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The paper reported the results of 28 patients with diffuse encephalitis treated in hyperbaric oxygen chamber. The overall effective rate of combined routine medical therapy and hyperbaric oxygen was 96.5%,and the cure rate of all patients was 78. 5%,compared with 83.9,46.4%of medical therapy alone, respectively.It is obvious that the hyperbaric oxygen combined with routine medical therapy is significantly superior to the medical therapy alone (P<0.05). In order to get the... The paper reported the results of 28 patients with diffuse encephalitis treated in hyperbaric oxygen chamber. The overall effective rate of combined routine medical therapy and hyperbaric oxygen was 96.5%,and the cure rate of all patients was 78. 5%,compared with 83.9,46.4%of medical therapy alone, respectively.It is obvious that the hyperbaric oxygen combined with routine medical therapy is significantly superior to the medical therapy alone (P<0.05). In order to get the best results, the hyperbaric oxygen therapy should be instituted as early as possible. In this series, the cure rate of those treated by the hyperbaric therapy was 90% when patients were in the early stage(30 days); while in the late stage, ranging from 30 to 60 days, it decreased to 50%. A major advantage of hyperbaric oxygen is to help a patient revive from coma and further improve the function of brain. Also, it can increase the Pa O_2 and oxygen level in the arterial blood, and enhance the oxygen diffusion in the capillary. Therefore, decrease of high intracranial pressure may be expected. Based on these findings, we concluded that hyperbaric oxygen is a safe,effective adjunct to the treatment of patients with diffuse encephalitis. In order to achieve best results, it should be instituted as early as possible. 本文报告用高压氧加一般内科疗法治疗散发性脑炎28例的结果,有效率为96.5%,其中治愈率为78.6%。一般内科治疗的有效率为89.3%,治愈率为46.4%。高压氧治疗的治愈率显著高于一般内科疗法(P<0.05)。高压氧治疗的时机越早越好,病程一月内者治愈率可达90%,而病程30—60天者治愈率仅为50%。高压氧能促使意识尽快恢复,神经功能的改善,主要是通过提高动脉血的氧分压,血氧的含量,增加氧的弥散半径,降低颅内压。因此,我们提倡散发性脑炎应及早行高压氧治疗。 Objective To exercise the limb function of the cerebral vascular accident (CVA) pa-tients during the early stage purposely. Methods On the basis of routine medical therapy, a series of limb functional exercises were choreographed and applied on CVA patients during the early stage. The therapeutic effects were evaluated by modified Fugl-Meyer Scale (FMS). Results There was a significant difference in FMS between experimental and control groups( P <0. 01). Conclusion Such exercises are beneficial... Objective To exercise the limb function of the cerebral vascular accident (CVA) pa-tients during the early stage purposely. Methods On the basis of routine medical therapy, a series of limb functional exercises were choreographed and applied on CVA patients during the early stage. The therapeutic effects were evaluated by modified Fugl-Meyer Scale (FMS). Results There was a significant difference in FMS between experimental and control groups( P <0. 01). Conclusion Such exercises are beneficial for early-stage CVA patients. 目的 针对性地对脑血管意外患者进行早期肢体功能锻炼。方法 编制肢体功能锻炼操,并在常规药物治疗基础上应用于临床(实验组 50例,同时设回顾对照组 50例),并按改良式 Fugl-Meyer 评分法进行疗效评定。结果 两组数据经统计学处理,P<0.01,有显著差异。结论 该操在脑血管意外患者早期肢体功能锻炼中有意义。 Objective: Ropivacaine and Morphine were used for thoracic epidural analgesia to treat unstable angina pectoris(UAP) via patient controlled epidural administration (PCGA), and the therapeutic effect and side effects were observed. Methods: 32 patients with UAP were divided into two groups. They were punctured and placed tube in thoracic 3~4, receiving loading dose (5ml mixture of 0.25% ropivacaine and 1mg morphine) and persistent dose (mixture of 0.075% ropivacaine and 0.001% morphine,... Objective: Ropivacaine and Morphine were used for thoracic epidural analgesia to treat unstable angina pectoris(UAP) via patient controlled epidural administration (PCGA), and the therapeutic effect and side effects were observed. Methods: 32 patients with UAP were divided into two groups. They were punctured and placed tube in thoracic 3~4, receiving loading dose (5ml mixture of 0.25% ropivacaine and 1mg morphine) and persistent dose (mixture of 0.075% ropivacaine and 0.001% morphine, 1~4ml per hour) , then PCEA (2~3ml each time, locked at 30 minutes) for group Ⅰ; Group Ⅱ was given routine medical therapy.According to the state of illness, intravenous drip of various doses of nitroglycerin, was given and the degree of angina before and after the treatment and the recovery of electrocardiogram were recorded, as well as the dosage of nitroglycerin, morphine and ropivacaine, blood pressure and the change of heart rate. Results: The degree of angina and the recovery of electrocardiogram in groupⅠwere significantly better than those of groupⅡ ( P <0.01), and the amount of nitroglycerin used in groupⅠwas much smaller than groupⅡ ( P <0.01). There were no obvious changes in blood pressure and heart rate, nor aversive side effects in group I patients. Conclusion: It is safe and effective to use ropivacaine and morphine in thoracic epidural blocks to treat unstable angina pectoris via PCEA. Following up study should be paid in order to ascertain the long term effect. 目的 :应用罗哌卡因和吗啡 ,采用胸段病人自控硬膜外镇痛 (PCEA)方式治疗不稳定型心绞痛 (UAP) ,观察治疗效果及副作用。方法 :32例UAP病人 ,随机分成两组 ;Ⅰ组胸 3~ 4穿刺置管 ,采用负荷剂量 (0 .2 5 %罗哌卡因与吗啡 1mg混合液 5ml) +持续剂量 (0 .0 75 %罗哌卡因与 0 .0 0 1%吗啡混合液 ;1~ 4ml/h) +PCA (2~ 3ml/次 ,锁定时间为 30min)行PCEA治疗 ;Ⅱ组采用内科常规药物治疗。两组根据病情需要 ,静脉滴注硝酸甘油 ,观察心绞痛症状治疗前后效果及心电图恢复率 ,记录硝酸甘油、吗啡、罗哌卡因用量及血压、心率变化。结果 :心绞痛症状治疗前后效果及心电图恢复率Ⅰ组均较Ⅱ组有显著改善 (P <0 .0 1) ,硝酸甘油用量Ⅰ组显著小于Ⅱ组 (P <0 .0 1) ,血压、心率无明显改变 ,未发生其它副作用。结论 :罗哌卡因、吗啡PCEA治疗UAP安全有效 ,其远期疗效有待进一步随访观察。
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