运动保健护理对慢性阻塞性肺疾患者气道炎性反应的影响

目的通过传统气功坐式八段锦功法训练辅助常规治疗慢性阻塞性肺疾病(COPD)的对照研究分析,观察运动保健护理对COPD治疗效果的影响。方法 120例COPD患者随机分为观察组与对照组各60例,分别采用气功坐式八段锦功法训练辅助常规治疗与单纯西药常规治疗。观察患者痰上清液中白细胞介素8(IL-8)和人C反应蛋白(CRP)的水平,痰液中白细胞、中性粒细胞、嗜酸性粒细胞计数与第1秒用力呼气量(FEV1)。结果两组患者痰上清液中的IL-8、CRP水平与FEV1检侧值有统计学差异(P<0.01,P<0.001)。两组患者白细胞、中性粒细胞的检测结果有统计学差异(P<0.001),嗜酸性粒细胞计数没有差异(P>0.05)。结论通过传统气功坐式八度锦的保健护理措施与常规西医治疗相结合,可提高COPD患者的治疗效果,改善患者的生存质量。

Comparison between surgical outcomes of colorectal cancer in younger and elderly patients

AIM:To compare the outcome of surgical treatment of colorectal adenocarcinoma in elderly and younger patients.METHODS:The outcomes of 122 patients with colorectal adenocarcinoma who underwent surgical treatment between January 2004 and June 2009 were analyzed.The clinicopathological and blood biochemistry data of the younger group(<75 years) and the elderly group (≥75 years) were compared.RESULTS:There were no significant differences between the two groups in operation time,intraoperative blood loss,hospital stay,time to resumption of oral intake,or morbidity.The elderly group had a significantly higher rate of hypertension and cardiovascular disease.The perioperative serum total protein and albumin levels were significantly lower in the elderly than in the younger group.The serum carcinoembryonic antigen level was lower in the elderly than in the younger group,and there was a significant decreasing trend after the operation in the elderly group.CONCLUSION:The short-term outcomes of surgical treatment in elderly patients with colorectal adenocarcinoma were acceptable.Surgical treatment in elderly patients was considered a selectively effective approach.