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电针联合西药改善急性期脑梗死偏瘫患者下肢运动功能及血液循环的临床研究 被引量:1
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作者 杨雪融 乔琳 +4 位作者 闫俊 张琳炘 高亚亚 郭华 洪珏(译) journal of acupuncture and tuina science CAS CSCD 2024年第3期232-238,共7页
目的:观察电针联合西药对急性脑梗死偏瘫患者下肢运动功能及血流变化的影响。方法:将符合纳入标准的100例急性缺血性中风合并下肢运动功能障碍的患者采用随机数字表法分为观察组和对照组,每组50例。对照组给予西药常规治疗,观察组在对... 目的:观察电针联合西药对急性脑梗死偏瘫患者下肢运动功能及血流变化的影响。方法:将符合纳入标准的100例急性缺血性中风合并下肢运动功能障碍的患者采用随机数字表法分为观察组和对照组,每组50例。对照组给予西药常规治疗,观察组在对照组药物治疗基础上加用电针治疗。治疗2周及4周后通过下肢Fugl-Meyer运动功能评估量表(FMA-LE)评分评估两组患者下肢运动功能恢复情况;采用多普勒评估患侧下肢胫后(PT)动脉和足背(DP)动脉峰值流速的变化。结果:研究过程中共3例患者脱落,最终观察组48例,对照组49例纳入数据统计。两组患者治疗2周及4周后FMA-LE评分、PT及DP动脉峰值流速均较治疗前提高(P<0.05)。治疗2周后,两组患者的FMA-LE评分、PT及DP动脉峰值流速比较无统计学差异(P>0.05)。治疗4周后,观察组FMA-LE评分明显高于对照组(P<0.05),患侧下肢PT、DP动脉峰值流速均高于对照组(P<0.05)。结论:电针联合西药治疗对急性脑梗死偏瘫患者的患侧下肢的运动功能和血流速度有明显改善作用。 展开更多
关键词 针刺疗法 电针 缺血性中风 中风后遗症 偏瘫 中风康复 下肢 血流速度
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温针灸结合推拿治疗颈性眩晕伴焦虑状态的疗效观察 被引量:1
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作者 顾尤 胡嘉威 +4 位作者 严月华 潘国良 董晓薇 曾亮 孔谐和(译) journal of acupuncture and tuina science CAS CSCD 2024年第3期239-245,共7页
目的:观察温针灸加推拿治疗对颈性眩晕伴焦虑患者临床症状和焦虑状态的影响。方法:将70例颈性眩晕伴焦虑状态的患者采用随机数字表法分成观察组和对照组,每组35例。在疾病宣教基础上,观察组予温针灸加推拿治疗,每周3次,对照组予甲磺酸... 目的:观察温针灸加推拿治疗对颈性眩晕伴焦虑患者临床症状和焦虑状态的影响。方法:将70例颈性眩晕伴焦虑状态的患者采用随机数字表法分成观察组和对照组,每组35例。在疾病宣教基础上,观察组予温针灸加推拿治疗,每周3次,对照组予甲磺酸倍他司汀片口服,每日3次。两组均治疗4周。观察两组治疗后颈性眩晕评估量表(ESCV)、焦虑自评量表(SAS)和汉密尔顿焦虑量表(HAMA)的评分变化。结果:研究过程中观察组有1例因不能配合治疗而脱落。观察组总有效率和愈显率分别为94.1%和50.0%,对照组分别为88.6%和8.6%,两组总有效率和愈显率差异均有统计学意义(P<0.05)。治疗后,两组患者的ESCV、SAS和HAMA评分均较治疗前明显下降(P<0.01),且观察组各项评分低于对照组(P<0.01或P<0.05)。结论:温针灸结合推拿能显著改善颈性眩晕伴焦虑状态患者的临床症状。 展开更多
关键词 温针疗法 推拿 按摩 眩晕 焦虑 身心共病 随机对照试验
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运动针法治疗缺血性中风后运动功能障碍的临床研究
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作者 周亮 马爽 +6 位作者 郑佩峰 李毅 东贵荣 鲍春龄 丁邦友 东红升 洪珏(译) journal of acupuncture and tuina science CAS CSCD 2024年第3期223-231,共9页
目的:观察运动针法治疗缺血性中风的临床疗效,以及对患者运动功能和日常生活能力的改善作用。方法:将106例脑梗死导致的肢体运动功能障碍患者随机分为试验组和对照组,每组53例。两组患者均给予常规康复治疗,对照组加用头穴透刺治疗,试... 目的:观察运动针法治疗缺血性中风的临床疗效,以及对患者运动功能和日常生活能力的改善作用。方法:将106例脑梗死导致的肢体运动功能障碍患者随机分为试验组和对照组,每组53例。两组患者均给予常规康复治疗,对照组加用头穴透刺治疗,试验组加用运动针法治疗。每周治疗3次,持续治疗4周。于治疗前、治疗2周和4周后,以及随访2个月时,采用Fugl-Meyer评估(FMA)量表、Lovett肌力评定量表、改良Ashworth量表(MAS)、日常生活活动(ADL)量表评分对患者运动功能、肌力、肌张力和日常生活能力进行评定。结果:治疗后两组运动功能和日常生活能力均提高;治疗4周后及随访2个月时试验组FMA及ADL评分高于对照组(P<0.05)。治疗后两组MAS评分均下降;治疗2周和4周后以及随访2个月时,试验组MAS评分低于对照组(P<0.05)。治疗后两组Lovett评分均提高;治疗4周后试验组Lovett评分高于对照组(P<0.05)。结论:在常规康复治疗基础上,运动针法与头穴透刺均能有效改善缺血性中风患者的运动功能,提高其日常生活能力;运动针法作用优于头穴透刺治疗。 展开更多
关键词 针刺疗法 透针 针刺运动疗法 百会 缺血性中风 中风后遗症 运动活动 日常生活活动
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Modulation effects of pressing manipulation on local inflammatory responses and ERK/NF-κB pathway in trigger point model rats
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作者 LIU Dan JIANG Quanrui +5 位作者 KUANG Xiaoxia PAN Jieling ZENG Li LI Jiangshan LIU Xiaowei LI WU journal of acupuncture and tuina science CAS CSCD 2024年第5期371-380,共10页
Objective:To investigate the mechanism of trigger point deactivation induced by pressing manipulation in a rat model and to explore its potential regulation of the inflammatory response through the extracellular signa... Objective:To investigate the mechanism of trigger point deactivation induced by pressing manipulation in a rat model and to explore its potential regulation of the inflammatory response through the extracellular signal-regulated kinase(ERK)/nuclear factor-κB(NF-κB)pathway.Methods:Fifty male Sprague-Dawley rats were randomly divided into a blank group,a model group,a pressing manipulation group,an ERK agonist group,and a pressing manipulation+ERK agonist group,with 10 rats in each group.Except for the blank group,rats in other groups were used to establish the trigger point rat model using the blunt blow combined with the eccentric exercise method.The pressing manipulation group underwent pressing manipulation intervention at the trigger points.The ERK agonist