目的探讨参芪消肿方联合循经推拿对乳腺癌术后上肢淋巴水肿的影响。方法将96例乳腺癌术后上肢淋巴水肿患者分为两组,每组48例。对照组患者给予空气波治疗。治疗组患者运用参芪消肿方联合循经推拿治疗。对比两组的治疗效果和症状总评分...目的探讨参芪消肿方联合循经推拿对乳腺癌术后上肢淋巴水肿的影响。方法将96例乳腺癌术后上肢淋巴水肿患者分为两组,每组48例。对照组患者给予空气波治疗。治疗组患者运用参芪消肿方联合循经推拿治疗。对比两组的治疗效果和症状总评分。检测两组治疗前后血清中C反应蛋白(C-reactive protein,CRP)、白介素6(interleukin-6,IL-6)、血管内皮生长因子(vascular endothelial growth factor,VEGF)的水平。对比两组患肢周径与健侧的差值。运用乳腺癌生命质量评估量表(quality of life instruments for cancer patients-breast cancer,QLICP-BR)评估患者的生活质量。结果总有效率:治疗组为95.83%(46/48),对照组为81.25%(39/48),组间有明显差异(P<0.05)。两组治疗后的症状总评分显著降低(P<0.05);与对照组相比,治疗组降低更明显(P<0.05)。两组治疗后的CRP、IL-6、VEGF显著降低,治疗组的降低更明显(P<0.05)。两组治疗后患肢周径与健肢的差值均显著降低,治疗组较对照组降低更明显(P<0.05)。治疗后,两组的QLICP-BR评分显著升高,治疗组升高明显(P<0.05)。结论参芪消肿方联合循经推拿治疗乳腺癌术后上肢淋巴水肿的疗效确切,可进一步减轻水肿症状,改善患者生活质量,可能与调节炎症反应有关。展开更多
To detect spirochetes in sections and to study the therapeutic effect of penicillin in cheilitis granulomatosa (CG) and Melkersson- Rosenthal syndrome (MRS) and the relationship between the spirochetes infection and C...To detect spirochetes in sections and to study the therapeutic effect of penicillin in cheilitis granulomatosa (CG) and Melkersson- Rosenthal syndrome (MRS) and the relationship between the spirochetes infection and CG and MRS. Methods. Routine HE sections and Warthin- Starry special staining were carried out in 20 cases of CG and 6 cases of MRS. Meanwhile there were 9 cases of CG and 2 cases of MRS were treated by penicillin (12 000 000u,IV, per day) for two courses (14 days). Results. A kind of spirochete was discovered in the sections of all cases of the CG and MRS .The CG and MRS could be divided into two types histopathologically, that is granuloma type and interstitial inflammatory type (non- granuloma type), those morphological changes tallied with spirochetosis. After treatment by penicillin, the facial and labial swelling of the 11 cases of CG and MRS were abated. Conclusion. CG and MRS probably are infectious diseases caused by spirochetes.展开更多
文摘目的探讨参芪消肿方联合循经推拿对乳腺癌术后上肢淋巴水肿的影响。方法将96例乳腺癌术后上肢淋巴水肿患者分为两组,每组48例。对照组患者给予空气波治疗。治疗组患者运用参芪消肿方联合循经推拿治疗。对比两组的治疗效果和症状总评分。检测两组治疗前后血清中C反应蛋白(C-reactive protein,CRP)、白介素6(interleukin-6,IL-6)、血管内皮生长因子(vascular endothelial growth factor,VEGF)的水平。对比两组患肢周径与健侧的差值。运用乳腺癌生命质量评估量表(quality of life instruments for cancer patients-breast cancer,QLICP-BR)评估患者的生活质量。结果总有效率:治疗组为95.83%(46/48),对照组为81.25%(39/48),组间有明显差异(P<0.05)。两组治疗后的症状总评分显著降低(P<0.05);与对照组相比,治疗组降低更明显(P<0.05)。两组治疗后的CRP、IL-6、VEGF显著降低,治疗组的降低更明显(P<0.05)。两组治疗后患肢周径与健肢的差值均显著降低,治疗组较对照组降低更明显(P<0.05)。治疗后,两组的QLICP-BR评分显著升高,治疗组升高明显(P<0.05)。结论参芪消肿方联合循经推拿治疗乳腺癌术后上肢淋巴水肿的疗效确切,可进一步减轻水肿症状,改善患者生活质量,可能与调节炎症反应有关。
文摘To detect spirochetes in sections and to study the therapeutic effect of penicillin in cheilitis granulomatosa (CG) and Melkersson- Rosenthal syndrome (MRS) and the relationship between the spirochetes infection and CG and MRS. Methods. Routine HE sections and Warthin- Starry special staining were carried out in 20 cases of CG and 6 cases of MRS. Meanwhile there were 9 cases of CG and 2 cases of MRS were treated by penicillin (12 000 000u,IV, per day) for two courses (14 days). Results. A kind of spirochete was discovered in the sections of all cases of the CG and MRS .The CG and MRS could be divided into two types histopathologically, that is granuloma type and interstitial inflammatory type (non- granuloma type), those morphological changes tallied with spirochetosis. After treatment by penicillin, the facial and labial swelling of the 11 cases of CG and MRS were abated. Conclusion. CG and MRS probably are infectious diseases caused by spirochetes.
