一、定义及分类 国际疼痛学会（International Association for the Study of Pain,IASP）于1994年将神经病理性疼痛（Neuropathic Pain,NP）定义为：“由神经系统的原发损害或功能障碍所引发或导致的疼痛（Paininitiated or caused by ...一、定义及分类 国际疼痛学会（International Association for the Study of Pain,IASP）于1994年将神经病理性疼痛（Neuropathic Pain,NP）定义为：“由神经系统的原发损害或功能障碍所引发或导致的疼痛（Paininitiated or caused by a primary lesion or dysfunction in the nervous system）.2008年,IASP神经病理性疼痛特别兴趣小组（NeuPSIG）将该定义更新为：“由躯体感觉系统的损害或疾病导致的疼痛”（neuropathic pain is defined as pain caused by a lesion or disease of the somatosensory system）[1].展开更多
目的探讨雌激素联合盆底康复治疗仪对改善妇女盆底功能障碍(PFD)的效果。方法将160例PFD患者分为A组、B组、C组及D组,每组40例,A组患者行盆底肌肉锻炼,B组在A组基础上口服戊酸雌二醇治疗,C组在A组基础上采用盆底康复治疗仪PHENIX USB 8...目的探讨雌激素联合盆底康复治疗仪对改善妇女盆底功能障碍(PFD)的效果。方法将160例PFD患者分为A组、B组、C组及D组,每组40例,A组患者行盆底肌肉锻炼,B组在A组基础上口服戊酸雌二醇治疗,C组在A组基础上采用盆底康复治疗仪PHENIX USB 8进行治疗,D组在A组基础上给予戊酸雌二醇联合盆底康复治疗仪PHENIX USB 8进行治疗,比较4组患者治疗效果。结果 4组治疗后Ⅰ类盆底肌纤维肌力、Ⅱ类盆底肌纤维肌力、盆底功能障碍问卷(PFDI-20)评分及肌电位均优于治疗前(P<0.05),D组治疗后Ⅰ类盆底肌纤维、Ⅱ类盆底肌纤维肌力、PFDI-20评分及肌电位显著优于A、B、C组(P<0.05),B、C组Ⅰ类盆底肌纤维、Ⅱ类盆底肌纤维肌力、PFDI-20评分及肌电位显著优于A组(P<0.05),B、C组治疗后Ⅰ类盆底肌纤维、Ⅱ类盆底肌纤维肌力、PFDI-20评分及肌电位比较差异无统计学意义(P>0.05)。结论应用雌激素联合盆底康复治疗仪能有效改善PFD患者盆底肌纤维及盆底电生理特性,提高患者治疗效果。展开更多
Acute pancreatitis (AP) is a rare event in pregnancy, occurring in approximately 3 in 10 000 pregnancies. The spectrum of AP in pregnancy ranges from mild pancreatitis to serious pancreatitis associated with necrosis,...Acute pancreatitis (AP) is a rare event in pregnancy, occurring in approximately 3 in 10 000 pregnancies. The spectrum of AP in pregnancy ranges from mild pancreatitis to serious pancreatitis associated with necrosis, abscesses, pseudocysts and multiple organ dysfunction syndromes. Pregnancy related hematological and biochemical alterations infl uence the interpretation of diagnostic tests and assessment of severity of AP. As in any other disease associated with pregnancy, AP is associated with greater concerns as it deals with two lives rather than just one as in the non-pregnant population. The recent advances in clinical gastroenterology have improved the early diagnosis and effective management of biliary pancreatitis. Diagnostic studies such as endoscopic ultrasound, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography and therapeutic modalities that include endoscopic sphincterotomy, biliary stenting, common bile duct stone extraction and laparoscopic cholecystectomy are major milestones in gastroenterology. When properly managed AP in pregnancy does not carry a dismal prognosis as in the past.展开更多
文摘一、定义及分类 国际疼痛学会（International Association for the Study of Pain,IASP）于1994年将神经病理性疼痛（Neuropathic Pain,NP）定义为：“由神经系统的原发损害或功能障碍所引发或导致的疼痛（Paininitiated or caused by a primary lesion or dysfunction in the nervous system）.2008年,IASP神经病理性疼痛特别兴趣小组（NeuPSIG）将该定义更新为：“由躯体感觉系统的损害或疾病导致的疼痛”（neuropathic pain is defined as pain caused by a lesion or disease of the somatosensory system）[1].
文摘目的探讨雌激素联合盆底康复治疗仪对改善妇女盆底功能障碍(PFD)的效果。方法将160例PFD患者分为A组、B组、C组及D组,每组40例,A组患者行盆底肌肉锻炼,B组在A组基础上口服戊酸雌二醇治疗,C组在A组基础上采用盆底康复治疗仪PHENIX USB 8进行治疗,D组在A组基础上给予戊酸雌二醇联合盆底康复治疗仪PHENIX USB 8进行治疗,比较4组患者治疗效果。结果 4组治疗后Ⅰ类盆底肌纤维肌力、Ⅱ类盆底肌纤维肌力、盆底功能障碍问卷(PFDI-20)评分及肌电位均优于治疗前(P<0.05),D组治疗后Ⅰ类盆底肌纤维、Ⅱ类盆底肌纤维肌力、PFDI-20评分及肌电位显著优于A、B、C组(P<0.05),B、C组Ⅰ类盆底肌纤维、Ⅱ类盆底肌纤维肌力、PFDI-20评分及肌电位显著优于A组(P<0.05),B、C组治疗后Ⅰ类盆底肌纤维、Ⅱ类盆底肌纤维肌力、PFDI-20评分及肌电位比较差异无统计学意义(P>0.05)。结论应用雌激素联合盆底康复治疗仪能有效改善PFD患者盆底肌纤维及盆底电生理特性,提高患者治疗效果。
文摘Acute pancreatitis (AP) is a rare event in pregnancy, occurring in approximately 3 in 10 000 pregnancies. The spectrum of AP in pregnancy ranges from mild pancreatitis to serious pancreatitis associated with necrosis, abscesses, pseudocysts and multiple organ dysfunction syndromes. Pregnancy related hematological and biochemical alterations infl uence the interpretation of diagnostic tests and assessment of severity of AP. As in any other disease associated with pregnancy, AP is associated with greater concerns as it deals with two lives rather than just one as in the non-pregnant population. The recent advances in clinical gastroenterology have improved the early diagnosis and effective management of biliary pancreatitis. Diagnostic studies such as endoscopic ultrasound, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography and therapeutic modalities that include endoscopic sphincterotomy, biliary stenting, common bile duct stone extraction and laparoscopic cholecystectomy are major milestones in gastroenterology. When properly managed AP in pregnancy does not carry a dismal prognosis as in the past.
