清脑益元汤联合推拿点穴疗法治疗脑梗死后偏瘫的临床观察

探究脑梗死后偏瘫患者,通过清脑益元汤+推拿点穴疗法的效果。方法 将2022.11-2023.11间患者作为研究人员,共计62名,按抽签均分患者,分为对照与观察组,分别予以清脑益元汤,以及清脑益元汤+推拿点穴疗法,将实验中涉及的数据进行汇总分析。结果 经治疗前,患者肢体运动功能较低,数值比较后,P>0.05;经治疗后,观察组上肢与下肢的运动能力逐渐恢复,数值比较,P<0.05;经治疗前,患者的步行与平衡能力偏低,数值比较,P>0.05;经治疗后,观察组步行能力与平衡能力均逐渐提高,数值比较P<0.05;经治疗前,患者的生活能力偏低,数值比较,P>0.05;经治疗后,观察组生活能力逐渐增强,数值比较,P<0.05。结论 脑梗死后出现偏瘫的患者在为其提供治疗期间,为其给予清脑益元汤与推拿点穴疗法,能够有效使患者的身体功能逐渐提高。同时通过治疗使患者病情逐渐康复,恢复患者日常生活的功能。

推拿治疗失眠临床研究进展

失眠的根本病机为阳不入阴,病位在心,与肝胆、脾胃、肺、肾关系密切,先天禀赋、个性特征、内伤七情、饮食不节、病理产物等均为发病的相关因素,脏腑功能失调、气机失常、气血亏虚等均是其重要病机。推拿疗法治疗失眠的方法有:单纯推拿疗法(循经推拿疗法、点穴推拿疗法、腹部推拿疗法等)、推拿联合针刺疗法、推拿联合中药、推拿联合拔罐、推拿联合其他疗法等。推拿治疗失眠仍存在以下不足:(1)手法、穴位、治疗部位的选择繁杂不一,难以对不同手法以及不同穴位的疗效进行比较;(2)手法的力度、频率、刺激量没有统一的标准;(3)采用的疗效评价标准不统一,多为临床主观评价量表,缺少客观指标证据;(4)缺少病例回访报道,对推拿有无长期疗效、复发率高低研究较少;(5)缺少多中心、大样本、双盲对照试验;(6)缺少高质量外文文献,国外多将推拿作为失眠的补充疗法,相关研究较少,中文文献多注重研究推拿对失眠的有效性,对于其作用机制的研究较少。

清脑益元汤联合推拿点穴疗法治疗脑梗死后偏瘫的效果

观察清脑益元汤联合推拿点穴疗法在脑梗死后偏瘫中的应用效果。方法:选取2019年1月-2021年1月在医院接受治疗的88例脑梗死后偏瘫患者进行研究,采用完全随机分组法将88例患者平均分为2组,均44例,均行对症综合治疗,对照组应用清脑益元汤治疗,观察组应用清脑益元汤联合推拿点穴疗法治疗,两组均治疗2个月。治疗2个月时进行疗效评估,包括治疗前、治疗2个月时运动功能[Fugl-Meyer运动功能评定表(FMAS)]、步行能力与平衡功能[Tinetti步态评估量表(TGA)、Berg平衡量表(BBS)]、日常生活活动能力(Barthel指数量表评估)。结果:治疗2个月时,观察组总有效率高于对照组,整体疗效优于对照组;两组FMAS、TGA、BBS评分及扩展Barthel指数评分均较治疗前升高,且观察组高于对照组(P<0.05)。结论:清脑益元汤联合推拿点穴疗法治疗脑梗死后偏瘫患者的疗效确切,可提高患者运动功能、平衡功能及步行质量,有助于日常生活活动能力的恢复。

推拿点穴配合运动康复指导在老年性肩袖损伤康复训练中的效果评价

目的:探讨推拿点穴疗法配合运动康复在肩袖损伤康复训练中的应用。方法:运用便利抽样法从2020年6—2022年1月收治的肩袖损伤患者中择取78例开展研究,分对照组及观察组,对照组给予常规康复训练,观察组另施行推拿点穴疗法配合运动康复,比较两组疗效、肩关节功能与疼痛状况及不良事件。结果:经治疗,观察组整体疗效相较于对照组更优,差异有统计学院意义(P<0.05);两组ROM、ADL评分均有提升,VAS评分则见下降,相比于对照组,观察组ROM、ADL评分更高,VAS评分更低(P<0.05);两组不良事件中不良反应总发生率、6个月复发率比较,差异无统计学意义(P>0.05)。结论:肩袖损伤患者于康复训练期间另施以推拿点穴疗法配合运动康复,疗效良好,肩关节功能及疼痛症状缓解,且不良事件发生率较低。

推拿点穴疗法联合康复治疗脑梗死后上肢痉挛性偏瘫的效果分析

目的:研究推拿点穴疗法辅助治疗脑梗死后上肢痉挛性偏瘫的效果。方法:选取2018年4月~2019年11月于我院就诊的脑梗死后上肢痉挛性偏瘫患者204例,按照随机数字表法分为对照组(102例)和研究组(102例)。对照组行常规康复训练干预,研究组在对照组的基础上行推拿点穴干预。观察两组患者干预前、干预后1个月(干预后)手功能、肌张力、上肢运动功能。结果:干预后两组患者手功能[手指活动范围(AROM)、最大伸展角度(MAE)、最大屈曲角度(MLE)]、上肢运动功能[FMA评分、STEF评分]均显著提高(P<0.05),且研究组手功能、上肢功能各项评分及差值均高于对照组(P<0.05)。干预后两组患肩关节MAS评分、肘关节MAS评分均显著降低(P<0.05),且研究组显著低于对照组(P<0.05)。研究组治疗前后肩关节MAS评分、肘关节MAS评分差值均显著大于对照组(P<0.05)。结论:推拿点穴疗法辅助治疗脑梗死后上肢痉挛性偏瘫能显著改善手功能,提高、上肢运动功能,缓解肌张力,可临床推广。

