关节腔内注射玻璃酸钠加关节松动术治疗膝关节骨关节炎的临床观察

目的:观察玻璃酸钠加关节松动术治疗膝关节骨关节炎的疗效.方法:在膝关节腔内注射玻璃酸钠针剂,并采用关节松动术治疗膝关节骨关节炎50例,观察治疗效果.结果:临床治愈23例,显效10例,好转7例,无效10例,临床治愈和显效率达66%.结论:关节腔内注射玻璃酸钠加关节松动术是治疗膝关节骨关节炎的一种较好方法.     

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.     

拔伸松动法治疗膝关节骨性关节炎的临床观察

目的:观察拔伸松动法治疗膝关节骨性关节炎的临床疗效.方法:将60例膝关节骨性关节炎患者随机分为治疗组(拔伸松动法组)和对照组(传统推拿组),疗程20天,观察治疗前后之疼痛、压痛、肿胀、活动度及肌肉萎缩等症状和体征.结果:经统计学处理,治疗组疗效优于对照组(P<0.05).结论:拔伸松动法治疗膝关节骨性关节炎疗效优于传统推拿治疗.     

推拿手法配合针刺治疗腕管综合征42例

目的:探讨针刺配合推拿手法治疗腕管综合征的疗效.方法:将82例腕管综合征患者随机分成治疗组和对照组,治疗组采用针刺配合推拿手法治疗,对照组采用局部激素封闭和药物治疗,并进行临床疗效评价.结果:治疗组临床痊愈率为92.86%,对照组为67.50%,经统计学分析,两组差异有显著意义(P<0.01).结论:中医药传统方法治疗腕管综合征,疗效显著.     

关节松动治疗肩周炎的临床观察

目的:观察关节松动治疗肩周炎的疗效.方法:83例肩周炎患者随机分为两组,其中治疗组43例对照组40例,治疗组采用关节松动术结合超声波,电脑超声中频、常规按摩治疗、功能锻炼等方法,对照组采用电脑超声中频、常规按摩治疗、中药热敷和功能锻炼等方法.测量治疗前后的VAS和肩关节前举、外展、后伸度数评估治疗效果.结果:治疗前两组VAS分值,关节前举、外展、后伸度数差异无统计学意义(P>0.05),经过治疗后二组患者VAS评分均较治疗前明显下降,治疗组下降更明显;二组活动度均较治疗前增加,治疗组增加更多,两组VAS分值及关节活动度差异有统计学意义(P<0.05).结论:关节松动术对肩周炎有治疗作用.     

推拿结合电针、TDP治疗骶髂关节错缝

目的:探讨推拿与电针、TDP相结合治疗骶髂关节错缝的临床疗效.方法:将72例骶髂关节错缝患者随机分为治疗组和对照组各36例为研究对象,治疗组给予推拿与电针、TDP相结合治疗,对照组仅采用推拿方法.结果:治疗组治愈率55.56%,显效率为36.11%;对照组治愈率30.56%,显效率为41.67%,治疗组治愈率和优良率(治愈率与显效率之和)均优于对照组(p<0.05).结论:推拿与电针、TDP相结合治疗骶髂关节错缝的方法值得临床推广.     

颈椎牵引结合中药热敷治疗椎动脉型颈椎病的疗效观察

目的:探讨颈椎牵引结合中药热敷疗法对椎动脉型颈椎病的临床疗效.方法:本人将近年来收治的80例椎动脉型颈椎病患者随机分为两组,对照组(颈椎牵引+推拿治疗)和治疗组(颈椎牵引+中药热敷),评定两组的治疗效果.结果:对照组临床治愈18例,占45%;显效16例,占40%;无效4例,占10%;总有效率为85%.治疗组临床治愈24例,占60%;显效15例,占37 5%;无效1例,占2.5%;有效率97.5%.两组有效率比较(P<0.05).结论:颈椎牵引结合中药热敷疗法操作简单、易于掌握、危险性小,对椎动脉型颈椎病的疗效高,值得临床推广.     

