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经皮神经穴位电刺激对COPD稳定期患者临床疗效、肺功能及急性加重风险的影响
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作者 李姝 张霞 +1 位作者 肖雄 范涛 《四川中医》 2024年第11期207-212,共6页
目的:探究经皮神经穴位电刺激对慢性阻塞性肺疾病(Chronic obstructive pulmonary disease,COPD)稳定期患者临床疗效、肺功能及急性加重风险的影响。方法:选取2021年12月~2022年12月来我院就诊的COPD稳定期患者126例作为研究对象,进行... 目的:探究经皮神经穴位电刺激对慢性阻塞性肺疾病(Chronic obstructive pulmonary disease,COPD)稳定期患者临床疗效、肺功能及急性加重风险的影响。方法:选取2021年12月~2022年12月来我院就诊的COPD稳定期患者126例作为研究对象,进行前瞻性、单盲、随机、安慰剂对照研究试验,采取随机数字表法分为经穴治疗组33例、非经非穴组32例、假针组29、对照组31例。观察并比较四组治疗前后肺功能(FVC%、FEV 1 %、FEV 1 /FVC)、呼吸困难问卷(modified Medical Research Council,mMRC)评分、慢阻肺评估测试评分(COPD Assessment Test,CAT)、炎性因子水平(CRP、IL-6、TNF-ɑ、IL-8)、6min步行距离(6minute walking distance,6MWD)、急性加重风险(COPD中重度急性加重次数和住院次数)情况。结果:治疗后,四组FEV 1 /FVC、FVC%、FEV 1 %均升高,经穴治疗组均高于其他三组,差异有统计学意义( P <0.05)。治疗后,四组mMRC评分均下降,经穴治疗组均低于其他三组,差异有统计学意义( P <0.05)。治疗后,四组6MWD均延长、CAT评分均降低,经穴治疗组6MWD均长于其他三组、CAT评分均低于其他三组,差异有统计学意义( P <0.05)。治疗前6个月、治疗后6个月和治疗后6~12个月比较:四组COPD中重度急性加重次数和住院次数均下降,经穴治疗组均低于其他三组,差异有统计学意义( P <0.05)。治疗后,四组CRP、IL-6、TNF-ɑ和IL-8水平均下降,且经穴治疗组各指标水平均低于其他三组,差异有统计学意义( P <0.05)。四组不良反应发生率比较,差异无统计学意义( P >0.05)。结论:acu-TENS治疗可以明显改善COPD稳定期患者肺功能和呼吸困难程度,并下调患者体内炎性因子水平,同时降低COPD稳定期患者发生急性加重的风险,临床疗效尚可。 展开更多
关键词 经皮神经穴位电刺激 COPD稳定期 临床疗效 肺功能 急性加重风险
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经皮穴位神经电刺激对兔胫骨骨缺损骨痂中降钙素基因相关肽的影响 被引量:2
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作者 田振峰 郭洁 +5 位作者 武建忠 张立兴 高雁冰 李洁冰 喻伟光 张帅 《中医药导报》 2015年第1期17-20,共4页
目的:观察经皮穴位神经电刺激对兔胫骨骨缺损骨痂中降钙素基因相关肽(CGRP)表达的影响,探讨周围神经对胫骨骨缺损愈合的影响及其调控机制。方法:选用健康新西兰雄兔80只,随机分配为实验组及对照组,实验组行单侧胫骨近端骨缺损造模并给... 目的:观察经皮穴位神经电刺激对兔胫骨骨缺损骨痂中降钙素基因相关肽(CGRP)表达的影响,探讨周围神经对胫骨骨缺损愈合的影响及其调控机制。方法:选用健康新西兰雄兔80只,随机分配为实验组及对照组,实验组行单侧胫骨近端骨缺损造模并给予足阳明胃经穴位足三里、解溪经皮神经电刺激,对照组行单侧胫骨近端骨缺损造模,穴位部粘贴电极片不予电刺激。分别在术后第1、2、3、4周在两组随机抽取10只实验动物,通过X线片及骨密度测定检测骨痂质量,应用免疫组化及HE染色测定CGRP在新生骨痂中的表达。结果:实验组术后1周骨痂中可见大量CGRP阳性神经纤维表达,集中分布于肉芽、骨膜及新生骨痂中。对照组骨痂中CGRP表达较少,明显低于实验组,且呈递减趋势。实验组骨痂生长及后期塑形迅速,对照组骨缺损局部骨痂生长较慢,后期编织骨成熟度低,骨痂成熟度、骨小梁排列及骨密度均不及实验组。结论:周围神经系统通过CGRP等神经肽物质在早期骨修复及后期骨痂塑形改建过程中发挥重要调节作用,经皮穴位神经电刺激可以通过调节CGRP等神经肽物质达到促进骨缺损愈合的作用。 展开更多
关键词 胫骨 骨缺损 CGRP 骨密度 经皮穴位神经刺激
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经皮穴位神经电刺激对急性缺血性脑卒中患者运动功能康复的影响探讨
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作者 任醒华 麦国钊 黄俊杰 《中国医药指南》 2014年第24期190-191,共2页
目的探讨研究在急性缺血性脑卒中的临床治疗中应用经皮穴位神经电刺激对其运动功能康复的影响。方法选取我院2011年5月至2013年3月收治的124例急性缺血性脑卒中患者,随机分为观察组、对照组,对照组实施常规药物治疗与康复训练,观察组在... 目的探讨研究在急性缺血性脑卒中的临床治疗中应用经皮穴位神经电刺激对其运动功能康复的影响。方法选取我院2011年5月至2013年3月收治的124例急性缺血性脑卒中患者,随机分为观察组、对照组,对照组实施常规药物治疗与康复训练,观察组在此基础上加用经皮穴位神经电刺激治疗,对比观察两组临床治疗效果及运动功能康复情况。结果患者治疗后日常生活能力与运动功能两项评分相比治疗前均明显增高,且观察组评分高于对照组,差异有统计学意义(P<0.05)。结论对急性缺血性脑卒中患者使用经皮穴位神经电刺激,能够显著促进患者运动功能康复,有效改善患者生活活动能力,具有理想的临床应用效果及价值。 展开更多
关键词 经皮穴位神经刺激 急性缺血性脑卒中 运动功能 生活能力
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乳腺癌根治术后使用经皮穴位电刺激的镇痛效果观察 被引量:3