Clinical observation on acupoint pressure therapy plus electroacupuncture for post-traumatic knee osteoarthritis

Objective： To investigate the clinical efficacy of Zhang＇s acupoint pressure therapy plus electroacupuncture（EA） in treating post-traumatic knee osteoarthritis.Methods： A total of 98 eligible patients with post-traumatic knee osteoarthritis were divided into group A and B by the random number table, 49 cases in each group. Group A was intervened by Zhang＇s acupoint pressure therapy plus EA; group B was given medicinal fumigation. The clinical efficacies of the two groups were compared. Results： The markedly effective rate of group A was significantly higher than that of group B. Conclusion： Zhang＇s acupoint pressure therapy plus EA can produce a satisfactory clinical efficacy in treating post-traumatic knee osteoarthritis, and is worth promotion.

Clinical study on acupoint massage in improving cognitive function and sleep quality of elderly patients with hypertension

Objective：To investigate the effects of acupoint massage on cognitive function and sleep quality in elderly patients with hypertension. Methods：A total of 68 elderly patients with hypertension were enrolled, and their ages were all over 60 years old. They were divided into a control group and a treatment group by simple random method, with 34 cases in each group. Patients in the control group were treated by routine psychological health guidance and sleep knowledge education, while patients in the treatment group were treated by acupoint massage on the base of the interventions given to the control group. Both of their treatment courses were 3 months. Pittsburgh sleep quality index （PSQI） scores and mini-mental state examination （MMSE） scores before and after treatment were recorded and compared. Results：Two groups’ PSQI scores before treatment had no significant difference （P〉0.05）. After 3 months of treatment, their PSQI scores were statistically different （P〈0.05）. There was also no between-group statistical difference in MMSE score before treatment （P〉0.05）, but there was a significant difference after treatment （P〈0.05）. Conclusion：Acupoint massage for elderly patients with primary hypertension can improve their sleep quality and enhance their cognitive function, thus it is worthy of being applied in clinical nursing work.

A controlled study on treatment of acute lumbar sprain by acupuncture at Yaotongdian(EX-UE 7) plus tuina manipulation

Objective：To observe the clinical effects of acupuncture at Yaotongdian （EX-UE 7） plus the oblique Ban-pulling manipulation for acute lumbar sprain. Methods：A total of 180 patients were divided into an observation group and a control group by drawing lots. The 98 cases in the observation group were treated by puncturing Yaotongdian （EX-UE 7） plus the oblique Ban-pulling manipulation. The 82 cases in the control group were only treated by the oblique Ban-pulling manipulation. After the two groups were treated continuously for three sessions, the therapeutic effects were observed. Results：In the observation group, 96 cases were cured and 2 cases were improved; the curative rate was 98.0% and the total effective rate was 100%. In the control group, 76 cases were cured, 4 cases were improved and 2 cases failed; the curative rate was 92.7% and the total effective rate was 97.6%. In comparison of the curative rate and total effective rate, the differences were not statistically significant （P〉0.05）. But, the curative rate after the first treatment was higher in the observation group than that in the control group, with a significant difference between the two groups （P〈0.05）. Conclusion：The therapeutic effects were similar by acupuncture at Yaotongdian （EX-UE 7） plus oblique Ban-pulling manipulation and by single oblique Ban-pulling manipulation for acute lumbar sprain. But, it took effect quickly by puncturing Yaotongdian （EX-UE 7） plus the oblique Ban-pulling manipulation.

Research on clinical application of manual therapy to tumor-related adverse reactions

Objective To analyze the clinical application of manual therapy(MT)to tumor-related adverse reactions via summarizing the research at home and abroad,in order to provide more theoretical evidence for the clinical promotion of MT.Methods We searched 7 Chinese and English databases,including China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Full-text Database(Wanfang),Chongqing VIP Database(CQVIP),PubMed,Excerpta Medica Database(EMBASE),Ovid and EBSCO.The publication date was between the establishment date of the database and December 31,2020.We screened the literature according to the inclusion and exclusion criteria,and then sorted and analyzed the selected information.Results A total of 46 papers were analyzed.Most studies focused on the adverse reactions in breast cancer patients.MT interventions demonstrated the best efficacy for fatigue,followed by pain,depression and anxiety.In different MT interventions,Tuina(Chinese therapeutic massage)was mainly adopted for fatigue,pain,anxiety,depression,and limb dysfunctions.Acupoint pressing was mainly adopted for gastrointestinal and psychological problems such as abdominal bloating,insomnia,depression and anxiety.The application of reflexotherapy was similar to that of Tuina.Conclusion MT can alleviate various adverse reactions by effectively relieving patients’somatic symptoms and improving their psychological states and overall functions.It can be popularized as a significant non-drug therapy.Currently,however,the clinical application of MT is neither extensive nor has sufficient basic research.Consequently,we should attach importance to this application.