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简介：Objective:Toexploreatreatmentapproachforseverelyinjuredlowerextremities.Methods:Thedataof42patientswithseverelytraumaticlowerextremitiesfrom1989to1999wereretrospectivelyreviewed.AccordingtoMESS(mangledextremityseverityscore)themeanscoreofallthelimbswas6.24±1.45,34caseshadMESSscore<7and8caseshadMESSscore≥7.Treatmentapproachesincludedmicrovascularanastomosistechnique,compoundtissueflaptransplantationtechniqueandcompoundbonetissueflaptransplantation.Conclusions:Successfulemergencytreatmentofseverelyinjuredlowerextremitiescouldbeachievedbyusingmicrosurgerytechniquesandstrictcontrollingoflowerextremitysalvagelindications.

简介：Treated58patients(32malesand26females)withpostoperativeuroschesisbyacupuncture.Therapeuticresultswereexcellentin33cases,goodin22cases,andineffectivein3cases.

简介：目的：观察针刺治疗黄褐斑的疗效。方法：将90例患者随机分为治疗组和对照组，每组各45例。其中，治疗组又辨证分成3型，予针刺治疗。对照组予维生素C和维生素E治疗。结果：治疗组和对照组有效率分别为93.3％和73．3％(P<0．05)，而治疗组内各型疗效无差异(P>0．05)。结论：针刺治疗各型黄竭斑均有明显的效果。

简介：Objective:Todiscussthediagnosisandmanagementoftraumaticcarotidcavernousfistula(TCCF).Methods:Inall15patientswithTCCFconfirmedbyangiography,8patientsgotearlydiagnosisandcure.WithSeldingertechniqueadpotedinthepunctureoffemoralartery,Magic3F-1.8FBDcatheterscombiningwithballoonwereusedtoembolizethefistulaortheinternalcarotidartery.Results:Earlydiagnosisandcurewereachievedin8patientswithinoneweekandnosequelaeoccurred.Sevenpatientswithdelayeddiagnosiswhowerecuredbeyondoneweekhadsomesequelaesuchashypopsiain5cases,incompleteoculomotorparalysesin3andincompleteabducentparalysesin2.Amongallthe15cases,theinternalcarotidarterywaspreservedin12casesacountingfor80%.Occludingthefistulawithsacrificeoftheinternalcarotidarterywasperformedin3casesandnorepatencyofthefistulaoccurredbyfollowingupbeyondthreemonths.Conclusions:ThepreferredtherapyforTCCFistooccludethefistulausingdetachableballoon.ThediagnosisandtreatmentforTCCFcansignificantlyreduceoccurrencerateofthecomplicationsandsequelae.

简介：采用针灸为主和针灸减肥仪辅助治疗的方法治疗112例单纯性肥胖患者，获得了良好的效果。结果表明，112例经1个疗程治疗，有效率为85%；84例经2个疗程治疗，有效率为92％；43例经3个疗程治疗，有效率为98％。针仪结合的疗效疗程长者优于短者，男性优于女性，年龄轻者优于长者，肥胖度轻者优于重者，病程短者优于长者，实证者优于虚证者，无并发症者优于有并发症者，无肥胖家族史者优于有肥胖家族史者。提示，早期治疗和延长治疗时间可以提高针灸减肥的疗效。

简介：Objective:Toobservetheclinicalefficacyofacupuncturetherapyforprostatalgia.Methods:Sixtysubjectswererandomizedintotwogroups:anacupuncturegroupinwhich30casesweretreatedbyacupunctureandamedicationgroupinwhichtheother30casesweretreatedwithherbal

