“松、正、理”三步推拿法联合电热针疗法在腰椎间盘突出症患者康复治疗中的应用分析

目的:对“松、正、理”三步推拿法联合电热针疗法在治疗腰椎间盘突出症(LDH)患者的康复效果进行观察。方法:回顾性分析2019年1月~2021年3月期间在本院收治的180例LDH患者,根据患者所用治疗方案分为单一电热针疗组(简称单一组,采用电热针疗法,n=88)和推拿针灸联合组(简称联合组,采用“松、正、理”三步推拿法联合电热针疗法,n=92),两组患者均完成2个疗程(4周)的治疗。观察两组患者的临床疗效、中医症状积分、腰椎功能[腰椎Oswestry功能障碍指数(ODI)、腰腿视觉疼痛评分(VAS)、下腰痛日本骨科协会评估治疗分数(JOA)、腰椎关节活动度(前屈和后伸)、下肢Fugl-Meyer运动功能评定量表(FMA)]、血清学指标水平[白介素-6(IL-6)、肿瘤坏死因子(TNF)-α、β-内啡肽(EP)]的变化情况。记录两组不良反应事件。结果:临床疗效:联合组优于单一组(P<0.05);中医症状积分:治疗后,联合组均低于单一组(P<0.05);腰椎功能:治疗后,联合组ODI、JOA、腰椎关节活动度、下肢FMA评分均高于单一组,VAS评分低于单一组(P<0.05);血清指标:治疗后,联合组IL-6、TNF-α水平低于单一组,β-EP高于单一组(P<0.05);不良反应:两组比较无差异(P>0.05)。结论:三步推拿联合电针疗法可有效抑制LDH患者炎症反应、缓解腰椎疼痛、改善腰椎功能,进一步提高临床疗效。

A new local ablation for unresectable primary liver tumor: effect of electrothermal and electrochemical therapy on rat liver

Background: Electrochemical therapy (ECT) has been used to treat unresectable hepatic tumor. In order to improve its efficacy, we combined ECT with hyperthermia induced by electrothermal needle (ETN) (ETECT). The aim of this study is to investigate the destructive effect of ETECT on normal rat liver. Methods: Twenty rats were randomized into 4 treatment groups (n=5 in each group): control, ECT alone, hyperthermia alone and ETECT. Following the treatment, sections of the livers were histologically examined by light microscopy and the destructive volumes were measured with micrometer. Results: We found that the destructive volumes in ETECT group were the largest (P<0.01). In ETECT group coagulative necrosis was found in both anode and cathode areas, around which transition zones existed. The transition zones can only be seen when coulomb was in- creased in ECT group. Conclusion: ETECT was demonstrated to enhance the destructive effect of ECT. This study provides theoretical and experimental basis for a new local ablative treatment for unresectable primary liver tumor.

Observation on the therapeutic effect of electroacupuncture on simple obesity of gastrointestinal heat pattern/syndrome

Objective To compare the therapeutic effect on simple obesity of gastrointestinal heat type between electroacupuncture （EA） and conventional acupuncture （CA）. Methods Ninety cases of simple obesity of gastrointestinal heat type were randomized into an EA group and a CA group, 45 cases in each one. In the EA group, CA was applied at Neiting （内庭 ST 44）, Shangjuxu （上巨虚 ST 37）, Xiajuxu （下巨虚 ST 39）, Fenglong （丰隆 ST 40）, Tianshu （天枢 ST 25）, Zusanli （足三里 ST 36）, YTnlingquan （阴陵泉 SP 9） and Ouchi （曲池 LI 12）. The electric stimulation was attached at ST 37, ST 44, ST 25 and ST 40. In CA group, the simple acupuncture was applied at the same points as the EA group. The treatment was given once every two days, 22 treatments made one session and 3 sessions were required totally in the two groups. The changes in body mass, obesity degree, body mass index （BMI） and body fat percentage （F%） were observed in the patients before and after treatment. The therapeutic effects on weight loss and fat loss were compared between the two groups. Results After treatment, the weight, obesity degree, BMI and F% were all reduced apparently in the patients of the two groups （all P〈0.01）. After the 2st session of treatment, concerning to the effect on weight loss, the total effective rate in the EA group was superior to that in the CA group [95.6% （43/45） vs 77.8% （35/45）, P〈0.05]. The effects were not different apparently between the two groups in the later 2 sessions of treatment （all P〉0.05）. The effect on fat loss was not different significantly in statistics between EA and CA （all P〉0.05）. Conclusion Either EA or CA achieves the significant effect on simple obesity. The therapeutic effect of EA on weight loss in the early stage is obviously superior to that of CA.