The clinical values of coils em boliztion in the treatm ent of pulm onary arteriovenous m alformations (PAVM ) and related complications were investigated.Eleven patients with PAVMs verified by pulm onary arterial a...The clinical values of coils em boliztion in the treatm ent of pulm onary arteriovenous m alformations (PAVM ) and related complications were investigated.Eleven patients with PAVMs verified by pulm onary arterial angiography were treated by transcatheter coils em boliza- tion.Chest X- ray(11cases) ,com puter tomography(7cases) and/ or magnetic resonance im aging (2 cases) were performed before embolization.Blood- gas analysis was done in5 cases before and after em bolization.The follow- up materials of8patients were collected to evaluate the effect of em bolization with coils.The clinical m anifestations included cerebral em bolus,hem optysis and de- creased oxygenation in 9patients and the remaining 2 had no sym ptoms.9/ 11cases were found by chest X- ray and 8were diagnosed definitely.7/ 7,2 / 2 cases were diagnosed by CT or MR and di- agnosis was m ade in all cases.Embolization was perform ed in 2 9vessels.Partial pressure of oxy- gen in arterial blood of5 cases changed significantly before and after embolization.Slight com pli- cations occurred in 6 patients,such as low fever,chest pain,pleurisy.The follow- up results showed that7cases were cured effectively.No primary and secondary device migration,and no m edical paradoxical em bolization occurred.It was concluded thatcoils em boliztion is a well- estab- lished m ethod for treating PAVMs.It is a m inimally invasive lung preserving treatment with high efficiency and less com plication.展开更多
Objective: this article mainly focuses on the systematic research and analysis of the effect of traditional Chinese medicine nursing intervention in the process of postoperative rehabilitation of esophageal cancer. Me...Objective: this article mainly focuses on the systematic research and analysis of the effect of traditional Chinese medicine nursing intervention in the process of postoperative rehabilitation of esophageal cancer. Methods: the retrospective analysis method was adopted. The patients with esophageal cancer who were treated surgically in our hospital from February 2015 to February 2017 were selected and divided into the observation group and the control group. The observation group was treated with traditional Chinese medicine nursing intervention measures, while the control group was treated with the same measures as the traditional nursing intervention measures. The actual postoperative rehabilitation nursing effects of the two groups of patients were observed and recorded. Results: in the process of research and analysis, the postoperative rehabilitation effect of esophageal cancer patients in the observation group was significantly different from that of patients in the control group. Conclusion: traditional Chinese medicine nursing intervention strategy can be selected for postoperative rehabilitation nursing of esophageal cancer patients, which can not only accelerate the rehabilitation speed of patients, but also reduce the incidence of pulmonary infection.展开更多
Objective:To observe the effect of warm-unblocking acupuncture plus fluticasone propionate nasal spray on the pulmonary ventilation,level of interferon-y(IFN-y)and sleep quality in parents with allergic rhinitis(AR).M...Objective:To observe the effect of warm-unblocking acupuncture plus fluticasone propionate nasal spray on the pulmonary ventilation,level of interferon-y(IFN-y)and sleep quality in parents with allergic rhinitis(AR).Methods:A total of 112 AR patients were enrolled between January 2013 and August 2018 and were divided into an observation group and a control group by the random number table method,with 56 cases in each group.Patients in the observation group received warm-unblocking acupuncture plus fluticasone propionate nasal spray,and patients in the control group only received fluticasone propionate nasal spray.The nasal symptom score,pulmonary function indexes,the levels of IFN-y and interleukin(IL)-4 in serum,and sleep quality in the two groups were compared.Results:After treatment,the total effective rate in the observation group was higher than that in the control group(P<0.05).The nasal symptom score dropped in both groups after treatment(both P<0.05),and the score in the observation group was lower than that in the con trol group(P<0.05).The pulm onary ven tilati on indexes all in creased sign ificantly after treatment in the observation group(all P<0.05);the forced expiratory volume in 1 second(FEV1)to forced vital capacity(FVC)ratio(FEV1/FVC)and the forced expiratory flow at 50%,75%and 25%-75%of the vital capacity(FEF50%,FEF75%,FEF25%-75%)in creased after treatme nt in the control group(all P<0.05);the pulm onary ven tilati on in dexes were higher in the observati on group tha n those in the control group(all P<0.05).The level of IFN-y in creased sign ificantly after t reatment in the two groups(both P<0.05)and the level of IL-4 dropped significantly(both P<0.05);the observation group had a higher IFN-y level(P<0.05)and a lower IL-4 level(P<0.05)compared with the control group.Regarding the Pittsburgh sleep quality index(PSQI),the scores of subjective sleep quality,habitual sleep efficiency and sleep disturbances and the general PSQI score decreased significantly after treatment in both groups(all P<0.05),and the scores in the observation group were significantly lower than those in the control group(all P<0.05).Conclusion:Warm-unblocking acupuncture plus fluticasone propionate nasal spray can effectively control the clinical symptoms and improve pulmonary function in the treatment of AR;this approach can regulate the levels of IFN-y and IL-4 towards the normal range in AR patients;it can also improve patient's sleep quality.This method can produce more significant efficacy than fluticasone propionate nasal spray used alone.展开更多
