目的 观察针药并用治疗肺部手术后慢性咳嗽的临床疗效。方法 将60例肺部手术后慢性咳嗽患者随机分为治疗组和对照组,每组30例。对照组口服复方甲氧那明胶囊治疗,治疗组在对照组基础上采用针刺肺经腧穴治疗。比较两组治疗前后中文版莱斯...目的 观察针药并用治疗肺部手术后慢性咳嗽的临床疗效。方法 将60例肺部手术后慢性咳嗽患者随机分为治疗组和对照组,每组30例。对照组口服复方甲氧那明胶囊治疗,治疗组在对照组基础上采用针刺肺经腧穴治疗。比较两组治疗前后中文版莱斯特咳嗽问卷(Mandarin Chinese version of the Leicester cough questionnaire, LCQ-MC)评分、中医证候积分及各项炎性指标[血清白细胞介素-8(interleukin-8, IL-8)、肿瘤坏死因子-α(tumor necrosis factor, TNF-α)]的变化情况,并比较两组的临床疗效。结果 两组治疗后LCQ-MC评分较治疗前显著增加(P<0.01),中医证候积分较治疗前显著降低(P<0.01),且治疗组优于对照组(P<0.01)。两组治疗后血清IL-8和TNF-α水平均较治疗前显著降低(P<0.01),且治疗组低于对照组(P<0.01,P<0.05)。治疗组和对照组总有效率分别为86.7%和63.3%,两组比较差异有统计学意义(P<0.05)。结论 针药并用可有效改善肺部手术后慢性咳嗽的临床症状,提高临床疗效。展开更多
目的观察针刺四关穴和郄穴联合蠲痹汤治疗膝骨关节炎的临床疗效及对患者关节疼痛和关节功能的影响。方法选取100例膝骨关节炎患者,随机分为对照组(50例)和观察组(50例)。对照组予口服蠲痹汤治疗,观察组在对照组治疗基础上联合针刺四关...目的观察针刺四关穴和郄穴联合蠲痹汤治疗膝骨关节炎的临床疗效及对患者关节疼痛和关节功能的影响。方法选取100例膝骨关节炎患者,随机分为对照组(50例)和观察组(50例)。对照组予口服蠲痹汤治疗,观察组在对照组治疗基础上联合针刺四关穴和郄穴治疗。比较两组临床疗效,比较两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、西安大略与麦克马斯特大学骨关节炎指数(Western Ontario and McMaster Universities osteoarthritis index,WOMAC)评分和美国特种外科医院关节功能(Hospital for Special Surgery,HSS)评分,观察两组治疗前后骨代谢指标[血清骨钙素(osteocalcin,OC)和破骨细胞抑制因子(osteoclastogenesis inhibitory factor,OPG)]和炎症因子指标[血清白介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)和白介素-1(interleukin-1,IL-1)]的变化。结果观察组总有效率为94.0%,高于对照组的72.0%(P<0.05)。治疗后,两组VAS评分和WOMAC总分以及血清IL-6、TNF-α和IL-1水平均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05);两组HSS评分以及血清OC和OPG水平均较治疗前升高(P<0.05),且观察组高于对照组(P<0.05)。结论针刺四关穴和郄穴联合蠲痹汤治疗膝骨关节炎可有效减轻患者膝关节疼痛,改善膝关节功能及骨代谢水平,降低炎症因子水平,疗效优于单一中药治疗。展开更多
脾胃病是临床常见疾病,其中不乏寒热错杂于一身者,因此寒热并用法成为该类疾病的基本治疗原则。本文对刘长发教授寒热并用治疗脾胃病经验进行总结,认为寒热可分属不同脏腑,临床辨证治疗应区分仔细,使寒热药物能够药中病所,从而收获满意...脾胃病是临床常见疾病,其中不乏寒热错杂于一身者,因此寒热并用法成为该类疾病的基本治疗原则。本文对刘长发教授寒热并用治疗脾胃病经验进行总结,认为寒热可分属不同脏腑,临床辨证治疗应区分仔细,使寒热药物能够药中病所,从而收获满意的临床疗效。从“寒在脾胃,热在脾胃”、“寒在脾胃,热在肝胆”、“寒在脾胃,热在心”等方面分别进行论述,并举案例予以分析。病案中根据每个患者寒热所在的不同,给予不同方剂,并随证加减。Spleen and stomach diseases are common clinical diseases, many of which are mixed with cold and heat, so the combination of cold and heat has become the basic treatment principle of this kind of diseases. This article summarized the experience of Professor Liu Changfa in the combined treatment of cold and heat diseases of spleen and stomach, and concluded that cold and heat can be classified into different viscera, and clinical differentiation and treatment should be carefully distinguished, so that cold and heat drugs can be used in medicine, so as to obtain satisfactory clinical effect. From the aspects of “cold in the spleen and stomach, heat in the spleen and stomach”, “cold in the spleen and stomach, heat in the liver and gallbladder”, “cold in the spleen and stomach, heat in the heart”, respectively, give cases to analyze. According to the different location of cold and heat of each patient, different prescriptions were given in the medical records, the increase and decrease with the syndrome.展开更多
