目的:研究高压氧联合针刺治疗脑梗死的疗效。方法:随机选取2022年11月到2024年03月在本院接受治疗的急性缺血性脑卒中患者200例,将其随机抽选为对照组、针刺组、高压氧组和针刺 + 高压氧组各50例,对照组实施常规治疗,针刺组在对照组的...目的:研究高压氧联合针刺治疗脑梗死的疗效。方法:随机选取2022年11月到2024年03月在本院接受治疗的急性缺血性脑卒中患者200例,将其随机抽选为对照组、针刺组、高压氧组和针刺 + 高压氧组各50例,对照组实施常规治疗,针刺组在对照组的基础上增加针刺治疗,高压氧组在对照组的基础上增加高压氧治疗,针刺 + 高压氧组在对照组的基础上增加高压氧联合针刺治疗,对比四组的中风病类评分、神经功能、肢体运动功能、认知功能和不良反应发生率。结果:治疗前,四组的中风病类评分、神经功能、肢体运动功能和认知功能差异无统计学意义(P > 0.05);治疗4周后,针刺 + 高压氧组的中风症状明显好转于其他三组,针刺 + 高压氧组的神经功能优于其他三组,针刺 + 高压氧组的肢体运动功能比其他三组更正常,针刺 + 高压氧组的认知功能好于其他三组,针刺 + 高压氧组的不良反应发生率远远低于其他三组,其差异均具有统计学意义(P Objective: To investigate the efficacy of hyperbaric oxygen combined with acupuncture in the treatment of cerebral infarction. Methods: A total of 200 patients with acute ischemic stroke who received treatment in our hospital from November 2022 to March 2024 were randomly selected and divided into four groups: control group, acupuncture group, hyperbaric oxygen group, and acupuncture + hyperbaric oxygen group, with 50 patients in each group. The control group received conventional treatment, the acupuncture group received acupuncture treatment in addition to the control group’s treatment, the hyperbaric oxygen group received hyperbaric oxygen treatment in addition to the control group’s treatment, and the acupuncture + hyperbaric oxygen group received both hyperbaric oxygen and acupuncture treatment in addition to the control group’s treatment. The stroke classification scores, neurological function, motor function, cognitive function, and incidence of adverse reactions were compared among the four groups. Results: Before treatment, there were no statistically significant differences in stroke classification scores, neurological function, motor function, and cognitive function among the four groups (P > 0.05). After 4 weeks of treatment, the acupuncture + hyperbaric oxygen group showed significant improvement in stroke symptoms compared to the other three groups. The neurological function of the acupuncture + hyperbaric oxygen group was better than that of the other three groups. The motor function of the acupuncture + hyperbaric oxygen group was more normal than that of the other three groups. The cognitive function of the acupuncture + hyperbaric oxygen group was superior to that of the other three groups. The incidence of adverse reactions in the acupuncture + hyperbaric oxygen group was much lower than that in the other three groups, and the differences were statistically significant (P < 0.05). Conclusion: The implementation of hyperbaric oxygen combined with acupuncture treatment for patients with cerebral infarction can effectively improve their clinical symptoms, promote the improvement of neurological function, enhance their motor and cognitive functions, and have a low incidence of adverse reactions, high safety, and good treatment effects.展开更多