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作者 刘建国 王海燕 +1 位作者 张黄丽 韩冲芳 《临床医药实践》 2015年第9期651-653,共3页
目的:观察接受乳腺癌根治手术患者使用经皮穴位神经电刺激(TEAS)后的镇痛效果。方法:选择择期行乳腺癌根治手术患者60例,女性,年龄45∽70岁,身体质量指数18∽25 kg/m2,ASA分级Ⅰ或Ⅱ级,采用随机数字表法,将其分为TEAS组(T组)和安... 目的:观察接受乳腺癌根治手术患者使用经皮穴位神经电刺激(TEAS)后的镇痛效果。方法:选择择期行乳腺癌根治手术患者60例,女性,年龄45∽70岁,身体质量指数18∽25 kg/m2,ASA分级Ⅰ或Ⅱ级,采用随机数字表法,将其分为TEAS组(T组)和安慰组(F组)两组。取穴:合谷-劳宫,内关-外关。频率:2/100 Hz,分别在麻醉诱导前0.5 h及术后患者苏醒即刻、术后1.5 h,3 h使用TEAS或假TEAS 0.5 h,于术后苏醒即刻(T0)及术后0.5 h(T1),2 h(T2),3.5 h(T3),24 h(T4)采用视觉模拟评分(VAS)评估患者疼痛情况。结果:与F组相比,T组术后疼痛VAS评分降低。结论:TEAS可以改善乳腺癌根治术患者的术后疼痛。 展开更多
关键词 经皮穴位神经刺激 乳腺癌根治术 术后镇痛
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经皮穴位电刺激的临床镇痛进展 被引量:90
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作者 李小梅 《中国疼痛医学杂志》 CAS CSCD 北大核心 2014年第11期826-829,共4页
经皮穴位电刺激(Transcutaneous electrical acupoint stimulation,TEAS)是融合了我国传统针灸治疗和经皮神经电刺激(TENS)技术的一类重要的补充和替代医学方法,既抑制外周疼痛刺激信号上传,又促进内源性阿片肽的释放发挥镇痛作用。多... 经皮穴位电刺激(Transcutaneous electrical acupoint stimulation,TEAS)是融合了我国传统针灸治疗和经皮神经电刺激(TENS)技术的一类重要的补充和替代医学方法,既抑制外周疼痛刺激信号上传,又促进内源性阿片肽的释放发挥镇痛作用。多项研究已证实TEAS在各类急慢性疼痛的镇痛疗效上至少与TENS具有等效性。TEAS可个体化的选择穴位和参数,在改善疼痛伴随症状和生活质量方面有优势,亟需开展优化设计的随机对照研究,更全面体现其疗效优势,促进该项技术的临床应用。 展开更多
关键词 经皮穴位神经刺激 镇痛
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右美托咪定联合经皮穴位神经电刺激改善全麻后睡眠质量的临床研究 被引量:2
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作者 闫丽娟 杨斌 王霄 《中国医院药学杂志》 CAS 北大核心 2023年第17期1955-1958,1963,共5页
目的:探究右美托咪定联合经皮穴位神经电刺激(transcutaneous electrical acupoint stimulation, TEAS)对全麻后睡眠质量的改善作用。方法:75例拟行腹腔镜下胆囊切除术的患者,采用数字表法随机分为右美托咪定组(右美组)(n=25)、经皮穴... 目的:探究右美托咪定联合经皮穴位神经电刺激(transcutaneous electrical acupoint stimulation, TEAS)对全麻后睡眠质量的改善作用。方法:75例拟行腹腔镜下胆囊切除术的患者,采用数字表法随机分为右美托咪定组(右美组)(n=25)、经皮穴位电刺激组(TEAS组)(n=25)和联合组(n=25)。右美组患者全麻时泵注右美托咪定,并在术后3 d的每晚睡前进行右美托咪定滴鼻;TEAS组患者全麻过程中和术后3 d的每晚睡前进行TEAS干预;联合组采用右美托咪定和TEAS 2种干预。对比3组患者术后3晚的阿森斯失眠量表(Athens insomnia scale, AIS)评分和视觉模拟量表(visual analogue scale, VAS)评分,干预前、气管插管时、牵拉胆囊时和拔管时的心率和平均动脉压(mean arterial pressure, MAP)及苏醒期躁动、恶心、呕吐等不良反应。结果:与右美组或TEAS组相比,联合组术后3晚的AIS评分降低;与TEAS组相比,右美组术后第1、2、3晚AIS评分升高,差异有统计学意义(P<0.05)。与右美组或TEAS组相比,联合组术后第1、2天VAS评分降低;与TEAS组相比,右美组术后第1、2天VAS评分升高,差异有统计学意义(P<0.05)。3组患者术后第3天VAS评分、术后3 d的心率和MAP差异均无统计学意义(P>0.05)。3组患者苏醒期躁动、恶心、呕吐等不良反应的发生率差异均无统计学意义(P>0.05)。结论:右美托咪定联合经皮穴位神经电刺激可显著改善腹腔镜下胆囊切除术患者全麻术后短期的睡眠质量。 展开更多
关键词 右美托咪定 经皮穴位神经刺激 睡眠障碍 阿森斯失眠量表 疼痛
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方剑乔教授治疗肩周炎经验总结 被引量:8
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作者 陈敏之 尹小虎 方剑乔 《浙江中医药大学学报》 CAS 2014年第4期468-469,共2页
[目的]总结方剑乔教授运用经皮穴位神经电刺激治疗肩周炎的临床经验。[方法]通过收集临床病例资料、记录方剑乔教授的临证经验,对方剑乔教授使用经皮穴位神经电刺激配合温针灸治疗肩周炎的方法进行整理与分析。[结果]方剑乔教授认为肩... [目的]总结方剑乔教授运用经皮穴位神经电刺激治疗肩周炎的临床经验。[方法]通过收集临床病例资料、记录方剑乔教授的临证经验,对方剑乔教授使用经皮穴位神经电刺激配合温针灸治疗肩周炎的方法进行整理与分析。[结果]方剑乔教授认为肩周炎主要是由无菌性炎症引起的。在诊断上重视临床体格检查;治疗上使用经皮穴位神经电刺激,配合局部阿是穴温针灸以疏通经络,行气活血止痛,疗效显著。[结论]方剑乔教授运用经皮穴位神经电刺激疗法治疗肩周炎,临床疗效显著,为治疗肩周炎提供了一种无创伤性、经济安全,操作简便且有效的治疗方法,临床上值得大力推广。 展开更多
