针灸配合中药治疗周围性面神经麻痹对患者生活质量的影响

目的探讨针灸配合中药治疗周围性面神经麻痹对患者生活质量的影响。方法选择周围性面神经麻痹患者140例,根据治疗方法的不同分为治疗组与对照组各70例,两组均予针灸治疗,治疗组在此基础上给予归芎牵正汤治疗。结果治疗组与对照组的有效率为91.4%和77.1%,组间对比差异有统计学意义(P<0.05)。两组治疗前House-Brackmann评分与血浆ET值比较差异不明显,治疗后评分明显升高(P<0.05),血浆ET值明显下降(P<0.05)。治疗后治疗组的生理状况、医生关系、情感状况和功能状况评分明显高于对照组(P<0.05)。结论针灸配合中药治疗周围性面神经麻痹能有效提高疗效,改善症状,有利于生活质量的提高,机制在于能够有效降低血浆内皮素含量。

Prognostic Significance of Neuroendocrine Differentiation in Non-small Cell Lung Cancer Patients' Survival

Objective： To observe the relationship between non-small cell lung cancer with neuroendrocrine differentiation （NSCLC-NE） and patients＇ postoperative survival. Methods： During April 1997 to April 1999, 98 cases of hlng cancer were surgically treated. The tumor specimens of the patients were stained by NE markers, i.e. neuron specific enolase （NSE） and synaptophysin （SY）. The intensity of NE markers reaction was divided as ＂＋＂. ＂＋＋＂. ＂＋＋＋＂ scale groups. The same specimens were also examined under an electron microscope for the specific neuroendocrine granules. All enrolled patients were followed up for 36 months, and the longest follow-up time was 60 months. The COX proportional hazard model multivariate analysis was applied to observe the relationship between the NSCLE-NE and the patients＇ postoperative survival. Results： In 91 cases of NSCLC, 63.7% （58/91） were positive for NE stain reaction. Among them, 59.3% （54/91） were positive for NSE and 24.1% （22/91） for SY. 48.4% （44/91） were considered as NSCLC-NE by the combination of NE inarker stain reaction and electron microscopic examination. COX proportional hazard model lnnltivariate analysis showed that the NSCLC-NE patients＇ survival was significantly shortened （P=0.048）. The following factors were related to NSCLC-NE patients＇ survival： lung cancer cell differentiation （P=0.006）, clinical lung cancer stage （P=0.001）, the NE markers reaction （P=0.054）. Conclusion： NSCLE-NE is significantly related to the cancer cell differentiation and the patients＇ postoperative survival. The NE markers should be applied clinically as one of prognostic factors to evaluate the postoperative survival of NSCLC patients.

The Quality of Life of Chinese Middle-Aged Male Patients with Gastric Carcinoma After Total Gastrectomy and Nursing Intervention

OBJECTIVE The purpose of this study was to evaluate the quality of life （QOL） in Chinese middle-aged male patients with gastric carcinoma after total gastrectomy, to investigate the factors affecting their QOL, and to Study the effectiveness of nursing intervention.METHODS Structured questionnaire （EORTC QLQ-C30） was used among 162 middle-aged male patients after total gastrectomy （the patients finished the whole process of chemotherapy, and returned home, and society） for data collection and reevaluate the patients＇ aualitv of life with 2 months nursing intervention.RESULTS The patient＇s quality of life was related to their education level, economic condition, family support, and pathological staging. This study showed that patients got higher scores in Functional scales （except for CF）, and lower scores in Symptom scales and single items （except for FI） after receiving intervention than before it was received before.CONCLUSION The study revealed that the QOL in middleaged male patients after total gastrectomy was worse when there was inadequate attention. After implementing pertinent nursing intervention implementing, patients＇ mental attitude and negative behavior were improved, and their QOL was enhanced after returning home and into society.

