Search

冠心病灸治疗静脉留置针所致静脉炎

【摘要】　目的　将冠心病灸与硫酸镁外敷治疗静脉留置针所致静脉炎的疗效进行比较和分析。　方法　2008年6月－2010年6月，将86例静脉炎患者随机分为两组，观察组用冠心病灸贴于患处；对照组用50.0%硫酸镁湿敷治疗，3～5 d后观察并比较两组疗效。　结果　观察组有效率为90.8%，对照组有效率为61.8%，两组差异有统计学意义（Plt;0.05）；观察组疼痛缓解时间、红肿消失疗效明显优于对照组。　结论　冠心病灸治疗静脉留置针所致静脉炎疗效优于硫酸镁湿敷治疗，无不良反应，而且经济、方便，值得临床推广。

Diagnosis and Management of Mondor Disease

【Abstract】ObjectiveTo review the epidemiology, etiology, pathology, clinical presentation, diagnosis and treatment, recurrance and prognosis of Mondor disease. MethodsLiteratures on Mondor disease were reviewed, and our study of Mondor disease was also included. ResultsMondor disease is difficult to diagnose, but is with good prognosis in most patients. It’s unclear whether Mondor disease is associated with the etiology of breast cancer. ConclusionThe diagnosis and therapy of Mondor disease are important, especially when it is accompanied with breast cancer.

LEVELS OF VASCULAR ENDOTHELIAL GROWTH FACTOR IN THE VITREOUS OF PATIENTS WITH RETINAL VEIN OCCLUSION AND EALES' DISEASE

PURPOSE:To investigate the content of vascular endothelial growth factor (VEGF)in vitreous of patients with retinal vascula'r proliferative diseases. METHODS:The concentration of VEGF in undiluted vitreous samples from patients with retina vein occlusion (RVO) (n=7),Eales disease (n=7)and controls (n=7) was measured by enzyme linked immunosorbent assay (EL1SA). RESULTS:The levels of vitreous VEGF were significantly higher 13 folds in patients with RVO(4.67plusmn;3.38)ng/ml and 5 folds in patients with Eales disease(1.79plusmn;0.44)ng/ml than in controls (0.35plusmn;0.15)ng/ml separately(P＜0. 01). CONCLUSIONS:VEGF might play a part in mediating the neovascularization of retinal vascular diseases. （Chin J Ocul Fundus Dis,1997,13:171-173）

Study the Effect by Moxibustion and Compression of Aloe Safflower Angelica Alcohol Hydropathical Distilled Liquid in Treated Phlebitis Resulting from Vein Remaining Needlleiv Intravenous Infusion

目的:观察艾灸联合芦荟、红花、当归酒精提取液治疗输液并发静脉炎的临床疗效。方法:将60例静脉炎患者随机分为两组,观察组采用艾灸联合芦荟、红花、当归酒精提取液治疗,对照组采用50%硫酸镁治疗,并进行疗效对比。结果: 观察组痊愈22例、显效6例、有效2例、无效0例,有效率100%;对照组痊愈13例、显效8例、有效3例、无效6例,有效率80%;两组相比差异有统计学意义(Plt;0005)。结论:艾灸联合芦荟、红花、当归酒精提取液具有活血化瘀、散结止痛、抗炎解毒、促进损伤组织细胞修复作用。

视网膜中央静脉炎致视网膜中央动静脉联合阻塞一例

水凝胶敷料治疗留置针所致静脉炎的疗效观察

目的观察水凝胶敷料治疗留置针所致静脉炎的疗效。 方法将2010年12月－2014年2月出现留置针静脉炎的628例患者，按照入院日期单双号分为试验组和对照组，试验组和对照组分别采用水凝胶敷料和常规的54%硫酸镁溶液湿敷治疗留置针所致的静脉炎。观察两组红、肿、痛、软化血管方面的效果，并对患者进行满意度调查。 结果水凝胶敷料治疗留置针所致静脉炎的效果及患者满意度均优于50%硫酸镁溶液湿敷治疗（P＜0.001）。 结论水凝胶敷料治疗留置针所致静脉炎的疗效好，患者满意度高，值得临床推广。

Curative Effect Observation on Treatment of Lower Limb Thrombophlebitis ofSuperficial Phlebitis with Trivex Cutting System