关键词 肩周炎 痹证 针刺 经皮穴位神经刺激 方剑乔
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Overview of reported transcutaneous electrical acupoint stimulation effects on pain mediators 被引量:5
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作者 Deng Kai-feng Chen Ri-lan +2 位作者 Liao Zi-long Wang Guo-xiang Zhu Ying 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第1期78-82,共5页
Literatures on pain intervention with transcutaneous electrical acupoint stimulation(TEAS)were collected by searching the databases both in Chinese and English,and summarized to understand the research progress of TEA... Literatures on pain intervention with transcutaneous electrical acupoint stimulation(TEAS)were collected by searching the databases both in Chinese and English,and summarized to understand the research progress of TEAS effects on pain mediators in recent years.This will provide a more objective and scientific theoretical basis for clinical practice of TEAS to treat pain syndrome,thus promoting the clinical application of TEAS.Our literature analysis indicated that TEAS effectively regulated the release levels of various pain factors such as prostaglandin,5-hydroxytryptamine,interleukins,substance P and tumor necrosis factor-αto achieve the analgesic effects by affecting the conduction pathways.TEAS is a safe,non-invasive and effective treatment for pain syndrome.However,further research is necessary due to the lack of rigor of the current clinical trial design. 展开更多
关键词 Transcutaneous Electrical Nerve Stimulation Acupoint Therapy PAIN ANALGESIA MECHANISM REVIEW
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Effect of acupuncture-like transcutaneous electrical nerve stimulation on labor pain in nulliparous women:a randomized controlled trial 被引量:3
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作者 Zahra MEHRI Farnoosh MOAFI +2 位作者 Ahad ALIZADEH Mohammad HABIBI Fatemeh RANJKESH 《Journal of Acupuncture and Tuina Science》 CSCD 2022年第5期376-382,共7页
Objective To examine the effect of acupuncture-like transcutaneous electrical nerve stimulation(ACUTENS)on labor pain in nulliparous women.Methods This randomized clinical trial was conducted at Razi Hospital in Qazvi... Objective To examine the effect of acupuncture-like transcutaneous electrical nerve stimulation(ACUTENS)on labor pain in nulliparous women.Methods This randomized clinical trial was conducted at Razi Hospital in Qazvin,Iran between January and July 2018.After the screening process,144 out of 184 pregnant women were selected by convenience sampling and assigned to an intervention group or a control group by the block randomization method.The intervention group received ACUTENS at Hegu(LI4),Shenmen(HT7),Sanyinjiao(SP6),and Neimadian(Extra)during various