目的比较腹腔镜胆总管探查术中直针法与弯针法两种缝合技术的效果。方法 104例腹腔镜胆总管探查术患者的临床资料,按照术中采用的缝合技术将研究对象分为两组:直针法缝合组50例,弯针法缝合组54例,比较两组患者的手术进行时间、术中出血...目的比较腹腔镜胆总管探查术中直针法与弯针法两种缝合技术的效果。方法 104例腹腔镜胆总管探查术患者的临床资料,按照术中采用的缝合技术将研究对象分为两组:直针法缝合组50例,弯针法缝合组54例,比较两组患者的手术进行时间、术中出血量、胆总管取石情况、术后肛门排气时间、术后下床活动时间、术后并发症发生情况、术后住院时间及住院费用等变量情况。结果两组患者均手术成功,无死亡病例,无中转开腹。直针法缝合组手术时间短于弯针法缝合组手术时间(6.1±1.4 min vs 12.4±2.3 min)(P<0.01);两组的胆总管取石数目、术后肛门排气时间、下床活动时间、发生胆漏数量、住院时间及住院费用差异无统计学意义(P>0.05)。结论直针法缝合技术比弯针法耗时短,具有明显优势。展开更多
The author has treated 216 cases of cervicalspondylosis with triple puncture and routine bodyneedling since 1996, and made a comparison of thetherapeutic effects between the two methods. Areport follows.
Prolapse of rectum usually occurs in the children with insufficient qi and blood, in the elders with declined qi and blood or deficiency of qi in the middle jiao (burner), in the women who made qi exhausted during lab...Prolapse of rectum usually occurs in the children with insufficient qi and blood, in the elders with declined qi and blood or deficiency of qi in the middle jiao (burner), in the women who made qi exhausted during labor resulting in deficiency of qi and blood, and in those with chronic diarrhea, habitual constipation and long-standing cough. All these may cause sinking of qi in middle jiao and induce the disorder. Therefore in treating the disorder, the primary causes should also be treated simultaneously.展开更多
AIM: To observe how acupuncture stimulation influences the visceral nociception in rat and to clarify the interactions between acupuncture or somatic input and visceral nociceptive inputs in the spinal dorsal horn. Th...AIM: To observe how acupuncture stimulation influences the visceral nociception in rat and to clarify the interactions between acupuncture or somatic input and visceral nociceptive inputs in the spinal dorsal horn. These will provide scientific base for illustrating the mechanism of acupuncture on visceral pain.METHODS: Experiments were performed on SpragueDawley rats and the visceral nociceptive stimulus was generated by colorectal distention (CRD). Unit discharges from individual single neuron were recorded extracellularly with glass-microelectrode in L1-3 spinal dorsal horn.Acupuncture stimulation was applied at contralateral heterotopic acupoint and ipsilateral homotopic acupoint,both of which were innervated by the same segments that innervate also the colorectal-gut.RESULTS: The visceral nociception could be inhibited at the spinal level by the heterotopic somatic mechanical stimulation and acupuncture. The maximal inhibition was induced by acupuncture or the somatic noxious stimulation at spinal dorsal horn level with inhibiting rate of 68.61%and 60.79%, respectively (P＜0.01 and ＜0.001). In reversible spinalized rats (cervical-thoracic cold block)both spontaneous activity and responses to CRD increased significantly in 16/20 units examined, indicating the existence of tonic descending inhibition. The inhibition of acupuncture on the noxious CRD disappeared totally in the reversible spinalized rats (P＜0.001).CONCLUSION: The inputs of noxious CRD and acupuncture may interact at the spinal level. The nociceptive visceral inputs could be inhibited by acupuncture applied to hetero-topic acupoint. The effect indicates that the spinal dorsal horn plays a significant role in mediating the inhibition of acupuncture and somatic stimulation on the neuronal response to the noxious visceral stimulation and the inhibition is modulated by upper cervical cord and/or supra-spinal center.展开更多
Point selection along the course of meridians is the basic principle for acupuncture prescription and selection of points. In application, there are three categories of point selection: selection of local and adjacent...Point selection along the course of meridians is the basic principle for acupuncture prescription and selection of points. In application, there are three categories of point selection: selection of local and adjacent points; selection of distant points, and selection of symptomatic points. Based on the展开更多
