scholarly journals Clinical Analysis of Dispelling Wind, Eliminating Lung and Relieving Cough Combined with Western Medicine in the Treatment of Cough Variant Asthma in Children

2021 ◽  
Vol 5 (5) ◽  
pp. 136-141
Author(s):  
He Huang

Objective: This study mainly explores the clinical effect of dispelling wind, eliminating lung and relieving cough combined with western medicine in the treatment of cough variant asthma. Methods: 80 children with cough variant asthma accepted by our hospital from January 2018 to December 2020 were randomly selected for the study and divided into two groups. One group was the reference group (40 cases) treated with procaterol hydrochloride tablets and montelukast sodium, and the other group was the research group (40 cases). The method of eliminating wind, eliminating lung and relieving cough was combined with procaterol hydrochloride tablets and montelukast sodium to observe and compare the curative effects of the two groups. Results: There was no significant difference in TCM symptom score and eosinophil (EOS) count between the two groups before treatment (P > 0.05); After treatment, the TCM symptom scores of coughs, pharyngeal itching, expectoration, nasal congestion and nasal itching in the research group were lower than those in the reference group, and the EOS count was lower than that in the reference group (P < 0.05); The effective rate of research group was higher than that of reference group (P < 0.05). Conclusions: For children with cough variant asthma, Qufeng Sufei cough relieving method combined with procaterol hydrochloride and montelukast sodium can improve children’s symptoms and reduce eosinophil count.

2020 ◽  
Author(s):  
Hongyi Liang ◽  
Hanhan Chen ◽  
Guangxi Shi ◽  
Xiaofei Liu ◽  
Jingwei Li

Abstract Background: With the development of Traditional Chinese Medicine (TCM), comprehensive traditional Chinese therapy is often used to treat Granulomatous Lobular Mastitis (GLM), but the effectiveness and risk are still controversial. This study is aimed to evaluate the efficacy of comprehensive therapy of traditional Chinese medicine on GLM.Methods: Articles in both international databases (PubMed, EMBASE, Cochrane Library, Web of Science and Clinicaltrials.gov) and Chinese databases (Chinese National Knowledge Internet (CNKI), Chinese Biomedical Databases (CBM), VIP Chinese periodical service platform and Wan Fang Digital Journals)) were searched. Original studies which reported the effective rate and/or recurrence rate and/or maximum diameter of the mass of comprehensive traditional Chinese therapy were included. The 95% confidence interval (95% CI) for effective rate, recurrence rate and maximum diameter of the mass were calculated and analyzed by review manager 5.3.Results: Eight eligible trials with 309 cases and 265 controls were included, six in Chinese and two in English. Statistical analysis suggested a statistical difference in effective rate (RR = 0.86, 95% CI [0.74, 1.00], P = 0.047) between comprehensive traditional Chinese therapy group and control. Meanwhile, there was statistical difference found in recurrence rate between comprehensive traditional Chinese therapy and western medicine therapy (RR = 3.09, 95% CI [1.50, 6.40], P = 0.002). Besides, no statistical difference existed in maximum diameter of the mass between the two therapies (RR = -5.25, 95% CI [-125.42, 114.93], P = 0.93).Conclusion: Although there was no significant difference in the reduction of breast mass size between comprehensive traditional Chinese therapy and western medicine alone, comprehensive traditional Chinese therapy demonstrated the efficacy in improving the effective rate and reducing the recurrence rate. For GLM patients, comprehensive traditional Chinese therapy could be a potential option.


2021 ◽  
Vol 5 (5) ◽  
pp. 162-166
Author(s):  
Li Sun ◽  
Zhenzhu Shang

Objective: To explore the effect of nursing intervention on improving the cognitive function of patients with mild cognitive impairment. Methods: Sixty patients with mild cognitive impairment in Weifang Hospital of Traditional Chinese Medicine from January 2020 to January 2021 were randomly selected for this study. They were divided into two groups: a reference group (routine follow-up and daily health education) and a research group (nursing intervention based on the reference group). Results: Before nursing, there was no significant difference in the MoCA, MMSE, ADL, SDS, and SAS scores between the two groups (p > 0.05). After intervention, the MOCA score and MMSE score of the research group were lower than those of the reference group, the ADL score of the research group was higher than that of the reference group, and the quality-of-life score of the research group was also higher than that of the reference group (p < 0.05). Conclusion: Early nursing intervention for patients with mild cognitive impairment can effectively improve their cognitive functions and daily abilities.


