头部穴域丛刺治疗缺血性脑卒中肢体功能障碍的临床观察

脑卒中是突发性脑血管疾病,常因脑血管动脉狭窄、闭塞或破裂而引发脑功能障碍,具有较高的致残率。发病患者表现为不同程度的运动功能丧失,严重影响生活质量,甚至威胁患者的生命健康。近年来我科采用头部穴域丛刺治疗缺血性脑卒中肢体功能障碍,取得较好的疗效,现报道如下。

头部穴域丛刺运动疗法治疗中风1则

王俊伏经过40年临床实践研创出一种特色头针疗法,即头部穴域丛刺运动疗法,在改善中风引起的失语、肢体功能障碍方面取得显著疗效。现以1例典型医案从传统医学理论和现代研究探讨其临床可行性。

头部穴域丛刺治疗脑卒中恢复期下肢运动功能障碍临床观察

目的:观察头部穴域丛刺运动疗法治疗脑卒中恢复期的疗效。方法:60例随机分为对照组及治疗组各30例,对照组给予常规针刺治疗,治疗组给予头部穴域丛刺治疗。结果:治疗后两组NIHSS、FMA、MBI量表评分均改善(P<0.05),治疗组改善优于对照组(P<0.05)。结论:头部穴域丛刺治疗脑卒中后肢体功能障碍疗效较好。

头部穴域丛刺运动疗法治疗缺血性中风恢复期足下垂

目的:观察头部穴域丛刺运动疗法治疗缺血性中风恢复期足下垂的临床疗效,为针灸治疗缺血性中风恢复期足下垂提供新的治疗方案。方法:将60例缺血性中风恢复期足下垂患者按随机数字表法分为观察组和对照组各30例。观察组采用运动针法,予头部穴域丛刺结合运动疗法;对照组采用传统针刺疗法结合运动疗法。两组均在治疗前和治疗后进行下肢Fugl-Meyer(FMA)评分、踝关节主动运动(active range of motion,AROM)评分和步行能力分级(functional ambulation classification,FAC)评价,并根据治疗前后AROM测量值对比评定疗效。结果:与治疗前比较,两组FMA、AROM评分和FAC评级明显提高(P≤0.01),效果显著;观察组AROM评分改善程度优于对照组(P<0.05);FMA评分和FAC评级改善比较,差异无统计学意义(P>0.05)。观察组有效率(90.0%)和对照组有效率(83.3%)比较,差异无统计学意义(P>0.05),但观察组显效率(56.7%)明显高于对照组(46.6%)。结论:头部穴域丛刺运动疗法可明显提高缺血性中风恢复期足下垂患者踝关节主动运动能力,且疗效优于传统针刺疗法。本疗法可提升下肢FMA评分、AROM评分和FAC评级,促进患者康复,提高其生存质量。

头部穴域丛刺治疗中风后肩痛的效果观察

目的观察头部穴域丛刺为主结合平衡针和经络辨证取穴疗法,配合康复运动疗法治疗中风后肩痛的临床疗效,为针灸治疗中风后肩痛提供新的治疗思路和优化整合治疗方案。方法抽取2016—2020年于开封市中医院针灸科门诊就诊和住院的中风后肩痛患者90例,按随机数字表法分为观察组和对照组,每组45例。观察组采用运动针法,予头部穴域丛刺为主,结合平衡针和经络辨证取穴疗法,留针期间配合新Bobath疗法,指导患者良肢位摆放和自主功能锻炼;对照组采用运动针法,予头针和传统针刺,留针期间配合康复运动疗法,指导患者良肢位摆放和自主功能锻炼。观察并比较两组治疗前后视觉模拟评分法(VAS)评分、Fugl-Meyer运动功能评分量表(FMA)评分,评价两组的临床疗效。结果治疗后,两组VAS评分均低于治疗前(P均<0.05),FMA评分均高于治疗前(P均<0.05),且观察组FMA评分改善程度优于对照组(P<0.05)。两种治疗方法短期内FMA和VAS评分改善情况比较差异未见统计学意义(P>0.05),但治疗4周后,观察组VAS评分降低程度优于对照组,且观察组各项观察指标改善的持续性和稳定性均优于对照组(P均<0.05)。观察组总有效率(92.3%,36/39)和对照组(95.1%,39/41)比较差异未见统计学意义(P>0.05)。结论头部穴域丛刺为主联合平衡针和经络辨证取穴针刺组合疗法可明显缓解中风后肩痛患者的疼痛程度,且疗效优于传统疗法,可明显降低VAS评分并提升FMA评分,促进患者康复,提高其生活质量。

