简介:【摘要】目的:研究 分析 活血祛风通络汤配合护理干预治疗血管神经性头痛的临床效果。 方法:收集 2019 年 1 月 -2019 年 12 月期间我院收治的 70 例 血管神经性头痛患者为研究对象;根据随机原则分组,对照组患者接受常规治疗;研究组患者接受 活血祛风通络汤治疗配合护理干预;对比两组临床效果。 结果:研究组 35 例 血管神经性头痛患者临床治疗有效率为 94.29% ,显著高于对照组患者治疗有效率 80.00% ;对照组 35 例 血管神经性头痛患者中有 6 例出现不良反应,发生率为 17.14% ,显著高于研究组 35 例 血管神经性头痛患者的不良反应发生率 5.71% , P<0.05,具有统计学意义。结论:活血祛风通络汤配合护理干预治疗血管神经性头痛的临床效果显著,治疗有效率高并且安全性高,值得临床应用推广 。
简介:【摘要】:目的 分析探讨尼莫地平联合氟桂利嗪治疗血管神经性头痛的临床疗效。方法 选取我院 2018年 4月 ~2019年 4月收治的 60例血管神经性头痛患者作为研究对象,随机分为对照组和治疗组,每组各 30例。对照组采用尼莫地平治疗,治疗组采用尼莫地平联合氟桂利嗪治疗,治疗 4个月后,对比观察两组患者的临床疗效。结果 治疗组总有效率为 93.3%,而对照组的总有效率为 73.3%,差异有统计学意义 (P<0.05);治疗组不良反应发生率与对照组相比较低,差异具有统计学意义 (P<0.05)。结论 尼莫地平联合氟桂利嗪治疗血管神经性头痛的临床效果理想,可有效改善患者脑缺氧缺血症状,对患者康复及提升生活质量起到积极作用,值得临床推广应用。
简介: 摘要目的:探讨标本放置温度、时间及凝血真空采血管对凝血检验的影响。方法: 2018年 3-8月收治体检健康志愿者 80例,应用 2种不同的凝血真空采血管采集标本进行凝血检验。甲组使用 BD凝血真空采血管,乙组使用国产抗凝管。分析不同时间、不同温度对凝血检验结果的影响。结果:两组凝血酶时间( TT)、纤维蛋白原( FIB)、活化部分凝血活酶时间( APTT)、血浆凝血酶原时间( PT)比较,差异无统计学意义( P>0.05) ;低温保存 8h后, TT、 APTT、 PT高于即时检查,差异有统计学意义( P<0.05) ;室温保存 4h后, TT、 PT、 APTT高于即时检查结果,差异有统计学意义( P<0.05) ;FIB在室温、低温保存以及即时检查中差异均无统计学意义( P>0.05)。结论:不同质量的真空采集血管会对检查结果造成一定影响,而保存时间、放置温度均会影响检查结果,为了确保检验的准确性,应选择合适的凝血真空采集管,并在 2h内完成检查。 关键词 凝血检验 ;真空采集血管 ;放置时间 ;放置温度 Objective: To investigate the effects of temperature, time and blood vessel collection on blood coagulation test. Methods: from March to August 2018, 80 healthy volunteers were admitted for physical examination. Two kinds of blood coagulation vacuum blood collection specimens were used for coagulation test. In group A, blood vessels were collected by BD coagulation vacuum, and in group B, anticoagulation tubes made in China were used. The influence of different time and temperature on coagulation test results was analyzed. Results: there was no significant difference in TT, FIB, APTT and Pt between the two groups (P > 0.05); after 8 hours of cryopreservation, TT, APTT and PT were higher than those of the immediate examination (P < 0.05); after 4 hours of room temperature preservation, TT, Pt and APTT were higher than those of the immediate examination (P < 0.05) There was no significant difference in FIB in room temperature, cryopreservation and instant examination (P > 0.05). Conclusion: different quality of vacuum collection vessels will affect the results of the examination, while the storage time and temperature will affect the results of the examination. In order to ensure the accuracy of the examination, we should select a suitable coagulation vacuum collection tube and complete the examination within 2 hours.