2020 ◽  
Vol 185 ◽  
pp. 03015
Author(s):  
Shenghua Zhou ◽  
Rui-Cong Ding ◽  
Hua He

Objective: To explore the method and clinical effect of applying Yiqi Tongnao Decoction in the treatment of patients with acute cerebral infarction of Qi deficiency and blood stasis. Methods: To carry out research work in our hospital, a total of 70 patients with acute cerebral infarction of Qi deficiency and blood stasis who were treated in our hospital from March 2018 to March 2019 were randomly divided into two groups, one of which was given Western Medicine as the control group, and the other group was given Yiqi Tongnao Decoction combined with Western medicine, as the research group, the treatment status of the two groups of patients was compared and observed. Results: When comparing, the research group with skewed mouth and eyes, white greasy tongue coating, shortness of breath and fatigue, and pulse fineness scores were lower than those of the control group. The data difference between the groups was shown as P <0.05. The difference between the research group and the control group is quite large. Before treatment, the NIHSS score of the two groups of patients did not change significantly, P> 0.50. After the treatment intervention, the score of the research group was (5.10 ± 1.24), which was lower than that of the control group, and the difference between the groups was P <0.05. Before receiving treatment, there was no significant difference in blood lipid levels between the two groups of patients, P> 0.05. After treatment, the blood lipid level of the two groups of patients both changed, but in contrast, the degree of change in the research group was significantly greater than that of the control group, P <0.05, in general, the treatment effect of the research group was better. Conclusion: In the treatment of patients with acute cerebral infarction of qi deficiency and blood stasis, Yiqi Tongnao Decoction has significant effects, which can effectively improve the patients' adverse symptoms and has positive significance for clinical development.


2019 ◽  
Vol 19 (9) ◽  
pp. 699-703
Author(s):  
Shihao Zhou ◽  
Qiong Zhan ◽  
Xiaomei Wu

Background: This study aimed to explore the clinical effect of levetiracetam in the treatment of children with epilepsy. Methods: 136 children with epilepsy were selected from January 2017 to December 2017. According to the random number table method, they were divided into the experimental group and the conventional group, with 68 cases in each group. The conventional group was treated with valproate, while the experimental group was treated with levetiracetam. The effective rate, the cognitive function and the frequency of clonic seizures in the two groups were compared. Results: There was no significant difference in the total effective rate between the two groups (P>0.05). There was no significant difference in attention, executive ability, abstract and orientation scores between the two groups before treatment (P>0.05). After treatment, the focus of attention (106.54±6.56), executive ability (105.76±6.77), abstract and directional score (106.65±6.57) were significantly higher than that of the conventional group. The difference in the two groups was statistically significant (P<0.05). After 3 months of treatment, the frequency of myoclonic seizures (9.22±0.95) and the frequency of tonic-clonic seizures (11.68±1.36) were found to be significantly lower than those of the conventional group, and the difference between the two groups was statistically significant (P<0.05). Conclusion: Levetiracetam is effective in the treatment of children with epilepsy. It can effectively improve the cognitive function of the patients, reduce the frequency of myoclonic seizures and tonic-clonic seizures, and has a high promotion value.


Author(s):  
H Eyigor ◽  
E A Cetinkaya ◽  
D T Coban ◽  
G Ozturk ◽  
Ö Erdem

Abstract Objective External dacryocystorhinostomy is thought to cause mucociliary dysfunction by damaging the mucosa, in turn affecting ciliary activity and mucus quality. This study investigated the effect of external dacryocystorhinostomy on sinonasal function. Methods Patients scheduled for unilateral external dacryocystorhinostomy who underwent endoscopic nasal examination and paranasal sinus computed tomography were included in this study. A saccharine test was performed on the planned surgical side and the mucociliary clearance time was determined. The sinonasal quality of life was measured in all patients, pre-operatively and at six months post-operatively, using the Sino-Nasal Outcome Test-22. The Lund–Kennedy endoscopic score was also determined in all patients, both pre- and post-operatively. Results The study comprised 28 patients (22 females and 6 males). A statistically significant difference was found between the pre- and post-operative saccharine test results (p = 0.006), but not between the pre- and post-operative Sino-Nasal Outcome Test-22 scores (p > 0.05). Conclusion This study is one of only a few to investigate the effect of external dacryocystorhinostomy on sinonasal function. The results showed that external dacryocystorhinostomy impairs mucociliary clearance. The surgical procedure is well tolerated and does not significantly change nasal symptom scores.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ye Wu ◽  
Zhen Zhang ◽  
Meng Liao ◽  
Qi Li ◽  
Xue Lin Tang ◽  
...  

