RESUMO
Objective To observe the clinical effect of Blade needle closed release and massage for the patients with cervical heart syndrome. Methods A total of 60 patientswith cervical-heart syndrome were randomly divided into the control group and the treatment groups, 30 patients in each group. Both groups were treated with rehabilitation exercises, and the treatment group were added with Blade needle closed release and massage, while the control group were added with traction. The treatments were operated once to 3 times based on the patients' condition with an interval of seven days. The symptoms, signs and effective rates were observed and compared. Results After treatment, the neck and shoulder pain (0.7 ± 0.6 vs. 0.9 ± 0.7, t=2.904), precordialgia (0.5 ± 0.5 vs. 1.0 ± 0.7, t=4.210), chest tightness (0.5 ± 0.6 vs. 0.8 ± 0.7, t=2.093), cardiopalmus (0.7 ± 0.5 vs. 1.0 ± 0.8, t=3.915), spontaneous (0.7 ± 0.5 vs. 0.8 ± 0.9, t=2.837), vertigo (1.0 ± 0.6 vs. 1.6 ± 0.8, t=2.760) scores in the treatment group were significantly lower than those in the control group (P<0.05 or P<0.01). The total effective rate of the treatment group was 93.89% (28/30), and the Control group was 66.67%(20/30). There are significantly different(χ2=4.547, P<0.05). Conclusions The method of Blade needle closed release and traction could improve the symptom of the shoulder neck and heart area of the cervical-heart syndrome.
RESUMO
Objective To observe and evaluate the long-term efficacy and safety of PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids .Methods Choose 103 patients who were diagnosed with severe mixed hemorrhoids from May 2008 to May 2010 .Then divided these patients into the experimental group of 52 patients and the control group of 51 patients ,randomly . The patients of experimental group were treated by PPH plus partial internal anal sphincterotomy ,and the patients of control group were treated by the simple PPH operation .Have a postoperative followed up for 24 months to check and compare the long-term ef-ficacy and safety of two groups .Results The incidence of prolapse recurrence ,anus pain and hemafecia in experimental group were significantly lower than that in control group(P0 .05) .Conclusion The therapy of the PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids can significantly reduce the recurrence ,and improve the long-time efficacy ,but not to increase additional risk .