目的　探讨Trivex旋切术治疗下肢血栓性浅表静脉炎的临床疗效。方法　回顾性分析67例下肢血栓性浅表静脉炎病例的临床资料。患者术前给予丹参治疗、下肢静脉造影等术前准备； 然后行大隐静脉主干内膜剥脱、用Trivex旋切系统剖吸曲张静脉和静脉丛内的血栓； 术后给予低分子肝素抗凝、早期下床活动等处理。结果 全部患者的手术均顺利，术中及术后无肺栓塞发生。术后2例切口Ⅱ期愈合， 65例切口Ⅰ期愈合。所有病例术后3d均出院，住院时间（5±1） d。15例术后患肢有瘀斑者随访2周均消失； 7例出现内踝部麻木感，随访6个月消失； 本组患者均获随访6个月，未见复发者。结论　下肢血栓性静脉炎早期行以Trivex旋切术为主的综合治疗，其临床疗效好、住院时间短、创伤小及美容效果好，并可有效防止病情反复、深静脉血栓及肺栓塞的发生，是治疗下肢血栓性静脉炎的有效手段。

Hirudoid for Microcirculation Disorder: A Systematic Review

Objective To assess the efficacy and safety of Hirudoid for microcirculation disorder. Methods We searched The Cochrane Library (Issue 4, 2009), PubMed, EMbase, CNKI, CBM, and VIP databases up to December 2009. Randomized controlled trials (RCTs) or quasi-RCTs concerning Hirudoid for microcirculation disorder were included. The methodological quality of the included studies was assessed according to the Cochrane Reviewer’s Handbook 5.0.1, and meta-analyses were conducted using RevMan software 5.0. Results Twenty-five RCTs were included, of which only one was graded as high quality and others were of low quality. The results of meta-analyses showed: Hirudoid could be effective in preventing the occurrence of phlebitis (OR=0.18, 95%CI 0.13 to 0.25). Hirudoid for treating phlebitis was also significantly better than magnesium sulfate or placebo (OR=7.18, 95%CI 4.59 to 11.22) and the time to symptom relief of Hirudoid was significantly shorter than placebo (MD= – 29, 95%CI – 37.30 to – 20.70). Hirudoid for internal fistula in hemodialysis patients was better than the simple hot compress (OR=8.89, 95%CI 4.25 to 18.58), and also better than the magnesium sulfate plus hot compress (OR=7.62, 95%CI 2.84 to 20.44). Hirudoid could also prevent the formation of hematoma and eliminate hematoma quickly. Hirudoid for tissue injury caused by irritating fluid extravasation was significantly better than magnesium sulfate (OR=4.25, 95%CI 2.06 to 8.78). Conclusion Hirudoid can significantly improve the microcirculation disorder, especially to the phlebitis. Due to the low quality of the included studies, further, more high quality trials are required.

湿润烧伤膏外涂治疗外周静脉留置针引发静脉炎的效果观察

【摘要】　目的　总结湿润烧伤膏外涂治疗外周静脉留置针引发静脉炎的临床疗效。　方法　2007年9月-2008年3月，将62例使用外周静脉留置针引发静脉炎的患者按随机数字表法分为治疗组与对照组，每组各31例。治疗组患者使用湿润烧伤膏外涂治疗，对照组患者使用硫酸镁溶液局部湿敷常规治疗，观察两组患者穿刺点局部皮肤改善情况，并进行疼痛程度比较。　结果　治疗3 d后，局部皮肤改善与疼痛程度比较，治疗组均优于对照组，差异有统计学意义（Plt;0.05）。　结论　湿润烧伤膏外涂治疗外周静脉留置针引发静脉炎的疗效较好。

弹力绷带在经外周静脉置入中心静脉导管置管中的固定作用及效果

目的　讨论弹力绷带在经外周静脉置入中心静脉导管（PICC）置管中的固定作用及对减少局部渗血、渗液和预防机械性静脉炎的效果。 方法　选择2011年6月－2012年3月在某三甲医院重症医学科（ICU）行PICC置管的100例患者，按穿刺时间先后顺序单号纳入对照组，双号归于试验组,每组各50例。对照组置管后在穿刺局部放置8层无菌方纱，外用 10 cm×12 cm的透明敷料外固定；试验组在对照组的基础上增加弹力绷带固定,分别观察两组患者置管后24、72 h局部渗血、渗液、机械性静脉炎的发生情况。 结果　在24、72 h两个时间点，试验组渗血、渗液发生率少于对照组（χ2=4.57，P＜0.05）；静脉炎发生率在24 h时低于对照组（χ2=4.00，P＜0.05），但在72 h差异无统计学意义。 结论　PICC置管患者使用弹力绷带固定不仅可防止穿刺点渗血渗液，减少机械性静脉炎的发生，而且可减轻护士工作量，值得临床推广使用。