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 Wysłany: Czw 15:36, 03 Mar 2011 Temat postu: Elderly patients with chronic obstructive pulmonar |
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Elderly patients with chronic obstructive pulmonary emphysema with spontaneous pneumothorax in 40 cases
And the oldest 70 years old, average 52 years old, 40 to 60 years the incidence in 30 cases, 83.3%; shortest course 3d, up to 2 years, an average of 3 months. 1.2 Diagnostic Criteria (1) clinical symptoms and signs: chronic or sudden onset of dizziness, tinnitus, hearing loss, nausea, vomiting, cataplexy, neck, or the symptoms can be induced to make the symptoms worse, or accompanied by neck, occipital pain and nerve root symptoms. (2) X-ray examination: cervical physiological curvature visible change in vertebral body hyperplasia, disc space narrowing, nuchal ligament calcification, vertebral displacement, signs of foraminal compression. (3) cerebral blood flow map: see vertebrobasilar ischemic changes in area. 2 2.1 acupoints treatment Baihui, Ojo, Death Valley, the wind pool, complete bone, Tianzhu, neck Jiaji 4 to 6. 2.2 Operating the patient to take the prone position, after strict disinfection acupuncture points, the choice of 1.5-inch needle, Baihui Du forward along the flat spines, Ojo oblique spines, spines flat rate of Valley Forward, the wind pool, complete bone to tip obliquely direction, Tianzhu, neck piercing Jiaji 4 to 6, the above mentioned points are inserted even twisting line approach to patients with a strong sense of soreness after the needle. The needle during the needle every lOmin line 1, leave pin 30min, a needle. At the same time the neck irradiation with TDP 30min, 1 day, 10 times as a course of treatment interval 5d. 3 courses were observed. 3.1 Clinical Efficacy of Standard 3 complete remission: 2 courses of treatment, symptoms and signs completely disappeared, cerebral blood flow examination was normal map; apparent ease: treatment of 2 courses of treatment, symptoms and signs disappeared, improvement of cerebral blood flow Figure 50 % or more; relief: 3 courses of treatment, symptoms and signs of improvement plans to improve cerebral blood flow less than 50%; no relief: 3 courses of treatment, symptoms and signs, no significant improvement in cerebral blood flow map. 3.2 The treatment results of 36 cases were observed in this group, complete remission in 10 patients (27.8%), were relieved in 15 cases (41.7%), remission in 9 cases (25.0%), no relief in 2 (5 .6%), total effective rate 94.4%. 4 Discussion of vertebral artery type cervical spondylosis is in accordance with its main clinical manifestations of vertigo in the Medical category. A card dealt on the dizziness and brain disease mostly related bit, Shows the occurrence of vertigo and brain are closely related; addressed etiology, may have wind, fire, phlegm, blood stasis, such as different; on the pathogenesis, but also the actual situation of the points. Observed this type of cervical vertebral artery disease in middle age, many patients gradually lose yang, qi to promote blood declined and stagnated blood, qi and blood stasis gradually, the situation is further hampered by the gas operation, making the blood stasis resistance in the next, can not be superior in the brain, resulting in mind dystrophy, and dizziness, tinnitus, hearing loss, even nausea, vomiting, or cataplexy. Will seek medical treatment in the acupuncture therapy with benefits through the Governor of the law, focusing on pass notes Du. Du through the line because Close relationship with the marrow, such as the Du meridian of the gas disruption, Qing Yang can not rise, causing brain failure has raised, may be dizziness, vertigo and other symptoms. Du yang main one, with the hand, foot Sanyang by the Ojo,[link widoczny dla zalogowanych], Baihui phase convergence, pass notes Du,[link widoczny dla zalogowanych], replenishing yang yang to the body to restore weak, accelerate blood circulation, by raising the brain may alleviate the symptoms. Prescriptions in this group, we choose Baihui. Ojo as the main point, tenderness gas to pass notes to improve the supervision of the blood marrow support. Baihui in the head, the Lotus of the Council of liters used here to mention yang, calm the nerves and refresh, cited marrow blood upward to the sea; Ojo is the importance of hand, foot Sanyang by the intersection points, take Ojo to clear the Du and hand, foot Sanyang by through the air, can be described as a pass Belden, both Qi tonic,[link widoczny dla zalogowanych], and can pass notes all through, in view of Du important relationship with the sea of marrow. Was chosen as the main point of these two points. Also with the rate of valley, the wind pool, bone to clear the cephalic end the Ministry of shaoyang through the air, the neck 4 to 6 Jiaji for local acupoints, adjustable neck of qi and blood through the line. With the above acupoints. Du pass notes to play, the role of tonic marrow. The marrow was raised,[link widoczny dla zalogowanych], the vertigo solvable. Modern medicine, the main reason for occurrence of cervical spondylosis and soft tissues due to degenerative cervical spine led to internal and external imbalance, vertebral artery and normal relations between the cervical spine is damaged, proliferative osteophyte formation pressure, soft tissue injury caused by sympathetic excitation caused by following the Development of the vertebral artery spasm, one of the above causes of vertebral basilar insufficiency and the emergence of various symptoms. Above by acupuncture acupoints. Vasospasm can be mitigated,[link widoczny dla zalogowanych], reduced vascular tone and degree of obstruction, an increase of vertebral artery blood flow, so that patients achieve a cervical internal and external re-
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