Objective：To observe the clinical effect of fire-needle therapy plus tuina manipulations for ankylosing spondylitis （AS）. 〈br〉 Methods：A total of 49 eligible cases were treated by fire-needle therapy plus tuina ...Objective：To observe the clinical effect of fire-needle therapy plus tuina manipulations for ankylosing spondylitis （AS）. 〈br〉 Methods：A total of 49 eligible cases were treated by fire-needle therapy plus tuina manipulations, once every other day. Ten days made one course. After the continuous treatment for six courses, the therapeutic effects were summarized and the changes in the clinical symptoms and signs were observed. 〈br〉 Results：During treatment, 7 cases dropped off. In 42 patients who had completed treatment for six courses, the results showed clinical recovery in 16 cases, remarkable effect in 13 cases, effect in 7 cases and failure in 6 cases. The measurements of the patients were all improved in different degrees than those before treatment. Moreover, no side effect was noticed during treatment. 〈br〉 Conclusion：The therapeutic effect is precise and free of adverse reaction in treatment of AS by fire-needle therapy plus tuina manipulations.展开更多
Objective： To observe the clinical efficacy of acupuncture in the treatment of dysfunctional uterine bleeding in adolescent girls. Methods： One hundred and seventeen subjects were randomized into two groups, a treat...Objective： To observe the clinical efficacy of acupuncture in the treatment of dysfunctional uterine bleeding in adolescent girls. Methods： One hundred and seventeen subjects were randomized into two groups, a treatment group in which 87 cases were treated by acupuncture and moxibustion, and a control group in which 30 cases were treated by western medications. The clinical efficacy was observed after treatment. Results： The total effective rate was 97.7% in the treatment group and 86.7% in the control group, with better efficacy in the treatment group than in the control group （P〈0.05）. Conclusion： Acupuncture and moxibustion is quite effective for adolescent dysfunctional uterine bleeding.展开更多
Meniere＇s disease is a disorder of the inner ear pathologically characterized by hydrops of the membranous labyrinth and clinically manifested by repeated episodes of vertigo, sensorineural deafness and tinnitus. The...Meniere＇s disease is a disorder of the inner ear pathologically characterized by hydrops of the membranous labyrinth and clinically manifested by repeated episodes of vertigo, sensorineural deafness and tinnitus. The author has treated 30 cases of meniere＇s disease using acupuncture therapy. Now, the report is given as follows.展开更多
Objective To compare the differences of therapeutic effects of chronic functional constipation treated with the combined therapy of moxibustion and acupuncture and simple acupuncture. Methods One hundred cases of cons...Objective To compare the differences of therapeutic effects of chronic functional constipation treated with the combined therapy of moxibustion and acupuncture and simple acupuncture. Methods One hundred cases of constipation were randomly divided into an acupuncture-moxibustion group and a simple acupuncture group with 50 cases for each group. Two groups of acupoints were adopted every other day alternatively for both groups. Point group 1： Tiansha （天枢ST 25）, Daheng （大横 SP 15）, Qihai （气海 CV 6）, Guanyuan （关元 CV 4）, Ztisanli （足三里 ST 36）, Shangjhxu （上巨虚 ST 37） and Sanyinjiao （三阴交 SP 6）. Point group 2： Zhsngliao （中髎 BL 33）, Xiatliao （下髎 BL 34）, Dachangsha （大肠俞 BL 