group received an injection of recombinant human epidermal growth factor via the tail vein.The pressing manipulation+ERK agonist group received interventions from both the pressing manipulation and ERK agonist groups.The pressure pain threshold(PPT)was measured by a mechanical pain threshold detector before and after the intervention.The histological changes were evaluated by hematoxylin-eosin staining after the intervention;the expression levels of ERK,phosphorylated ERK(p-ERK),NF-κB p65(p65),phosphorylated NF-κB p65(p-p65),and phosphorylated NF-κB inhibitor(p-IκB)were detected by Western blotting;the levels of interleukin(IL)-1β,IL-6,and tumor necrosis factor(TNF)-αwere detected by enzyme-linked immunosorbent assay.Results:The PPT increased(P<0.05);the inflammatory cells disappeared;the ratios of p-ERK/ERK,p-p65/p65,and p-IκB/β-actin,also the levels of IL-1β,IL-6,and TNF-αall decreased in the pressing manipulation group after the intervention compared with the model group(P<0.05).The PPT decreased significantly(P<0.05),the inflammatory cell presence increased,and the ratios of p-ERK/ERK and p-p65/p65 were elevated(P<0.05);additionally,the levels of IL-6 and TNF-αwere significantly higher in the pressing manipulation+ERK agonist group compared with the pressing manipulation group(P<0.05).The PPT was significantly lower(P<0.05),the inflammatory cell count was higher,the ratios of p-ERK/ERK and p-IκB/β-actin and the levels of IL-1βand TNF-αwere significantly higher in the ERK agonist group compared with the pressing manipulation+ERK agonist group(P<0.05).Conclusion:Pressing manipulation can effectively alleviate inflammation and pain in trigger point model rats,potentially by inhibiting the ERK/NF-κB signaling pathway. 展开更多
关键词 TUINA MASSAGE Pressing Manipulation Ashi Point Trigger Points ERK/NF-κB Signaling Pathway INFLAMMATION Rats
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Clinical observation of Tuina plus electroacupuncture for migraine due to liver-Yang hyperactivity
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作者 KE Meijia HU Yanping HE Shenghua journal of acupuncture and tuina science CAS CSCD 2024年第6期482-488,共7页
Objective: To observe the clinical efficacy of Tuina (Chinese therapeutic massage) plus electroacupuncture in treating migraine due to liver-Yang hyperactivity and the effects on the serum levels of calcitonin gene-re... Objective: To observe the clinical efficacy of Tuina (Chinese therapeutic massage) plus electroacupuncture in treating migraine due to liver-Yang hyperactivity and the effects on the serum levels of calcitonin gene-related peptide (CGRP) and prostaglandin (PG) E_(2). Methods: A total of 122 patients with migraine due to liver-Yang hyperactivity were recruited and randomized into a control group and an observation group, each consisting of 61 cases. The control group was given Tong Nao Huo Luo acupuncture (acupuncture treatment for unblocking brain collaterals), and the observation group was Tuina treatment focusing on cervical Ashi points in addition to the intervention received by the control group. Both groups were treated once daily for 21 consecutive days. When the intervention finished, the two groups were observed for changes in the headache score, symptom and sign scores of traditional Chinese medicine (TCM), the severity of impact on life, and serum CGRP and PGE_(2) levels. The clinical efficacy was compared after 21 d of treatment. Results: The observation group had a higher total effective rate than the control group, 90.2% versus 73.8% (P<0.05);after treatment, the headache and TCM symptom and sign scores decreased in both groups (P<0.05) and were lower in the observation group than in the control group (P<0.05);the migraine’s impact on life was less severe in the observation group than in the control group (P<0.05);the levels of serum CGRP and PGE_(2) dropped in the two groups (P<0.05) and were lower in the observation group (P<0.05). Conclusion: Tong Nao Huo Luo acupuncture can produce more significant efficacy in treating migraine due to liver-Yang hyperactivity when combined with cervical Tuina at Ashi points, better alleviating the headache, improving TCM symptoms and body signs, and reducing the impact of headache on life. The mechanism may be associated with inhibiting the expression of serum pain factors CGRP and PGE_(2). 展开更多
