温针治疗神经根型颈椎病疗效观察

目的采用麦吉疼痛询问量表(McGill Pain Questionnaire, MPQ)观察陆氏温针治疗神经根型颈椎病的临床疗效。方法采用随机、对照的研究方法,将患者随机分为针刺组、温针组和温针补泻组。3组均选择风池、天柱、大杼、列缺作为针刺穴位,隔日治疗1次。比较各组患者的临床疗效及治疗前、治疗中期、治疗结束及治疗随访1个月后的MPQ评分,主要观察Mc Gill总评分、PRI评分、VAS评分和PPI评分。结果针刺组、温针组和温针补泻组的总有效率分别为85.3%、94.3%和97.1%,温针补泻组优于针刺组(P<0.05)。3组McGill总评分、PRI评分、PRI情感项评分、VAS评分和PPI评分治疗后各时间点与治疗前比较,均显著减低(P<0.05);3组PRI感觉项评分治疗结束和随访1个月后与治疗前比较均显著降低(P<0.05)。在降低Mc Gill总评分、PRI评分、PRI感觉项评分和PPI评分方面,温针补泻组优于温针组和针刺组(P<0.05);在降低PRI情感项评分、VAS评分方面,温针补泻组、温针组优于针刺组(P<0.05)。结论单纯针刺、温针、温针结合补泻手法治疗神经根型颈椎病均有一定疗效,温针结合补泻手法的整体疗效更好。

基于GDAL数据处理方法在海底地形上的应用

目前,对于海洋地形数据的处理主要采用surfer、Matlab、CDO等工具,但这种方法无法应用于Web平台和桌面端程序开发,故本文提出利用开源地理信息库GDAL进行海底地形数据处理方法的应用。通过与商业软件处理结果进行对比验证,海洋地形数据处理结果质量近似相同,具有较好的应用效果。

电针“骶四穴”治疗前列腺癌术后中重度压力性尿失禁疗效观察

目的:比较电针“骶四穴”与经尿道铒激光治疗前列腺癌术后中重度压力性尿失禁的临床疗效。方法:将68例前列腺癌术后中重度压力性尿失禁患者根据就诊地点分为电针组(34例)和铒激光组(34例,脱落3例)。电针组予电针“骶四穴”(双侧骶尾关节旁开0.5寸点及会阳穴)治疗,连续波,频率2 Hz,每次60 min,隔日1次,每周3次,治疗12次为一疗程;铒激光组采用经尿道铒激光技术治疗,每4周治疗1次为一疗程。两组均治疗5个疗程。分别于治疗前、治疗各个疗程及治疗后1、2个月随访时,观察两组患者国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)及尿失禁生活质量问卷(I-QOL)评分,并于治疗后评定两组临床疗效。结果:与治疗前比较,两组患者治疗5个疗程及治疗后1、2个月随访时ICI-Q-SF评分降低、I-QOL评分升高(P<0.01);与治疗5个疗程比较,铒激光组治疗后2个月随访时ICI-Q-SF评分升高(P<0.05)。治疗3、4、5个疗程及治疗后1、2个月随访时,电针组ICI-Q-SF评分低于铒激光组(P<0.05,P<0.01);治疗2、3、4、5个疗程及治疗后1、2个月随访时,电针组I-QOL评分高于铒激光组(P<0.01)。电针组治疗各个疗程ICI-Q-SF及I-QOL评分较治疗前的变化幅度均大于铒激光组(P<0.01,P<0.05)。电针组总有效率为61.8%(21/34),高于铒激光组的19.4%(6/31,P<0.01)。结论:电针“骶四穴”与经尿道铒激光治疗均可改善前列腺癌术后中重度压力性尿失禁患者临床症状,提高其生活质量,电针治疗近期、远期疗效均优于铒激光技术。