stages of delivery in addition to routine labor care at the delivery room.For the control group,the same routine labor care was performed alone.The severity of pain was assessed in the two groups using the visual analog scale(VAS).The data were analyzed using R software(ver.4.0.2)and repeated measurement analysis of variance.Results ACUTENS reduced the mean score of pain intensity in the first stage of labor in the intervention group more than that in the control group(P<0.001).Also,the mean scores of pain intensity in the second stage of labor,episiotomy,and one hour after delivery in the intervention group were significantly lower than those in the control group(P<0.001).Conclusion ACUTENS at Hegu(LI4),Shenmen(HT7),Sanyinjiao(SP6),and Neimadian(Extra)can decrease the intensity of labor pain in nulliparous women.It can be used as a non-pharmacological method for reducing pain in and after labor. 展开更多
关键词 Transcutaneous Electrical Nerve Stimulation Acupoint Therapy PAIN ANALGESIA Labor Pain Pain Measurement Visual Analog Scale
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Efficacy of transcutaneous electrical acupoint stimulation(TEAS)for menopausal insomnia and its effect on serum hormone levels 被引量:4
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作者 Wang Min-chao Lin Li-hong 《Journal of Acupuncture and Tuina Science》 CSCD 2020年第3期197-202,共6页
Objective:To explore the therapeutic efficacy and mechanism of transcutaneous electrical acupoint stimulation(TEAS)for menopausal insomnia.Methods:A total of 80 patients with menopausal insomnia were randomly divided ... Objective:To explore the therapeutic efficacy and mechanism of transcutaneous electrical acupoint stimulation(TEAS)for menopausal insomnia.Methods:A total of 80 patients with menopausal insomnia were randomly divided into a control group and an observation group,with 40 cases in each group.The patients in the control group received conventional Western medication treatment,and the patients in the observation group received TEAS on the basis of conventional Western medication treatment.The treatment for both groups lasted for 4 weeks.Before and after treatment,Pittsburgh sleep quality index(PSQI)and modified Kupperman scale were evaluated,and the serum levels of estradiol(E2)and follicular stimulating hormone(FSH)were measured.The therapeutic efficacy was evaluated after treatment.Results:After treatment,the total effective rate of the observation group was significantly higher than that of the control group(P<0.05);in the control group,the improvement of PSQI score was significant(P<0.05),while the change of modified Kupperman score was insignificant(P>0.05);the PSQI and Kupperman scores in the observation group were significantly improved after treatment(both P<0.05),and there