胡建中；毛新展；吕红斌；周江南；李康华
0 引言 虽然单纯的穴位注射治疗腰椎间盘突出症也可以起消炎、消肿、镇痛、松解肌肉痉挛的作用,但穴位注射加小牵推手法治疗腰椎间盘突出症相当于在镇痛状态下进行脊椎推拿,疗效可能更好.对穴位注射配合小牵推手法治疗腰椎间盘突出症与单纯应用穴位注射治疗的疗效进行比较,有助于找出安全且疗效更好的治疗方法.
作者：张燕；宋振江；李华东 刊期： 2003年第06期
0 引言 临床上常遇到儿童颅脑损伤患者接受高压氧治疗的情况,对这类患者的治疗和护理程序均根据医生的意见制定,对出现的一些问题一般根据以往临床经验处理或请专家会诊. 2001年试运用循证方法解决小儿颅脑损伤高压氧治疗中存在的问题,为制定对患儿有益的治疗、护理方案提供依据.
作者：李静艳 刊期： 2003年第06期
INTRODUCTIONIn order to draft nursing approaches to relieve mental and improvequality of life problems of older men with prostate hyperplaia, duringpreoperative phase, we investigate their psychological state and af-fecting factors and carry outpsychological intervention.
作者：刘一梅；曾伟杰；韩霜 刊期： 2003年第06期
AIM:To compare the effects of early enteral nutrition and early parenteral nutrition on ameliorating visceral ischemia and relieving free radical damage.METHODS:66 Wistar rats were divided into 3 groups: control group(C),parenteral nutrition group( PN) and enteral nutrition group( EN), PN and EN groups made up of 30% TBSAⅢ degree burn model.We delivered nutrient solution with same calorie and calorie- nitrogen ratio via vein or enteral tract respectively.Blood flow of liver,kidney and change of SOD of heart,liver and kidney at 6,12,24,48,72 h after burn were tested.RESULTS:Tissue blood flow and SOD of EN group were higher than those of PN group in many phase( P< 0.05-0.01) .CONCLUSION: Early enternal nutrition can relieve the increase of visceral vascular permeability and damage of oxygen free radical.
作者：徐世伟；冯怀志；尤忠义；王裴；汪仕良 刊期： 2003年第06期
TREATMENT EXPERIENCE FOR LUMBAR SPRAINMassage and traction are often used in treatment of lumbar sprainto alleviate adhesion of muscle and ligament, enlarge intervertebralspace. At the same time, local dialysis, physical therapy might beused, also acupuncture moxibustion. To massage treatment, painpoints at lumbodorsal or lumbosacral part are massaged for 15minutes, thereafter pressed for 10 minutes to promote lumbosacralblood circulation and excite himbosacral nerves. After pain, spasmare relieved, local compression of traditional Chinese medicine isperformed; Prescription includes: club-moss 15 g, burred tuber 12g, zedoary 12 g, large-leaf gentian root 12 g, ledeboriella root 9 g,erythrina bark 12 g, achyranthes root 10 g, chaenomeles fruit 10 g,safflower 10 g, Chinese angelica 10 g, homalomena rhizoma 12 g,sappan wood 10 g, decoted in water for compression on affectedsite.
作者：吴花梅；吴玲；刘岩 刊期： 2003年第06期
目的:比较 3种抗病毒药物治疗带状疱疹瘙痒症的经济效果和安全性.方法:选择 120例带状疱疹患者,用 3种不同的药物治疗,分别为 A组无环鸟苷组 ,B组泛昔洛韦组 ,C组利巴韦林组疗程 15 d,应用药物经济学成本-效果分析方法进行评价.结果: A、 B、 C 3种方案的总成本分别为 48 900.8元、 30 719.2元、 28 837.6元,痊愈率分别为 32.5%, 22.5% ,15% 有效率分别为 97.5%, 82.5%, 72.5%.结论: B方案痊愈率、 B组有效率的成本-效果比均低. B方案为佳治疗方案.
作者：廖日房；伍俊妍；杨鸿 刊期： 2003年第06期
INTRODUCTIONSlippage of lumbar vertebrae is a second common disease afterprotrusion of intervertebral discs. Although some patients werecured by conservstive therapy, surgical treatment is needed in somecases[1] . From March 1994 to March 2001, we used steal plateinternal fixation to treat 18 cases of slippage and the effect wasobvious. The following is the report.
