Prevention of deep vein thrombosis after total knee replacement / 国际外科学杂志

Objective To investigate how to prevent deep-vein thrombosis(DVT) after total knee replace-ment(TKR).Methods Deep vein thrombosis in 87 patients after TKR from 2004 to 2007 in the Third Hospital Affiliated to Suzhou University was retrospectively analyzed.Results Amony the 87 patients,13 were found having deep vein thrombosis,5 of 38 using low-molecular-weight beparin after TKR having deep vein thrombosis,6 of 35 cases using aspirin after TKR having deep vein thrombosis,5 of the 10 eases using mechanical preventive measures having deep vein thrombosis.The difference between low-molecular-weight heparin and aspirin group was not statistically significant.Conclusion Using low-molecular-weight heparin before TKR can prevent the occurrence of deep-vein thrombosis.Using epidural anesthesia,and a low-molee-ular-weight heparin drugs or aspirin after TKR can better prevent the formation of deep-vein thrombosis.

Acute patella cartilage fracture: diagnosis and treatment / 国际外科学杂志

Objective To investigate the mechanism of acute patella bone cartilage fracture,and further study its diagnosis and treatment of clinical significance.Methods Collecting 21 cases of the acute patella bone cartilage fracture from July 2005 to December 2007.Eleven patients were male and ten were female,with the mean age of 31.6 (16～46) years.All the patients were treated using the arthroseopic microfracture technique after MR examination.Results All patients were followed up 6 to 18 months,did not show patellofemoral joint pain. Evaluated by Tagner rating,excellent outcomes were found in 17 cases,good in 4 cases,satisfactory results in 100% cases.Conclusion The arthroscopic microfracture technique in treatment of the patella cartilage fracture method is simple,easy to operate,can significantly improve knee function and pain,as well as the quality of life.

Research on Risk Factors of Hyperuricemia and Its Syndrome Differentiation in Traditional Chinese Medicine / 中华中医药杂志

Objective:To supply the reliable evidence for a further research of the TCM syndrome of hyperuricemia and treating it with traditional Chinese medicine,we try to verification the risk factors and to research TCM syndrome differentiation for diagnosis in patients with hyperuricacidemia.Methods: We selected cases according to the standard of hyperuricacidemia's diagnose and adopted the method of retrospective and prospective analysis.Each of cases was investigated and filled in the form.These data were processed through statistical method in the end.Results: Clinical investigation selected 109 cases patients with hyperuricacidemia.First,male group incidence rate was higher than female.Second,incidence rate was increasing with age(r=0.826 p

Effect of Zhusuanhuoxue Prescription on asymptomatic Hyperuricemia with coronary heart disease / 中国康复理论与实践

@# ObjectiveTo observe the effect of Zhusuanhuoxue Prescription on asymptomatic Hyperuricemia with coronary heart disease.Methods26 subjects were randomly divided into two groups. 11 patients in the treatment group who were treated with Zhusuanhuoxue Prescription and 15 patients in the control group who were treated with Losartan 50 mg. The changes of the blood uric acid level were observed before and 3 weeks after treatment.ResultsThere was a significant difference of uric acid level before and after treatment(P<0.05), but there was no significant difference between these 2 groups(P=0.356).ConclusionZhusuanhuoxue Prescription is effective on asymptomatic hyperuricemia with CHD, which is similar to that of Lostan.

Treatment of old thoracolumber vertebrae fracture associated with incomplete paraplegia by using anterolateral decompression and internal fixation / 中华创伤杂志

Objective To evaluate the efficacy of anterolateral decompression and internal fixation on the treatment of old thoracolumbar vertebrae fracture with associated incomplete paraplegia. Method the clinical findings of 26 cases with old thoracolumber vertebrae fracture with associated incomplete paraplegia treated by anterolateral decompression and internal fixing were reviewed retrospectively. Results All cases were followed up for 6 months through 2.5 years. The angle of kyphosis was 23?preoperatively and 6?postoperatively. According to Frankel's grading, there were two cases at grade A, three at grade B, five at grade C, seven at grade D, nine at grade E before operation and one at grade A, three at grade B, four at grade C, six at grade D and 12 at grade E after operation. Conclusion Anterolateral decompression and internal fixation is the treatment of choice for the old thoracolumber vertebrae fracture associated with incomplete paraplegia, especially for spinal deficit generated by displacement of the middle column.