Objective To investigate the clinical results of selective decompression and short-segment fusion with fixation for symptomatic degenerative lumbar stenosis combined with lumbar scoliosis.Methods All of 30 patients from Jul.2008 to Oct.2013 were recruited for this retrospective study.There were 11 males and 19 females,whose mean age was 60.3±12.7 years.The preoperative X-ray of the total spine showed the mean Cobb's angle was 24.3°±8.8°.And the mean lumbar lordosis angle was 30.5°±15.5°.Pain and function were assessed by Visual Analogue Scale (VAS) and Oswestry dsability index (ODI).The responsible segments were determined from physical examination and radiological findings.Selective decompression and short-segment fixation and fusion were performed.The radiographic parameters,ODI,VAS of pre-operation and post-operation were recorded and compared.Results All the patients were followed up for 21-73 months with mean 46.0±10.9 months.The complication incidence was 33.3％.The ODI and VAS assessment was significantly improved during the follow-up,as well as the sagittal and coronal radiographic parameters (LL,SS,PT,SVA,Cobb's angle,C7PL-CSVL).The improvement of VAS and ODI of lumbar spine was significant correlated with sagittal parameters (LL,PT),whilst not correlated with coronal parameters.Conclusion The surgical strategy of selective decompression and short-segment fusion with fixation is effective for the patients with symptomatic degenerative lumbar stenosis combined with lumbar scoliosis.

Objective To investigate the effect of standardized nursing intervention on the alleviation of pain in cancer pa-tients.Methods Sixty cancer patients who sought medical care in the Oncology Department of our hospital from January 2014 to Janu-ary 2015 were recruited for the study by the convenient sampling method.Then, the pre and post self-control studies were conducted and divided into 2 stages.The first stage was from day 1 to day 12 after the patients were admitted to the hospital, during which they re-ceived routine cancer care.The second stage was from day 13 to day 24, when the patients received standardized nursing in addition to routine nursing.Pain control disorder, worst pain scores, pain duration, self-efficiency, etc.were observed closely.Results The total scores of pain control disorder, the worst pain scores, the average pain scores, pain duration, daily morphine dosage, self-efficacy scores for the patients at the end of the second stage were respectively 1.85 ±0.80, 3.84 ±1.30, 2.55 ±1.15, (3.60 ±1.45) hours, (73.17 ± 22.10) mg and 73.87 ±10.73, which were all significantly better than those indictors of the patients at the first stage, and there was sig-nificant difference when comparisons were made between the 2 stages (P<0.05).The total scores of pain control disorder, the worst pain scores, the average pain scores and pain duration were negatively correlated with the patients′self-efficacy (P<0.05), while the daily morphine dosage was positively correlated with the patients′self-efficacy (P<0.05).Conclusion Standardized nursing could enhance patients′self-efficacy, effectively promote patients′pain control, and improve patients′physical and mental status considerably.

Objective To observe the clinical effects and safety of scalp-body acupuncture and spine-manipulation therapy on preventively treating cervical cancer patients with postoperative urinary retention. Methods A total of 160 cases of cervical cancer patients with postoperative urinary retention were randomized into treatment group and control group, 80 cases in each group. Both groups were given conventional western medical treatment including preoperative indwelling of urethral catheter, clamping of urethral catheter 5 d after operation and release of the urine every 2-3 h, and trying to remove the urethral catheter 10-12 d after operation. Additionally, the treatment group received scalp acupuncture in the foot motor sensory area, body acupuncture of bilateral Shenshu (BL23) , Pangguangshu (BL28) , Ciliao (BL32) acupoints, and spine-manipulation therapy 5 d after operation. The clinical outcomes covered the incidence of urinary retention, residual urine volume, reset rate of catheter, and the clinical effect and safety in the two groups were evaluated. Results ( 1) The therapeutic effect of the treatment group was superior to that of the control group, and then the difference was significant (P<0.05). (2) After treatment, the incidence of urinary retention, residual urine volume, reset rate of catheter and average hospitalization days were less in the treatment group than those in the control group, the differences being significant ( P<0.05). ( 3) There was no adverse reaction during the treatment course. Conclusion Scalp acupuncture in the foot motor sensory area combined with body acupuncture and spine-manipulation therapy can promote the recovery of micturation function, and have satisfactory clinical effect and high safety in preventively treating cervical cancer with postoperative urinary retention.