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[Saphenous vein stripping in an outpatient service. 800 cases].

During the period from January to June 1991, 800 patients with varicose veins of the legs underwent, without hospitalisation, stripping of the saphenous vein, multiple phlebectomies by micro-incisions using the Muller technique and elastic compression. Careful patient selection, thorough pre-operative evaluation and perfect surgical technique made it possible to perform the procedure on an out-patient basis and in addition to obtain a good functional result and a very good esthetic result.

Adult↗
PubMed2006

[Differentiation of somatoform disorders in TCM acupuncture-moxibustion outpatient service].

OBJECTIVE: To strengthen differentiation of somatoform disorders and probe into regular rules of TCM syndrome differentiation treatment. METHODS: Clinical data of 93 cases of somatoform disorders were collected from clinic departments of TCM acupuncture and moxibustion in general hospitals, and were divided into somatoform disorders group (n=41), depression group (n=30) and neurosis group (n=22) according to diagnostic criteria of CCMD-III. Zung's self-evaluating anxiety scale (SAS), and self-evaluating depression scale (SDS) were used for quantitative evaluation and comparison of severities of emotional disorders, and TCM syndrome type differentiation was carried out. RESULTS: Somatoform disorders were most marked by pain, abnormal sensation of the skin mainly on the head, four limbs, etc. in TCM acupuncture and moxibustion clinic department, and the severities of anxiety and depression in the somatoform disorders group are lower than those in other two groups, and stagnation of the liver-qi is main TCM syndrome. CONCLUSION: Strengthening differentiation of somatoform disorders, treatment based on the liver and exerting advantages of TCM in diagnosis and treatment may increase clinical therapeutic effects on somatoform disorders in TCM acupuncture and moxibustion treatment.

Acupuncture Therapy↗
PubMed1990

[Relations between district outpatient service and emergency care service in the treatment of elderly patients].

On the basis of analysing the state of health care delivery for the elderly and aged population at prehospital stage (provided by emergency care service and district polyclinic) in big cities with a high level of aging of the population, a number of organizational activities for improving health care delivery for this group of population has been suggested. The data on peculiarities in the level, structure and nature of emergency care visits by elderly population are provided. The reasons for the irrational use of emergency care are discussed. The requirements of the populations under study for various kinds of specialized medical care are determined. Current tasks aimed at improving medical care for the elderly provided a foundation for the necessity to strengthen the succession and correlation between all links in the chain of prehospital care and to re-calculate the workload in respect to applied public health institutions with due regard for age structure of the population in the region of health services.

Age Factors↗