简介：BACKGROUND:Strokepresentsasatransientorchronicbraindysfunctionandisassociatedwithhighmorbidityandhighmortality.Thedoctorsandscientistswouldliketoarguehowtoenhancethevalidityoftherehabilitationtreatmentandhowtofurtherimprovetheleveloftreatmentonstroke.OBJECTIVE:TheaimofthisstudywastoquantitativelyanalyzethecurrentworldwideprogressinresearchonstrokerehabilitationtreatmentbasedonWebofSciencedatabaseandClinicalTrial.govinthepast10years.METHODS:WeconductedaquantitativeanalysisofclinicaltrialarticlesregardingstrokerehabilitationpublishedinEnglishfrom2003to2013andindexedintheNationalInstitutesofHealthClinicalTrialsregistryandWebofSciencedatabases.DataweredownloadedonMarch15,2013.RESULTS:(1)From2003to2013,2654clinicaltrialsinvestigatingstrokewereindexedinClinicalTrials.gov.Therewereonly58clinicaltrialsregisteredin2003,andtherewasamarkedincreasefrom2005.Atotalof605clinicaltrialsontherehabilitationofstrokewereconductedinthepast10years.(2)TheanalysisshowedthatmostofthetrialsinthefieldwereregisteredbyNorthAmericaninstitutions.WithrespecttotheAsiancountries,ChinaandTaiwanareaofChinaalsopublishedareasonableproportionofthetrials,butcomparativelyspeaking,thenumberoftrialsisreallyrare.Mostoftheinterventionsweredrugs,followedbythedevices,andbehavioralinterventionswererankedthird.(3)Inthepast10years,therewere4052studiesonstrokeindexedbyWebofSciencedatabase.CONCLUSION:Fromperspectiveofresearchprogress,wefoundthatthenumberofclinicaltrialsandpapersonstrokerehabilitationhasincreasedsignificantlyinthepast10years,betweenthemaremarkablepositivecorrelationexists.

简介：Prostatichyperplasia,alsotermedbenignprostatichyperplasia(BPH),isacommonlyencountereddiseaseinmiddle-agedandoldmales.Thisconditionisknownas'RetentionofUrine'and'UrinationSyndrome'inChinesemedicine.Now,theliteraturefrom1998to2008onacupuncturetreatmentof

简介：摘要Functional dyspepsia (FD) and gastroparesis are two common functional gastrointestinal diseases, affecting millions of people in both China and around the world. However, treatment options are limited and difficult due to multiple factors involved in their pathophysiologies. Therefore it is critically important to assess and understand pathophysiologies of these diseases before a treatment is given. In this minireview we provide updates on recent development in the pathophysiologies and treatments of FD and gastroparesis. In addition to common abnormalities in gastric accommodation, antral hypomotility and visceral hypersensitivity, FD has recently been reported to display a number of impairment in duodenal functions, such as low-grade inflammation and increased permeability. For gastroparesis, macrophages have recently been reported to play an important role in its pathophysiology. A brief overview on the assessment of pathophysiologies of FD and gastroparesis is also provided; pros and cons of clinically available methodologies as well as emerging methods are discussed. Finally, available treatment options for FD and gastroparesis are presented in this minireview, including authors′ opinions on the advantages and disadvantages of each therapy. Potential novel therapies for FD and gastroparesis, especially those associated with Traditional Chinese Medicine, are also introduced and discussed.

简介：背景：测试的HIV-1genotypic和phenotypic危险性(通用终端)优化antiretroviral选择，但是它幸存上的效果是未知的。客观：评估在通用终端和幸存之间的协会。设计：队学习。设定：10个美国HIV诊所。病人：为通过2005从1999看见的通用终端(血浆HIVRNA水平>1000copies/mL)合格的2699个感染HIV的病人。大小：人口统计的特征，临床的因素，通用终端使用，所有原因死亡，和为有幸存的通用终端的协会的粗略、调整的危险比率(HR)。结果：病人们被跟随为一3.3年中部；(34%)915有通用终端。把通用终端有的病人比那些降低死亡率(2.0对2.7死亡每100人年)。在标准考克斯模型，通用终端与改进幸存被联系(调整HR，0.69[95%CI，0.51～0.94]；P=0.017)在为临床的后续的人口统计的特征，CD4⁺房间计数，HIVRNA水平，和紧张控制以后。在亚群分析，通用终端与改进幸存被联系因为2107高度活跃的antiretroviral治疗(HAART)经历了病人(2.2对3.2死亡每为有没有通用终端的通用终端对那些的病人的100人年；调整HR，0.60[CI，0.43～0.82]；P=0.002)并且为921个三倍的antiretroviral班富有经验病人(2.1对3.1死亡每100人年；调整HR，0.61[CI0.40到0.93]；P=0.022)。边缘的结构的模型支持了在通用终端之间的协会并且在全面的队改进了幸存(调整HR，0.54；P=0.001)并且在HAART富有经验的组(调整HR，0.56；P=0.003)。限制：通用终端的使用没被使随机化。剩余惊讶可以存在。结论：通用终端的使用独立地在HAART富有经验的病人之中与改进幸存被联系。

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简介：Wehavetreated28casesofpolyneuritiswithelectroacupunctureandreportedasfollows.