围痛推拿手法治疗网球肘的临床观察

目的:观察围痛推拿手法治疗网球肘的临床疗效.方法:将212例网球肘患者随机分为两组.治疗组106例用围痛推拿手法治疗:对照组106例用传统推拿手法治疗.两组均以一周为1疗程,一疗程后评估治疗前后疼痛、功能状态和硬结指数.结果:治疗组治愈87例(82.07%),对照组治愈68例(64.15%),两组比较差异有统计学意义(p<0.05);两组治疗前后疼痛、功能状态和硬结指数差异有显著性意义(p<0.05).治疗组优于对照组.结论:围痛推拿手法治疗网球肘有较好疗效.     

针推腹部腧穴为主治疗陈旧性腰椎间盘突出症临床观察

目的:观察针刺、推拿腹部腧穴为主的方法治疗陈旧性腰椎间盘突出症的临床疗效.方法:将186例患者随机平分为治疗组和对照组,治疗组用针刺、推拿腹部腧穴为主的方法治疗,对照组采用传统的针刺推拿腰部腧穴为主的方法治疗,治疗2个疗程后进行疗效对比分析.结果:治疗组临床治愈率49.46%,显效率25.81%,总有效率97.85%;对照组临床治愈率37.63%,显效率19.35%,总有效率92.47%.治疗组与对照组总有效率差别不大(p>0.05),两组治疗都有很好疗效,治疗组的愈显率(75.27%)明显优于对照组(56.98%),统计学有显著性差异(p<0.01).结论:针刺推拿腹部腧穴为主治疗陈旧性腰椎间盘突出症具有显著的治疗效果.     

针刺联合本体神经肌肉促进技术治疗面瘫50例临床疗效分析

目的:探讨针刺结合本体神经肌肉促进技术(PNF)治疗面瘫的临床疗效.方法:对100例住院和门诊面瘫病人随机分为治疗组50例,采用针刺结合PNF方法治疗;对照组50例病人只使用针刺方法治疗.10天为一疗程,三疗程后观察治疗组和对照组和疗效.结果:治疗组痊愈痊愈率60%,显效率18%,好转率12%,总有效率90%,无效510%.对照组痊愈率40%,显效率14%,好转率20%,总有效率74%,无效26%.治疗组痊愈率和总有效率与对照组比较有明显差异(P=0.046,P=0.037,P＜0 05).结论:针刺结合PNF治疗面瘫能明显提高治愈有效率.     

Patch-clamp technique]

We first describe how to set up the system for patch-clamp recording and carry out the experiments with 4 different modes of conventional patch-clamp technique: cell-attached, whole-cell, inside-out and outside-out configurations. Thereafter, we mention about an improved 'nystatin perforated' patch-clamp technique which dissolves the fault of conventional patch-clamp techniques except the cell-attached mode.     

Supraperiosteal flap technique versus mucoperiosteal flap technique in cleft palate surgery

Recent animal experiments have shown that palatal repair without denudation of bone leads to a superior dento-alveolar development. The aim of this clinical study was to evaluate the peri- and postoperative course and the dento-alveolar development of the deciduous dentition in Japanese ULCP, and CP patients up to 5 years after two different types of palatal repair. One of the methods, the Kohama (1991) supraperiosteal flap technique, is performed without denudation of the bony palate, while the other, the Wardill (1937) push-back technique, results in areas of denuded bone. It was concluded that the supraperiosteal technique can be performed successfully in approximately the same amount of time as the push-back technique. Re-epithelialization of the wound areas after supraperiosteal repair takes about 1 week, which is one third of the time associated with healing after the push-back technique. Arch depth of the deciduous dentition after the supraperiosteal technique is superior compared to the push-back technique. The question of whether or not the supraperiosteal technique produces more favorable dento-alveolar development than the mucoperiosteal technique in the permanent dentition in humans has to be elucidated in future research.