电针神经刺激疗法治疗间质性膀胱炎/膀胱疼痛综合征临床疗效分析

目的:探讨电针神经刺激疗法治疗间质性膀胱炎/膀胱疼痛综合征(IC/PBS)的临床疗效。方法:将68例IC/PBS患者随机分为观察组和对照组,每组34例。观察组采用电针神经刺激疗法治疗,腹四穴、骶四穴左右两穴分别连接一对电极,腹四穴、骶四穴隔天交替治疗,每周治疗3次,每次治疗50 min,共治疗3个月;对照组采用肝素钠+利多卡因+碳酸氢钠+硫酸庆大霉素四联药物膀胱灌注治疗,每周灌注2次,灌注6～8周,之后每月2次,灌注3个月,灌注液保留1 h后排出。两组患者分别在治疗前、治疗1、3个月及治疗后6个月记录O’Leary-Sant评分[间质性膀胱炎症状指数(ICSI)、间质性膀胱炎问题指数(ICPI)评分]、24h排尿次数、视觉模拟量表(VAS)评分及最大膀胱容量,并观察治疗期间不良反应。结果:两组患者治疗1、3个月及治疗后6个月时O’Leary-Sant(ICSI、ICPI)评分、24 h排尿次数、VAS评分及最大膀胱容量,与治疗前相比均有所改善(均P<0.05);观察组ICSI评分、ICPI评分、VAS评分、24 h排尿次数与对照组比较均明显降低,差异均有统计学意义(P<0.05);观察组最大膀胱容量与对照组比较均明显增加(P<0.05)。治疗后6个月随访,观察组总有效率为87.5%(28/32),高于对照组的69.7%(23/33,P<0.01)。所有患者在治疗期间均未发生明显的不良事件。结论:电针神经刺激疗法能有效缓解间质性膀胱炎/膀胱疼痛综合征患者的临床症状,其远期疗效有待进一步观察。

Electroacupuncture Pudendal Nerve Stimulation and Its Application

Voiding dysfunction,such as urge-frequency syndrome,urge incontinence,stress incontinence and unobstructive urinary retention,is often refractory to pharmacotherapy.Electrical neuromodulation has proved to be beneficial for these situations.Electroacupuncture pudendal nerve stimulation(EPNS),as one therapy of electrical neuromodulation,is beneficial for voiding dysfunction.The performance and application of EPNS will be introduced in this article.

Treatment Frequency and Long-term Efficacy Observation on Electric Pudendal Nerve Stimulation for Stress Urinary Incontinence

Objective: To observe the effect of different treatment frequency of electric pudendal nerve stimulation (EPNS) on stress urinary incontinence (SUI). Methods: A total of 60 female SUI cases were randomly allocated into group A and group B, 30 in each group. Cases in both groups were treated with EPNS, 3 times a week for group A, versus twice a week for group B. Then clinical symptoms, stress urinary incontinence and quality of life (QOL) were assessed respectively before treatment and after 12 times of treatment by using questionnaire. In addition, for 99 cases whose clinical symptom scores were reduced by more than 50% after EPNS treatment, a telephone interview follow-up was conducted. Results: The cases in the treatment group were better than those in the control group in the enhancement of clinical effects, the decline of VAS scores and the improvement of clinical symptoms and sign integrals, with statistical significance (P<0.01 or P<0.05). Conclusion: EPNS has positive effect for female SUI; different treatment frequencies have certain impact on clinical effect: the effect achieved by 3 times a week was better than that by twice a week; and this therapy has stable long-term effect.

Curative Effect of Special Acupuncture Techniques on Female Urethral Syndrome and its Relationship with the Course of Treatment

Purpose To observe the curative effect of special acupuncture techniques on female urethral syndrome and its relationship with the course of treatment.Method Four abdominal and four sacral empirical points were acupunctured with special techniques and electricity. A difference in curative effect was investigated between different numbers of treatments. Results The clinical cure rate reached 15.2% just after ≤ 10 (7.3 ± 1.3) treatments. The curative effect was significantly better after 20-40 (32.1 ± 5.8) treatments than after ≤ 10 (7.3± 1.3) treatments (χ2 = 10.086, P ＜0.05). The clinical cure rate reached 43.5% in the former. Conclusion Special acupuncture techniques have a good clinical effect on female urethral syndrome. The curative effect improves with an increase in the number of treatments.

Analysis of the Frequency of Clinical Acupoint Use Based on ‘Traditional Chinese Medical Acupuncture-moxibustion Information Databank'

The frequencies of use of 361 human acupoints in 74 academic journals of traditional Chinese medicine published between 1949 and 2010 are arranged in order using ‘Traditional Chinese Medical Acupuncturemoxibustion Information Databank'. The frequencies of use are divided into five grades: most frequent use, more frequent use, frequent use, less frequent use and infrequent use. The most frequently used acupoints and infrequently used acupoints are summarized and analyzed to help point selection for clinical acupuncture and selection of acupuncture research projects in the future.