简介：Traumatichematomaofposteriorfossa(THPF)isaspecialkindofcraniocerebralinjurywithitsowncharacteristicsinclinicalmanifestations,diagnosisandtreatment.Ingeneral,theprognosisofTHPFispoor.Withoutearlydiagnosisandprompttreatment,theoutcomewouldbeverypoor,withhighoccurrenceofmorbidityandmortality.Sincetheavailabilityofcomputedtomography(CT)in1983,wehavereceivedandsuccessfullytreated44patientswithTHPFuntilNovember2000.

简介：ObjectivesToevalu-atetheoutcomeofdiagnosisandsurgicaltreatmentforcortriatrium(CTA)in6patientsseenbetween1994and2002.Methods6patientsranginginagefrom5monthsto25yearswereobserved.Allofthemhadothercardiovasculardefects,andpresentedwithdyspnea,palpitations(andlowweightgrowingonlyintheinfants).Preopreativetwodimensionalechocardiogra-phyhaddemonstratedanabnormalseptumintheleftatriumandothercoexistentanomalies.In3ofthemthemembranewasobstructedbetweentheleftatrialaccessorychamberandtheleftatrium.Thecommunicationwereatrialseptaldefect(ASD)indirectly;Theclinicalfindingswereduetothepulmonaryhypervas-cularity.Onlyonecasehadafenestrationintheseptumwithasmallpatentforamenovale(FO)directly,andtheclinicalfindingswereduetotheobstructiontoflowthroughthemembraneintheleftatrium,producingvenocapilarpulmonaryhypertension.TwoofthemhadASDandfenestrationontheseptum.Theot

简介：Inthepresentpaper,theauthorsreviewrecentdevelopmentofclinicaltreatmentofconstipationwithacupunctureandmoxibustionfrom①bodyacupuncturetherapyincludingspecialneedlingmanipulations,asZiwuDaojiuNeedling,etc.andacupointcombination,②electroacupuncturetherapy,③scalp-acupuncturetherapy,④auricularacupuncturetherapy,⑤needle-embeddingandacupoint-catgut-embeddingtherapies,⑥acupoint-applicationtherapy,⑦combinedacupunctureandmedicationtherapy,⑧othertherapiessuchascuppingtherapyandholo-therapy,and⑨considerationsabouttheactionofacupunctureinthetreatmentofconstipationanditsprospect.Uptonow,researchesontheeffectofacupunctureintreatingconstipationareseldomseen,thus,muchattentionshouldbepaidaboutthisbyclinicalandexperimentalresearchers.

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简介：Traction,acupunctureandoxygeninhalationtherapieswere-usedtotreat40casesofcervicalvertigo.AcupointsFengchi(GB20),Tianzhu(BL10),Baihui(GV20),Yintang(Ex-HN3),Houxi(SI3),andZhongzhu(TE3),andtheeffectiveratewas97.5%.

简介：ＬａｓｅｒＴｒｅａｔｍｅｎｔｏｆＯｘｉｄｅＤｉｓｐｅｒｓｉｏｎＳｔｒｅｎｇｔｈｅｎｅｄＡｌｌｏｙｓＳｈａＷｅｉ（沙维）（ＤｅｐａｒｔｍｅｎｔｏｆＭａｉｅｒｉａｌｓＳｃｉｃｎｃｅａｎｄＭｅｔａｌｌｕｒｇｙ，ＵｎｉｖｅｒｓｉｔｙｏｆＣａｍｂｒｉｄｇｅ，Ｕ...

简介：Despitethehugedevelopmentofradiofrequencycatheterablation,surgicaloperation,pacemakerimplantation,anddrugtherapyremainsthefirstlinetreatmentofatrialfibrillation.Severalnewanti-arrhythmicdrugsandanticoagulationdrugshavecomeoutrecently,andhavemadethedrugtherapyofatrialfibrillationamorepromisingchoice.Thisarticleprovidesacontemporaryhighlightonthenewanti-arrhythmicagentsofatrialfibrillation.