BACKGROUND Calcific tendinopathy denotes calcific deposits in a specific tendon.It is also known as calcifying tendinitis,calcifying periarticulitis,or periarticular apatite deposition disease.Recently,extracorporeal ...BACKGROUND Calcific tendinopathy denotes calcific deposits in a specific tendon.It is also known as calcifying tendinitis,calcifying periarticulitis,or periarticular apatite deposition disease.Recently,extracorporeal shock wave therapy(ESWT)has been reported to be effective in relieving and treating pain in calcific tendinopathy.CASE SUMMARY A 36-year-old female patient suffered from left hip joint pain for six months.The pain was increased during abduction of the hip,waking,and jumping.B-mode ultrasonography was performed by a physiatrist with an L12-5 linear transducer.A single session of ESWT was given in the marking area under ultrasound guidance at 4 Hz,2500 shots with intensity of stimulation using energy of 0.1 mJ/mm2.The hip pain of the patient slowly decreased within 4 wk after starting the ESWT.After six weeks of ESWT,her hip pain was completely resolved.However,the size of calcification showed almost no reduction in simple radiography at the final follow-up.CONCLUSION Ultrasonography is a very good modality not only for diagnosing calcified tendinitis by classical appearance,but also for evaluating the effect of ESWT during the follow-up period.展开更多
目的:探讨案例需求导向式护理模式在髋关节假体周围感染行二次翻修术患者中的应用效果。方法:将2018年1月1日~2020年1月31日45例髋关节假体周围感染行二次翻修术患者设为对照组,实施常规护理;将2020年2月1日~2022年1月31日45例髋关节假...目的:探讨案例需求导向式护理模式在髋关节假体周围感染行二次翻修术患者中的应用效果。方法:将2018年1月1日~2020年1月31日45例髋关节假体周围感染行二次翻修术患者设为对照组,实施常规护理;将2020年2月1日~2022年1月31日45例髋关节假体周围感染行二次翻修术患者设为观察组,实施案例需求导向式护理模式。比较两组入院当日及出院前1 d行为疼痛评分量表(BPS)评分、症状自评量表(SCL-90)评分、Harris量表评分,并发症(深静脉血栓形成、肺栓塞、关节脱节)发生率。结果:两组出院前1 d BPS评分、SCL-90评分均低于入院当日(P<0.01),观察组出院前1 d BPS评分、SCL-90评分低于对照组(P<0.01);两组出院前1 d Harris量表评分均高于入院当日(P<0.05),观察组出院前1 d Harris量表评分高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论:对髋关节假体周围感染行二次翻修术患者实施案例需求导向式干预模式,可减少并发症,减轻疼痛感,改善髋关节功能。展开更多
先天性无痛无汗症（congenital insensitivity to pain with anhidrosis,CIPA）又称遗传性感觉和自主神经障碍（HSAN）IV型，是一种罕见病^[1-2]。本病属常染色体隐性遗传性疾病，首先由Dearbom（1932年）报道。国外报道了近40例，国内...先天性无痛无汗症（congenital insensitivity to pain with anhidrosis,CIPA）又称遗传性感觉和自主神经障碍（HSAN）IV型，是一种罕见病^[1-2]。本病属常染色体隐性遗传性疾病，首先由Dearbom（1932年）报道。国外报道了近40例，国内报道20余例，临床表现为感觉障碍，包括痛觉和温度觉、无汗、展开更多
文摘BACKGROUND Calcific tendinopathy denotes calcific deposits in a specific tendon.It is also known as calcifying tendinitis,calcifying periarticulitis,or periarticular apatite deposition disease.Recently,extracorporeal shock wave therapy(ESWT)has been reported to be effective in relieving and treating pain in calcific tendinopathy.CASE SUMMARY A 36-year-old female patient suffered from left hip joint pain for six months.The pain was increased during abduction of the hip,waking,and jumping.B-mode ultrasonography was performed by a physiatrist with an L12-5 linear transducer.A single session of ESWT was given in the marking area under ultrasound guidance at 4 Hz,2500 shots with intensity of stimulation using energy of 0.1 mJ/mm2.The hip pain of the patient slowly decreased within 4 wk after starting the ESWT.After six weeks of ESWT,her hip pain was completely resolved.However,the size of calcification showed almost no reduction in simple radiography at the final follow-up.CONCLUSION Ultrasonography is a very good modality not only for diagnosing calcified tendinitis by classical appearance,but also for evaluating the effect of ESWT during the follow-up period.
文摘目的:探讨案例需求导向式护理模式在髋关节假体周围感染行二次翻修术患者中的应用效果。方法:将2018年1月1日~2020年1月31日45例髋关节假体周围感染行二次翻修术患者设为对照组,实施常规护理;将2020年2月1日~2022年1月31日45例髋关节假体周围感染行二次翻修术患者设为观察组,实施案例需求导向式护理模式。比较两组入院当日及出院前1 d行为疼痛评分量表(BPS)评分、症状自评量表(SCL-90)评分、Harris量表评分,并发症(深静脉血栓形成、肺栓塞、关节脱节)发生率。结果:两组出院前1 d BPS评分、SCL-90评分均低于入院当日(P<0.01),观察组出院前1 d BPS评分、SCL-90评分低于对照组(P<0.01);两组出院前1 d Harris量表评分均高于入院当日(P<0.05),观察组出院前1 d Harris量表评分高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论:对髋关节假体周围感染行二次翻修术患者实施案例需求导向式干预模式,可减少并发症,减轻疼痛感,改善髋关节功能。
文摘先天性无痛无汗症（congenital insensitivity to pain with anhidrosis,CIPA）又称遗传性感觉和自主神经障碍（HSAN）IV型，是一种罕见病^[1-2]。本病属常染色体隐性遗传性疾病，首先由Dearbom（1932年）报道。国外报道了近40例，国内报道20余例，临床表现为感觉障碍，包括痛觉和温度觉、无汗、