were significant differences between the observation group and the control group in PSQI and Kupperman scores(both P<0.05).After treatment,the serum E2 and FSH levels in the control group were not statistically different from those before treatment(both P>0.05);the serum E2 level was significantly increased(P<0.05),and the FSH level was decreased(P<0.05)in the observation group after treatment,and the between-group differences in serum levels of E2 and FSH were significant(both P<0.05).Conclusion:TEAS plus conventional Western medication in treating menopausal insomnia is effective,and can significantly improve the symptoms of insomnia and menopause,which may be related to the regulation of serum E2 and FSH levels. 展开更多
关键词 Acupoint Therapy Transcutaneous Electric Nerve Stimulation INSOMNIA CLIMACTERIC PERIMENOPAUSE HORMONES WOMEN
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Observation on therapeutic effect of half puncture plus transcutaneous acupoint electric stimulation for infantile facial paralysis 被引量:2
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作者 杨杭 《Journal of Acupuncture and Tuina Science》 CSCD 2015年第3期156-159,共4页
Objective:To observe the clinical effects of half puncture plus transcutaneous acupoint electric stimulation in the treatment of infantile facial paralysis. Methods:A total of 60 patients with infantile facial paral... Objective:To observe the clinical effects of half puncture plus transcutaneous acupoint electric stimulation in the treatment of infantile facial paralysis. Methods:A total of 60 patients with infantile facial paralysis were divided into a treatment group and a control group by the random digital table, 30 cases in each group. The treatment group was treated with half puncture plus transcutaneous acupoint electric stimulation. The control group was treated with routine acupuncture. Before and after treatment, House-Brackmann (H-B) grading was used to evaluate the sick children respectively. The total effective rates were compared between the two groups after treatment. Results:After 6-course treatments, the total effective rate was 96.5% in the treatment group and 80.0% in the control group, there was a statistical difference between the two groups (P〈0.05) in comparison of the total effective rate. After 6-course treatments, H-B scores were all elevated than those before treatment in the two groups (P〈0.05); there was a statistical difference between the two groups (P〈0.05). Conclusion:Half puncture plus transcutaneous acupoint electric stimulation is better than routine acupuncture in curative effect for infantile facial paralysis. 展开更多
关键词 Acupuncture Therapy Acupoint Therapy Transcutaneous Electric Nerve Stimulation Facial Paralysis CHILD
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