目的探讨陈氏挑针与牵旋法对腰椎间盘突出症(prolapse of lumbar intervertebral disc,LIDP)患者血液流变指标及疗效的影响。方法将218例LIDP患者按数字表法随机分为观察组各109例,最终观察组脱落4例,对照组脱落8例;分别为观察组105例,...目的探讨陈氏挑针与牵旋法对腰椎间盘突出症(prolapse of lumbar intervertebral disc,LIDP)患者血液流变指标及疗效的影响。方法将218例LIDP患者按数字表法随机分为观察组各109例,最终观察组脱落4例,对照组脱落8例;分别为观察组105例,对照组101例。其中观察组挑针与牵旋法治疗腰椎间盘突出相应节段椎旁神经根;对照组单纯牵旋治疗,每个疗程10次,两组均治疗2个疗程后,对比两组治疗前后血液黏稠度改变、胫腓神经F波传导速度和JOA评分,并观察针挑对患者神经根、症状缓解和疗效情况。结果与治疗前比较,观察组治疗后的胫腓神经F波传导速度、JOA评分均明显高于治疗前(P<0.01),且观察组高于对照组(P<0.01或P<0.05)。观察组治疗后全血表观黏度及血浆度值均明显下降(P<0.05);观察组总有效率明显优于对照组(P<0.05)。结论陈氏挑针与牵旋法可明显改善LIDP患者临床症状,调节血液流变学指数。同时,可提升由于LIDP神经根病损所致患肢胫、腓神经F波传导速度,缓解下肢症状群。展开更多
In the blood there are charged RBC, WBC, PLT, inorganic ions, so that there must be sensitive and complicated responsed of hemorheological properties under applied magnetic field. An experiment of constant magnetic fi...In the blood there are charged RBC, WBC, PLT, inorganic ions, so that there must be sensitive and complicated responsed of hemorheological properties under applied magnetic field. An experiment of constant magnetic field on apparent hemorheological viscosity was carried out. When the magnetic intensity was at 0.7T ,below the constant magnetic field, there is a decrease in apparent blood viscosy- ty, esp. the marked decrease in the whole blood and reductive viscosity under low shear[1]. Based on the above-mentioned experiment, another experiment was done. Indexed of hemorheological proper- ty under strong pulse magnetic field at an intensity of 1 - 2T are checked and compared with that un- der no magnetic field. The result showed a decrease in apparent blood viscosity under different shears of intensive pulse magnetic field, but the responsive sensibility of different individuals is different and also the best magnetic induction intensity affecting hemorheological property is different. It is closely related to the original sample blood of henorheological property. It suggests, when the pulse magnetic intensity is at 1 - 2T, hemorheological property may be improved and attention must be paid to the specificity of sensibility and responsive intensity of the individuals. When the pulse magnetic field is employed clinically, attention should be paid to the original different hemprheological property and to see whether the intensity is suitable and try to select the best one for the individuals respectively.展开更多
文摘目的探讨陈氏挑针与牵旋法对腰椎间盘突出症(prolapse of lumbar intervertebral disc,LIDP)患者血液流变指标及疗效的影响。方法将218例LIDP患者按数字表法随机分为观察组各109例,最终观察组脱落4例,对照组脱落8例;分别为观察组105例,对照组101例。其中观察组挑针与牵旋法治疗腰椎间盘突出相应节段椎旁神经根;对照组单纯牵旋治疗,每个疗程10次,两组均治疗2个疗程后,对比两组治疗前后血液黏稠度改变、胫腓神经F波传导速度和JOA评分,并观察针挑对患者神经根、症状缓解和疗效情况。结果与治疗前比较,观察组治疗后的胫腓神经F波传导速度、JOA评分均明显高于治疗前(P<0.01),且观察组高于对照组(P<0.01或P<0.05)。观察组治疗后全血表观黏度及血浆度值均明显下降(P<0.05);观察组总有效率明显优于对照组(P<0.05)。结论陈氏挑针与牵旋法可明显改善LIDP患者临床症状,调节血液流变学指数。同时,可提升由于LIDP神经根病损所致患肢胫、腓神经F波传导速度,缓解下肢症状群。
文摘In the blood there are charged RBC, WBC, PLT, inorganic ions, so that there must be sensitive and complicated responsed of hemorheological properties under applied magnetic field. An experiment of constant magnetic field on apparent hemorheological viscosity was carried out. When the magnetic intensity was at 0.7T ,below the constant magnetic field, there is a decrease in apparent blood viscosy- ty, esp. the marked decrease in the whole blood and reductive viscosity under low shear[1]. Based on the above-mentioned experiment, another experiment was done. Indexed of hemorheological proper- ty under strong pulse magnetic field at an intensity of 1 - 2T are checked and compared with that un- der no magnetic field. The result showed a decrease in apparent blood viscosity under different shears of intensive pulse magnetic field, but the responsive sensibility of different individuals is different and also the best magnetic induction intensity affecting hemorheological property is different. It is closely related to the original sample blood of henorheological property. It suggests, when the pulse magnetic intensity is at 1 - 2T, hemorheological property may be improved and attention must be paid to the specificity of sensibility and responsive intensity of the individuals. When the pulse magnetic field is employed clinically, attention should be paid to the original different hemprheological property and to see whether the intensity is suitable and try to select the best one for the individuals respectively.
