Search

儿童急性会厌炎9例诊治体会

原发性食管淋巴瘤一例

高原患者非炎症性鼻源性头痛诊疗分析

【摘要】　目的　总结高原患者非炎症性鼻源性头痛的原因及治疗方法。　方法　排除炎症、肿瘤性头痛，根据鼻部CT扫描及鼻内镜检查，对2008年7月-2010年7月以头痛为主诉入院的96例高原非炎症性鼻源性头痛患者采用鼻内窥镜手术，术后3个月及以上患者自觉头痛减轻或消失为治疗有效。术后随访3～12个月。　结果　96例中58例（60.42%）头痛完全消失，头痛频率及强度明显下降18例（18.75%），头痛偶尔轻度发作14例（14.58%），头痛频率及强度无变化或较术前头痛加重6例（6.25%）临床总有效率93.75%。　结论　鼻腔解剖结构的异常是导致高原患者非炎症性鼻源性头痛的主要原因，经鼻内镜微创手术对双侧鼻腔进行统一的结构、功能、形态的微创整形，可去除病因达到满意疗效。

经保留伸肘装置的后侧入路手术治疗成人肱骨远端骨折

目的总结经保留伸肘装置的后侧入路手术治疗成人肱骨远端骨折的临床疗效。 方法2006年1月-2011年12月，采用经保留伸肘装置的后侧入路内固定治疗成人肱骨远端骨折32例。男19例，女13例；年龄23～68岁，平均48.7岁。均为闭合骨折，按照国际内固定研究协会（AO/ASIF）骨折分型标准：A型13例，B型10例，C型9例。受伤至手术时间3～120 d，平均8.4 d。术中采用双钢板（23例）或Y形钢板（9例）固定肱骨远端双柱。 结果术后1例发生切口浅部感染，经保守治疗治愈；其余切口均Ⅰ期愈合。32例均获随访，随访时间18～36个月，平均26.6个月。骨折均愈合，愈合时间11～20周，平均14.8周。随访期间无内固定物相关并发症发生。术后1周和末次随访时参照Rasmussen标准对肱骨髁部骨折复位及复位丢失行影像学评分，分别为（16.13±0.39）、（15.94±0.41）分，差异无统计学意义（t=1.79，P=0.08）。末次随访时Mayo肘关节功能评分系统（MEPS）评分为（84.22±14.82）分；获优19例，良8例，中3例，差2例，优良率84.4%。 结论经保留伸肘装置的后侧入路可满意显露和固定肱骨远端骨折，具有微创和利于肱三头肌肌力恢复及肘关节早期功能锻炼的特点。

Improving college students sub-threshold depression by music neurofeedback

Sub-threshold depression refers to a psychological sub-health state that fails to meet the diagnostic criteria for depression. Appropriate intervention can improve the state and reduce the risks of disease development. In this paper, we focus on music neurofeedback stimulation improving emotional state of sub-threshold depression college students.Twenty-four college students with sub-threshold depression participated in the experiment, 16 of whom were members of the experimental group. Decompression music based on spectrum classification was applied to 16 experimental group participants for 10 min/d music neural feedback stimulation with a period of 14 days, and no stimulation was applied to 8 control group participants. Three feature parameters of electroencephalogram (EEG) relative power, sample entropy and complexity were extracted for analysis. The results showed that the relative power of α、β and θ rhythm increased, while δ rhythm decreased after the stimulation of musical nerofeedback in the experimental group. The sample entropy and complexity were significantly increased after the stimulation, and the differences of these parameters pre and post stimulation were statistically significant (P < 0.05), while the differences of all feature parameters in the control group were not statistically significant. In the experimental group, the scores of self-rating depression scale(SDS) decreased after the stimulation of musical nerofeedback, indicating that the depression was improved. The result of this study showed that music neurofeedback stimulation can improve sub-threshold depression and may provides an effective new way for college students to self-regulation of emotion.