天麻芎加汤加味治疗血管性头痛45例临床观察

目的:观察天麻芎芷汤加味治疗血管性头痛的临床疗效.方法:采用随机分组将90例病人分2组,治疗组45例采用天麻芎加汤加味治疗,每天2次口服,每次125ml,连服1月.对照组45例,西比灵胶囊,5mg,每晚1次,疗程1月.并随访一月.结果:治疗组有效率为91.1%对照组为75.6%,两组比较有明显差异(p〈0.05).结论:天麻芎加汤加味治疗血管性头痛疗效明显高于西药(西比灵胶囊 )组.     

耳周穴位注射配合西药治疗突发性耳聋的临床疗效

目的:探讨耳周穴位注射配合西药治疗突发性耳聋的临床疗效.方法:对照组患者采用西药治疗,研究组患者在对照组治疗方法基础上增加耳周穴位注射方法,分别对两组患者疗效进行比较分析.结果:研究组的痊愈率和总有效率(38.24%、88 24%)明显高于对照组(23.53%、64.71%),数据经统计学比较具有显著差异(P<0.05).结论:耳周穴位注射疗法配合西药治疗突发性耳聋具有良好的临床效果,适合于推广应用.     

超短波配合关节松动术治疗肩周炎的临床观察

目的:观察关节松动术配合超短波治疗肩周炎的疗效.方法:对122例肩周炎患者随机分为治疗组和对照组,治疗组用超短波配合关节松动术治疗,对照组用超短波配合针灸治疗,14d后对比疗效.结果:治疗组与对照组VAS评分比较,治疗后VAS治疗组减低,明显低于对照组(t=34.19,P<0.001).两组疗效比较,治疗组显著优于对照组(X2=19.03,p<0.005).结论:超短波配合关节松动术对肩周炎疗效显著.     

中药配合手法治疗椎动脉型颈椎病50例

目的:观察中药配合手法治疗椎动脉型颈椎病的临床疗效.方法:将80例患者随机分为2组,治疗组50例给予中药配合手法治疗;对照组30例以颈椎牵引治疗.结果:总有效率治疗组为86.0%,对照组为56.7%,2组比较,差异有非常显著性意义(P<0.01).结论:中药配合手法治疗椎动脉型颈椎病疗效优于颈椎牵引治疗.     

常规药物联合丹红注射液治疗冠心病不稳定型心绞痛临床观察

目的:观察在西药治疗基础上加用丹红注射液治疗冠心病心绞痛的临床疗效.方法:58例冠心病心绞痛患者随即分为对照组和治疗组,治疗组服用丹红注射液静脉滴注和西药,对照组单纯应用西药,疗程均为15天,观察临床症状和心电图变化.结果:治疗组临床症状改善总有效率为93.3%;心电图改善总有效率为86.6%,均显著优于对照组(P<0.05).结论:在常规药物基础上加用丹红注射液治疗冠心病不稳定型心绞痛有较好的疗效.     

麻杏石甘汤加减分型治疗流行性感冒的疗效分析

目的:探讨麻杏石甘汤对流行性感冒的临床治疗效果.方法:将本组诊断为流行性感冒的260例患者随机分为两组,治疗组采取麻杏石甘汤加减分型治疗方案,对照组行感冒清胶囊治疗,治疗三天后,对比两组患者的治疗情况.结果:治疗组总有效率达94.62%,治疗效果明显优于对照组.结论:麻杏石甘汤加减分型治疗流行性感冒的疗效显著,具有临床应用及推广价值.在临床上值得推广,而且其分型的治疗方法疗效好.     

温肾运脾汤配合按摩治疗慢性功能性便秘的临床疗效观察

为观察温肾运脾汤配合按摩治疗慢性功能性便秘的临床疗效,治疗组25例口服中药配合按摩,对照组25例口服西药聚乙二醇4000,治疗2周后两组进行疗效比较.结果显示,治疗组在用药后排便费力与排便不尽感方面优于对照组(P<0.05).结果表明,温肾运脾汤配合按摩治疗慢性功能性便秘的临床疗效满意.     

穴位注射配合颈椎牵引治疗神经根型颈椎病

目的:研究颈椎病的治疗方法.方法:将140例神经根型颈椎病患者随机分为两组,试验组在基础治疗的基础上采用穴位注射配合颈椎牵引治疗,对照组采用基础治疗,观察两组临床症状、体征及影像学改善情况.结果:试验组总有效率92.86%,对照组总有效率61.43%,两组资料采用X2检验,P<0.05,有显著性差异.结论:穴位注射配合颈椎牵引治疗神经根型颈椎病临床疗效佳,值得推广.     