脑卒中后吞咽障碍患者主要表现为吞咽困难、饮水呛咳及舌体运动迟缓等症状,其发病率呈逐年上升趋势,严重影响患者的生活质量。针灸已被广泛应用于PSD的治疗,对于患者吞咽功能的恢复,神经通路的重建以及日常生活的自理能力等方面具有良...脑卒中后吞咽障碍患者主要表现为吞咽困难、饮水呛咳及舌体运动迟缓等症状,其发病率呈逐年上升趋势,严重影响患者的生活质量。针灸已被广泛应用于PSD的治疗,对于患者吞咽功能的恢复,神经通路的重建以及日常生活的自理能力等方面具有良好的改善作用。本文对近年针刺治疗脑卒中后吞咽障碍机制研究进行梳理,从针刺修复脑损伤、调节吞咽反射、协调吞咽诸肌运动、调节吞咽相关神经递质分泌等方面进行综述,同时对该病发展及治疗过程中不同的针刺治疗方法进行探讨罗列,为针刺治疗脑卒中后吞咽障碍相关研究提供参考。Patients with dysphagia after stroke mainly present with symptoms such as dysphagia, choking on drinking water and slow tongue movement, and their incidence is increasing year by year, which seriously affects the quality of life of patients. Acupuncture has been widely used in the treatment of PSD, and has a good effect on the recovery of swallowing function, the reconstruction of nerve pathways, and the ability to take care of themselves in daily life. This article reviews the recent studies on the mechanism of acupuncture in the treatment of post-stroke dysphagia, and summarizes the aspects of acupuncture in repairing brain damage, regulating swallowing reflex, coordinating the movement of swallowing muscles, regulating the secretion of swallowing neurotransmitters, etc. At the same time, different acupuncture treatment methods in the development and treatment of dysphagia are discussed and listed, to provide reference for the related research of acupuncture in the treatment of dysphagia after stroke.展开更多
本文查阅针刺治疗特发性面神经麻痹的相关文献,就特发性面神经麻痹的发病机制、针刺作用机制及针刺临床应用3个方面评述针刺治疗特发性面神经麻痹的研究进展。发现针刺治疗特发性面神经麻痹常与其他治法联合应用且疗效显著,其可能通过...本文查阅针刺治疗特发性面神经麻痹的相关文献,就特发性面神经麻痹的发病机制、针刺作用机制及针刺临床应用3个方面评述针刺治疗特发性面神经麻痹的研究进展。发现针刺治疗特发性面神经麻痹常与其他治法联合应用且疗效显著,其可能通过中枢和周围两大机制发挥作用。未来或可开展多中心、大样本的随机对照试验为临床提供更确切的依据。This article reviews the relevant literature on acupuncture treatment for idiopathic facial nerve paralysis, and evaluates the research progress of acupuncture treatment for idiopathic facial nerve paralysis from three aspects: the pathogenesis of idiopathic facial nerve paralysis, the mechanism of acupuncture action, and the clinical application of acupuncture. Acupuncture treatment for idiopathic facial nerve paralysis is often combined with other treatment methods and has significant therapeutic effects. It may exert its effects through two major mechanisms: central and peripheral. In the future, multi center, large sample randomized controlled trials may be conducted to provide more accurate evidence for clinical practice.展开更多
目的:脑卒中作为一种急性脑血管疾病,是我国成人致死、致残的首位病因,且大多数患者遗留有感觉减退的症状,针刺在治疗卒中后感觉减退临床疗效显著、运用广泛。方法:本研究以中国知网数据库、维普期刊数据库以及万方期刊数据库为文献来源...目的:脑卒中作为一种急性脑血管疾病,是我国成人致死、致残的首位病因,且大多数患者遗留有感觉减退的症状,针刺在治疗卒中后感觉减退临床疗效显著、运用广泛。方法:本研究以中国知网数据库、维普期刊数据库以及万方期刊数据库为文献来源,对近五年研究针刺治疗卒中后感觉减退的常用方法进行检索并总结。结果:发现目前临床上针刺治疗卒中后感觉减退较多运用体针、头针、脐针、腕踝针等常规毫针刺方法及采取电针、火针、刃针、揿针、刺络、温针灸等疗法,除此之外,经皮穴位电刺激特殊疗法也临床疗效显著。结论:针刺治疗卒中后感觉减退临床效果较好,可根据患者的个体情况,为其选择最优的治疗方案,为今后临床治疗提供参考。Objective: As an acute cerebrovascular disease, stroke is the leading cause of death and disability among adults in China, and most patients have symptoms of hypoesthesia. Acupuncture is clinically effective and widely used in the treatment of post-stroke hyperalgesia. Methods: In this study, we searched and summarized the common methods of acupuncture in the treatment of post-stroke hypoesthesia in the past five years using CNKI database, VIP journal database and Wanfang journal database as literature sources. Results: It was found that in the clinical treatment of hypoesthesia after stroke, acupuncture was more