necroinflammation and fibrosis. ConclusionDWI is a valuable method for grading and staging of chronic viral hepatitis.
目的 探討陽性激發點推拿治療對足底筋膜炎的臨床療效。 方法 對2011年3月－8月門診確診為足底筋膜炎的52例患者，采用隨機方式分為治療組和對照組各26例，治療組采用陽性激發點推拿，對照組采用電針治療。并對兩組患者治療5次后的即時療效率、日本骨科學會（JOA）足底治療療效評分、每次治療后的疼痛面譜量化評分、3個月隨訪疼痛復發率等療效進行對照分析。 結果 治療組和對照組經連續治療5次后，其JOA足底治療療效評分分別為（91.32 ± 10.61）、（82.92 ± 13.61）分，總有效率分別為96.15%、80.77%，差異均有統計學意義（P＜0.05）。疼痛面譜量化評分，治療組在第一次治療后較對照組改善明顯，差異有統計學意義（P＜0.05）。3個月后隨訪疼痛復發情況，治療組復發人數較對照組少，差異有統計學意義（P＜0.05）。結論 陽性激發點推拿治療法對改善足底筋膜炎引發的足底疼痛、步行不適等癥狀優于電針治療法，值得臨床推廣運用。