文摘The clinical values of coils em boliztion in the treatm ent of pulm onary arteriovenous m alformations (PAVM ) and related complications were investigated.Eleven patients with PAVMs verified by pulm onary arterial angiography were treated by transcatheter coils em boliza- tion.Chest X- ray(11cases) ,com puter tomography(7cases) and/ or magnetic resonance im aging (2 cases) were performed before embolization.Blood- gas analysis was done in5 cases before and after em bolization.The follow- up materials of8patients were collected to evaluate the effect of em bolization with coils.The clinical m anifestations included cerebral em bolus,hem optysis and de- creased oxygenation in 9patients and the remaining 2 had no sym ptoms.9/ 11cases were found by chest X- ray and 8were diagnosed definitely.7/ 7,2 / 2 cases were diagnosed by CT or MR and di- agnosis was m ade in all cases.Embolization was perform ed in 2 9vessels.Partial pressure of oxy- gen in arterial blood of5 cases changed significantly before and after embolization.Slight com pli- cations occurred in 6 patients,such as low fever,chest pain,pleurisy.The follow- up results showed that7cases were cured effectively.No primary and secondary device migration,and no m edical paradoxical em bolization occurred.It was concluded thatcoils em boliztion is a well- estab- lished m ethod for treating PAVMs.It is a m inimally invasive lung preserving treatment with high efficiency and less com plication.
文摘Objective: this article mainly focuses on the systematic research and analysis of the effect of traditional Chinese medicine nursing intervention in the process of postoperative rehabilitation of esophageal cancer. Methods: the retrospective analysis method was adopted. The patients with esophageal cancer who were treated surgically in our hospital from February 2015 to February 2017 were selected and divided into the observation group and the control group. The observation group was treated with traditional Chinese medicine nursing intervention measures, while the control group was treated with the same measures as the traditional nursing intervention measures. The actual postoperative rehabilitation nursing effects of the two groups of patients were observed and recorded. Results: in the process of research and analysis, the postoperative rehabilitation effect of esophageal cancer patients in the observation group was significantly different from that of patients in the control group. Conclusion: traditional Chinese medicine nursing intervention strategy can be selected for postoperative rehabilitation nursing of esophageal cancer patients, which can not only accelerate the rehabilitation speed of patients, but also reduce the incidence of pulmonary infection.
文摘Objective:To observe the effect of warm-unblocking acupuncture plus fluticasone propionate nasal spray on the pulmonary ventilation,level of interferon-y(IFN-y)and sleep quality in parents with allergic rhinitis(AR).Methods:A total of 112 AR patients were enrolled between January 2013 and August 2018 and were divided into an observation group and a control group by the random number table method,with 56 cases in each group.Patients in the observation group received warm-unblocking acupuncture plus fluticasone propionate nasal spray,and patients in the control group only received fluticasone propionate nasal spray.The nasal symptom score,pulmonary function indexes,the levels of IFN-y and interleukin(IL)-4 in serum,and sleep quality in the two groups were compared.Results:After treatment,the total effective rate in the observation group was higher than that in the control group(P<0.05).The nasal symptom score dropped in both groups after treatment(both P<0.05),and the score in the observation group was lower than that in the con trol group(P<0.05).The pulm onary ven tilati on indexes all in creased sign ificantly after treatment in the observation group(all P<0.05);the forced expiratory volume in 1 second(FEV1)to forced vital capacity(FVC)ratio(FEV1/FVC)and the forced expiratory flow at 50%,75%and 25%-75%of the vital capacity(FEF50%,FEF75%,FEF25%-75%)in creased after treatme nt in the control group(all P<0.05);the pulm onary ven tilati on in dexes were higher in the observati on group tha n those in the control group(all P<0.05).The level of IFN-y in creased sign ificantly after t reatment in the two groups(both P<0.05)and the level of IL-4 dropped significantly(both P<0.05);the observation group had a higher IFN-y level(P<0.05)and a lower IL-4 level(P<0.05)compared with the control group.Regarding the Pittsburgh sleep quality index(PSQI),the scores of subjective sleep quality,habitual sleep efficiency and sleep disturbances and the general PSQI score decreased significantly after treatment in both groups(all P<0.05),and the scores in the observation group were significantly lower than those in the control group(all P<0.05).Conclusion:Warm-unblocking acupuncture plus fluticasone propionate nasal spray can effectively control the clinical symptoms and improve pulmonary function in the treatment of AR;this approach can regulate the levels of IFN-y and IL-4 towards the normal range in AR patients;it can also improve patient's sleep quality.This method can produce more significant efficacy than fluticasone propionate nasal spray used alone.