症域结合选穴针刺法治疗脾气虚弱型特发性耳鸣30例

笔者采用症域结合选穴针刺法治疗脾气虚弱型特发性耳鸣患者30例,疗效满意。报道如下。1临床资料1.1一般资料：选取2014年5月2015年8月就诊于本院耳鼻喉科的60例脾气虚弱型特发性耳鸣患者。随机分为治疗组和对照组,每组30例。两组患者一般资料差异无统计学意义（P〉0.05）,具有可比性。

Electronic structure and ultraviolet spectra of p-C_(6)H_(4)-C_(20)

Geometry optimization of p-C_(6)H_(4)-connected cyclo[20]carbon(p-C_(6)H_(4)-C_(20))was carried out at M062X/6-311G(d,p)level,three kinds of bond orders(Mayer,Laplacian,and Wiberg),electron-hole distributions,localized orbital locators(LOL),and infrared(IR)spectrum were also performed at the same level.Based on TD-DFT M062X/6-311G(d,p)method,the first 20 excited states and ultraviolet(UV)spectra of p-C_(6)H_(4)-C_(20) were calculated.Calculation results of π-electron delocalization analyses prove thatπ-electron delocalization of p-C_(6)H_(4)-C_(20) is more likely to occur on shorter C-C bonds rather than longer C-C bonds,and inside/outside of the ring plane rather than above/below the ring plane.Two absorption peaks of p-C_(6)H_(4)-C_(20) locate at about 319 nm and 236 nm,respectively.

硫磺火针、芒硝软膏治疗顽癣及临床观察

目的:观察硫磺火针、芒硝软膏、病灶区邻经域输穴针刺法,来观察临床疗效。方法:硫磺火针施以散在速刺疾出法,芒硝软膏病灶区外用,病灶区邻经域输穴针刺法。结果:临床有效。结论:硫磺火针、芒硝软膏、病灶区邻经域输穴针刺法对顽癣有综合治疗的作用。

Karst Cave Tourism System in Zhejiang Province Based on Resource Regional Analysis

Karst cave tourism plays an important role in the overall tourism of Zhejiang Province, China. In analyzing the current status of karst cave tourism resources, it is crucial to develop a scientific system for optimizing resource exploitation and tourism development in the future. This study conducted an analysis of resource characteristics and regional structure in Zhejiang Province. Nearest neighbor index （NNI） method and accessibility index method were used for a comprehensive understanding of the effects of scale, strength, combination, and accessibility of karst cave tourism resources. Results indicated that karst cave tourism resources in Zhejiang Province have a significant regional influence, and that resource quality and exploitation are diverse in different regions. Among the regions, Jinhua had the highest exploitation proportion of over 60% and the lowest NNI value of 0.098. Furthermore, regional analysis inferred that different karst caves demonstrate diversity in accessibility to tourism markets, among which the Lingshan Cave, Fengshui Cave, and Xianqiao Cave reveal the highest accessibility index of 2.41. Finally, we put forward a karst cave tourism system in Zhejiang Province based on the Growth Pole Theory and set up an overall scheme for karst cave tourism development. From a regional perspective analysis, the study refined the methods for regional resource re- search and provided a strategic proposal for karst cave tourism in Zheiiang Province.

Charge Localization Induced by Reorientation of FA Cations Greatly Suppresses Nonradiative Electron-Hole Recombination in FAPbI3 Perovskites:a Time-Domain Ab Initio Study

Recent experiments report the rotation of FA(FA=HC[NH2]2+)cations significantly influence the excited-state lifetime of FAPbI3.However,the underlying mechanism remains unclear.Using ab initio nonadiabatic(NA)molecular dynamics combined with time-domain density functional simulations,we have demonstrated that reorientation of partial FA cations significantly inhibits nonradiative electron-hole recombination with respect to the pristine FAPbI3 due to the decreased NA coupling by localizing electron and hole in different positions and the suppressed atomic motions.Slow nuclear motions simultaneously increase the decoherence time,which is overcome by the reduced NA coupling,extending electron-hole recombination time scales to several nanoseconds and being about 3.9 times longer than that in pristine FAPbI3,which occurs within sub-nanosecond and agrees with experiment.Our study established the mechanism for the experimentally reported prolonged excited-state lifetime,providing a rational strategy for design of high performance of perovskite solar cells and optoelectronic devices.