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简介:[ 摘要 ] 目的 : 结合临床与文献,研究 糖尿病患者下肢动脉血管病变的超声诊断价值。 方法:时间范围: 2018 年 1 月 -2019 年 5 月,研究对象:选取 80 例 糖尿病患者作为研究组,另选取
简介: 【摘要】 目的 探讨 64排螺旋 CT血管成像诊断肠系膜上动脉病变的价值。方法 回顾分析 2017年 10月~ 2019年 10月 72例行 CT血管成像( CTA)诊断的肠系膜上动脉病变患者的临床资料, 记录并分析 CTA诊断结果。结果 本组 72例患者均顺利完成扫描且获得满意图像: 37例肠系膜上动脉( SMA)缺血性病变( 7例 SMA急性栓塞、 30例 SMA慢性狭窄), 21例 SMA夹层( 9例孤立性 SMA夹层、 12例腹主动脉夹层累及 SMA), 14例 SMA压迫综合征( 11例十二指肠淤滞症、 3例胡桃夹综合征)。结论 64排螺旋 CT血管成像具有定位准确、成像清晰等优点, 有助于医师多角度观察肠系膜上动脉病变的具体情况。 【关键词】 64排螺旋 CT;血管成像;肠系膜上动脉病变;诊断价值 [Abstract] Objective To explore the value of 64 slice spiral CT angiography in the diagnosis of superior mesenteric artery disease. Methods the clinical data of 72 patients with superior mesenteric artery disease diagnosed by CT angiography (CTA) from October 2017 to October 2019 were reviewed and analyzed. Results all the 72 patients successfully completed the scanning and obtained satisfactory images: 37 cases of superior mesenteric artery (SMA) ischemic lesions (7 cases of SMA acute embolism, 30 cases of SMA chronic stenosis), 21 cases of SMA dissection (9 cases of isolated SMA dissection, 12 cases of abdominal aortic dissection involving SMA), 14 cases of SMA compression syndrome (11 cases of duodenal stasis, 3 cases of nutcracker syndrome). Conclusion 64 slice spiral CT angiography has the advantages of accurate location and clear imaging, which is helpful for doctors to observe the specific situation of superior mesenteric artery lesions from multiple angles.
简介:摘要:目的:探讨预防性护理在心脏介入治疗致血管迷走神经反射的应用价值。方法:取本院自2018年1月~2020年1月本院的10例心脏介入术后并发血管迷走神经反射的患者为本次的研究对象。通过回顾性分析对抢救护理干预的措施进行总结。结果:患者经过抢救护理之后,所有患者均抢救成功,并成功康复出院。结论:并发症可以有多种因素引起,所以需强调全程护理,对于患者的实际情况,应积极做好相关的监测以及护理工作。
简介: 【摘 要】目的:研究彩超在糖尿病周围血管病变患者中的临床应用价值。方法:该次研究选取的研究对象为 2018年 8月— 2019年 8月期间在该院进行治疗的糖尿病周围血管病变患者 50例(观察组)和同期于该院进行体检的健康体检者 50名, 100例研究对象均接受双下肢血管彩超检查。将两组的踝肱指数、脉压指数、踝臂指数、脉搏波传导速度以及管腔狭窄、粥样斑块、血管闭塞的发生率进行对比。同时计算彩超的敏感度、特异性和符合率。结果:观察组糖尿病周围血管病变患者踝肱指数( 1.38±0.24)、脉压指数( 0.53±0.07)、脉搏波传导速度( 19.20±4.91) m/s的数据均大于对照组健康体检者,差异有统计学意义( P<0.05)。另外彩超检查的敏感性、特异性、符合率依次为 72.00%、 76.00%、 74.00%。结论:彩超能够有效筛查出糖尿病周围血管病变,将管腔硬化情况和闭塞情况清晰显示出来,具有较高的临床应用价值。 【关键词】糖尿病周围血管病变 ;彩超 ;临床应用价值 [Abstract] Objective: To study the clinical value of color Doppler ultrasound in diabetic peripheral vascular disease. Methods: 50 diabetic peripheral vascular disease patients (observation group) who were treated in the hospital from August 2018 to August 2019 and 50 healthy people who were examined in the hospital at the same time were selected for the study. 100 subjects were examined by color Doppler examination of blood vessels in both legs. The ankle brachial index, pulse pressure index, ankle brachial index, pulse wave conduction velocity and the incidence of stenosis, atheromatous plaque and vascular occlusion were compared between the two groups. At the same time, the sensitivity, specificity and coincidence rate were calculated. Results: the ankle brachial index (1.38 ± 0.24), pulse pressure index (0.53 ± 0.07) and pulse wave conduction velocity (19.20 ± 4.91) m / s in the observation group were significantly higher than those in the control group (P < 0.05). In addition, the sensitivity, specificity and coincidence rate were 72.00%, 76.00% and 74.00% respectively. Conclusion: CDFI can effectively screen out the diabetic peripheral vascular lesions, and show the hardening and occlusion of the lumen clearly, which has high clinical application value.
