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| 1 | 中药穴位贴敷治疗34例糖尿病便秘患者疗效观察显示文摘目的探讨中药穴位贴敷对糖尿病便秘的治疗效果。方法对江苏省中医院内分泌科就诊的34例糖尿病便秘患者在进行糖尿病治疗、饮食和便秘健康教育指导基础上采用中药穴位贴敷治疗便秘,用75%乙醇将大黄、芒硝、当归、黄芪、冰片五味药粉调成药饼,并贴敷于神阙穴,每日晨起贴敷,贴敷时间≤6 h,10 d为1个疗程,共2个疗程。结果中药穴位贴敷疗法能明显改善便秘症状,大大增加排便次数,总有效率达85.3%,不良反应主要表现为皮肤发红、瘙痒及水泡等。结论本中药方通过穴位贴敷治疗糖尿病便秘疗效好,不良反应不影响治疗,值得临床推广。 | 秦慷 陈璇 陶艳 张旋 刘苏 | 2013 | 护理学报2013，20，10： | 14 |
| 2 | Hepatic artery pseudoaneurysm caused by acute idiopathic pancreatitis显示文摘Hepatic artery pseudoaneurysm(HAP) is a very rare disease but in cases of complication,there is a very high mortality.The most common cause of HAP is iatrogenic trauma such as liver biopsy,transhepatic biliary drainage,cholecystectomy and hepatectomy.HAP may also occur with complications such as infections or inflammation associated with septic emboli.HAP has been reported rarely in patients with acute pancreatitis.As far as we are aware,there is no report of a case caused by acute idiopathic pancreatitis,particularly.We report a case of HAP caused by acute idiopathic pancreatitis which developed in a 61-year-old woman.The woman initially presented with acute pancreatitis due to unknown cause.After conservative management,her symptoms seemed to have improved.But eight days after admission,abdominal pain abruptly became worse again.Abdominal computed tomography(CT) was rechecked and it detected a new HAP that was not seen in a previous abdominal CT.Endoscopic retrograde cholangiopancreatography(ERCP) was performed because of a suspicion of hemobilia as a cause of aggravated abdominal pain.ERCP confirmed hemobilia by observing fresh blood clots at the opening of the ampulla and several filling defects in the distal common bile duct on cholangiogram.Without any particular treatment such as embolization or surgical ligation,HAP thrombosed spontaneously.Three months after discharge,abdominal CT demonstrated that HAP in the left lateral segment had disappeared. | Yeon Hwa Yu Joo Hyun Sohn Tae Yeob Kim Jae Yoon Jeong Dong Soo Han Yong Cheol Jeon Min Young Kim | 2012 | World Journal of Gastroenterology2012，18，18： | 8 |
| 3 | 逍遥散加减联合按摩治疗糖尿病便秘临床观察显示文摘目的:观察逍遥散加减联合按摩治疗糖尿病便秘的临床疗效。方法:糖尿病便秘患者共62例,随机分为治疗组32例,对照组30例。对照组采用常规治疗,治疗组在常规治疗的基础上采用逍遥散加减联合按摩治疗。结果:治疗组的总有效率(90.6%)高于对照组(66.6%);在改善临床症状方面,治疗组优于对照组。结论:逍遥散加减联合按摩治疗糖尿病便秘疗效显著。 | 许海燕 刘明明 许惠玲 | 2015 | 陕西中医2015，36，1： | 6 |
| 4 | 耳穴埋豆联合腹部按摩治疗糖尿病便秘疗效观察显示文摘目的:探讨耳穴埋豆联合腹部按摩对糖尿病便秘的治疗效果。方法:选择我院糖尿病便秘患者70例,随机分为治疗组和对照组各35例。2组均予以常规护理,治疗组加用耳穴埋豆联合腹部按摩治疗,比较2组总体疗效评价、平均每周排便次数和排便通畅度评分。结果:治疗组患者的总体疗效评价、平均每周排便次数和排便通畅度评分显著高于对照组,组间差异均具统计学意义(P<0.05)。结论:耳穴埋豆联合腹部按摩治疗糖尿病便秘疗效好,值得推广。 | 杨国芳 王静 罗曼 | 2016 | 中医药临床杂志2016，28，12： | 3 |
| 5 | Two-stage treatment of an unusual haemobilia caused by intrahepatic pseudoaneurysm显示文摘A 84-year-old man with a surgical history of subtotal gastrectomy for gastric cancer was transferred to our department because of a disorder of consciousness. Septic shock due to obstructive suppurative cholangitis secondary to choledocholithiasis was diagnosed. Anemia was also present,and upper gastrointestinal tract endoscopy revealed blood emerging from the Papilla of Vater.The cause of the anemia was identified as haemobilia.Angiography showed a small aneurysm over the artery on segment 3(A3) .The cause of the haemobilia was suspected to be the bleeding into the biliary tree from this aneurysm.Because the patient's general condition was poor,minimally invasive therapy was needed.Transcatheter arterial embolization(TAE) was selected initally.Later,lateral sectionectomy was performed in order to remove the aneurysm on A3. No surgical complication occurred and,after surgery,no haemobilia was identified.In conclusion,a twostage treatment,namely,surgery following TAE,is recommended for patients in a physically poor condition who have haemobilia due to intrahepatic aneurysm. | Kazuhisa Takeda Kuniya Tanaka Itaru Endo Shinji Togo Hiroshi Shimada | 2010 | World Journal of Hepatology2010，2，1： | 2 |
| 6 | Late hepatic artery pseudoaneurysm:A rare complication after resection of hilar cholangiocarcinoma显示文摘We report an unusual pathological entity of a pseudoaneurysm of the right hepatic artery, which developed two years after the resection of a type Ⅱ hilar cholangiocarcinoma and secondary to an excessive skeletonization for regional lymphadenectomy and neoadjuvant external-beam radiotherapy. After a sudden and massive hematemesis, a multidetector computed tomographic angiography (MDCTA) showed a hepatic artery pseudoaneurysm. Angiography with embolization of the pseudoaneurysm was attempted using microcoils with adequate patency of the hepatic artery and the occlusion of the pseudoaneurysm. A new episode of hematemesis 3 wk later revealed a partial revascularization of the pseudoaneurysm. A definitive interventional radiological treatment consisting of transarterial embolization (TAE) of the right hepatic artery with stainless steel coils and polyvinyl alcohol particles was effective and well-tolerated with normal liver function tests and without signs of liver infarction. | Javier Briceńo lvaro Naranjo Rubén Ciria Juan Manuel Sánchez-Hidalgo Luis Zurera Pedro López-Cillero | 2008 | World Journal of Gastroenterology2008，14，38： | 2 |
| 7 | 龙潭隧道围岩参数与地应力场联合反演显示文摘龙潭隧道是沪蓉国道主干线湖北境内一条主要隧道,它的全长近8 900 m,埋深约500 m,为典型的深埋长隧道.隧道经过地区的地质条件复杂、地应力较大.为了合理地计算围岩稳定性,利用实测位移信息,进行了围岩参数和地应力场的反演.基于实测收敛位移,采用进化神经网络法,提出了一种围岩参数和地应力场联合反演的新方法,并利用该方法对龙潭隧道多个典型断面进行了反演研究.为了验证反演结果,采用反演得到的围岩参数和地应力场进行了数值计算,其计算结果和实际情况吻合.计算结果表明,通过反演,能得到反映整个隧道围岩参数和地应力场的基本参数,反演结果能较好地反映实际情况. | 高玮 | 2010 | 交通科学与工程2010，26，4： | 1 |
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