中医综合外治疗法治疗卒中后肩手综合征40例疗效观察

目的:观察中医综合外治疗法治疗卒中后肩手综合征(SHS)的临床疗效。方法:以针灸配合康复功能训练治疗SHS为对照组,以中医综合外治疗法(水针穴位注射、中药熏洗及局部温敷)配合康复功能训练SHS为治疗组,观察治疗80例卒中后并发SHS患者。结果:①治疗组总有效率90.0%,与对照组67.5%比较差异有显著性(P<0.05);②Ashworth评分与治疗前相比均有显著性差异(P<0.05),治疗组较对照组改善更明显,两组治疗后比较,有显著性差异(P<0.05);③治疗后治疗组对照组比较正中神经运动和感觉神传导动作电位波幅,波幅明显升高,差异有统计学意义(P<0.05)。结论:中医综合外治疗法治疗卒中后SHS可有效缓解瘫痪侧肢体的疼痛,消除皮肤出汗、发紫、发凉等现象,缩短病程,降低卒中患者的致残程度,提高患者的治愈好转率。

中医骨伤科对踝关节扭伤的认识及治疗方法

分析中医骨伤科对踝关节扭伤的认识以及治疗方法。方法 将2020年12月至2021年12月我院接收的50例踝关节扭伤病人作为研究对象,根据随机数字表法进行分组,将其分为实验组和参照组,每组各25例。参照组病人选择中药敷贴法进行治疗,实验组病人选择中医综合治疗法进行治疗,比较参照组和实验组病人的治疗效果,同时比较参照组和实验组病人的体征以及症状消失时间。结果 参照组病人的治疗有效率明显低于实验组病人的治疗有效率,差异较大(P<0.05);且参照组病人患处皮下瘀斑、肿胀、压痛以及疼痛的消失时间均长于实验组病人患处皮下瘀斑、肿胀、压痛以及疼痛的消失时间,差异较大(P<0.05)。结论 对于踝关节扭伤,中药敷贴法和中医综合治疗法均是中医骨伤科治疗此症状的方法。但相较于中药敷贴法,对踝关节扭伤病人实施中医综合治疗法,更能提升病人的治疗效果,并能更快的改善病人的皮下瘀斑、肿胀、以及疼痛的表现症状,具有较高的临床应用价值,值得推广。

Comparison of integrated Chinese and Western medicine with and without somatostatin supplement in the treatment of severe acute pancreatitis

AIM: To evaluate the therapeutic effect of the combined use of early short-term somatostatin and conventional integrated Chinese and Western medicine in treating severe acute pancreatitis. METHODS: Sixty patients with severe acute pancreatitis were divided at random into a somatostatin group and a basic treatment group. Both groups received integrated traditional Chinese and Western medicine without surgery. For patients in the somatostatin group, somatostatin was infused intravenously 250 μg/h for 72 h; other medications were the same as in the basic treatment group. In both groups, comparisons of therapeutic effectiveness were made in terms of morbidity of organic dysfunction and mortality rate, and severity of the disease according to serum levels of C-reaction protein, scores of acute physiology and chronic health evaluation (APACHE Ⅱ), and scores of Balthazar-CT. RESULTS: The indexes for C-reaction protein levels on the fourth and seventh clays, and APACHE II scores on the seventh day after treatment, were significantly improved in the somatostatin group than in the basic treatment group. The morbidity of organic dysfunction was lower in the somatostatin group than in the basic treatment group, although the difference was not statistically significant. There was no significant difference in mortality between the two groups. CONCLUSION: We conclude that combined traditional Chinese and Western medicines with an early short-term use of somatostatin can improve the condition of patients with severe acute pancreatitis.

Acupuncture for irritable bowel syndrome: A blinded placebo-controlled trial

AIM:Irritable bowel syndrome (IBS) is a common disorder and many patients fail to find adequate relief from conventional therapies for their symptoms. This study tests the claim that acupuncture is effective for a majority of these patients. METHODS: A prospective, blinded, sham acupuncture-controlled trial of traditional Chinese acupuncture was performed at a single postgraduate teaching hospital in Europe. Sixty patients with well-established IBS were recruited. The blinded comparator was sham acupuncture administered by the second of two acupuncturists who alone was aware of the randomization, and who otherwise followed the prescription of the first. The primary end-point was a defined fall in the symptom score at 13 wk (by intention to treat). The prior expectation was a 30% placebo response, and a response rate of 70% from acupuncture, for which the study was adequately powered. RESULTS: Patients in treated and sham groups improved significantly during the study-mean improvement in scores being equal (minus 1.9) and significant for both (P<0.05; one-tailed t test). There was a small numeric but nonsignificant difference between the response rate in patients receiving acupuncture (40.7%) and sham treatment (31.2%). Several secondary end-points marginally favored active treatment, but an improved symptom score of any degree of magnitude occurred more often with sham therapy (65.6% vs 59.2%). For no criterion was statistical significance approached. CONCLUSION: Traditional Chinese acupuncture is relatively ineffective in IBS in the European hospital setting, and the magnitude of any effect appears insufficient to warrant investment in acupuncture services.

Effect of a Traditional Chinese Medicine combined therapy on adolescent idiopathic scoliosis:a randomized controlled trial

OBJECTIVE:To evaluate the effectiveness of a combined Traditional Chinese Medicine(TCM) therapy versus conventional treatment on adolescent idiopathic scoliosis.METHODS:One hundred twenty outpatients with mild and moderate adolescent idiopathic scoliosis were randomly divided into a TCM group(TCMG)and a brace group(CG).TCMG patients underwent Daoyin,Tuina,and acupotomology therapies.CG patients were treated with a Milwaukee brace.Each patient's Cobb angle was measured after 12 and 24 months of treatment,and pulmonary function was determined after 12 months of treatment.Average electromyogram(AEMG) ratio of the surface electromyogram was measured after 6 and 12 months of treatment and followed-up after 18 and 24 months.RESULTS:The Cobb angle significantly decreased in both groups after 12 months of treatment compared with before treatment(P< 0.05).The percentages of original Cobb angle in TCMG and CG were51.4%and 47.8%(P > 0.05) after 12 months and62.5%and 34.7%(P < 0.05) after 24 months,respectively.Pulmonary function significantly improved after 12 months in TCMG(P < 0.05) but significantly decreased in CG(P < 0.05).The AEMG ratio was significantly lower(P < 0.01) and tended to remain at1 after stopping treatment in TCMG,but increased in CG(P<0.05).CONCLUSION:TCM combined therapy can prevent the progression of scoliosis.The AEMG ratio is a promising index that could replace radiography in the evaluation of treatment effect and progression in scoliosis.