简介:摘要:肾素 -血管紧张素系统( RAS)阻滞剂属于临床治疗高血压的重要药物,肾素 -血管紧张素系统在高血压病理生理机制中存在着比较重要的作用。其中血管紧张素转换酶抑制剂和血管紧张素Ⅱ受体阻滞剂也可以更大程度上降低患者血压,对人体肾脏血管保护和提升治疗的安全性存在着积极影响。目前在全世界范围内高血压治疗都将肾素 -血管紧张素系统药物作为首要治疗药物。本文就肾素 -血管紧张素系统阻滞剂治疗高血压的研究进展进行综述。
简介: [摘要 ] 目的 探讨对患急性脑分水岭梗死的患者采用血管内介入治疗的效果如何。方法 方便选取 2018年 1月— 2020年 2月在该院就诊的患急性脑分水岭梗死的患者 72例,对这些患者都采用血管内介入治疗的诊治方法。观察这些患者手术前后的颈动脉狭窄情况,对这些患者的神经功能缺损进行评分。结果 经血管内介入治疗的方法治疗后,有 68例( 94.4%)急性脑分水岭梗死患者狭窄解除,有 2例( 5.6%)患者转为轻度狭窄;这些患者术后神经功能缺损评分( 10.4±2.9)分也低于手术前的评分( 24.5±5.3)分,差异有统计学意义( P<0.05)。 1年后回访这些患者,都没有急性脑分水岭梗死状况的复发。结论 结合患急性脑分水岭梗死的患者自身的身体状况,对他们采用血管内介入治疗的方法,能够控制并改善患者的病情,预防患者疾病的复发。 [关键词 ] 急性脑分水岭梗死;血管内介入;临床疗效 [Abstract] Objective To explore the effect of intravascular interventional therapy in patients with acute watershed infarction. Methods from January 2018 to February 2020, 72 patients with acute watershed infarction were selected conveniently, and all of them were treated with intravascular interventional therapy. The stenosis of carotid artery was observed before and after operation, and the neurological deficit of these patients was evaluated. Results after intravascular interventional therapy, 68 patients (94.4%) with acute watershed infarction were relieved of stenosis, and 2 patients (5.6%) turned to mild stenosis. The score of neurological deficit after operation (10.4 ± 2.9) was also lower than that before operation (24.5 ± 5.3), the difference was statistically significant (P < 0.05). One year later, none of the patients had relapse of acute watershed infarction. Conclusion combined with the physical condition of the patients with acute watershed infarction, the method of intravascular interventional therapy can control and improve the patients' condition and prevent the recurrence of the disease.
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简介:摘要:我国医疗技术不断发展的过程中,外科诊疗工作后并发症控制需求越来越高,而部分患者在接受心脏外科手术后会受各种因素影响而出现精神症状,这也是当前医疗领域发现的一种较为特殊的并发症,为了对心脏血管外科手术提供更好的精神类并发症控制依据,笔者进行了本次试验。目的:分析心脏血管外科手术之后患者发生精神症状的主要影响因素,并探索护理优化对策。方法:选取本院在17到18年度收治的150名心脏病患者分组进行了对比分析,研究了其心脏大血管手术之后出现的精神症状,并为其提供针对性护理服务。结论:心脏血管外科手术后患者的精神状态受到多方面因素的影响,而优质护理服务能够有效减低患者的精神症状发生几率,因此针对性护理技术有临床推广的必要。
简介:【摘要】目的 : 分析 CT 血管造影与 MR 血管造影在颅内动脉瘤临床诊断中的应用。方法:选取从 201
简介: 【摘要】目的 针对脑梗死患者应用 64排 CT头颈血管及成像诊断的效果分析。方法 选取 2018年 1月~ 2019年 1月笔者进修单位收治的脑梗死患者 60例,采用 VR、 SSD、 MIP和 VE技术重建三维头颈动脉图像,将其应用 64排螺旋 CT头颈动脉成像检查。结果 患者的头颈动脉 CTA图像达到诊断要求 58例,头颈动脉狭窄者 53例,正常 7例。头颈动脉狭窄者中单纯脑动脉狭窄的有 22例,单纯颈动脉狭窄的有 24例,头颈动脉狭窄并存者有 12例。结论 64排螺旋 CT的 CTA检查是显示脑梗死成因的一项有临床价值的检查方法。 【关键词】脑梗死;体层摄影术; X线计算机;效果 [Abstract] Objective To analyze the effect of 64 slice CT in the diagnosis of cerebral infarction. Methods from January 2018 to January 2019, 60 patients with cerebral infarction were selected and reconstructed with VR, SSD, MIP and ve technology, and examined with 64 row spiral CT. Results CTA images of the head and neck arteries of 58 patients met the diagnostic requirements, 53 patients had stenosis of the head and neck arteries, and 7 patients were normal. There were 22 cases of simple cerebral artery stenosis, 24 cases of simple carotid artery stenosis and 12 cases of head and neck artery stenosis. Conclusion CTA of 64 slice spiral CT is a valuable method to show the cause of cerebral infarction.