目的 观察采用桂枝茯苓汤联合甲氨蝶呤治疗异位妊娠的效果。方法 纳入90例异位妊娠患者,随机分为3组各30例,A组服用甲氨蝶呤,B组服用桂枝茯苓汤,C组采用桂枝茯苓汤联合甲氨蝶呤治疗,观察3组的治疗效果及附件包块变化情况。结果 3组治愈率整体比较,差异有统计学意义(P<0.05)。C组的治愈率与A组、B组分别比较,差异均有统计学意义(P<0.05)。3组附件包块治疗有效率整体比较,差异有统计学意义(P<0.05)。C组的有效率与A组、B组分别比较,差异均有统计学意义(P<0.05)。结论 桂枝茯苓汤联合甲氨蝶呤治疗异位妊娠,在降低β-HCG、症状改善、缩小包块方面均有较好效果,且副反应少、经济、方便。

目的 观察真武四物汤足浴治疗阳虚血瘀型慢性心力衰竭(CHF)的临床疗效。方法 72例心功能Ⅱ-Ⅲ患者按随机数字表法分为治疗组(36例)和对照组(36例),对照组给予心衰常规治疗。治疗组在心衰常规治疗基础上加用真武四物汤足浴,每次30分钟,每日2次,共治疗4周。观察治疗后6 min步行距离改善情况。结果 治疗组心功能和中医症候总有效率分别为88.89%和94.44%,对照组总有效率分别为69.44%和66.67%,两组比较差异(P＜0.01或P＜0.05);两组治疗前后6 min步行距离比较差异(P＜0.05);两组治疗后6 min步行距离比较差异有统计学意义(P＜0.01)。结论 在常规治疗的基础上联合真武四物汤足浴,可以改善阳虚血瘀型慢性心力衰竭患者的临床症状,提高运动耐量,促进心力衰竭患者的康复。

目的 对硝苯地平缓释片治疗高血压合并糖尿病的疗效分析。方法 运用随机对照的方法,选择2012年1月—2014年8月在我社区医院就诊的220例高血压合并糖尿病患者,将其分为观察组与对照组,每组各取110例,将全部患者的血糖等各项指标控制在常规范围,观察组服用硝苯地平缓释片,对照组采用常规疗法。一个疗程(8周)进行对比,检测血压、血糖项目,观测临床治疗效果。结果 服用药物后,两组血压均有降低(P<0.05),观察组临床总有效率98.18%,对照组有效率86.36%,观察组比对照组有明显的控制疗效。两组统计数据差异有统计学意义(P<0.05)。结论 硝苯地平缓释片治疗高血压合并糖尿病方面有疗效,无明显的治疗副作用,值得临床推广使用。

目的 探讨氟康唑治疗复发性外阴阴道假丝酵母菌病的临床效果。方法 选取2013年2月—2013年7月我院接受治疗的复发性外阴阴道假丝酵母菌病患者50例,患者采用口服氟康唑片治疗方式,服用三天,每天一次,每次150 mg,之后每周一次,持续服用6个月,同时配合制霉菌素以及冰硼散阴道上药,观察患者的治疗效果。结果 经过一周的治疗后,患者的临床症状和体征消失,通过镜检发现假丝酵母菌呈阴性。有49例患者在1个月和3个月的复查中没有复发情况,1例出现轻微的外阴不适并复发,1例患者在经过6个月治疗后复发,其假丝酵母菌实验室检查呈阳性。50例患者3个月的复发率为2%,6个月复发率为2%,有3例患者出现轻微的腹胀和恶心等情况。结论 采用氟康唑坚持半年的药物治疗能够提高外阴阴道假丝酵母菌疾病的治愈率并降低复发率,值得广泛推广应用。

目的 对比观察海桐皮汤熏洗应用于膝骨性关节炎关节镜清理术后的临床疗效。方法 于2012年1月—2014年1月,从我院骨科住院患者中选取因膝骨性关节炎行关节镜清理术病例60例,随机分为两组,对照组术后给予常规康复治疗措施,治疗组在常规康复治疗的基础上于术后2周拆线后配合海桐皮汤熏洗治疗,治疗周期4周。对比两组患者治疗前后的WOMAC评分,分析其疗效差异。结果 两组患者WOMAC评分术后2周比较无差异P＞0.5;治疗4周后,两组患者较术后2周有所降低(P＜0.5),但治疗组疗效优于对照组(P＜0.5)。结论 海桐皮汤熏洗疗法可改善膝骨性关节炎关节镜清理术后膝关节功能,操作简便,成本低廉,无副作用,值得临床推广应用。