Abstract Background To analyze whether corneal refractive surgery (CRS) is associated with the distribution of different accommodative dysfunctions (ADs) and binocular dysfunctions (BDs) in civilian pilots. A further aim was to analyze the percentages and visual symptoms associated with ADs and/or BDs in this population. Methods One hundred and eight civilian pilots who underwent CRS from January 2001 to July 2012 (age: 30.33 ± 4.60 years) were enrolled, the mean preoperative SE was − 1.51 ± 1.15 D (range: − 1.00- − 5.00 D). Ninety-nine emmetropic civilian pilots (age: 29.64 ± 3.77 years) who were age- and sex-matched to the CRS group were also enrolled. Refractive status, accommodative and binocular tests of each subject were performed. Visually related symptoms were quantified using the 19-item College of Optometrists in Vision Development Quality of Life (COVD-QOL) questionnaire. The 19 items were summed to obtain visual symptom scores that might indicate visual dysfunctions. The chi-square test was used to analyze differences in percentages of ADs and/or BDs between the CRS and emmetropic groups. The Mann-Whitney U test was used to compare visual symptom scores between pilots with ADs and/or BDs and pilots with normal binocular vision. Results No significant difference was observed between the CRS and emmetropic groups in the overall prevalence of ADs and BDs (15.7% and 15.2% in the CRS and emmetropic groups, respectively; P = 0.185). ADs were present in 4.63% and 3.03% of the CRS and emmetropic group, respectively. BDs were observed in 11.1% and 12.1% of the CRS and emmetropic group, respectively, yielding no significant differences between the groups in the prevalence of ADs or BDs (AD: P = 0.094; BD: P = 0.105). Pilots with ADs and/or BDs had significantly more visual symptoms than pilots with normal binocular vision (p < 0.001). Conclusions CRS for civilian pilots with low-moderate myopia might not impact binocular functions. ADs and/or BDs commonly occur in both emmetropia pilots and pilots who undergo CRS, and pilots with ADs and/or BDs are associated with increased symptoms. This study confirms the importance of a full assessment of binocular visual functions in detecting and remedying these dysfunctions in this specific population.


2018 ◽  
Vol 2018 ◽  
pp. 1-13 ◽  
Author(s):  
Jiao Xiao ◽  
Yunfeng Yang ◽  
Yuanrong Zhu ◽  
Yan Qin ◽  
Yifan Li ◽  
...  

Objectives. Traditional Chinese medicine (TCM) therapy for nonerosive reflux disease (NERD) remains controversial. The aim of this study was to evaluate the efficacy and safety of TCM regimens in NERD treatment. Methods. Randomized controlled trials (RCTs) of TCM treatment for NERD through September 31, 2017, were systematically identified in PubMed, Wanfang Data, CNKI, VIP, CBM, Ovid, Web of Science, and Cochrane Library databases. Quality assessment was performed by employing the Cochrane Risk of Bias assessment tool. Results. A total of 725 and 719 patients in 14 RCTs were randomly divided into TCM alone and conventional Western medicine groups, respectively. The clinical total effective rate of the TCM group was markedly higher than that of the single proton pump inhibitors (PPIs) or Prokinetics therapy group (RR = 1.19, 95% CI = 1.07–1.31, and P = 0.0008), while it was comparable to that of the combination of PPIs and Prokinetics therapy group (RR = 1.14, 95% CI = 1.00–1.29, and P = 0.05). Compared with Western medicine group, the TCM group showed improved symptom relief through a reduced RDQ score (SMD = −0.91; 95% CI = −1.68–−0.15; and P = 0.02). Additionally, TCM clearly decreased the recurrence rate (RR = 0.38, 95% CI = 0.28–0.52, and P < 0.00001). Adverse events, such as constipation, sickness, fever, abdominal distension, and stomach noise, were slight for both the TCM and Western medicine groups and disappeared after the easement of pharmacological intervention; in particular, TCM possessed fewer side effects. Conclusion. Compared with PPIs or Prokinetics therapy alone, TCM single therapy can better improve the clinical total effective rate and symptom relief and decrease the recurrence rate and adverse events in the treatment of NERD. Our results suggest that TCM will be a promising alternative therapy for NERD patients in the future.


1989 ◽  
Vol 15 (1) ◽  
Author(s):  
G. F. Oosthuizen ◽  
L. P. Vermeulen

Evaluation criteria for selecting an organisation in the engineering profession. This study deals with identifying the evaluation criteria according to which people in the engineering profession choose the organisation where they will work. The research group consisted of 211 final-year engineering students, and 256 engineers employed by a specific organisation. A significant difference (p


Author(s):  
S. Abirami ◽  
Ravindra Kumar Jain ◽  
A. S. Smiline Girija

The study is thus aimed to assess and compare the efficacy of Herbostra oil pulling mouthwash with Chlorhexidine mouthwash in reducing plaque accumulation around orthodontic brackets. A total of 20 patients were considered in this study randomly assigned into Group I (experimental group - Herbostra oil pulling mouthwash) and Group II (reference group-0.2% Chlorhexidine mouthwash). The plaque index scores were recorded in each individual at baseline (pre) and after 3 weeks (post). Dental plaque samples were collected around the orthodontic brackets at the cervical region of maxillary upper molars and lower incisors by cotton swabbing method and evaluated for the presence of microflora. Paired sample t-test for Streptococcus mutans count showed that statistically significant difference only within the group II (p=0.000) (Chlorhexidine group) and there was no significant difference within the group I (p=0.103) (Herbostra group). Paired sample t-test for plaque index score shows statistically significant difference within the groups (0.000).Independent t test showed statistically significant difference in the levels of  Streptococcus mutans count after 3 weeks between the two groups (p=0.000) with the mean values of (2.230±0.5056), (1.080±0.3458) in group I and group II respectively. From this study we concluded that, even though there was a reduction in plaque scores and S. mutans count with Herbostra oil pulling mouthwash but it was not as effective as Chlorhexidine mouth rinse.


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