Effects of temperature and salinity on the development of embryos and larvae of the veined rapa whelk Rapana venosa(Valenciennes, 1846)

The major population of the veined rapa whelk Rapana venosa （Valenciennes, 1846）, which is an important fishery resource, is facing a large decline in China. We studied the effects of incubation temperature （16-34℃ at salinity 30） and salinity （5-45 at 25℃） on the incubation period and subsequent larval development. In the temperature experiment, the shortest incubation period was 12 days at 34℃, the lower temperature limit was 16~C, the longest mean shell length （1 193＋17 pan） occurred at 25℃ and the highest survival rate 72.28%＋5.62% was observed at 28℃. In the salinity experiment, the shortest incubation period was 15 days at 25. The salinity tolerance range was 15-40, the longest mean shell length （855-4-9 μm） and the highest survival rate 72.93%~4.85% were both observed at 35. This study demonstrated that, during the egg-mass stage, temperature and salinity regimes influence later growth and survival of larvae. These observations deepen our understanding of the ecology and conservation of natural populations of Rapana venosa.

Prognostic analysis of patients with thymoma after resection

Objective: To explore the prognostic factors influencing the long term survival rate of thymoma after resection. Methods: Sixty nine patients with thymoma surgically treated in our department from 1973 to 2000 were retrospectively studied. The possible prognostic factors were analyzed by univariate analysis and multivariate analysis with Kaplan Meiter method and Cox proportional hazard model respectively. Results: Overall patients survival rates were 83.3%, 67.4%, 48.3% at 5, 10, 15 years. The significant prognostic factors ( P <0 05) demonstrated by univariate analysis included age, Masaoka staging, WHO histological classification, resection method and Rosai/Levine classification. According to multivariate analysis, the independent prognostic factors included Masaoka stage ( P <0 01), resection method ( P <0 05) and age ( P <0 05). Conclusion: Complete surgical resection of thymomas helps increase the long term survival rate.

妇科年轻化癌症患者术后社会心理压力评估及相应护理干预策略探究

探究妇科年轻化癌症患者术后社会心理压力评估现状及相应护理干预策略。方法 以便利抽样为原则,选择2022年1月至2022年12月我院妇产科收治的54例妇科癌症的患者为调查对象,采用一般资料调查表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、一般健康状况问卷(SF-16),评估患者当前的心理状况及生活质量,并对患者实施相应的护理干预措施,包括制定心理干预方案、应用心理技巧和策略、获得家庭及社会的支持等。实施干预后,再次进行上述指标的评估测量。结果 干预后54例癌症患者焦虑自评量表(SAS)、抑郁自评量表(SDS)的得分明显低于干预前,差异有统计学意义(P<0.05),干预后54例癌症患者一般健康状况问卷(SF-16)得分明显优于干预前,差异有统计学意义(P<0.05)。结论 对妇科年轻的54例癌症患者进行心理评估和干预,取得了良好效果,应用心理技巧和策略及获得家庭和社会的支持等干预措施在改善患者焦虑、抑郁的不良情绪,提升生活质量水平方面具有重要意义,值得临床进一步的借鉴和推广。

Standard large trauma craniotomy for severe traumatic brain injury

Objective: To study the effect of standard large trauma craniotomy(SLTC) on outcomes of patients with severe traumatic brain injury (TBI) (GCS≤8). Methods: 230 patients with severe TBI were randomly divided into two groups. 115 patients underwent SLTC (10 cm×12 cm) as an SLTC group, and other 115 patients underwent temporo parietal or fronto temporal craniotomy (6 cm×8 cm) according to the position of hematomas as a routine craniotomy (RC) group. Other treatments were identical in two groups. According to Glasgow outcome scale (GOS), the prognosis of the patients was evaluated and the complications were compared between two groups. Results: 27 patients got good outcome and moderate disability ( 23.5 %), 40 severe disability and vegetative survival ( 34.8 %), and 48 died ( 41.7 %) in SLTC group. 21 patients got good outcome and moderate disability ( 18.3 %), 28 severe disability and vegetative survival ( 24.3 %), and 66 died ( 57.4 %) in RC group. The incidence of incision hernia was lower in SLTC group than in RC group. However, the incidence of operative encephalocele, traumatic epilepsy and intracranial infection were not different in two groups. Conclusions: Standard large trauma craniotomy significantly reduces the mortality of patients with severe TBI without serious complications, but does not improve the life quality of the patients.

