刍议推拿法对肌紧张与疼痛的舒缓作用

我们人体的骨骼肌．也就是俗称的肌肉有600余块。约占体重的40％。它和骨架共同构成我们体型框架和高矮胖瘦外形。我们肢体所做的各种复杂简单动作就来自肌肉的收缩和放松。它由肌健、肌腹两部分构成；它能迅速收缩、快速舒张、有力强健富有弹性但易疲劳受伤。而每块肌肉由大小不等的肌束组成，里面富有微血管、淋巴管和神经，所以除运动功能外．它还是人体进行新陈代谢、储存能源和产生体温的重要器官。因此，当肌肉软组织等因种种原因损伤导致紧张和疼痛等病症，妨碍自身代谢和活动功能时，就应及时就诊治疗。

中西医结合治疗紧张性头痛51例的临床研究

目的:观察中西医结合方法治疗紧张性头痛的临床疗效。方法:将102例患者随机分为对照组和治疗组,每组51例,对照组给予盐酸氟桂利嗪胶囊和谷维素治疗,治疗组在对照组的基础上给予养血清脑颗粒治疗;两组均以15天为1个疗程。结果:治疗组总有效率为96.08%,对照组总有效率为80.39%,两组结果比较具有显著性差异(P<0.05),治疗组疗效优于对照组。结论:中西医结合方法治疗紧张性头痛,效果满意。

抚触护理配合耳道护理对新生儿听力筛查测试结果的影响

目的观察抚触护理配合耳道护理对新生儿听力筛查测试结果的影响。方法选择2018年2月—2019年5月期间于莆田市第一医院出生的216例新生儿作为研究对象,将其随机分为联合组(n=108)与基础组(n=108)。联合组新生儿使用抚触护理联合耳道护理,基础组单独使用基础耳道护理。记录两组新生儿出生3 d及42 d后听力筛查测试通过情况(出生3 d后初筛通过率、出生42 d后复筛通过率)、测试过程中镇静状态优良率、两组新生儿听力测试过程中情绪由躁动变为安静的时间以及疼痛紧张程度[新生儿疼痛评估量表(neonatal infants pain scales,NIPS)评分]。结果出生3 d后两组初筛通过率比较,差异无统计学意义(P>0.05),出生42 d后,联合组复筛通过率明显高于基础组(P<0.05);出生3 d及42 d后,联合组新生儿测试过程中镇静状态优良率明显高于基础组(P<0.05);出生42 d后,联合组情绪由躁动变为安静的时间以及NIPS得分明显低于出生3 d后(P<0.05),且明显低于基础组(P<0.05);基础组出生42 d后情绪由躁动变为安静的时间、NIPS得分与出生3 d后比较,差异无统计学意义(P>0.05)。结论抚触护理配合耳道护理能够提高新生儿听力筛查通过率,安抚新生儿情绪。

浅谈人工流产受术者的心理护理

人工流产是避孕失败的一种弥补措施,临床中,为了使受术者接受现实,较好地配合手术,我们对受术者采取了心理护理。 1.术前心理护理 术前要消除受术者恐惧、紧张心理,安定其情绪。在预约手术时,通过交谈的方法。

Clinical study on acupuncture plus auricular point sticking for tension-type headache

Objective:To observe the clinical efficacy of acupuncture plus auricular point sticking for tension-type headache(TTH).Methods:A total of 90 TTH patients were divided into an acupuncture group,an auricular point sticking group and an observation group by random number table method,with 30 cases in each group.Patients in the observation group received acupuncture plus auricular point sticking for treatment,while those in the acupuncture group only received acupuncture and those in the auricular point sticking group only received auricular point sticking for treatment.The headache attack frequency and the scores of visual analog scale(VAS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were observed before treatment,after treatment and 3 months after treatment.The clinical efficacy was evaluated at the follow-up of 3 months after treatment.Results:At follow-up,there were significant differences in clinical efficacy among the three groups(P<0.01 or P<0.05),and the clinical efficacy ranking from high to low was the observation group,the acupuncture group and the auricular point sticking group.After treatment and at follow-up,the VAS score,headache attack frequency,SAS and SDS scores in the three groups were significantly lower than those before treatment(all P<0.01).The above four results in the observation group were lower than those in the acupuncture group and the auricular point sticking group at the same time point(all P<0.01);VAS score in the acupuncture group was lower than that in the auricular point sticking group(both P<0.05).At follow-up,the headache frequency in the acupuncture group was lower than that in the auricular point sticking group(P<0.05).Conclusion:Either using acupuncture and auricular point sticking together or separately can reduce the headache degree of TTH patients,reduce the number of headache attacks,and relieve anxiety and depression.The efficacy of acupuncture plus auricular point sticking is most significant.

Clinical Study on Puncturing Houxi (SI 3) Toward Hegu (LI 4) plus Lumbar Movement for Acute Lumbar Sprain

Objective： To observe the therapeutic efficacy of puncturing Houxi （SI 3） toward Hegu （LI 4） plus lumbar movement in treating acute lumbar sprain. Methods： A total of 212 patients with acute lumbar sprain were randomized into two groups. There were 106 subjects in the observation group who were treated with puncturing Houxi （SI 3） toward Hegu （LI 4） plus lumbar movement; the other 106 patients in the control group were treated with puncturing Houxi （SI 3） toward Hegu （LI 4） alone. Therapeutic efficacy was evaluated after 2 treatment courses. Results： The total effective rate was 95.3% in the observation group versus 88.7% in the control group, and the difference was statistically insignificant between the two groups （P〉O.05）. However, in comparing the treatment times for achieving recovery and effectiveness, differences between the two groups were statistically significant （both P〈O.05）, indicating that integrated use of acupuncture and exercise is faster in realizing therapeutic effectiveness. Conclusion： By selecting fewer acupoints, puncturing Houxi （Sl 3） toward Hegu （LI 4） is effective in treating acute lumbar sprain, and with the help of lumbar movement, it can achieve even better treatment effect.

Effect of Electroacupuncture Combined with Tuina on Lumbar Muscle Tone in Patients with Acute Lumbar Sprain

Objective: To observe the clinical effect of electroacupuncture(EA)combined with tuina on acute lumbar sprain and lumbar muscle tone before and after treatment. Methods: A total of 130 acute lumbar sprain cases were randomly allocated into an observation group and a control group, 65 in each group. Cases in the observation group were treated with EA combined with tuina, whereas cases in the control group were treated with Diclofenac Sodium Dual Release Enteric-coated capsules. The muscle tones in two groups were tested before and after treatment. Results: The recovery rate and overall response rate in the observation group were 66.2% and 93.8% respectively, versus 56.9% and 87.7% in the control group, showing no between-group statistical significances(P>0.05). After treatment, the force-displacement area under curve(AUC) in both groups showed a significance difference(P<0.05). Conclusion: Both EA combined with tuina and aforementioned oral medication have remarkable effects for acute lumbar sprain, and the former can better improve the lumbar muscle tone in patients with acute lumbar sprain.