common in the treatment of hypoesthesia after stroke, such as body acupuncture, head acupuncture, umbilical acupuncture, wrist and ankle acupuncture, and electroacupuncture, fire acupuncture, blade acupuncture, acupuncture, puncture, warm acupuncture and other therapies. Conclusion: Acupuncture has a good clinical effect in the treatment of hypoesthesia after stroke, and the optimal treatment plan can be selected according to the individual situation of the patient, so as to provide a reference for future clinical treatment.展开更多
耳鸣是一种常见的医学症状,在没有相应外部刺激的情况下对听觉感觉的有意识感知。实际上可以发生在任何年龄,作为一种症状在临床上越来越常见,严重者会导致神经衰弱。但作为一种疾病它通常在50岁后才会诊断。目前临床常见分为肝旺火胜...耳鸣是一种常见的医学症状,在没有相应外部刺激的情况下对听觉感觉的有意识感知。实际上可以发生在任何年龄,作为一种症状在临床上越来越常见,严重者会导致神经衰弱。但作为一种疾病它通常在50岁后才会诊断。目前临床常见分为肝旺火胜、肾精亏虚和气滞血瘀、脾虚清气不升和风热上扰几型,笔者在跟师过程中发现运用小续命汤加减治疗耳鸣疗效显著,小续命汤临床运用多见于治疗中风及其后遗症、面神经炎、类风湿性关节炎、格林–巴利综合征、儿童过敏性鼻炎–哮喘综合征等疾病,未见用于治疗耳鸣的临床报道。现以小续命汤为引,运用五脏经络理论,阐述跟师验案的理论基础,联合针刺加强耳周再代谢和微循环,从而促进中医理论与临床的结合,以期为临床治疗耳鸣提供参考。Tinnitus is a common medical symptom, conscious perception of auditory sensation in the absence of corresponding external stimuli. In fact, it can occur at any age, as a symptom is becoming more and more common in clinic, and in severe cases it can lead to neurasthenia. But as a disease, it is usually diagnosed after the age of 50. At present, it is commonly divided into liver prosperity and fire victory, kidney essence deficiency and qi stagnation and blood stasis, spleen deficiency and qi stagnation and wind-heat disturbance. In the process of following the teacher, the author found that Xiaoshuming decoction was effective in the treatment of tinnitus. Xiaoshuming decoction is commonly used in the treatment of stroke and its sequelae, facial neuritis, rheumatoid arthritis, Guillain-Barre syndrome, allergic rhinitis-asthma syndrome in children. There is no clinical report on the treatment of tinnitus. Now, taking Xiaoshuming decoction as an introduction, using the theory of five Zang-organs meridians and collaterals, this paper expounds the theoretical basis of testing cases with teachers, and combines acupuncture to strengthen peri-auricular metabolism and microcirculation, so as to promote the combination of TCM theory and clinic, so as to provide reference for clinical treatment of tinnitus.展开更多
文摘目的:研究高压氧联合针刺治疗脑梗死的疗效。方法:随机选取2022年11月到2024年03月在本院接受治疗的急性缺血性脑卒中患者200例,将其随机抽选为对照组、针刺组、高压氧组和针刺 + 高压氧组各50例,对照组实施常规治疗,针刺组在对照组的基础上增加针刺治疗,高压氧组在对照组的基础上增加高压氧治疗,针刺 + 高压氧组在对照组的基础上增加高压氧联合针刺治疗,对比四组的中风病类评分、神经功能、肢体运动功能、认知功能和不良反应发生率。结果:治疗前,四组的中风病类评分、神经功能、肢体运动功能和认知功能差异无统计学意义(P > 0.05);治疗4周后,针刺 + 高压氧组的中风症状明显好转于其他三组,针刺 + 高压氧组的神经功能优于其他三组,针刺 + 高压氧组的肢体运动功能比其他三组更正常,针刺 + 高压氧组的认知功能好于其他三组,针刺 + 高压氧组的不良反应发生率远远低于其他三组,其差异均具有统计学意义(P Objective: To investigate the efficacy of hyperbaric oxygen combined with acupuncture in the treatment of cerebral infarction. Methods: A total of 200 patients with acute ischemic stroke who received treatment in our hospital from November 2022 to March 2024 were randomly selected and divided into four groups: control group, acupuncture group, hyperbaric oxygen group, and acupuncture + hyperbaric oxygen group, with 50 patients in