探讨肩关节镜下肩袖修复术治疗肩袖损伤患者的效果

目的:探讨肩关节镜下肩袖修补术对肩袖损伤患者的影响。方法:回顾性分析2020年08月~2023年08月医院收治的100例肩袖损伤患者的资料。根据不同手术方式将其均分为观察组与常规组。常规组给予小切口肩袖修补术治疗,观察组给予肩关节镜下肩袖修补术治疗。比较两组术后3个月临床疗效,围手术期指标,术前、术后3个月肩关节功能及疼痛情况。结果:观察组总有效率高于常规组,差异有统计学意义(P<0.05)。观察组手术时长、术后疼痛缓解时间均短于常规组,术中出血量少于常规组,差异有统计学意义(P<0.05)。术后3个月,观察组美国肩肘外科协会(ASES)评分高于常规组,视觉模拟评分法(VAS)评分低于常规组,差异有统计学意义(P<0.05)。结论:肩关节镜下肩袖修补术治疗肩袖损伤患者的效果更佳,能明显改善患者肩关节功能,减轻疼痛。

成人臂围调查及袖带臂围匹配对血压测值的影响

目的调查成人臂围分布,并分析袖带臂围匹配对血压测值的影响。方法选取2018年1月-2020年6月间南昌大学第二附属医院住院部收治的60例患者为研究对象;将此次入选患者以随机分组形式均分为2组,A组直接测量其动脉根部血压水平;B组采取袖带充气测量(测量其肱动脉血压水平);观察两组患者臂围大小,并对比其单臂缺血诱导的臂间舒张压差异(dIAD)。结果本次纳入患者男性臂围介于19~36cm之间,女性介于17~37cm之间;袖带臂围不匹配(>26 cm)情况下B组患者收缩压、舒张压测值均明显高于匹配(≤26 cm)组;且不匹配组的dIAD较匹配组小。结论袖带臂围的长度会对患者血压测值产生一定影响,尤其在小号袖带使用中,可导致臂围>26 cm人群的血压测值被高估。

全胃切除围袖状空肠代胃术12例体会

我院自1985年以来,根据 Henley 术式改革成围袖状空肠代胃术,施行12例,近、远期效果满意,报告如下。1 手术操作术前置胃管时将营养管一并置入。全胃切除手术步骤和切除范围按根2或部分根3式进行,合并脾、胰尾切除2例。在全胃切除时,先断十二指肠,残端暂行关闭。

民国时期女性倒大袖上衣衣袖造型艺术研究

文章以倒大袖上衣的衣袖为研究切入点,以民国时期的画报照片和文字记载为线索,同时辅以江南大学民间服饰传习馆中倒大袖上衣的衣袖测量数据,从衣袖长度变化规律和影响因素、袖口袖窿围度的变化和长度围度两者间关系的角度,分析倒大袖造型的变化规律及其艺术内涵。

Clinical observation of sinew-regulating and bone-setting manipulation combined with functional exercise to treat rotator cuff injury

Objective:To explore the clinical efficacy of sinew-regulating and bone-setting manipulation combined with functional exercise to treat mild to moderate rotator cuff injury (RCI).Methods:Forty patients with mild to moderate RCI were randomly divided into a treatment group and a control group,with 20 cases in each group.The treatment group was given sinew-regulating and bone-setting manipulation combined with functional exercise,and the control group was given the same manipulation as the treatment group.The therapeutic effect on the functional improvement was assessed after treatment according to pain threshold,shoulder range of motion (ROM) including flexion,abduction,internal rotation and external rotation,and the University of California at Los Angeles (UCLA) shoulder rating score.Results:Compared with the same group before treatment,the pain threshold,shoulder flexion,abduction,internal and external rotations increased after the treatment in the two groups (all P＜0.05).The UCLA shoulder rating score increased (both P＜0.05).The improvement in the treatment group is significantly better than that in the control group with a statistical significance (P＜0.05).The total effective rate was 95.0％ in the treatment group,was higher than 65.0％ in the control group (P＜0.05).Conclusion:The sinew-regulating and bone-setting manipulation combined with functional exercise relieve the pain of patients with mild to moderate RCI,increase the motion of shoulder joints,and improve the quality of life of patients.The curative effect is better than the treatment of simple sinew-regulating and bone-setting manipulation.