Effect of Acupuncture plus Small Dosage of Herba Epimedii on Improving the Life Quality of Climacteric Postmenopausal Women

Objective： To investigate the effects of acupuncture and combined acupuncture and medicine on the quality of life and the genital endocrine level in postmenopausal women. Methods： Forty-seven patients were randomly assigned to acupuncture and acupuncture plus medicine groups, 23 cases in the acupuncture group and 24 cases in the acupuncture plus medicine group. The observed course of treatment was 3 months. A Chinese concise SF 36 questionnaire was used to evaluate the quality of life in the different groups of patients before and after treatment. Meanwhile, radioimmunoassay was used to observe the differences in serum genital hormones： follicle stimulating hormone （FSH）, luteinizing hormone （LH） and estradiol （E2） contents between pretreatment and posttreatment in both groups. Results： After treatment, there was a significant difference in quality of life between the two groups and it was better in the acupuncture plus medicine group than in the acupuncture group（P〈 0.01）. E2 content increased more markedly in the acupuncture plus medicine group than in the acupuncture group（P〈 0.05）. There were no significant differences in FSH and LH contents between the two groups（P 〉 0. 05）. Conclusion. Both acupuncture and acupuncture plus medicine can improve the quality of life and increase obviously low E2 content in postmenopausal women. Acupuncture plus medicine raises the patients＇ quality of life and E2 content more markedly than acupuncture. It is suggested that both acupuncture and acupuncture plus medicine can improve the symptoms, signs, and physical and mental health, raise the quality of life and ameliorate genital-endocrine environment in postmenopausal women, but a combination of acupuncture and medicine has a better effect.

Effect of row needling in muscle regions combined with seven-star needle tapping on cognitive function and quality of life in patients with post-stroke upper limb spasticity

Objective：To observe the effect of row needling in muscle regions combined with seven-star needle tapping on cognitive function and quality of life （QOL） in patients with post-stroke upper limb spasticity. Methods： A total of 448 eligible cases were randomly allocated into a treatment group and a control group, 244 in each group. Based on standard conventional treatment, cases in the treatment group received row needling in muscle regions combined with seven-star needle tapping, whereas cases in the control group took oral Western medication. After 3 weeks of treatment, the cognitive functions were assessed using comprehensive functional assessment （CFA） and mini-mental state examination （MMSE）. The O,OL was evaluated using the Chinese-version 36-item short-form health survey （SF-36）. Results： After treatment, the CFA and MMSE scores were significantly improved in both groups （P〈0.05）; and there were between-group statistical differences （P〈0.05）, showing a better effect in the treatment group than that in the control group. In addition, there were between-group statistical significances in scores of QOL （P〈0.05, P〈0.01）. Conclusion： Row needling in muscle regions combined with seven-star needle tapping can significantly improve the cognitive function and O, OL of patients with post-stroke upper limb spasticity.

Effects of environmental variability and offspring growth on the movement ecology of breeding Scopoli＇s shearwater Calonectris diomedea

Most seabird species display colonial behavior during the breeding period which implies that food resources around breeding sites can easily go depleted. Seabirds need to both reach profitable areas, which can be located far from the colony, and return to the colony regularly. In this context, flexibility in movement behavior may be crucial for breeding success. During chick-rearing, Procellariformes species can alternate short trips lasting 1-4 days for chick provisioning with longer trips for self-provisioning in what has been called a dual-foraging strategy. We analyzed foraging trips from 136 Scopoli＇s shearwaters from three Mediterranean colonies tracked with GPS during 6 chick-rearing seasons to assess whether the adoption of a dual fo- raging strategy depends on the quality of habitat surrounding the colony. We found a marked dual-foraging strategy only in birds from the Linosa colony which was the largest colony in terms of breeding pairs and was characterized by having a lower marine habitat quality. Birds from this colony performed foraging trips that extended up to 369 km from the nest and lasted more than 10 days. In general, the decision to perform long lasting trips was triggered by lower values of primary production and higher offspring weight. Contrary to expectation, the decision to feed far from the colony was not related to the parents＇ weight. At the same time, despite the higher productivity offered by distant areas, the higher proportion of long trips performed by birds breeding in poor areas was not sufficient to maintain the same body mass as the ones breeding in richer areas [Current Zoology 60 （5）： 622-630, 2014].