文摘目的 观察针药并用治疗肺部手术后慢性咳嗽的临床疗效。方法 将60例肺部手术后慢性咳嗽患者随机分为治疗组和对照组,每组30例。对照组口服复方甲氧那明胶囊治疗,治疗组在对照组基础上采用针刺肺经腧穴治疗。比较两组治疗前后中文版莱斯特咳嗽问卷(Mandarin Chinese version of the Leicester cough questionnaire, LCQ-MC)评分、中医证候积分及各项炎性指标[血清白细胞介素-8(interleukin-8, IL-8)、肿瘤坏死因子-α(tumor necrosis factor, TNF-α)]的变化情况,并比较两组的临床疗效。结果 两组治疗后LCQ-MC评分较治疗前显著增加(P<0.01),中医证候积分较治疗前显著降低(P<0.01),且治疗组优于对照组(P<0.01)。两组治疗后血清IL-8和TNF-α水平均较治疗前显著降低(P<0.01),且治疗组低于对照组(P<0.01,P<0.05)。治疗组和对照组总有效率分别为86.7%和63.3%,两组比较差异有统计学意义(P<0.05)。结论 针药并用可有效改善肺部手术后慢性咳嗽的临床症状,提高临床疗效。
文摘目的观察针刺四关穴和郄穴联合蠲痹汤治疗膝骨关节炎的临床疗效及对患者关节疼痛和关节功能的影响。方法选取100例膝骨关节炎患者,随机分为对照组(50例)和观察组(50例)。对照组予口服蠲痹汤治疗,观察组在对照组治疗基础上联合针刺四关穴和郄穴治疗。比较两组临床疗效,比较两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、西安大略与麦克马斯特大学骨关节炎指数(Western Ontario and McMaster Universities osteoarthritis index,WOMAC)评分和美国特种外科医院关节功能(Hospital for Special Surgery,HSS)评分,观察两组治疗前后骨代谢指标[血清骨钙素(osteocalcin,OC)和破骨细胞抑制因子(osteoclastogenesis inhibitory factor,OPG)]和炎症因子指标[血清白介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)和白介素-1(interleukin-1,IL-1)]的变化。结果观察组总有效率为94.0%,高于对照组的72.0%(P<0.05)。治疗后,两组VAS评分和WOMAC总分以及血清IL-6、TNF-α和IL-1水平均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05);两组HSS评分以及血清OC和OPG水平均较治疗前升高(P<0.05),且观察组高于对照组(P<0.05)。结论针刺四关穴和郄穴联合蠲痹汤治疗膝骨关节炎可有效减轻患者膝关节疼痛,改善膝关节功能及骨代谢水平,降低炎症因子水平,疗效优于单一中药治疗。
文摘脾胃病是临床常见疾病,其中不乏寒热错杂于一身者,因此寒热并用法成为该类疾病的基本治疗原则。本文对刘长发教授寒热并用治疗脾胃病经验进行总结,认为寒热可分属不同脏腑,临床辨证治疗应区分仔细,使寒热药物能够药中病所,从而收获满意的临床疗效。从“寒在脾胃,热在脾胃”、“寒在脾胃,热在肝胆”、“寒在脾胃,热在心”等方面分别进行论述,并举案例予以分析。病案中根据每个患者寒热所在的不同,给予不同方剂,并随证加减。Spleen and stomach diseases are common clinical diseases, many of which are mixed with cold and heat, so the combination of cold and heat has become the basic treatment principle of this kind of diseases. This article summarized the experience of Professor Liu Changfa in the combined treatment of cold and heat diseases of spleen and stomach, and concluded that cold and heat can be classified into different viscera, and clinical differentiation and treatment should be carefully distinguished, so that cold and heat drugs can be used in medicine, so as to obtain satisfactory clinical effect. From the aspects of “cold in the spleen and stomach, heat in the spleen and stomach”, “cold in the spleen and stomach, heat in the liver and gallbladder”, “cold in the spleen and stomach, heat in the heart”, respectively, give cases to analyze. According to the different location of cold and heat of each patient, different prescriptions were given in the medical records, the increase and decrease with the syndrome.