探讨神经根型颈椎病72例临床疗效观察

目的:探讨了神经根型颈椎病例临床疗效.方法:将72例神经根型颈椎病患者随机分为两组,观察组36例神经根型颈椎病患者采用针灸联合颈椎操治疗,对照组 36例单用针灸治疗.观察对比两组的临床治疗效果.结果:观察组有效率为97 05%,对照组有效率为82.35%.结论:颈椎操可以训练颈部肌肉,增强其功能运动,以保持颈椎有较好的稳定性,增强颈肩顺应颈部突然变化的能力.针灸配合做颈椎操治疗神经根型颈椎病和恰当的护理,疗效好且无副作用.     

中西医结合治疗类风湿性关节炎的疗效观察

目的:探讨中西医结合方法治疗类风湿性关节炎(RA)的临床疗效.方法:将我院2009年6月至2010年12月间收治的150例类风湿性关节炎患者随机分为对照组(单纯西药治疗:布洛芬缓释胶囊+甲氨蝶呤片)和治疗组(西药治疗基础上联合中药治疗),每组各75例.每组患者均以4周为一个疗程,治疗24周后比较两组疗效.结果:治疗组和对照组有效率分别为89.3%和76.0%,比较差异有统计学意义(P<0.05);治疗组患者在改善主要症状与体征方面优于对照组,差异有统计学意义(P<0.05).结论:中西医结合方法治疗类风湿性关节炎临床效果显著.     

Neostigmine decreases heart rate in heart transplant patients

Calretinin is an "EF-hand" calcium-binding protein involved in the maintenance of intracellular calcium ion homeostasis. This study was undertaken to investigate the presence of calretinin in human lumbar paravertebral sympathetic ganglia from subjects of different ages (26-85 years) using immunohistochemical and immunoblotting methods. Calretinin-like immunoreactivity was found in a subpopulation of postganglionic sympathetic neurons, whose percentage decreased progressively with aging by about 50% (63% of immunoreactive neurons at < or = 40 years; 29% at > or = 81 years) whereas the neuronal density remained basically unchanged. Calretinin-like immunoreactivity showed a granular pattern of cytoplasmic distribution suggesting preferential localization of this protein associated with intracellular membranes. Occasionally diffuse cytosolic labelling was also observed. The immunoblotting demonstrated a protein band with an estimated molecular weight of 30 kDa, approximately. Present results provide, for the first time, evidence for the presence of calretinin in human paravertebral sympathetic ganglia. Since the number of calretinin-like immunoreactive neurons decreased significantly with aging our findings suggest an involvement of this protein in the age-dependent impairment of sympathetic function.     

Metaiodobenzylguanidine and heart rate variability in heart failure

It is assumed that the low-frequency power (LF) of heart rate variability (HRV) increases with progress of congestive heart failure (CHF), therefore positively correlating with cardiac 123I-metaiodobenzylguanidine (MIBG) washout. It is demonstrated here that HRV, including normalized LF, correlated inversely with MIBG washout and positively with the ratio of heart-to-mediastinum MIBG activity in controls and CHF patients, whereas these correlations were not observed within CHF patients. Thus MIBG washout may increase and HRV including normalized LF may decrease with CHF, although the HRV and MIBG measures may not similarly change in proportion to the severity of the cardiac autonomic dysfunction in CHF.     

The fourth heart sound in patients without demonstrable heart disease

One hundred patients, 17 to 67 years of age, had normal hearts diagnosed on the basis of complete right and left heart catheterization and coronary cineangiography. Phonocardiograms were obtained from each patient, providing an average of 17 recordings per subject for analysis; 75/100 (75%) subjects had a recordable fourth sound; 60/75 (80%) of the latter group had an audible fourth heart sound. It is concluded that recordable and audible fourth heart sounds are common findings in subjects without catheterization evidence of cardiovascular disease.     

Combined heart and single-lung transplantation in complex congenital heart disease

We present a patient with a history of tricuspid and pulmonary atresia who underwent a classic Glenn shunt and a Potts shunt during childhood, resulting in different right and left pulmonary physiology. Because of progression of cardiopulmonary disease and the fact that the right lung was "protected," the patient underwent combined heart-left single-lung transplantation. The postoperative course was uneventful. Potential early and late advantages of this approach include simplifying of the operative procedure and mitigating the potential effects of obliterative bronchiolitis.     

Congestive heart failure

The differentiation between systolic and diastolic CHF is clinically important because it allows one to formulate an appropriate therapeutic regimen. As a rule, ACE inhibitors have become a major component in the treatment of systolic heart failure; diuretics, digoxin, and other vasodilators are used in conjunction with them. Optimal therapy for diastolic heart failure remains to be defined. Further research is required for this subset of patients. Numerous other support measures, such as counseling, activity, diet, patient knowledge of medications, and compliance, all affect the patient's outcome.