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find Author "于俊" 3 results
  • Effects of Lanthanum Carbonate on Serum Calcium and Phosphorus of CAPD Patients with Chronic Renal Failure Receiving Calcitriol Pulse Therapy Due to Secondary Hyperparathyroidism

    ObjectiveTo explore and discuss the effects of lanthanum carbonate on serum calcium and phosphorus of continuous ambulatory peritoneal dialysis (CAPD) patients with chronic renal failure receiving calcitriol pulse therapy due to secondary hyperparathyroidism (SHPT). MethodsCAPD patients caused by SHPT in peritoneal dialysis centre of the Qingdao Municipal Hospital of Eastern Hospital from March to June, 2013 were selected and randomly divided into two groups (lanthanum carbonate group and calcium carbonate group). The lanthanum carbonate group were treated with oral lanthanum carbonate and calcitriol pulse therapy, while the calcium carbonate group were treated with calcium carbonate and calcitriol. Change of levels of serum calcium, phosphorus and iPTH were observed and statistic analysis was conducted using SPSS 17.0. ResultsA total of 40 CAPD patients were included, 20 cases in each group. After 12-week treatment, levels of serium phosphate (t=5.095, P=0.000) and iPTH (t=1.225, P=0.000) in the lanthanum carbonate group were significantly lower than those before treatment. The levels of serum calcium (t=1.127, P=0.001) and phosphate (t=2.035, P=0.000) in the lanthanum carbonate group were significantly lower than those in the calcium carbonate group (P < 0.05). ConclusionLanthanum carbonate serves as a useful approach to improve hypercalcemia and the hyperphosphatemia in CAPD patients receiving calcitriol pulse therapy due to SHPT.

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  • 双套圈交叉加压缝合法治疗手指近侧指间关节侧副韧带损伤

    目的总结双套圈交叉加压缝合法治疗手指近侧指间关节侧副韧带损伤的疗效。 方法2008年12月-2013年2月,采用双套圈交叉加压缝合法治疗18例(20指)近侧指间关节侧副韧带起、止点断裂患者。男10例,女8例;年龄18~56岁,平均36.5岁。致伤原因:扭伤10例(10指),绞伤5例(7指),戳伤3例(3指)。损伤指别:示指8指,中指8指,环指4指。患指关节屈伸活动受限;侧方应力试验(+)。2例(2指)合并细小撕脱骨块。伤后至手术时间2~10 d,平均6.5 d。 结果术后切口均Ⅰ期愈合,无手术相关并发症发生。患者均获随访,随访时间8~50个月,平均30个月。术后患指均无疼痛、关节稳定,侧方应力试验(-),关节分别遗留不同程度梭形肿胀。术后8个月,根据总主动活动度系统评定方法:获优12指,良7指,差1指,优良率95%。 结论双套圈交叉加压缝合法治疗手指近侧指间关节侧副韧带损伤疗效满意。

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  • 克氏针双夹扣法固定治疗远节指骨背侧基底不稳定骨折

    目的总结克氏针双夹扣法固定治疗远节指骨背侧基底不稳定骨折的疗效。 方法2008年9月-2014年3月,对15例远节指骨背侧基底不稳定骨折患者采用切开复位、克氏针双夹扣法固定。男12例,女3例;年龄18~53岁,平均32.5岁。致伤原因:戳伤8例,扭伤2例,摔伤3例,挤压伤2例。损伤指别:示指5例,中指3例,环指2例,小指5例。受伤至手术时间2~9 d,平均3.8 d。 结果患者术后切口均Ⅰ期愈合。15例均获随访,随访时间6~20个月,平均12.5个月。X线片示骨折均愈合,愈合时间5~8周,平均6.1周。术后8~12周,平均9.2周取出内固定物。末次随访时,根据总主动活动度(TAM)评价标准评定手指功能,获优9例,良5例,中1例,优良率93.3%。 结论克氏针双夹扣法固定治疗远节指骨背侧基底不稳定骨折,可使骨折、关节复位且固定牢固,允许手指早期功能锻炼,是一种有效治疗方法。

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