25）, Shenshu （肾俞 BL 23） and Pisha （脾俞 BL 20）. Acupuncture was the only therapy adopted for acupuncture group on all the above mentioned points. While, for acupuncture-moxibustion group, moxibustion with grain-shaped moxa cones was applied on Qihai （所海 CV 6）, Zusatnli （足三里 ST 36）, Datchangshu （大肠俞 BL 25） and Pishu （脾俞 BL 20）, and acupuncture was applied on the rest points. Clinical therapeutic effect, clinical score of constipation, quality of life and score of psychological symptoms were observed before and after the treatment. Results The total effective rate in acupuncture-moxihustion group was 74.0%（37/50）, which was superior to that （52.0%, 26/50） in acupuncture group （P〈0.05）. The clinical scores of constipation, quality of life and scores of psychological symptoms of both groups improved after the treatment. For clinical scores of constipation, degree of difficulty in bowel movement, duration of defecation, abdominal pain, difficulty in exsufflation, incomplete sensation after defecation, obstruction sense of anus, purgative prescription dependence, score of life quality and psychological symptoms of acupuneture-moxibustion group were all better than those of simple acupuncture group （P〈0.05, P〈0.01）. Conclusion The combined therapy of both moxibustion with grain-shaped moxa cones and acupuncture is safe and effective in treatment of chronic functional constipation, and the effect is superior to simple therapy of acupuncture.展开更多
Objective： To compare the clinical effects of different acupuncture methods in treating ankylosing spondylitis （AS）. Methods： Sixty patients in accordance with the diagnostic criteria for AS were randomly divided ...Objective： To compare the clinical effects of different acupuncture methods in treating ankylosing spondylitis （AS）. Methods： Sixty patients in accordance with the diagnostic criteria for AS were randomly divided into an observation group （30 cases） and a control group （30 cases）. Patients in the observation group were given warm needling therapy, while that in the control group were treated by electroacupuncture. The effects of the two groups were compared after treatment. Results： The curative rate of the observation group was 40.0%, and the total effective rate was 96.7%; the curative rate of the control group was 10.0%, and the total effective rate was 76.7%. The difference was statistically significant （P〈0.05） Conclusion： As to acupuncture treatment for AS, warming needling moxibustion was significantly more effective than electroacuouncture.展开更多
Pelvic inflammation is a generic term for inflammation of the female upper reproductive tract and its surrounding tissues, which mainly includes endometritis, salpingitis, turbo-ovarian abscesses （TOA）, and pelviope...Pelvic inflammation is a generic term for inflammation of the female upper reproductive tract and its surrounding tissues, which mainly includes endometritis, salpingitis, turbo-ovarian abscesses （TOA）, and pelvioperitonitis. The inflammation can be limited in one site, or involves several sites. salpingitis and salpingo-oophoritis are most common, which might be acute or chronic. Chronic pelvic inflammation is more intractable, mainly manifesting as lower abdominal down-bearing sidtension or pain,展开更多
文摘目的比较腹腔镜胆总管探查术中直针法与弯针法两种缝合技术的效果。方法 104例腹腔镜胆总管探查术患者的临床资料,按照术中采用的缝合技术将研究对象分为两组:直针法缝合组50例,弯针法缝合组54例,比较两组患者的手术进行时间、术中出血量、胆总管取石情况、术后肛门排气时间、术后下床活动时间、术后并发症发生情况、术后住院时间及住院费用等变量情况。结果两组患者均手术成功,无死亡病例,无中转开腹。直针法缝合组手术时间短于弯针法缝合组手术时间(6.1±1.4 min vs 12.4±2.3 min)(P<0.01);两组的胆总管取石数目、术后肛门排气时间、下床活动时间、发生胆漏数量、住院时间及住院费用差异无统计学意义(P>0.05)。结论直针法缝合技术比弯针法耗时短,具有明显优势。
文摘The author has treated 216 cases of cervicalspondylosis with triple puncture and routine bodyneedling since 1996, and made a comparison of thetherapeutic effects between the two methods. Areport follows.
