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Wysłany: Nie 22:21, 27 Lut 2011
Temat postu: Acupuncture treatment of heroin addicts protracted
Acupuncture treatment of heroin addicts protracted withdrawal symptoms of clinical observation
Inflammatory lesions induced airway hyperresponsiveness, exogenous and endogenous stimuli trigger the next and lead to widespread, reversible airway narrowing resulting clinical syndrome. ... 2002-01 ~ 2005-08, I applied BDP inhalation therapy in patients with mild to moderate asthma, 20 patients achieved good effect. Are reported below. Target object and methods 1 1.1 38 cases for the hospital emergency and outpatient treatment of patients with mild to moderate asthma were bronchial asthma, according to the National Conference of 1997 established standards for diagnosis. Application of all patients without contraindications for glucocorticoids, non-B receptor agonist, allergies, over 4 weeks without systemic corticosteroids. Treatment group, 11 cases of male and 9 females, aged from 15 to 68 years; the control group 18 cases, 10 cases of males, 8 females, aged 14 to 70 years. 38 cases, 19 patients with mild asthma, 12 patients with moderate and severe in 7 cases. Two groups of gender, disease duration and severity of disease was no significant difference (P> 0.05). 1.2 Methods 38 patients underwent the basis of bronchodilator therapy, specifically in the acute phase B to give inhaled adrenergic agonists (terbutaline, China GlaxoSmithKline Pharmaceuticals Limited, imports Drug License No. H20040423,
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, specifications 5mg · Ⅱ Il). All patients were regular oxygen, expectorant, amount of intravenous infusion of aminophylline,
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, according to the appropriate use of antibiotics to control disease infection, cough, dyspnea, significant remission. Instead of conventional volume of oral aminophylline treatment of intravenous infusion of aminophylline. In the conventional treatment,
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, the treatment group received beclomethasone dipropionate or BDP Ejector, 400 /, 2 times / d. The treatment lasted 4 weeks, no systemic corticosteroids during the treatment period, and receive asthma education and clinical management of knowledge. Drug treatment at the end of 48h before and after the pulmonary function,
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, including forced vital capacity (FVC), vital capacity 1 seconds (FEV,), peak flow (PEF). 1.3 statistical measurement data to ± s, before and after treatment compared with paired t test. 2 results of the two groups were 2.1 cases of clinical remission after treatment in 38 patients cough, wheeze were eased, the lungs wheezing sounds disappear, the time required for symptom improvement was no statistical significance. Received :2006-10-17; revision date :2006-12-17 Author: Yang Jie (1970 a),
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, female (Han), Hubei wide water people, the Second Hospital of Huangshi City, Hubei Province, is currently attending physician, is mainly engaged in Clinical diagnosis and treatment of respiratory medicine. -948 * 2.2 The two groups of patients before and after treatment FVC, FEV, PEF rate of improvement can be seen comparing regular inhaled BDP 1 month later, the patient FVC, FEV. , PEF were significantly increased (P <0.O1). The results in Table 1. 2.3 adverse treatment in the treatment group had 1 case of throat, hoarseness in 1 patient after stopping gradually disappear. Table l pulmonary function changes before and after treatment comparison (is) compared with before treatment, 'P <O. O13 discuss past asthma has been considered a disease of airway smooth muscle dysfunction, caused by the smooth muscle contraction, is characterized by bronchial spasms. Therefore, the focus of treatment is to ease the spasm of bronchial smooth muscle to apply mainly bronchodilators. Until 1992, the National Institutes of Health published the diagnosis and treatment of asthma international consensus report, changed the understanding of asthma in the past, the asthma is defined as importance. Since airway inflammation is a long-standing, in order to eliminate early bronchial inflammation, the use of a powerful anti-inflammatory effects of hormone therapy as the primary measures and key. Inhalation therapy for asthma prevention or reduction of recurrent acute attacks, protection of lung function, quality of life plays an important role. According to the Global Initiative for Asthma (GINA) guidelines and recommendations of asthma control, the first-line drug treatment is inhaled corticosteroids (ICS) beclomethasone dipropionate or BDP (BDP) is the application of the broader ICS. The clinical efficacy of inhalation therapy depends on the local effects, rather than systemic effects. The main mechanism of action is: ① anti-inflammatory effect. Mainly caused by the inhalation cycle after hormone basophil, eosinophils, monocytes and lymphocytes reduction in the number, and because many of chemokines and activating factor was inhibited, so that mucosal mast cells and other also significantly reduced inflammatory cell infiltration, but also can inhibit the macrophages, basophils, and mast cell degranulation, mononuclear cells to complement, reduce the number of receptors and the activity decreased. ② lower airway hyperresponsiveness. Inhaled through the inhibition of sex hormones
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