each group. The control group received conventional treatment, the acupuncture group received acupuncture treatment in addition to the control group’s treatment, the hyperbaric oxygen group received hyperbaric oxygen treatment in addition to the control group’s treatment, and the acupuncture + hyperbaric oxygen group received both hyperbaric oxygen and acupuncture treatment in addition to the control group’s treatment. The stroke classification scores, neurological function, motor function, cognitive function, and incidence of adverse reactions were compared among the four groups. Results: Before treatment, there were no statistically significant differences in stroke classification scores, neurological function, motor function, and cognitive function among the four groups (P > 0.05). After 4 weeks of treatment, the acupuncture + hyperbaric oxygen group showed significant improvement in stroke symptoms compared to the other three groups. The neurological function of the acupuncture + hyperbaric oxygen group was better than that of the other three groups. The motor function of the acupuncture + hyperbaric oxygen group was more normal than that of the other three groups. The cognitive function of the acupuncture + hyperbaric oxygen group was superior to that of the other three groups. The incidence of adverse reactions in the acupuncture + hyperbaric oxygen group was much lower than that in the other three groups, and the differences were statistically significant (P < 0.05). Conclusion: The implementation of hyperbaric oxygen combined with acupuncture treatment for patients with cerebral infarction can effectively improve their clinical symptoms, promote the improvement of neurological function, enhance their motor and cognitive functions, and have a low incidence of adverse reactions, high safety, and good treatment effects.
文摘脑卒中后吞咽障碍患者主要表现为吞咽困难、饮水呛咳及舌体运动迟缓等症状,其发病率呈逐年上升趋势,严重影响患者的生活质量。针灸已被广泛应用于PSD的治疗,对于患者吞咽功能的恢复,神经通路的重建以及日常生活的自理能力等方面具有良好的改善作用。本文对近年针刺治疗脑卒中后吞咽障碍机制研究进行梳理,从针刺修复脑损伤、调节吞咽反射、协调吞咽诸肌运动、调节吞咽相关神经递质分泌等方面进行综述,同时对该病发展及治疗过程中不同的针刺治疗方法进行探讨罗列,为针刺治疗脑卒中后吞咽障碍相关研究提供参考。Patients with dysphagia after stroke mainly present with symptoms such as dysphagia, choking on drinking water and slow tongue movement, and their incidence is increasing year by year, which seriously affects the quality of life of patients. Acupuncture has been widely used in the treatment of PSD, and has a good effect on the recovery of swallowing function, the reconstruction of nerve pathways, and the ability to take care of themselves in daily life. This article reviews the recent studies on the mechanism of acupuncture in the treatment of post-stroke dysphagia, and summarizes the aspects of acupuncture in repairing brain damage, regulating swallowing reflex, coordinating the movement of swallowing muscles, regulating the secretion of swallowing neurotransmitters, etc. At the same time, different acupuncture treatment methods in the development and treatment of dysphagia are discussed and listed, to provide reference for the related research of acupuncture in the treatment of dysphagia after stroke.