关键词 TUINA MASSAGE Acupuncture Therapy Points Ashi Calcitonin Gene-related Peptide Prostaglandin E_(2) Liver-Yang Hyperactivity MIGRAINE
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Mechanism of dorsal root ganglion SERT in electroacupuncture regulation of P2X3 receptor-mediated visceral hypersensitivity in IBS rats
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作者 HUANG Rong CHAI Jing +8 位作者 ZHOU Yun QIAO Yu WENG Zhijun WU Huangan LIU Huirong ZHU Lu MA Jindan ZHU Yi ZHANG Fang journal of acupuncture and tuina science CAS CSCD 2024年第6期435-446,共12页
Objective:To investigate the role of serotonin reuptake transporter(SERT)and P2X3 receptor of dorsal root ganglion(DRG)in regulating visceral hypersensitivity of rats with irritable bowel syndrome(IBS)by electroacupun... Objective:To investigate the role of serotonin reuptake transporter(SERT)and P2X3 receptor of dorsal root ganglion(DRG)in regulating visceral hypersensitivity of rats with irritable bowel syndrome(IBS)by electroacupuncture(EA).Methods:Male Sprague-Dawley and SERT^(-/-)rats were subjected to preparing IBS visceral hypersensitivity models with 2,4,6-trinitrobenzene sulfonic acid(TNBS)enema.Three weeks post-modeling,interventions including EA,intrathecal injection,and EA plus intrathecal injection were applied,respectively.Hematoxylin-eosin staining and abdominal withdrawal reflex(AWR)score were used to confirm the successful establishment of the IBS model.AWR score,whole-cell patch clamp technique,and Western blotting assay were used to evaluate the changes in visceral pain sensitivity,electrophysiological properties of DRG neurons,and the expression of DRG P2X3 receptor and SERT in IBS rats.Results:Compared to the model group,the AWR score in the EA group decreased significantly(P<0.05),the resting membrane potential(P<0.05)and the number of action potentials(P<0.05)of DRG neurons reduced,and the baseline intensity increased(P<0.05);additionally,the expression of P2X3 receptor in DRG decreased(P<0.01),and the SERT expression increased(P<0.05).Compared to the P2X3 receptor agonist group,the SERT protein expression in DRG was higher in the EA group.In SERT^(-/-)rats,the P2X3 receptor expression in DRG increased in the EA group compared to the model group(P<0.01).Conclusion:EA modulates the electrophysiological characteristics of intestinal primary sensory neurons by regulating the expression of SERT and P2X3 receptor in DRG of IBS rats.This modulation may contribute to the mechanism by which EA alleviates peripheral sensitization of visceral pain in IBS rats. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE Irritable Bowel Syndrome Visceral Hypersensitivity Visceral Pain Receptors Purinergic P2X3 Serotonin Reuptake Transporter RATS
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按揉配合隔药灸水道穴治疗分娩镇痛后产后尿潴留的临床观察
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作者 郭凤琴 位路其 +2 位作者 张锦聪 张晓芬 孔谐和(翻译) journal of acupuncture and tuina science CAS CSCD 2024年第2期154-159,共6页
目的:观察按揉配合隔药灸水道穴治疗分娩镇痛后产后尿潴留的临床疗效及对膀胱排尿功能的影响。方法:将154例分娩镇痛后产后尿潴留患者随机分成西药组和隔药灸组,每组77例。西药组采用甲硫酸新斯的明注射液足三里穴位注射;隔药灸组按揉... 目的:观察按揉配合隔药灸水道穴治疗分娩镇痛后产后尿潴留的临床疗效及对膀胱排尿功能的影响。方法:将154例分娩镇痛后产后尿潴留患者随机分成西药组和隔药灸组,每组77例。西药组采用甲硫酸新斯的明注射液足三里穴位注射;隔药灸组按揉水道穴后,应用自拟通泉散进行水道穴隔药灸治疗。两组均治疗1次,治疗后5 h评定临床疗效,并记录首次排尿时间、首次排尿量、平均尿流率、膀胱残余尿量、住院天数和费用。结果:隔药灸组总有效率及显效率均高于西药组(P<0.05),首次排尿时间和膀胱残余尿量短于或少于西药组(P<0.01),首次排尿量和平均尿流率均大于西药组(P<0.01)。两组住院天数及费用差异无统计学意义(P>0.05)。结论:按揉配合隔药灸水道穴能有效治疗分娩镇痛后产后尿潴留,并可显著改善膀胱排尿功能。 展开更多
关键词 推拿 按摩 按揉法 药饼灸疗法 水道 产后期 尿潴留 镇痛 产科
