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局麻下两切口行保留悬雍垂的腭咽成形术治疗大扁桃体导致的中度OSAHS
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作者 李永强 张文山 《山东大学耳鼻喉眼学报》 CAS 2014年第1期67-69,75,共4页
目的探讨在局麻下采用两切口行保留悬雍垂的腭咽成形术治疗大扁桃体导致的中度OSAHS的方法和疗效。方法 39例患者均在局麻下采用两切口行保留悬雍垂的腭咽成形术。两切口即每侧仅取一个切口,分别于两侧腭舌弓外上侧,较正常切除扁桃体切... 目的探讨在局麻下采用两切口行保留悬雍垂的腭咽成形术治疗大扁桃体导致的中度OSAHS的方法和疗效。方法 39例患者均在局麻下采用两切口行保留悬雍垂的腭咽成形术。两切口即每侧仅取一个切口,分别于两侧腭舌弓外上侧,较正常切除扁桃体切口稍偏外上约(0.5±0.2)cm,且与悬雍垂根部两侧软腭腹面传统的倒"U"形切口延续,以每侧仅一个切口一次切开,两侧共两个切口以缩短手术时间、减小操作难度。术后随访包括患者主观症状、咽腔检查及多导睡眠监测(PSG)。结果本组所有患者自觉症状改善明显。术前与术后6个月、12个月PSG监测结果各指标比较,低通气指数(AHI)明显下降,最低血氧饱和度(SaO2)升高显著,均有统计学意义。术后6个月治愈33例,显效4例,有效1例,无效1例;术后12个月治愈32例,显效4例,有效2例,无效1例,总有效率97.4%。无并发症发生。结论对于大扁桃体导致的中度OSAHS患者,用本方法治疗,手术时间减少、患者痛苦减轻,术后恢复较快,效果良好,安全性高,患者经济负担减轻。 展开更多
关键词 睡眠呼吸暂停 阻塞性 悬雍垂腭咽成形术 局麻 两切口 大扁桃体
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MEDICINAL VESICULATION THERAPY AND ITS CLINICAL APPLICATION
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作者 王伟 刘海静 孙占玲 《World Journal of Acupuncture-Moxibustion》 2002年第4期33-36,共4页
In this paper, the authors introduce medicinal vesiculation therapy from its origin, points for attention in clinical application, and their individual experiences. In clinical application, the authors advocate: ① av... In this paper, the authors introduce medicinal vesiculation therapy from its origin, points for attention in clinical application, and their individual experiences. In clinical application, the authors advocate: ① avoid using drugs that are over-irritating in the property, and strictly controlling the dose of drugs and the duration of application, ② in selection of drugs, some factors as patients’ conditions, the season, the geographic location, etc. should be taken into account. In the present paper, 3 typical cases of bronchial asthma, tonsil swelling and facial paralysis treated with medicinal vesiculation therapy are introduced. Clinical practice demonstrates that this therapy is economical, simple and convenient and fairly effective in treatment of some chronic diseases. 展开更多
关键词 Medicinal vesiculation therapy Clinical application
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Therapeutic efficacy observation of Tuina manipulation for pediatric adenoid hypertrophy 被引量:1
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作者 Liu Kun-peng Cui Jia-wen +9 位作者 Gu Fei Fang Min Wang Yi-chao Wang Shu-xia Wang Cheng Wang Jun-liang Zhou Chao Ji Deng-jun Li Ya-zhou Hu Li-jun 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第6期425-431,共7页
Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)manipulation for pediatric adenoid hypertrophy(AH).Methods A total of 60 children with AH were randomized into an observation group and a... Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)manipulation for pediatric adenoid hypertrophy(AH).Methods A total of 60 children with AH were randomized into an observation group and a medication group,with 30 cases in each group.The observation group was treated with pediatric Tuina treatment,and the medication group was treated with 0.05%mometasone furoate nasal spray.The changes of main clinical symptom score,quality of life(QOL)score and X-ray nasopharynx lateral film were observed,and the clinical efficacy was evaluated.Results The total effective rate of the observation group was 90.0%,and that of the medication group was 66.7%.The difference between the two groups was statistically significant(P<0.05).After treatment,the A/N value[ratio of adenoid thickness(A)and nasopharyngeal cavity width(N)]of posterior nasopharyngeal lateral film did not show significant change in either group(P>0.05).After treatment,the clinical symptom scores in both groups decreased,and the intra-group differences were statistically significant(P<0.001),but there was no statistical difference between the two groups(P>0.05).After treatment,the QOL scores of children in both groups decreased,and the intra-group differences were statistically significant(P<0.001),and the difference between the two groups was statistically significant(P<0.001).Conclusion Tuina manipulation is effective in treating pediatric AH,and produces a better effect in improving traditional Chinese medicine symptoms and QOL than 0.05%mometasone furoate nasal spray. 展开更多
关键词 TUINA MASSAGE Pediatric Tuina Adenoid Hypertrophy Pharyngeal Tonsil
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