作者：陈建明；肖茂明；王元山；周全；陈雪松 刊期： 2003年第06期
0 引言 脊髓损伤患者的并发症中多的是尿潴留由此导致尿路感染,而反复的尿路感染导致的肾功能衰竭是患者后期的主要死因.帮助患者恢复膀胱功能一直是临床康复的重要任务.实施无菌间歇导尿及膀胱功能训练的工作 ,能够较为有效地解决这一问题.
作者：黄雪芳；张薇平；戴雨；范丽婵；孔结球 刊期： 2003年第06期
AIM: To explore the long-term therapeutic effects of surgical treatmeut foristhnic spondylolisthesis. METHODS: 42 cases of isthunic spondylolisthesiswere analyzed retrospectively among which 13 cases underwent simple lum-bar interlaminar bone implant and 29 cases underwent transpecdicular fixationcombined with bone implantation. Assessment was made according to JOAstandards before and after treatment. RESULTS: At a 3 years of follow-upassessment, the functional outcome in transpedicular fixation assessed byJOA was excellent and good in 79.3% as compared with the group withoutfixation in which the excellent and good result was 76. 9%. The level of painand functional disability were similar in the two groups, but fusion rate in thegroup with transpedicular fixation was higher than that in group withoutit. CONCLUSION: Surgical treatment for isthmic spondylolisthesis improvesfunction and relieves pain.
作者：袁岱军；靳安民；吴广森 刊期： 2003年第06期
目的:以特定的细胞因子对其进行刺激和诱导,使已经体外分离并扩增的兔骨髓间充质干细胞向软骨细胞谱系分化,为半月板组织工程重建提供种子细胞.方法:将已分离并经体外传代培养扩增的兔骨髓间充质干细胞( mesenchymal stem cells, MSCs)在用碱性成纤维细胞生长因子( basic fibroblast growth factor, bFGF)和转化生长因子β1( transforming growth factor β1, TGF-β1)协同刺激后,用逆转录-聚合酶链式反应( reverse transcription polymerase chain reaction, RT PCR)的方法从分子水平寻找进入软骨细胞分化谱系的证据.结果:已分离并经体外扩增的兔骨髓 MSCs在用 bFGF和 TGF-β1协同刺激后,用 RT-PCR的方法探明有 pC I的编码基因表达,证明其已经进入软骨细胞分化谱系.结论: bFGF和 TGF-β1能够刺激 MSCs的体外增殖并且使其进入软骨细胞分化谱系,为半月板组织工程重建提供了可靠的自体来源种子细胞.
作者：徐青镭；吴海山；周维江；万年宇 刊期： 2003年第06期
介绍了介入技术的概念,范畴,临床范围和介入治疗学的分类.介入技术分类包括血管性介入治疗技术和非血管性介入治疗技术两种.介入治疗技术具有微创性、可重复性、定位准确、安全性强、并发症低和患者容易接受的特点.在介绍椎旁介入技术的解剖学内容中包括了颈椎旁、胸椎旁和腰椎旁的解剖学特点,同时对上述 3种介入治疗技术进行了规范化操作论述 ,并提出椎旁介入技术的临床应用范围.
作者：郑宝森 刊期： 2003年第06期
目的:探讨经腹穿刺髓核摘除术治疗腰椎间盘突出症的可行性与治疗效果.方法:采用特制腹部压迫器,在 CT引导监控下经腹穿刺行髓核摘除切吸术,治疗腰椎间盘突出症 108例.结果:治愈 78例,显效 22例,好转 8例.无 1例出现腹部及神经系统并发症.结论: CT引导监控下经腹穿刺髓核摘除切吸术治疗腰椎间盘突出症,安全可行,具有创伤小,恢复快,疗效好的特点.
作者：庞立波；刘兆石；高楠；费洪钧 刊期： 2003年第06期
0 引言 自我功能康复锻炼对肩周炎临床治疗的辅助作用很重要.参阅有关文献 [1]及结合临床实践,现介绍相应的锻炼方法.
作者：王波 刊期： 2003年第06期
0 引言 颅脑损伤后幸存者往往留有不同程度的运动、感觉、认知、语言及心理精神方面的功能障碍,给今后的日常生活及重返社会造成严重困难.目前全国各级医疗机构对颅脑损伤患者的康复治疗比较重视也取得不少成果.随着各种康复治疗的介入使相当一部分患者运动功能得到了改善和提高.但对康复指导性训练却不够注重,因此对颅脑损伤患者的康复有极大的影响.
