五水头孢唑林钠治疗化脓性膝关节炎的研究

目的评价五水头孢唑林钠治疗化脓性膝关节炎的疗效与安全性。方法用单盲随机对照试验设计，随机分为3组：五水头孢唑林钠组48例，头孢唑林钠组40例，头孢曲松钠组36例。3组的用量、用法、疗程相同。每日2次，每次静滴2g，疗程10～14d。结果疗程结束时，五水头孢唑林钠、头孢唑林钠与头孢曲松钠组有效率分别为95．8％、87．5％与66．6％；药物不良反应发生率分别为4．2％、5%和5.56％。结论五水头孢唑林钠治疗化脓性膝关节炎，疗效确切，安全性较好。

微创连续冲洗在化脓性膝关节炎护理中的作用研究

目的研究微创连续冲洗在化脓性膝关节炎护理中的作用。方法选取2013年11月至2016年1月我院收治的化脓性膝关节炎行微创持续冲洗治疗的患者73例作为研究目标,按照1:1比例分为对照组(36例,予以常规护理)和干预组(37例,予以针对性护理),对两组护理满意度进行评比。结果干预组与对照组的护理满意度统计比较结果显示,对照组显著低于干预组,组间差异明显(P<0.05)。结论化脓性膝关节炎行微创连续冲洗治疗患者应用针对性护理,可显著缓解临床症状,提高治疗效果,该护理方案值得临床借鉴和大力推广。

Clinical Application of Double-hand Needling Manipulation

Double-hand manipulation is a needling technique, with which No. 30 filiform needles of various lengths are selected and inserted into the affected part of the body in opposite directions or symmetrically upward-downward, rightward- leftward, anteriorly-posteriorly to the point, followed by needle twirling with both hands. When the two opposite needle tips are twirled to a certain degree, the soreness, warm, numbness, and distending needling sensation tends be connected in a line, forming a rather strong needling sensation. After such manipulation for some time, the needles are retained for 30 min., during which the needle manipulation is given 3-5 times at intervals. This needling treatment is given once daily. The author of this article has adopted this manipulation method in the acupuncture treatment of various diseases with quite satisfactory results. Some of the sample cases are listed as follows.