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草是景天科植物垂草的新鲜或干燥全草,本草记录不一,据考最早出自《本草纲目拾遗》。现代通过动物实验研究了垂草的保肝降酶、免疫调节、抗肿瘤等功效;临床实验研究了垂草的利胆退黄、清热解毒功效。在现代临床应用中,垂草分为鲜垂草、干垂草、垂草颗粒和垂草配方颗粒4种。
Sedum sarmentosum is the fresh or dried herbs,herbal record is not certain,according to the textual research, the name first come from the book Ben Cao Gang Mu Shiyi. Through the animal experiment,Sedum sarmentosum could protect liver and reduce enzyme,immunity regulation,anti-tumor;the clinical and experimental study of the Sedum sarmentosum shows it has the effect of removing jaundice,heat-clearing and detoxifying. In modern clinical application,Sedum sarmentosum includes fresh sarmentosum,dry sarmentosum,Chuipencao granules and Chuipencao dispensing granules.

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女性底解剖和功能异常是腔脏器脱垂主要原因。近几年,研究人员利用各种手段对底组织结构进行研究,其中底超声技术发展迅速,已经成为研究底组织结构不可或缺的手段。该文围绕女性底组织结构解剖、底超声技术(经阴道超声、经直肠超声和经会阴超声)、底超声临床应用的研究现状进行综述,旨在为临床诊断提供新思路。
Anatomical and functional abnormalities of female pelvic floor is the major cause of pelvic organ prolapse. In recent years,researchers have used various means to study the pelvic floor structure. With its rapid development,pelvic ultrasonography has become an important means in the study of the pelvic floor structure. This article summarizes recent progress in anatomy of pelvic floor,different ultrasound techniques (transvaginal sonography,endoanal ultrasound and transperineal ultrasound)for pelvic floor imaging,and clin-ical applications of the pelvic floor ultrasound,which may provide some new ideas for clinical diagnosis.

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目的:分析生物反馈电刺激+家庭康复器底肌锻练治疗底功能障碍疾病的临床效果。方法:选取2013年7月-2014年3月,在本院分娩产妇,筛查诊断为底功能障碍性疾病120例。底肌力均小于Ⅲ级,分为治疗组与对照组,每组各60例。治疗组给予生物反馈电刺激+家庭康复器治疗,对照组给予底肌功能锻练,3个月后复查,观察两组患者肌力强度与底功能障碍症状缓解情况。结果:治疗后,底肌力强度不同程度恢复,治疗组有效率明显高于对照组,两组比较差异有统计学意义(P<0.05)。结论:底肌锻练能提高底肌强度及治疗底功能障碍性疾病,电刺激生物反馈+家庭康复器治疗较单纯性底肌锻练治疗效果更佳。
Objective:To analyze the clinical effect of biofeedback electrical stimulation, and family rehabilitation pelvic muscle exercises in the treatment of pelvic floor dysfunction diseases.Method:120 cases of maternal, prenatal screening and diagnosis for pelvic floor dysfunction were selected from July 2013 to March 2014 in our hospital.They were randomly divided into the treatment group and the control group,60 cases in each group.The treatment group was given biofeedback electrical stimulation and family rehabilitation therapy, the control group was only received pelvic floor muscle training, 3 months after treatment, two groups were observed in patients with muscle strength and pelvic floor dysfunction symptoms.Result:After rehabilitation, the pelvic floor muscle strength have different degrees of recovery, the effective rate of the treatment group was significantly higher than the control group, the difference was statistically significant (P<0.05).Conclusion: Pelvic floor mu

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概述扬声器纸材料特性,分析了纸纸浆选择原则,介绍几种纸常用纸浆纤维特性和打浆方式、打浆流程等,并分析纸浆中掺入特种纤维强化复合材料对纸的影响。
The speaker cone material properties and selected cone pulp principle were introduced, some commonly used cone pulp fiber properties and beating methods, such as the beating process, and the incorporation of pulp fiber-reinforced composite material impacted on the cone were analyzed.