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Effects of rolling manipulation with different durations on erector spinae muscle tonus and low back pain in patients with lumbar muscle strain
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作者 DONG Wenyang SUN Wuquan +4 位作者 ZHU Qingguang ZHANG Shuaipan SHAN Yiming LIU Yuanhong CHEN Jintian journal of acupuncture and tuina science CAS CSCD 2024年第6期497-502,共6页
Objective:To observe the effects of rolling manipulation with different durations on erector spinae muscle tonus and low back pain in patients with lumbar muscle strain and to explore the best duration for rolling man... Objective:To observe the effects of rolling manipulation with different durations on erector spinae muscle tonus and low back pain in patients with lumbar muscle strain and to explore the best duration for rolling manipulation in treating lumbar muscle strain.Methods:A total of 75 patients who met the inclusion criteria were randomized into a 5-minute rolling manipulation group,a 10-minute rolling manipulation group,and a 15-minute rolling manipulation group using the random number table method,with 25 cases in each group.All three groups were treated with the same rolling manipulation,while the treatment time was 5 min,10 min,and 15 min,respectively.The treatment was performed 3 times a week for 2 consecutive weeks.The muscle tonus of bilateral erector spinae and visual analog scale(VAS)score for low back pain were compared among the three groups before and after treatment.Results:A total of 63 patients completed the study.Before treatment and after the last treatment,there were no statistical differences in the muscle tonus of the left erector spinae and right erector spinae among the three groups(P>0.05).After the last treatment,bilateral erector spinae muscle tonus dropped compared with the baseline in all three groups(P<0.01).Before treatment and after the last treatment,there were no significant differences in comparing the low back pain VAS score among the three groups(P>0.05).After the last treatment,the VAS score for low back pain in all three groups decreased(P<0.01).Conclusion:Under the condition that the forward swing force is 50-70 N,the backward swing force is 20-40 N,and the frequency is 138 times/min,the 5-minute rolling manipulation can significantly reduce the muscle tonus of erector spinae and relieve low back pain. 展开更多
关键词 TUINA MASSAGE Rolling Manipulation Muscle Tonus Low Back Pain Sprains and Strains Pain Measurement Dose-response Relationship
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手捻针针刺对糖尿病神经源性膀胱大鼠膀胱细胞凋亡的抑制作用
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作者 贺煜竣 苗芙蕊 +5 位作者 范郁山 林睿 覃宁婧 张卉 黄敬文 贺彩 journal of acupuncture and tuina science CAS CSCD 2024年第3期184-194,共11页
目的:通过测量膀胱组织中B细胞淋巴瘤白血病基因(Bcl)-2、Bcl-2-相关X蛋白(Bax)和caspase-3的蛋白和mRNA,以及α-平滑肌肌动蛋白(α-SMA)、转化生长因子(TGF)-β蛋白表达,探讨手捻针针刺对糖尿病神经源性膀胱(DNB)大鼠膀胱细胞凋亡的抑... 目的:通过测量膀胱组织中B细胞淋巴瘤白血病基因(Bcl)-2、Bcl-2-相关X蛋白(Bax)和caspase-3的蛋白和mRNA,以及α-平滑肌肌动蛋白(α-SMA)、转化生长因子(TGF)-β蛋白表达,探讨手捻针针刺对糖尿病神经源性膀胱(DNB)大鼠膀胱细胞凋亡的抑制作用。方法:腹腔注射链脲佐菌素(STZ)建立DNB大鼠模型。大鼠随机分为对照组、模型组和针刺组(MA组),每组10只。针刺组在造模后应用手法针刺。测量大鼠体质量、空腹血糖(FBG)、膀胱湿重,观察膀胱组织形态学;测定膀胱组织中Bcl-2、Bax和caspase-3的蛋白和mRNA,以及α-SMA和TGF-β蛋白的表达水平,并评估膀胱细胞凋亡指数。结果:注射STZ后,与对照组相比,模型组和MA组均从第3周开始显示出较高的FBG,从第9周开始显示出较低的体质量(P<0.05),且膀胱湿重较高(P<0.05)。与模型组比较,MA组显示出较低的膀胱湿重(P<0.05)。组织病理学评估表明,针刺改善了膀胱组织中肌纤维排列紊乱和逼尿肌细胞代偿性肥大。此外,与对照组相比,模型组和MA组凋亡指数均显著升高(P<0.05);模型组和MA组大鼠膀胱组织中Bax和caspase-3蛋白及mRNA、TGF-β蛋白表达量显著升高(P<0.05),大鼠膀胱组织中Bcl-2蛋白及mRNA、α-SMA蛋白表达量显著降低(P<0.05)。与模型组比较,MA组凋亡指数显著降低(P<0.05);大鼠膀胱组织Bax和caspase-3蛋白及mRNA、TGF-β蛋白表达量显著降低(P<0.05);Bcl-2蛋白及mRNA、α-SMA蛋白表达量显著升高(P<0.05)。结论:手捻针针刺可以通过抑制膀胱细胞过度凋亡保护DNB大鼠膀胱,这可能与其下调Bax和caspase-3蛋白和mRNA以及TGF-β蛋白表达,上调Bcl-2蛋白和mRNA以及α-SMA蛋白表达有关。 展开更多
关键词 针刺疗法 手捻针 糖尿病 膀胱 神经源性 B细胞淋巴瘤白血病基因-2 Bcl-2-相关X蛋白 CASPASE-3 大鼠
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Clinical observation of auricular needle-embedding therapy for primary insomnia