作者：王俊；李国荣；朱美兰 刊期： 2003年第06期
0 引言 手术作为一种应激源严重地影响着择期手术患者的心理变化.面临手术,患者会产生不同程度的焦虑、恐惧等不良情绪反应,进而影响患者的术后康复.为了探讨骨科择期手术患者围手术期的焦虑情绪变化,以便采取适当心理干预措施,促进术后康复.
作者：何志晶；汤盛钦；吴其常 刊期： 2003年第06期
INTRODUCTION Genesis and advance of tumor includes excessive multiplication and less apoptosis.Research on apoptosis contributes to revealing biological characteristics of tumor and proving data for exploring of genesis mechanism,diagnosis and treatment.Bcl- 2 family is a commonly studied apoptosis- related gene family.Bax is the main gene promoting apoptosis in bcl- 2 family and its expression level is low in most tumor.But some scholars considered that expression level of bax protein is higher in some kinds of tumor.Bcl- w has been considered to have antiapoptosis function,but corresponding reports are very few.In this research,expression levels of bax and bcl- 2 were determined by imumohistochemistry to find its correlation with clinical pathological characteristics.
作者：吴国强；徐宏勇；李开宗；窦科峰 刊期： 2003年第06期
目的:探讨检测增生性瘢痕和瘢痕疙瘩组织中胶原的方法.方法:应用天狼猩红偏振光法和图像分析技术对正常皮肤、增生性瘢痕和瘢痕疙瘩组织中胶原的类型、含量及分布特点进行研究.结果:正常皮肤组织中以Ⅲ型胶原为主;增生性瘢痕和瘢痕疙瘩组织中均以Ⅰ型胶原纤维为主,其含量随病程发展而增加.结论:天狼猩红偏振光法是检测增生性瘢痕和瘢痕疙瘩组织纤维化程度的理想方法,可以明确纤维化过程中Ⅰ、Ⅲ型胶原的变化规律.
作者：刘剑毅；纪淑兴；李世荣；汪丽萍；胡晓红；易绍萱；陈希伟；吴军 刊期： 2003年第06期
0 引言 经皮激光椎间盘减压术 (percutaneous laser disc decompression, PLDD)由 Choy等 [1]于 1986年先报道临床应用成功.齐强等 [2]于 1994年报道采用 Nd:YAG激光作 PLDD并获成功.由于其有安全、有效、微创的特点,该技术在全世界范围内迅速推广,大量病例相继报道,治疗结果有效率为 72.8%～ 76.5%.现就 PLDD的研究现状综述如下.
作者：廖顺明；丁仕义；游箭 刊期： 2003年第06期
糖皮质激素(激素)是疼痛科常用药,现已发现其发挥多种治疗效应的同时也存在许多毒副反应.激素在抗炎、镇痛和抗过敏 3方面已有很多临床和基础研究结果,通过总结临床使用激素止痛的现状和存在问题,提示激素的毒副反应不容忽视;综合中华医学会疼痛学分会第 3届疼痛研讨会( 2000年)的讨论意见和作者自身体会,提出临床应用激素治疗疼痛的几点建议,为临床合理应用激素提供参考.
作者：李仲廉；阎昭 刊期： 2003年第06期
CASE DATAPatients, femade, 51 years old, worker, hospitalized in December1993. Chief complains: often dizziness complicated with vomiting,occasional numbness of fingers, disease course had been over 1year. Massage treatment was performed, but no effect wasachieved. Examination: cervical vertebrae located at center withoutlateral process, no obvious tenderness at bilateral neck muscles andno limitation of movement of cervical vertebrae. X-ray film showedhypertrophic changes of cervical vertebrae without obvious stenosisof intervertebral space. Diagnosis: cervical syndrome(sympathetictype) . Treatment: Wendan Tang Jiajian: astragalus root 20 g; big-head atractylodes rhizome 9 g; white peony root 9 g; Chuanduan12g; Chuanxiong 9 g; chaenomeles fruit 9 g; Fuling 12 g; Zhiqiao6g; Chao Zhuru; tangerine peel 6 g; Jiangbanxia, 9 g; Zhigancao 6g. 5tie(one tie per day) were administrated continuously until symptomsdisappeared. Patient searched medical service because of itching andno relapse of cervical syndrome was complained.
作者：周成谷 刊期： 2003年第06期
中国组织工程研究杂志
主管:中华人民共和国卫生部
主办：中国康复医学会,《中国组织工程研究与临床康复》杂志社