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目的:了解威海地区产后妇女底功能的情况及其影响因素。方法选取产后6~8周复查的妇女4935例,详细询问病史并记录、进行常规的妇科检查及底功能检测。结果底Ⅰ类肌纤维功能受损占34.2%,年龄、分娩方式及是否存在底器官脱垂和不同产次对产后6~8周的底Ⅰ类肌纤维功能有影响;底Ⅱ类肌纤维功能受损占39.2%,分娩方式、是否存在底器官脱垂和孕次对产后6~8周的底Ⅱ类肌纤维功能有影响。结论产后妇女普遍存在底肌肉功能受损状况,尤其对是阴道分娩及有腔器官脱垂者,应及早进行干预,促进底组织功能恢复。
Objective ToassesspelvicfloormusclefunctioninpostpartumwomeninWeihaiCity. Methods A total of 4935 women who were followed-up after 6-8 weeks after delivery were investigated.Detailed medical history was obtained,and regular pelvic examination and pelvic floor functional testing were performed. Results There were 34.2% of women who had impaired functions with pelvic floor I class muscle fibers.Age,delivery mode,prolapsed pelvic organ and parties were associated with impaired functions of pelvic floor muscle for in women 6 - 8 weeks after delivery.There were 39.2%of women who had impaired functions with pelvic floor II class muscle fibers.Delivery mode, prolapsed pelvic organ and gravidities were associated with impaired functions of pelvic floor II class muscle fiber in women after 6-8 weeks of delivery. Conclusion Impaired pelvic floor muscle function was common among postpartum women, especially among the women with vaginal delivery and prolapsed pelvic organ.

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探讨产后底肌综合康复治疗对底神经肌电生理的影响,评估底肌功能的康复情况。方法:将162例经阴道分娩的初产妇采用掷币方法分为对照组80例和治疗组82例。治疗组于产后24 h进行底肌综合训练,产后42 d进行生物反馈-电刺激治疗;对照组仅在产后给予一般性康复指导。产后3个月分别测量两组产妇的底肌Ⅰ类、Ⅱ类肌纤维电压,底肌收缩力及底器官脱垂情况,从而评估底肌功能的康复情况。结果:产后3个月治疗组产妇Ⅰ类、Ⅱ类肌纤维肌电压高于对照组,差异有统计学意义(P0.05)。两组产妇底肌收缩力、底器官脱垂情况比较,差异有统计学意义(P0.05)。结论:产后早期进行生物反馈-电刺激结合底肌综合训练对产后底肌功能的康复有显著效果。
Study of postpartum pelvic floor muscle effect of comprehensive rehabilitation therapy on pelvic nerve electrophysiology,rehabilitation assessment of pelvic floor muscle function. Methods:162 cases of primipara of vaginal delivery by tossing coins were randomly divided into treatment group (82 cases) and control group (80 cases). The treatment group in 24 hours postpartum pelvic floor muscle training, postpartum 42 days of biological feed-back-electrical stimulation treatment,the control group only give general guidance in the postpartum rehabilitation. Pelvic floor muscle class Ⅰ,Ⅱ type muscle fiber voltage between two groups were measured by 3 months postpartum,pelvic floor muscle contraction,pelvic organ prolapse cases,to evaluate the recovery of pelvic floor muscle function. Results:3 months postpartum maternal treatment group Ⅰ,Ⅱ muscle voltage were higher than that of the control group,the difference was statistically significant (P<0. 05). Two groups of maternal pe

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目的探讨不同分娩方式对产后早期底功能的影响及底肌锻炼促进底肌力的效果观察。方法随机抽取2011年12至2013年5月在广州市红十字会医院分娩的产妇共202例,根据不同分娩方式分为选择性剖宫产组(65例)、阴道顺产组(86例)、低位钳产组(51例)。分别测定分娩后的底Ⅰ类、Ⅱ类纤维肌力及进行产后底康复治疗前后的肌力对比。结果比较选择性剖宫产组、阴道顺产、低位钳产组的产后Ⅰ类、Ⅱ类纤维肌力异常发生率,发现其差异有显著的统计学意义(P0.01);3组患者产后经过生物反馈底肌肉锻炼治疗后,底Ⅰ类、Ⅱ类纤维肌力较未经过治疗的产妇增强,有显著性差异(P0.01)。结论选择性剖宫产相对阴道分娩对底组织有一定的保护作用,阴道手术分娩对底功能的影响最大;早期开展底康复治疗能有效增强底肌力,降低妇女底功能障碍性疾病的发生率。
Objective To explore the influence of different delivery ways on early postpartum pelvic floor function and the effect of effect of pelvic floor muscle exercise on promoting pelvic floor muscle. Methods 202 cases of parturients delivered in Guangzhou Red Cross Hospital from December 2011 to May 2013 were randomly selected, and then they were divided into three groups according to differ-ent delivery methods:selective cesarean section group (65 cases), vaginal delivery group (86 cases) and low forceps delivery group (51 cases) . Type I and type II fiber strength of the pelvic floor after delivery were measured and the pelvic floor muscle strength before and after rehabilitation treatment were recorded respectively. Results The abnormal rates of type I and type II fiber strength of the pelvic floor after delivery were compared among the selective cesarean section group, vaginal delivery group and low forceps delivery group, and there was significant statistical difference (P<0.01). Among