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作者 GENG Tingting LIU Yongtao +3 位作者 JIANG Jinfeng GUO Kang ZHANG Chuqiong FENG Yu journal of acupuncture and tuina science CAS CSCD 2024年第5期393-399,共7页
Objective:To observe the clinical efficacy of auricular needle-embedding therapy for treating primary insomnia.Methods:A total of 63 patients were randomly divided into a conventional acupuncture group and an auricula... Objective:To observe the clinical efficacy of auricular needle-embedding therapy for treating primary insomnia.Methods:A total of 63 patients were randomly divided into a conventional acupuncture group and an auricular needleembedding group.The conventional acupuncture group received acupuncture at meridian points,while the auricular needle-embedding group received acupuncture at auricular points.Treatments were given once a day for 6 consecutive days,followed by a 1-day break,as a course of treatment.Both groups were treated for 2 courses.Before treatment,and after 1 course and 2 courses of treatment,the Pittsburgh sleep quality index(PSQI)score was assessed,and the efficacy was evaluated.Results:The cured and markedly effective rate and total effective rate of the auricular needle-embedding group were higher than those of the conventional acupuncture group,but there was no significant difference between the two groups(P>0.05).After 1 course of treatment,the PSQI global score and the scores of subjective sleep quality,sleep latency,sleep duration,habitual sleep efficiency,and daytime dysfunction of both groups decreased compared with those before treatment(P<0.01);there was no statistical significance in comparing the PSQI global score and individual component scores between the two groups(P>0.05).After 2 courses of treatment,the PSQI global score and the scores of sleep latency and habitual sleep efficiency of the auricular needle-embedding group decreased compared with those after 1 course of treatment(P<0.01 or P<0.05),while only the score of sleep latency of the conventional acupuncture group decreased compared with that after 1 course of treatment(P<0.05);the PSQI global score and the scores of subjective sleep quality and sleep latency of the auricular needle-embedding group were lower than those of the conventional acupuncture group(P<0.05).Conclusion:Both therapies can improve insomnia.Compared to conventional acupuncture,auricular needleembedding therapy demonstrates a therapeutic advantage in improving sleep latency and sleep quality,making it worthy of clinical promotion. 展开更多
关键词 Auricular Points Auricular Needle-embedding Therapy Intradermal Needle Therapy INSOMNIA Sleep Quality Auricular Vagus Nerve Pittsburgh Sleep Quality Index Randomized Controlled Trial
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振腹对幼龄厌食模型大鼠外周血中胃肠激素及胃肠动力的影响
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作者 周玲 张岩 +4 位作者 谷楠 白卫杰 杨丽芸 李进龙 杨燕萍(翻译) journal of acupuncture and tuina science CAS CSCD 2024年第2期104-110,共7页
目的:观察振腹对厌食症模型大鼠的治疗作用及对其外周血中八肽胆囊收缩素(CCK-8)和胃动素(MTL)含量的影响。方法:按照随机数字表法将40只幼龄大鼠进行分组,分为正常组10只和造模组30只。正常组给予普通饲料喂食。造模组采用病因模拟法... 目的:观察振腹对厌食症模型大鼠的治疗作用及对其外周血中八肽胆囊收缩素(CCK-8)和胃动素(MTL)含量的影响。方法:按照随机数字表法将40只幼龄大鼠进行分组,分为正常组10只和造模组30只。正常组给予普通饲料喂食。造模组采用病因模拟法构建厌食症模型,造模3周后将其随机分为药物组、振腹组和模型组,每组10只。药物组按0.72 g/(kg·bw)剂量给予健胃消食片灌胃(将0.72 g药物用纯水配制成10 mL药液);正常组和模型组每天上午灌服等体积纯水1次;振腹组予以振腹治疗,每日1次,共治疗21次。检测各组大鼠体质量、摄食量、外周血CCK-8、MTL、胃泌素(GAS)及神经降压素(NT)的含量和小肠推进率。结果:与模型组相比,振腹组与药物组的体质量和摄食量、血清MTL及GAS含量和小肠推进率明显提高,血浆CCK-8、NT含量及胃残留率降低,差异具有统计学意义(P<0.05);但振腹组与药物组比较无统计学差异(P>0.05)。结论:振腹可增加厌食症模型大鼠的进食量和体质量,减少胃内容物的残留,提高小肠推进率,对厌食症具有较好的治疗作用。其作用机理可能与抑制血浆CCK-8和NT分泌,促进血清MTL和GAS释放有关。 展开更多
关键词 推拿 按摩 腹部 振法 胃动素 八肽胆囊收缩素 厌食症 大鼠
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Clinical observation of body acupuncture combined with FANG’s scalp acupuncture for limb dysfunction in the remission stage of stroke
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作者 AI Xiao HU Dan +5 位作者 LIU Jing DU Panpan KANG Rong CAI Chaoqun AI Kun LIU Xiaoyu journal of acupuncture and tuina science CAS CSCD 2024年第5期410-416,共7页