文摘Prolapse of rectum usually occurs in the children with insufficient qi and blood, in the elders with declined qi and blood or deficiency of qi in the middle jiao (burner), in the women who made qi exhausted during labor resulting in deficiency of qi and blood, and in those with chronic diarrhea, habitual constipation and long-standing cough. All these may cause sinking of qi in middle jiao and induce the disorder. Therefore in treating the disorder, the primary causes should also be treated simultaneously.
文摘AIM: To observe how acupuncture stimulation influences the visceral nociception in rat and to clarify the interactions between acupuncture or somatic input and visceral nociceptive inputs in the spinal dorsal horn. These will provide scientific base for illustrating the mechanism of acupuncture on visceral pain.METHODS: Experiments were performed on SpragueDawley rats and the visceral nociceptive stimulus was generated by colorectal distention (CRD). Unit discharges from individual single neuron were recorded extracellularly with glass-microelectrode in L1-3 spinal dorsal horn.Acupuncture stimulation was applied at contralateral heterotopic acupoint and ipsilateral homotopic acupoint,both of which were innervated by the same segments that innervate also the colorectal-gut.RESULTS: The visceral nociception could be inhibited at the spinal level by the heterotopic somatic mechanical stimulation and acupuncture. The maximal inhibition was induced by acupuncture or the somatic noxious stimulation at spinal dorsal horn level with inhibiting rate of 68.61%and 60.79%, respectively (P＜0.01 and ＜0.001). In reversible spinalized rats (cervical-thoracic cold block)both spontaneous activity and responses to CRD increased significantly in 16/20 units examined, indicating the existence of tonic descending inhibition. The inhibition of acupuncture on the noxious CRD disappeared totally in the reversible spinalized rats (P＜0.001).CONCLUSION: The inputs of noxious CRD and acupuncture may interact at the spinal level. The nociceptive visceral inputs could be inhibited by acupuncture applied to hetero-topic acupoint. The effect indicates that the spinal dorsal horn plays a significant role in mediating the inhibition of acupuncture and somatic stimulation on the neuronal response to the noxious visceral stimulation and the inhibition is modulated by upper cervical cord and/or supra-spinal center.
文摘Point selection along the course of meridians is the basic principle for acupuncture prescription and selection of points. In application, there are three categories of point selection: selection of local and adjacent points; selection of distant points, and selection of symptomatic points. Based on the
基金supported by the National Basic Research Program of China(973 Program,No.2012CB518503)Self-selected Project of China Academy of Chinese Medical Sciences(No.ZZ07006)
文摘Objective：To observe the clinical effect of fire-needle therapy plus tuina manipulations for ankylosing spondylitis （AS）. 〈br〉 Methods：A total of 49 eligible cases were treated by fire-needle therapy plus tuina manipulations, once every other day. Ten days made one course. After the continuous treatment for six courses, the therapeutic effects were summarized and the changes in the clinical symptoms and signs were observed. 〈br〉 Results：During treatment, 7 cases dropped off. In 42 patients who had completed treatment for six courses, the results showed clinical recovery in 16 cases, remarkable effect in 13 cases, effect in 7 cases and failure in 6 cases. The measurements of the patients were all improved in different degrees than those before treatment. Moreover, no side effect was noticed during treatment. 〈br〉 Conclusion：The therapeutic effect is precise and free of adverse reaction in treatment of AS by fire-needle therapy plus tuina manipulations.
文摘Objective： To observe the clinical efficacy of acupuncture in the treatment of dysfunctional uterine bleeding in adolescent girls. Methods： One hundred and seventeen subjects were randomized into two groups, a treatment group in which 87 cases were treated by acupuncture and moxibustion, and a control group in which 30 cases were treated by western medications. The clinical efficacy was observed after treatment. Results： The total effective rate was 97.7% in the treatment group and 86.7% in the control group, with better efficacy in the treatment group than in the control group （P〈0.05）. Conclusion： Acupuncture and moxibustion is quite effective for adolescent dysfunctional uterine bleeding.