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探讨底肌电刺激对产后尿失禁产妇底功能改善的作用。方法:选取我科2013年4月~2014年3月分娩后发生尿失禁产妇96例,随机等分为观察组和对照组,对照组行底肌训练,观察组在此基础上给予底肌电刺激治疗,比较两组治疗后底肌肉张力指标及尿失禁情况。结果:观察组治疗后底静息压和收缩压高于对照组,底收缩持续时间长于对照组,差异有统计学意义(P0.05),观察组治疗后仍存在尿失禁产妇低于对照组,差异有统计学意义(P0.05)。结论:底肌电刺激促进了产后尿失禁产妇底功能的改善,值得临床推广。
This study investigated the electrical stimulation on postpartum urinary incontinence pelvic floor function. Methods:From April 2013 to March 2014 chose 96 cases with postpartum urinary in continence were randomly divided into study group and control group,all cases underwent pelvic floor muscle training therapy,given comfort care,patients in study group were treated on the basis of pelvic floor electrical stimulation treatment. Compared two groups of pelvic floor muscle tension index and incidence of urinary incontinence after treatment. Results:After treatment,the study group of pelvic floor rest-ing pressure and systolic blood pressure was significantly higher than the control group,the pelvic floor contraction duration was significantly longer than that of control group,with significant difference (P<0. 05),and the urinary incontinence of study group was lower than the control group (P<0. 05). Conclu-sion:Early electrical stimulation could promote the recovery of pelvic floor muscl

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目的:探讨产后实施早期底康复训练对产妇底功能的影响。方法:78例产妇随机平分对照组及观察组,分别采取常规产后护理及早期底康复训练,比较两组产妇的临床恢复情况。结果:观察组底功能总有效率及护理满意度均明显高于对照组(P<0.05)。结论:产妇产后实施早期底康复训练能有效恢复其底功能,患者满意度高,是一种科学有效、安全理想的产后护理方法。
Objective:To investigate the effect of early postpartum pelvic floor rehabilitation training on parturient pelvic floor function. Methods:78 parturient were randomly divided into observation group and control group equally, which respectively adopted routine postpartum nursing and early pelvic floor rehabilitation training, the clinical recovery between the two groups were compared. Results:The total efficiency of pelvic floor function and nursing satisfaction of observation group were both significantly higher than those of control group (P<0.05). Conclusion:Early postpartum pel-vic floor rehabilitation training can effectively recover the pelvic floor function, patient with high satisfaction, which is a scientific and effective, safe and ideal postpartum nursing method.

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目的:观察葛根配合底康复治疗底功能障碍性疾病的临床效果。方法:将腔器官脱垂妇女100例按照抽签法随机分为对照组与观察组各50例,对照组予底肌电刺激联合生物反馈底肌训练,观察组予葛根配合底肌电刺激联合生物反馈底肌训练,采用女性性功能指数(FSFI)自评量表对2组患者治疗前后性功能变化进行评定,并比较2组患者治疗前后底肌力的变化。结果:2组治疗后性欲望、性兴奋、阴道润滑、高潮以及满意度分值均较治疗前明显升高,疼痛分值明显降低,差异具有统计学意义(P<0.05);2组治疗后底肌力评分明显提高,观察组提高幅度明显大于对照组,差异具有统计学意义(P<0.05)。结论:葛根配合底肌电刺激联合生物反馈训练能够明显改善底肌力,提高女性性生活质量。
Objective: To explore the effectiveness ofGegen(PuerariaeLobataeRadix) integrated with pelvic floor rehabilitation therapy for pelvic floor dysfunction. Methods: All 100 women with pelvic prolapse were divided into two groups with the method of random sampling: the observation group and the control group. The electrical stimulation-assisted pelvic floor muscle training (ESAPFMT) with biofeedback was carried out in the women of the control group, while in the observation group,Gegenwas added to the patients besides the ESAPFMT. Meanwhile, the qualities of sexual life of the patients before and after treatment in both groups were assessed and compared by the self-assessment chart of female sexual function index (FSFI) and the strengths of pelvic floor muscles were also measured in two groups. Results: After treatment, sexual desire and satisfaction scores of the patients were higher than that before treatment and sexual excitation, vaginal lubrication and climax were more easil

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