Objective:To observe the clinical efficacy of body acupuncture combined with FANG’s scalp acupuncture in treating limb dysfunction in the remission stage of stroke and explore the mechanism.Methods:Sixty patients in ... Objective:To observe the clinical efficacy of body acupuncture combined with FANG’s scalp acupuncture in treating limb dysfunction in the remission stage of stroke and explore the mechanism.Methods:Sixty patients in the remission stage of stroke with limb dysfunction were divided into a control group and a treatment group using the random number table method,with 30 cases in each group.The control group was treated with ordinary acupuncture based on the conventional rehabilitation treatment,and the treatment group was additionally offered FANG’s scalp acupuncture.The interventions were conducted once daily with 10 sessions as 1 course.The Fugl-Meyer assessment(FMA)and Barthel index(BI)scores and serum malondialdehyde(MDA)and superoxide dismutase(SOD)levels were compared after 2 treatment courses,and the clinical efficacy was evaluated.Results:After treatment,the FMA and BI scores increased in both groups(P<0.05)and were higher in the treatment group than in the control group(P<0.05).Both groups showed a decreased MDA level and an increased SOD level after the intervention,all showing statistical significance(P<0.05);there were significant differences between the two groups(P<0.05).Conclusion:Based on the conventional rehabilitation treatment,ordinary acupuncture used alone or in combination with FANG’s scalp acupuncture can lower the oxidative stress level and improve limb function in treating limb dysfunction in the remission stage of stroke;body acupuncture plus FANG’s scalp acupuncture can produce better results. 展开更多
关键词 Acupuncture Therapy Body Acupuncture Scalp Acupuncture FANG’s Scalp Acupuncture STROKE Poststroke Syndrome Limb Dysfunction Oxidative Stress
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毫针配合火针治疗风寒阻络型神经根型颈椎病临床观察
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作者 王丽娜 梁瑞丽 +3 位作者 程海英 杨继军 肖宁安 张馥晴(翻译) journal of acupuncture and tuina science CAS CSCD 2024年第2期140-146,共7页
目的:观察毫针配合火针治疗风寒阻络型神经根型颈椎病(CR)的临床疗效。方法:将60例风寒阻络型CR患者随机分为观察组和对照组,每组30例。对照组采用常规毫针针刺治疗,观察组在对照组治疗方法基础上加用火针点刺治疗。治疗前及治疗1、2、3... 目的:观察毫针配合火针治疗风寒阻络型神经根型颈椎病(CR)的临床疗效。方法:将60例风寒阻络型CR患者随机分为观察组和对照组,每组30例。对照组采用常规毫针针刺治疗,观察组在对照组治疗方法基础上加用火针点刺治疗。治疗前及治疗1、2、3、4周共5个时间点进行疼痛视觉模拟量表(VAS)和田中靖久颈椎病症状20分量表(YT-20)评分,测量压痛阈,采用红外热像仪测量局部皮肤温度;治疗后进行安全性评价。结果:治疗后各时间点观察组VAS评分均低于同时间点对照组(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于对照组(P<0.05)。观察组治疗后各时间点VAS评分均低于治疗前(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于治疗前(P<0.05)。治疗3周和4周后,对照组VAS评分均低于治疗前(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于治疗前(P<0.05)。两组VAS和YT-20评分、压痛阈值及局部皮肤温度值的组别因素效应均具有统计学意义(P<0.05)。时间及时间与组别交互效应均无统计学意义(P>0.05)。结论:毫针配合火针或毫针单独使用均可缓解风寒阻络型CR患者的颈部疼痛症状,改善颈部温度;毫针配合火针治疗起效更迅速,疗效更好。 展开更多
关键词 针刺疗法 火针疗法 风寒阻络型 颈椎病 神经根病 痛阈 视觉模拟量表 温度记录法
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针刺联合穴位注射对盘源性腰痛患者镇痛效果的临床研究
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作者 曾巧 楚福明 +1 位作者 牟子欣 周旗旗 journal of acupuncture and tuina science CAS CSCD 2024年第4期320-325,共6页
目的:观察针刺联合维生素B12穴位注射对盘源性腰痛患者疼痛程度的影响,并分析其可能机制。方法:选取96例盘源性腰痛患者,将其按照随机数字表法分为两组,对照组予以针刺治疗,联合组在对照组基础上加用维生素B12穴位注射。两组均治疗2周... 目的:观察针刺联合维生素B12穴位注射对盘源性腰痛患者疼痛程度的影响,并分析其可能机制。方法:选取96例盘源性腰痛患者,将其按照随机数字表法分为两组,对照组予以针刺治疗,联合组在对照组基础上加用维生素B12穴位注射。两组均治疗2周。治疗前、治疗1周及2周后比较疼痛视觉模拟量表(VAS)和Oswestry功能障碍指数(ODI)评分;治疗前后比较血清炎性因子[肿瘤坏死因子(TNF)-α和白介素(IL)-6]、血清β-内啡肽(β-EP)以及前列腺素(PG)E2水平。治疗后比较两组不良反应情况及临床疗效。结果:联合组总有效率高于对照组(P<0.05)。联合组治疗1周及治疗2周后的VAS评分及ODI评分均低于同时间点对照组(P<0.05)。联合组治疗后血清TNF-α、IL-6及PGE2水平均低于对照组(P<0.05),血清β-EP水平高于对照组(P<0.05)。两组不良反应总发生率比较无统计学差异(P>0.05)。结论:针刺联合维生素B12穴位注射能减轻盘源性腰痛患者的疼痛程度,促进功能恢复;降低血清TNF-α、IL-6及PGE2水平,提高血清β-EP水平可能是其部分作用机制。 展开更多
关键词 针刺疗法 水针疗法 椎间盘 腰痛 针刺镇痛 Β-内啡肽 前列腺素 随机对照试验
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贾春生教授治疗肘管综合征临床经验总结
