简介：目的：比较针药复合麻醉和全身麻醉和对腹腔镜胆囊切除术（LC）患者围术期免疫功能影响的差异。方法：选取择期行LC患者39例，随机分成针药复合麻醉组（针药组）和全麻组。针药组先行电针刺激15～30min，穴取合谷、内关、足三里、阳陵泉，然后行全身麻醉，电针刺激至手术结束；全麻组单纯行全身麻醉。分别观察两组患者麻醉诱导前、术后2h、术后第1、3天T淋巴细胞亚群、肿瘤坏死因子-α（TNF—α）、白细胞介素-6（IL-6）的变化及术后不良反应的发生情况。结果：术后2h两组总T淋巴细胞（CD3^＋）、抑制T淋巴细胞（CD8^＋）较麻醉诱导前降低（均P〈0．05）；全麻组辅助T淋巴细胞（CD4^＋）显著降低（P〈0．05），针药组CD4^＋无显著改变，CD4^＋／CD8^＋显著上升（P〈0．05）。术后第3G针麻组TNF-α与麻醉诱导前比较显著降低（P〈0．05）。针麻组患者术后恶心例数明显少于全麻组（P〈0．05）。结论：针药复合麻醉对LC患者免疫功能影响较小，术后不良反应发生低。

简介：DENGMoumou,female,47yearsold,ateacher.Shecametoseethedoctoron5November,2007.ChiefComplaints:theherpeszosterappearedontheleftlowerlimbandpudendumfor24days.Historyofpresentillness:inSeptember2001,thepatienthadnoobviousinducement,rightfootswelledgraduallyextendedtothethigh;aftertheleftfootswelledgraduallyextendedtothethigh,pittingedema,absenceoftenderness,activitywasslightlyslow.ShewasexaminedinthePeople'sHospitalofMunicipality,withoutdefinitediagnosisandsymptomatictreatment,andleftthehospital.Thewholebodyswelledafteramonth,chestoppressionandshortnessofbreathcouldnotfallintosleep,andthenshewashospitalizedintheFirstSubsidiaryHospitalofXinjiangMedicalUniversity.Shewasconsideredtheleftvenaeiliacacommunisstraitnessorobturate,tookoperationthethrombus.Thepaunchedexplorationwasfoundwithperitoneumincrassation.Thediagnosisis'peritoneumsclerosisofconjunctivetissue'.Shewasadministeredhormone,antiinflammatory,fluidinfusion,anticoagulation,theswellingdecreased,andshelefthospital,tookorallyHydroprednisoneandFurosemidelongterm.ShecametoZhongshanHospitalofShanghaiin2003,receivingthesametreatment,theHydroprednisonegraduallyreduced.InMarch2006,theswellingdisappeared,andshestoptookorallyHydroprednisone.ShetookorallyFurosemideahalftableteveryday.InSeptember2007,feelingchestoppression,shewashospitalizedinthePectoralofMunicipality.Thehydrothoraxwasfound.Thedoctorabstractedhydrothorax4000cc.Shewasdiagnosedthephthisic.TheasciteswasdetectedthroughabdominalB-ultrasound,withoutbeingpumpedascitesduetothefrailofpatient.ShetookoralHydroprednisone30mgeveryday,andshereturnedhome.HerabdomengraduallyswelledinearlyOctober.Theherpesandperineumwerefoundonthecoccyxon12Octoberwithoutpain.Thelocialcliniqueandtheherpeszosterwerediagnosised.Shetookoral

简介：目的：观察针刺对于陈旧性外踝关节扭伤的临床疗效。方法：选择31例陈旧性外踝扭伤患者,针刺患侧解溪穴透申脉、阳陵泉,留针30min,针刺1次,1个月后随访。结果：31例患者均经过1次治疗即痊愈,随访1月未复发。结论：针刺治疗陈旧性外踝关节扭伤疗效显著。