The ecological consequences of temperament in spiders

Ecological and evolutionary studies on spiders have been featured prominently throughout the contemporary behavio- ral syndromes movement. Here we review the behavioral syndromes literature devoted to spiders, and identify some ways in which behavioral syndromes can impact the function of spiders in ecological communities. We further highlight three general themes within the behavioral syndromes literature for which spiders have served as front running model systems： （1） how trait correlations beget performance trade-offs, （2） the influence that behavioral trait variants have on interspecific interactions and （3） mechanisms that aid in maintaining behavioral variation within-and among-populations. Research on behavioral syndromes con-tinues to grow at an impressive rate, and we feel the success of behavioral syndromes studies in spiders bodes well for their con-tinued prominence.

Effects of Tuina combined with graded motor imagery on the upper-limb motor function and quality of life of patients with hemiplegia after stroke

Objective:To observe the effects of Tuina(Chinese therapeutic massage)combined with graded motor imagery(GMI)on the upper-limb motor function and quality of life(QOL)in patients with poststroke hemiplegia.Methods:A total of 216 patients with hemiplegia caused by stroke were randomized into two groups by tossing a coin,with 108 cases in each group.The control group was treated with GMI,and the observation group was given additional Tuina treatment for four weeks in total.Before and after the treatment,the Fugl-Meyer assessment for upper extremity(FMA-UE),supper-limb/hand Brunnstrom staging,box and block test(BBT)for hand,co-contraction ratio(CR)of the upper-limb muscles,visual analog scale(VAS)for shoulder pain,modified Ashworth scale(MAS),modified Barthel index(MBI),and short-form 36-item health survey(SF-36)were adopted for observation of the two groups.Results:After the treatment,the scores of FMA-UE,upper-limb/hand Brunnstrom staging,hand BBT,MBI,and SF-36 increased(P<0.05),and the CR of biceps brachii at flexion,the CR of triceps brachii at extension,and the scores of VAS and MAS decreased in both groups(P<0.05).The scores of FMA-UE,upper-limb/hand Brunnstrom staging,and hand BBT were higher in the observation group than in the control group after the intervention(P<0.05);the CR of biceps brachii at flexion and the CR of triceps brachii at extension were lower in the observation group than in the control group(P<0.05).After the treatment,the scores of MBI and SF-36 were higher in the observation group than in the control group(P<0.05),and the scores of VAS and MAS were lower in the observation group than in the control group(P<0.05).Conclusion:Tuina combined with GMI can produce more significant effects in improving the upper-limb motor function and QOL in patients with hemiplegia after stroke.

Acupuncture combined with medication for postherpetic neuralgia affecting the head and face:a randomized controlled trial

Objective:To observe the efficacy of needling the Xi-Cleft points of yang meridians plus topical surrounding needling and pregabalin in treating postherpetic neuralgia(PHN)affecting the head and face and its influence on quality of life(QOL).Methods:Eighty patients with PHN affecting the head and face were randomized into an acupuncture-medication group and a Western medication group by their visiting sequence,with 40 cases in each group.The Western medication group took pregabalin capsules orally,75 mg each time,twice a day.The dosage could increase to 150 mg each time and twice a day within 1 week based on the efficacy and tolerance.The treatment lasted for 5 weeks.The acupuncture-medication group was given additional surrounding needling at the herpes zoster on the head and face,and Xi-Cleft points of yang meridians were chosen according to the affected area for acupuncture,once every other day,for 5 weeks in total.Results:Prior to treatment,there were no significant differences in the visual analog scale(VAS)and QOL scores between the two groups(both P>O,05).After treatment,VAS and QOL scores dropped significantly in both groups(all P<0.01),and were significantly lower in the acupuncture-medication group than in the Western medication group(both P<0.01).The total effective rate was 67.5%in the Western medication group,versus 92.5%in the acupuncture-medication group,and the b etwee n-group difference was statistically significant(P<0.05).Conclusion:Based on oral administration of pregabalin,needling the Xi-Cleft points of yang meridians and topical surrounding needling can reduce PHN,notably improve patients'QOL,and produce more significant efficacy than oral administration of pregabalin alone。