文摘Meniere＇s disease is a disorder of the inner ear pathologically characterized by hydrops of the membranous labyrinth and clinically manifested by repeated episodes of vertigo, sensorineural deafness and tinnitus. The author has treated 30 cases of meniere＇s disease using acupuncture therapy. Now, the report is given as follows.
基金Supported by National Program on Key Basic Research Project (973 Program): 2009 CB 522905
文摘Objective To compare the differences of therapeutic effects of chronic functional constipation treated with the combined therapy of moxibustion and acupuncture and simple acupuncture. Methods One hundred cases of constipation were randomly divided into an acupuncture-moxibustion group and a simple acupuncture group with 50 cases for each group. Two groups of acupoints were adopted every other day alternatively for both groups. Point group 1： Tiansha （天枢ST 25）, Daheng （大横 SP 15）, Qihai （气海 CV 6）, Guanyuan （关元 CV 4）, Ztisanli （足三里 ST 36）, Shangjhxu （上巨虚 ST 37） and Sanyinjiao （三阴交 SP 6）. Point group 2： Zhsngliao （中髎 BL 33）, Xiatliao （下髎 BL 34）, Dachangsha （大肠俞 BL 25）, Shenshu （肾俞 BL 23） and Pisha （脾俞 BL 20）. Acupuncture was the only therapy adopted for acupuncture group on all the above mentioned points. While, for acupuncture-moxibustion group, moxibustion with grain-shaped moxa cones was applied on Qihai （所海 CV 6）, Zusatnli （足三里 ST 36）, Datchangshu （大肠俞 BL 25） and Pishu （脾俞 BL 20）, and acupuncture was applied on the rest points. Clinical therapeutic effect, clinical score of constipation, quality of life and score of psychological symptoms were observed before and after the treatment. Results The total effective rate in acupuncture-moxihustion group was 74.0%（37/50）, which was superior to that （52.0%, 26/50） in acupuncture group （P〈0.05）. The clinical scores of constipation, quality of life and scores of psychological symptoms of both groups improved after the treatment. For clinical scores of constipation, degree of difficulty in bowel movement, duration of defecation, abdominal pain, difficulty in exsufflation, incomplete sensation after defecation, obstruction sense of anus, purgative prescription dependence, score of life quality and psychological symptoms of acupuneture-moxibustion group were all better than those of simple acupuncture group （P〈0.05, P〈0.01）. Conclusion The combined therapy of both moxibustion with grain-shaped moxa cones and acupuncture is safe and effective in treatment of chronic functional constipation, and the effect is superior to simple therapy of acupuncture.
文摘Objective： To compare the clinical effects of different acupuncture methods in treating ankylosing spondylitis （AS）. Methods： Sixty patients in accordance with the diagnostic criteria for AS were randomly divided into an observation group （30 cases） and a control group （30 cases）. Patients in the observation group were given warm needling therapy, while that in the control group were treated by electroacupuncture. The effects of the two groups were compared after treatment. Results： The curative rate of the observation group was 40.0%, and the total effective rate was 96.7%; the curative rate of the control group was 10.0%, and the total effective rate was 76.7%. The difference was statistically significant （P〈0.05） Conclusion： As to acupuncture treatment for AS, warming needling moxibustion was significantly more effective than electroacuouncture.
文摘Pelvic inflammation is a generic term for inflammation of the female upper reproductive tract and its surrounding tissues, which mainly includes endometritis, salpingitis, turbo-ovarian abscesses （TOA）, and pelvioperitonitis. The inflammation can be limited in one site, or involves several sites. salpingitis and salpingo-oophoritis are most common, which might be acute or chronic. Chronic pelvic inflammation is more intractable, mainly manifesting as lower abdominal down-bearing sidtension or pain,