目的 根据产后不同时期的乳房的生理特点,采用中医综合疗法及护理进行回乳,观察其疗效。方法 选取哺乳期断乳的妇女57例,随机分为治疗组30例及对照组27例,治疗组采用中医综合疗法回乳,对照组口服溴隐亭回乳。结果 治疗组回乳效果优于对照组,出现乳房胀痛及乳腺炎的发生率低于对照组,且无不良反应。结论 中医综合疗法回乳安全,效果显著,对回乳时出现的乳房胀痛等兼证有很好的改善,对乳腺炎的发生起了更好的预防作用。

Objective According to the physiological characteristics of postpartum breast, through the combined treatment of traditional Chinese medicine and nursing for delactation,and to observe the effects. Methods A total of 57 women who wanted for delactation, were selected and randomly divided into two groups, there are 30 cases in the treatment group and 27 cases in the control group, the treatment group were treated with traditional Chinese medicine and nursing, while the control group used oral bromocriptine for delactation. Results The treatment group is better than the control group, the incidence of mastitis and breast swelling in treatment group is lower than the control group, and there was no adverse reaction. Conclusion The treatment of delactation with combined treatment of traditional chinese medicine and nursing is safe and effective, it can reduce suffering of women and prevent the occurrence of mastitis.

目的 观察肌内效贴联合物理治疗急性踝关节扭伤的临床疗效。方法 将52例急性踝关节扭伤患者随机均分为肌内效贴联合物理治疗组(观察组)和常规物理治疗组(对照组),分别于治疗前及治疗后第5、10天时观察患部肿胀程度和VAS评分及踝关节kofoed评分。结果 治疗后第5、10天时两组肿胀程度和VAS评分较治疗前好转(P＜0.05),kofoed评分较治疗前升高(P＜0.05)。观察组在肿胀改善、VAS评分及kofoed评分方面均优于对照组(P＜0.05)。结论 肌内效贴联合物理治疗改善急性踝关节伤患者临床症状,改善踝关节功能,临床疗效优于单纯物理治疗。

Objective The purpose of this pilot study was to investigate the effectiveness of kinesio taping combined with conventional physiotherapy for acute ankle sprain patients. Methods 52 acute ankle sprain patients were randomly divided into kinesio taping combined with conventional physiotherapy group(observation group) and the conventional physiotherapy group(control group),and to observe the changes of the affected part of swelling and the visual analogue scale(VAS)and the extent of the ankle joint function recovery situation at the fifth day and the tenth day respectively. Results Two groups suffering from swelling part and the VAS was improved after the treatment at the fifth day and the tenth day (P<0.05), and the ankle kofoed scores were increased too (P<0.05). The observation group in improving the swelling, VAS and kofoed score were significantly better than the control group (P< 0.05). Conclusion Kinesio taping combined with conventional physiotherapy can be a more effective therapeutic technique for treating acute ankle sprain.

目的 观察保留括约肌挂线法和瘘管切除术治疗复杂性肛瘘的临床效果。方法 选择2010年10月—2013年10月期间收治的复杂性肛瘘患者共122例,并随机均分为A、B两组。其中A组采用保留括约肌挂线法,B组采用瘘管切除术,比较两组患者的近远期治愈率、愈合时间以及后遗症的发生情况。结果 两组患者分别采用保留括约肌挂线法和瘘管切除治疗后均达到治愈标准,近期治愈率及复发率两组间无统计学差异。术后情况,A组愈合时间为(20.74±5.62)天,B组为(19.19±6.84)天,P>0.05,组间无统计学差异,但A组中后遗症的发生率为3.28%,B组中的后遗症发生率为37.70%,χ²=14.182,P<0.05,A组中后遗症的发生率明显低于B组。结论 保留括约肌挂线法与瘘管切除术均能很好地治疗肛瘘,其中保留括约肌挂线法在保存肛门正常生理功能,减少术后后遗症发生等方面较后者有优势,值得临床推广。