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作者 侯献兵 张海燕 +3 位作者 刘淑彦 赵建勇 贾春生 洪珏(翻译) journal of acupuncture and tuina science CAS CSCD 2024年第2期167-172,共6页
总结贾春生教授采用耳针沿皮透刺法、普通针刺、火针、中药内服等多种中医疗法论治肘管综合征的临床经验,传承其分经、分期论治,重视患者体质状态,兼顾整体治疗的学术特色,从而为肘管综合征的科普教育和临床治疗提供参考。
关键词 针刺疗法 针灸疗法 耳针 火针疗法 针药并用 肘管综合征 名医经验 贾春生
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基于IL-9/IL-9R途径研究针灸保护DSS诱导的UC大鼠肠黏膜屏障的作用机制
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作者 黄艳 孙可鑫 +10 位作者 徐静 马喆 赵继梦 李灵杰 赵琛 杨玲 李峰 刘雅楠 张玥 吴璐一 黄儒德 journal of acupuncture and tuina science CAS CSCD 2024年第2期91-103,共13页
目的:观察针灸对溃疡性结肠炎(UC)大鼠结肠组织肠黏膜白细胞介素(IL)-9/IL-9受体(IL-9R)的调节作用,探讨针灸对UC大鼠肠黏膜屏障的保护机制。方法:将雄性Sprague-Dawley大鼠随机分为正常组和造模组。造模组先予以4%葡聚糖硫酸钠(DSS)水... 目的:观察针灸对溃疡性结肠炎(UC)大鼠结肠组织肠黏膜白细胞介素(IL)-9/IL-9受体(IL-9R)的调节作用,探讨针灸对UC大鼠肠黏膜屏障的保护机制。方法:将雄性Sprague-Dawley大鼠随机分为正常组和造模组。造模组先予以4%葡聚糖硫酸钠(DSS)水溶液连续自由饮用7 d。大鼠UC模型构建成功后,将造模组大鼠随机分为模型组、隔药灸组和电针组。隔药灸组和电针组分别接受隔药灸和电针双侧天枢穴干预,每日1次,连续干预7 d。采用苏木素-伊红(HE)染色法观察大鼠结肠组织病理学变化并评分;采用酶联免疫吸附测定法测定血清中IL-9、IL-6、IL-1β和血红蛋白H(HbH)的蛋白含量;采用免疫印迹法或免疫组化法检测大鼠结肠组织IL-9、IL-9R、claudin-2、紧密连接蛋白1(ZO-1)和occludin的蛋白表达;采用免疫荧光法检测PU.1、CD4与IL-9蛋白共表达。结果:与正常组比较,模型组大鼠结肠组织损伤严重,出现大面积的溃疡,伴有充血水肿,结肠组织病理学评分显著升高(P<0.01),血清HbH浓度降低(P<0.01),血清中IL-9、IL-6和IL-1β蛋白含量均升高(P<0.01),结肠组织中ZO-1和occludin蛋白表达降低(P<0.01),结肠组织中IL-9、IL-9R蛋白表达均增高(P<0.05),结肠组织中IL-9/PU.1和IL-9/CD4阳性共表达增加(P<0.05)。与模型组相比,隔药灸组和电针组大鼠结肠黏膜结构逐渐修复,可见愈合性溃疡,结肠组织病理学评分降低(P<0.05),血清HbH浓度增加(P<0.01),血清IL-9、IL-6和IL-1β蛋白含量均降低(P<0.05),结肠组织中ZO-1和occludin蛋白表达升高(P<0.05),结肠组织中IL-9、IL-9R蛋白表达降低(P<0.01),结肠组织中IL-9/PU.1和IL-9/CD4阳性共表达降低(P<0.05)。结论:隔药灸和电针均能通过调节转录因子PU.1抑制UC结肠组织中IL-9与IL-9R的蛋白表达,促进肠黏膜屏障修复,降低血清中促炎因子IL-9、IL-6和IL-1β的蛋白含量,这可能是针灸减轻UC结肠黏膜炎症,保护肠黏膜屏障的关键机制之一。 展开更多
关键词 针刺疗法 电针 药饼灸疗法 天枢 结肠炎 溃疡性 肠黏膜屏障 白细胞介素9 大鼠
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阴阳调衡针法结合推拿治疗中风后抑郁临床研究
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作者 李兰竹 陈欣 +4 位作者 葛成成 叶清华 樊伟 刘建浩 张馥晴(译) journal of acupuncture and tuina science CAS CSCD 2024年第3期214-222,共9页
目的:观察阴阳调衡针法结合推拿治疗中风后抑郁(PSD)的临床疗效。方法:将72例PSD患者按随机数字表法分为针推组和西药组,每组36人。西药组给予盐酸氟西汀胶囊治疗,针推组予阴阳调衡针法结合推拿治疗,两组均治疗4周。治疗后比较两组临床... 目的:观察阴阳调衡针法结合推拿治疗中风后抑郁(PSD)的临床疗效。方法:将72例PSD患者按随机数字表法分为针推组和西药组,每组36人。西药组给予盐酸氟西汀胶囊治疗,针推组予阴阳调衡针法结合推拿治疗,两组均治疗4周。治疗后比较两组临床疗效,观察汉密尔顿抑郁量表(HAMD)评分、美国国立卫生院脑卒中量表(NIHSS)评分、血清神经递质水平和脑电图的变化情况。结果:西药组与针推组总有效率分别为83.3%和94.4%。两组总有效率有统计学差异(P<0.05)。治疗后,两组血清5-羟色胺(5-HT)、去甲肾上腺素(NE)和多巴胺(DA)水平均较本组治疗前显著升高,组内差异均有统计学意义(P<0.05);针推组血清5-HT、DA及NE水平显著高于西药组,组间差异有统计学意义(P<0.05)。治疗后两组HAMD和NIHSS评分均较治疗前显著降低,组内差异有统计学意义(P<0.05);针推组评分均显著低于西药组,组间差异有统计学意义(P<0.05)。治疗后两组脑电图慢波化比率(DTABR)及δ/β比率(DBR)均较治疗前显著降低,组内差异有统计学意义(P<0.05),且针推组均显著低于西药组,组间差异有统计学意义(P<0.05)。结论:阴阳调衡针法结合推拿治疗PSD患者效果优于口服盐酸氟西汀胶囊,可提高血清5-HT、DA及NE水平,调节脑电波。 展开更多
关键词 针刺疗法 阴阳调衡针法 推拿 按摩 中风后遗症 抑郁 脑电图 神经递质
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Effects of electroacupuncture at Fengchi(GB20)on motor function and GFAP/NeuN expression around the ischemic tissue of the motor cortex in MCAO rats
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作者 CHEN Lüjia HAO Lingyu +1 位作者 ZHANG Yingjie XU Mingshu journal of acupuncture and tuina science CAS CSCD 2024年第5期363-370,共8页
Objective:To investigate the potential mechanism of electroacupuncture(EA)at bilateral Fengchi(GB20)in treating cerebral ischemia-reperfusion injury and to provide a scientific basis for future experimental research a... Objective:To investigate the potential mechanism of electroacupuncture(EA)at bilateral Fengchi(GB20)in treating cerebral ischemia-reperfusion injury and to provide a scientific basis for future experimental research and clinical applications.Methods:Forty male specific-pathogen-free Sprague-Dawley rats were randomly divided into four groups:a normal group,a normal with EA group,a model group,and a model with EA group,with 10 rats in each group.The normal group received no intervention.The normal with EA group received EA at bilateral Fengchi(GB20).The model group underwent middle cerebral artery occlusion(MCAO)using the suture.The model with EA group underwent MCAO and received EA at