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基于数据挖掘探究危重症患者急性胃肠损伤的中医针灸诊治规律 被引量:16
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作者 周添奕 钱风华 +8 位作者 黄馨云 顾沐恩 安晓菲 郑雪 明树人 杨艳 钱义明 李璟 吴焕淦 《世界科学技术-中医药现代化》 CSCD 北大核心 2019年第8期1606-1614,共9页
目的基于数据挖掘探索文献研究危重症患者急性胃肠损伤(Acute Gastrointestinal Injury,AGI)的中医及针灸诊治规律。方法检索中文及外文数据库中,中医治疗急性胃肠损伤的文献,并采用Excel、SPSS 21.0及IBM SPSS Modeler 18.0软件进行频... 目的基于数据挖掘探索文献研究危重症患者急性胃肠损伤(Acute Gastrointestinal Injury,AGI)的中医及针灸诊治规律。方法检索中文及外文数据库中,中医治疗急性胃肠损伤的文献,并采用Excel、SPSS 21.0及IBM SPSS Modeler 18.0软件进行频数、关联分析、聚类分析实现数据挖掘。结果本研究共纳入25篇文献,涉及147频次中药使用,50种中药,应用频次前4位的中药依次是大黄、甘草、白术、陈皮,按照功效分为13大类,其中泻下药、补虚药、行气药使用频率较高。二项关联排前4的药对是茯苓-甘草,白术-甘草,芒硝-大黄,党参-甘草;三项关联分析关联度最高的是茯苓-白术-甘草。聚类分析结果共得四类药物组合。本研究涉及36频次穴位使用,穴位共涉及15个,应用频次前3位的穴位依次是天枢、中脘、足三里。按照归经,可知共涉及6条经脉,其中足阳明胃经和任脉使用频率最高。二项关联排前二的是天枢-中脘,中脘-足三里;三项关联排前二的是气海-天枢-中脘,天枢-足三里-中脘。聚类分析结果共得三类穴位组合。结论中药治疗急性胃肠损伤(AGI)以承气汤与香砂六君子汤为主,体现了AGI的基本病机为本虚标实;治疗急性胃肠损伤(AGI)常用的穴位多为经脉经过胃、肠腑。本研究为今后临床急性胃肠损伤的患者提供了治疗依据。 展开更多
关键词 危重症 急性胃肠损伤 中药 针灸 数据分析 用药特点 取穴规律
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肩膊区刺络拔罐联合常规针刺治疗肩周炎冻结期:随机对照试验 被引量:3
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作者 周添奕 韩清 +3 位作者 王锋 高鹏飞 朱洁 李璟 《中国针灸》 CAS CSCD 北大核心 2023年第8期911-915,共5页
目的:比较肩膊区刺络拔罐联合常规针刺与常规针刺治疗肩周炎冻结期的临床疗效。方法:将66例肩周炎冻结期患者随机分为联合组(31例)和针刺组(35例,脱落1例)。两组患者均予功能锻炼。针刺组患者取患侧肩髃、肩髎、臂臑、阿是穴等进行针刺... 目的:比较肩膊区刺络拔罐联合常规针刺与常规针刺治疗肩周炎冻结期的临床疗效。方法:将66例肩周炎冻结期患者随机分为联合组(31例)和针刺组(35例,脱落1例)。两组患者均予功能锻炼。针刺组患者取患侧肩髃、肩髎、臂臑、阿是穴等进行针刺治疗,隔日1次,每周针刺3次,共治疗4周。在针刺组治疗的基础上,联合组于患者肩膊区(天宗、臑俞、肩贞3穴连线区域内)行刺络拔罐治疗,每周1次,共治疗4周。比较两组患者治疗前后、治疗结束后6个月随访时美国加州大学(UCLA)肩关节评分、疼痛视觉模拟量表(VAS)评分及治疗前后压痛阈值,并评定两组患者治疗后、随访时的临床疗效。结果:治疗后、随访时,两组患者UCLA肩关节评分均较治疗前升高、VAS评分均较治疗前降低(P<0.05),且联合组UCLA肩关节评分高于针刺组、VAS评分低于针刺组(P<0.05)。治疗后,两组患者压痛阈值均较治疗前升高(P<0.05),且联合组高于针刺组(P<0.05)。治疗后、随访时,联合组愈显率分别为48.4%(15/31)和51.6%(16/31),均高于针刺组的23.5%(8/34)和23.5%(8/34,P<0.05)。结论:肩膊区刺络拔罐联合常规针刺能改善肩周炎冻结期患者肩关节功能、减轻肩关节疼痛,疗效优于常规针刺。 展开更多
关键词 肩周炎 冻结期 刺络拔罐 针刺 随机对照试验
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Effect of electroacupuncture at different time points on the recovery of gastrointestinal function after surgery for gastrointestinal malignant neoplasms 被引量:2
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作者 ZHOU Tianyi HUANG Siwei +8 位作者 GU Chongying WANG Wenjia GU Qunhao FENG Shouquan SUN Xuqiu WANG Ke LI Jing ZHOU Jia HONG Jue 《Journal of Acupuncture and Tuina Science》 CSCD 2022年第5期392-398,共7页
Objective To observe the effect of electroacupuncture(EA)at different time points during the perioperative period on the recovery of gastrointestinal function after gastrointestinal malignant neoplasms surgery.Methods... Objective To observe the effect of electroacupuncture(EA)at different time points during the perioperative period on the recovery of gastrointestinal function after gastrointestinal malignant neoplasms surgery.Methods Sixty-three patients who needed radical surgery for gastrointestinal tumors were randomized into a control group,treatment group 1(postoperative EA group),and treatment group 2(intraoperative and postoperative EA group).The control group received surgery and conventional Western medicine treatment,and treatment groups 1 and 2 received additional EA treatment at different time points.The initial flatus time after the surgery,visual analog scale(VAS)score at different time points after the surgery,the proportion of using patient-controlled analgesia(PCA)after the surgery,and the times of adding analgesics were observed in the three groups.Results The initial flatus time after the surgery was earlier in treatment groups 1 and 2 than in the control group(P<0.05);the difference between treatment groups 1 and 2 was statistically insignificant(P>0.05).The VAS score was lower in treatment group 2 than in the control group at 6,12,24,and 72 h after the surgery(P<0.05);the VAS score was lower in treatment group 1 than in the control group only at 72 h after the surgery(P<0.05).There were no significant differences in the rate of using PCA among the three groups(P>0.05).Regarding the times of adding analgesics,it was less in treatment group 2 than in the control group at 12 h after the surgery(P<0.05).Conclusion Either EA during and after the surgery or only after the surgery can hasten the initial flatus and boost the recovery of gastrointestinal function in patients after radical resection of gastrointestinal neoplasms.Successive EA during and after the surgery should be superior to postoperative EA regarding the analgesic effect after the surgery. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE Acupuncture Analgesia Acupuncture Anesthesia Postoperative Complications PAIN Pain Measurement Gastrointestinal Neoplasms
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