Objective To observe the effect of sphincter preservation seton applied in complex anal fistulas treatment. Methods 122 cases of patients with complex anal fistulas treated from October 2010 to 2013 were selected and divided into A and B group randomly and equally. And sphincter preservation seton was applied in A group, while fistula resection applied in B group. The cure rate of short and long term, healing time and occurrence of sequel were compared. Results Standard cure was got in both groups, and there were no statistically significant difference between the cure rates and recurrence rates of short term in the 2 groups. Healing time in A group was (20.74±5.62) days, and (19.19±6.84) days in B group (P>0.05), and no statistically significant difference was between the 2 groups. Occurrence of sequel was 3.28% in A group, while 37.70% in B group, (χ²=14.182, P<0.05), and the occurrence of sequel in A group was much lower than that in B group. Conclusion Complex anal fistulas could be treated well by both sphincter preservation seton and fistula resection, and normal physiological function of anus could be better retained by sphincter preservation seton, and the superiority of reduction of postoperative sequelae was apparent by former surgical. It was worthy of clinical use.

目的 观察克氏针钢丝张力带及镍钛聚髌器治疗不同类型髌骨骨折的疗效, 探讨两种手术方式的临床适应证及治疗优点。方法 选取2011年3月—2013年12月,成都中医药大学附属医院骨科住院部45例髌骨骨折患者,术后通过Lyshoml膝关节评分等标准,对患者康复情况进行评估,并对数据加以分析, 比较两种治疗方法的临床效果。结果 两种治疗方法在治疗效果上无差异, 观察后分析:髌骨横形骨折可选克氏针钢丝张力带治疗; 粉碎性骨折采用镍钛聚髌器疗效满意。结论 两种髌骨骨折内固定方法临床疗效相似,但镍钛聚髌器兼有复位良好,固定稳定,操作简便等优点,对于粉碎性髌骨骨折更为适用。

Objective To observe the curative effect of Kirschner wire tension band and Ni Ti patellar concentrator in the treatment of different types of patellar fracture,study the clinical indications on and therapeutic advantages of this two kinds of operation methods. Methods By selecting 45 cases of patellar fracture patients hospitalized in the department of orthopedics,the affiliated hospital of Chengdu university of TCM from 2011-03 to 2013-12.To assess the patients rehabilitation by Lyshoml knee score (standard) after operation and analysis the data,compare the clinical effects of this two methods. Results There is no significant differences between this two methods. After observation and analysis:transverse fracture of patella can be treated with kirschner wire and tension band and Comminuted fracture treated with Ni Ti patellar concentrator will be better. Conclusion This two kinds of operation methods have a similar curative effect in the Clinical reatment of patella fracture, but the Ni Ti patellar concentrator has a good function of reduction, stable fixed and easy to operation,Particularly suitable for Comminuted fracture of patellar.

目的 评估关节松动联合运动疗法对颞下颌关节慢性不可复性盘前移位患者的疗效。方法 采用随机对照方法,将46例慢性不可复性盘前移位患者随机分为联合治疗组(n=24)及对照组(n=22), 对照组仅接受传统治疗(包括超短波、超声波、软组织按摩及健康教育),治疗组在传统治疗的基础上应用关节松动联合运动疗法。在治疗前和治疗后2周采用最大张口度(maximal interincisal opening,MIO)、目测类比法(visual analog scale,VAS)、口腔健康影响程度量表(health impact profile-14,HIP-14)评价疗效。结果 治疗前两组患者一般情况类似。治疗后两组颞下颌关节MIO、VAS、HIP-14得分较治疗前改善(P<0.05),组间比较,治疗组在MIO、VAS、HIP-14评分比对照组改善(P<0.05)。结论 关节松动联合运动疗法治疗颞下颌关节慢性不可复性盘前移位疗效明显,值得推广。

Objective To evaluate the effectiveness of joint mobilization combined with therapeutic exercise in patients with chronic anterior disc displacement without reduction of temporomandibular joints. Methods 46 patients with chronic anterior disc displacement without reduction were randomly divided into two groups. The treatment group of 24 cases received joint mobilization combined with therapeutic exercise and conventional therapy (ultrashort-wave diathermy, ultrasound therapy, soft tissue massage, health education), 22 cases in the control group received conventional treatment.The treatment was administered for 2 weeks. The baseline and endpoint outcome assessment measures were maximal interincisal opening (MIO),visual analogue scale(VAS)score and oral health impact profile (HIP-14). Results After the treatment, significant improvements were observed in the two groups of all the outcome measurements (P<0.05).Maximal interincisal opening, visual analogue scale and oral health impact profile were improved significantly in the treatment group than in the control group (P<0.05). Conclusion Joint mobilization combined with therapeutic exercise can improve the symptoms of chronic anterior disc displacement without reduction.