bilateral Fengchi(GB20).Cerebral blood flow was monitored using a laser Doppler cerebral blood flow meter.Neurologic damage was assessed using the neurologic deficit score,and motor ability was observed using the CatWalk gait system.The expression of glial fibrillary acidic protein(GFAP)and neuronal nuclei(NeuN)protein,the neuron markers,was detected by Western blotting.The protein expression levels of GFAP and NeuN,as well as the number of positive cells in the motor cortex,were detected using immunofluorescence.Results:Compared to the normal group,the cerebral blood flow values in the model group and the model with EA group decreased by more than 50%during the modeling process(P<0.01)and returned to pre-modeling levels after reperfusion(P>0.05).The neurologic deficit score increased(P<0.05),the average motor velocity decreased(P<0.05),GFAP protein expression and the number of positive cells in the motor cortex increased(P<0.05),and the NeuN protein expression and the number of positive cells decreased(P<0.05)in the model group.Compared to the model group,the neurologic deficit score decreased(P<0.05),the average motor velocity accelerated(P<0.05),GFAP and NeuN protein expression and the number of positive cells in the motor cortex increased(P<0.01)in the model with EA group.Conclusion:EA at bilateral Fengchi(GB20)can reduce neuronal loss and increase GFAP and NeuN protein expression in the motor cortex of rats after ischemia-reperfusion,improve the motor function after ischemic stroke,and accelerate the recovery of balance and stability of the affected limbs. 展开更多
关键词 ELECTROACUPUNCTURE Point Fengchi(GB20) Brain Ischemia Reperfusion Injury Cerebrovascular Circulation Motor Function Glial Fibrillary Acidic Protein Rats
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逆灸神阙、关元对痛经大鼠脊髓背角和下丘脑BDNF-TrkB通路的影响
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作者 孟祥云 梁玉磊 +7 位作者 王迪 张璇 孙艳秋 邢彦雪 赵志国 马小顺 李新华 杨燕萍(译) journal of acupuncture and tuina science CAS CSCD 2024年第3期195-203,共9页
目的:观察逆灸神阙、关元对寒湿凝滞型痛经大鼠的镇痛效果,以及对P物质(SP)、前列腺素(PG)F_(2α)及PGE_(2)的影响,探讨其镇痛机制。方法:将64只雌性Wistar未孕大鼠随机分为空白组、模型组、西药物及逆灸组,每组16只。大鼠动情间期每组... 目的:观察逆灸神阙、关元对寒湿凝滞型痛经大鼠的镇痛效果,以及对P物质(SP)、前列腺素(PG)F_(2α)及PGE_(2)的影响,探讨其镇痛机制。方法:将64只雌性Wistar未孕大鼠随机分为空白组、模型组、西药物及逆灸组,每组16只。大鼠动情间期每组筛选出合格大鼠8只。除空白组外,其他三组使用冰水浴结合苯甲酸雌二醇复合缩宫素的方法建立寒湿凝滞型痛经模型。第8 d造模后,逆灸组温和灸神阙、关元穴治疗,西药组布洛芬溶液灌胃,连续4 d。至第11 d,干预组(即西药组和逆灸组)注射缩宫素后再治疗1次。计算大鼠扭体评分,测定痛阈;检测血清脑源性神经生长因子(BDNF)、SP、PGF_(2α)及PGE_(2)含量,检测脊髓背角及下丘脑中BDNF及其受体原肌球蛋白受体激酶B(TrkB)mRNA及蛋白表达。结果:与空白组比较,模型组扭体评分升高(P<0.01),痛阈降低(P<0.01);血清BDNF、SP及PGF_(2α)含量升高(P<0.01),PGE_(2)降低(P<0.01);脊髓背角及下丘脑中BDNF、TrkB蛋白及mRNA表达升高(P<0.01)。与模型组比较,逆灸组和西药组的扭体评分明显降低,痛阈升高,血清BDNF、SP、PGF_(2α)含量降低,PGE_(2)含量升高,脊髓背角及下丘脑中BDNF、TrkB蛋白及mRNA表达降低,组间差异均有统计学意义(P<0.01)。与西药组比较,逆灸组扭体评分降低,痛阈升高,血清BDNF、SP及PGF_(2α)含量降低,PGE_(2)含量升高,脊髓背角、下丘脑中BDNF、TrkB蛋白及mRNA表达显著降低,组间差异均有统计学意义(P<0.05或P<0.01)。结论:逆灸神阙、关元可改善寒湿凝滞型痛经大鼠痛觉敏化状态,下调脊髓背角和下丘脑BDNF、TrkB mRNA和蛋白表达;调节血清SP、PGF_(2α)和PGE_(2)含量可能是其部分作用机制。 展开更多
关键词 灸法 神阙 关元 痛经 BDNF P物质 前列腺素 大鼠
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三伏天隔药督灸治疗产后身痛:随机对照试验
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作者 海霞 冯倩 +4 位作者 陈家涟 王小霞 刘晓玥 赵中亭 张馥晴(译) journal of acupuncture and tuina science CAS CSCD 2024年第3期246-252,共7页
目的:观察三伏天隔药督灸治疗产后身痛的疗效。方法:将64例产后身痛患者随机分为观察组和对照组,每组32例。两组患者均予隔药督灸治疗,对照组在非三伏天进行,观察组在三伏天进行。两组均隔3 d灸1次,3次为1个疗程,共3个疗程。在治疗前、... 目的:观察三伏天隔药督灸治疗产后身痛的疗效。方法:将64例产后身痛患者随机分为观察组和对照组,每组32例。两组患者均予隔药督灸治疗,对照组在非三伏天进行,观察组在三伏天进行。两组均隔3 d灸1次,3次为1个疗程,共3个疗程。在治疗前、治疗后、治疗后1个月及冬至前后进行45区体表面积评分、视觉模拟量表(VAS)评分以评估患者疼痛范围及疼痛程度;采用修订版纤维肌痛综合征影响问卷调查(FIQR)对患者生活质量进行评估。治疗后比较两组临床疗效。结果:研究过程中观察组脱落2例,对照组剔除2例。治疗后观察组总有效率为93.3%,高于对照组的76.6%(P<0.05)。与治疗前比较,治疗后、治疗后1个月及冬至前后两组患者的疼痛部位个数、疼痛面积均减少(P<0.05),FIQR评分降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。与治疗前比较,观察组治疗后、治疗后1个月及冬至前后VAS评分均降低(P<0.01),且低于同时间点对照组(P<0.05)。结论:隔药督灸可改善产后身痛患者的疼痛范围与程度,提高患者的生活质量。在三伏天施灸的总体疗效优于在非三伏天治疗,且疗效更持久。 展开更多
关键词 灸法 伏天灸 督脉 冬病夏治 产后身痛 纤维肌痛 疼痛测评 随机对照试验
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