文摘本文查阅针刺治疗特发性面神经麻痹的相关文献,就特发性面神经麻痹的发病机制、针刺作用机制及针刺临床应用3个方面评述针刺治疗特发性面神经麻痹的研究进展。发现针刺治疗特发性面神经麻痹常与其他治法联合应用且疗效显著,其可能通过中枢和周围两大机制发挥作用。未来或可开展多中心、大样本的随机对照试验为临床提供更确切的依据。This article reviews the relevant literature on acupuncture treatment for idiopathic facial nerve paralysis, and evaluates the research progress of acupuncture treatment for idiopathic facial nerve paralysis from three aspects: the pathogenesis of idiopathic facial nerve paralysis, the mechanism of acupuncture action, and the clinical application of acupuncture. Acupuncture treatment for idiopathic facial nerve paralysis is often combined with other treatment methods and has significant therapeutic effects. It may exert its effects through two major mechanisms: central and peripheral. In the future, multi center, large sample randomized controlled trials may be conducted to provide more accurate evidence for clinical practice.
文摘目的:脑卒中作为一种急性脑血管疾病,是我国成人致死、致残的首位病因,且大多数患者遗留有感觉减退的症状,针刺在治疗卒中后感觉减退临床疗效显著、运用广泛。方法:本研究以中国知网数据库、维普期刊数据库以及万方期刊数据库为文献来源,对近五年研究针刺治疗卒中后感觉减退的常用方法进行检索并总结。结果:发现目前临床上针刺治疗卒中后感觉减退较多运用体针、头针、脐针、腕踝针等常规毫针刺方法及采取电针、火针、刃针、揿针、刺络、温针灸等疗法,除此之外,经皮穴位电刺激特殊疗法也临床疗效显著。结论:针刺治疗卒中后感觉减退临床效果较好,可根据患者的个体情况,为其选择最优的治疗方案,为今后临床治疗提供参考。Objective: As an acute cerebrovascular disease, stroke is the leading cause of death and disability among adults in China, and most patients have symptoms of hypoesthesia. Acupuncture is clinically effective and widely used in the treatment of post-stroke hyperalgesia. Methods: In this study, we searched and summarized the common methods of acupuncture in the treatment of post-stroke hypoesthesia in the past five years using CNKI database, VIP journal database and Wanfang journal database as literature sources. Results: It was found that in the clinical treatment of hypoesthesia after stroke, acupuncture was more common in the treatment of hypoesthesia after stroke, such as body acupuncture, head acupuncture, umbilical acupuncture, wrist and ankle acupuncture, and electroacupuncture, fire acupuncture, blade acupuncture, acupuncture, puncture, warm acupuncture and other therapies. Conclusion: Acupuncture has a good clinical effect in the treatment of hypoesthesia after stroke, and the optimal treatment plan can be selected according to the individual situation of the patient, so as to provide a reference for future clinical treatment.
文摘耳鸣是一种常见的医学症状,在没有相应外部刺激的情况下对听觉感觉的有意识感知。实际上可以发生在任何年龄,作为一种症状在临床上越来越常见,严重者会导致神经衰弱。但作为一种疾病它通常在50岁后才会诊断。目前临床常见分为肝旺火胜、肾精亏虚和气滞血瘀、脾虚清气不升和风热上扰几型,笔者在跟师过程中发现运用小续命汤加减治疗耳鸣疗效显著,小续命汤临床运用多见于治疗中风及其后遗症、面神经炎、类风湿性关节炎、格林–巴利综合征、儿童过敏性鼻炎–哮喘综合征等疾病,未见用于治疗耳鸣的临床报道。现以小续命汤为引,运用五脏经络理论,阐述跟师验案的理论基础,联合针刺加强耳周再代谢和微循环,从而促进中医理论与临床的结合,以期为临床治疗耳鸣提供参考。Tinnitus is a common medical symptom, conscious perception of auditory sensation in the absence of corresponding external stimuli. In fact, it can occur at any age, as a symptom is becoming more and more common in clinic, and in severe cases it can lead to neurasthenia. But as a disease, it is usually diagnosed after the age of 50. At present, it is commonly divided into liver prosperity and fire victory, kidney essence deficiency and qi stagnation and blood stasis, spleen deficiency and qi stagnation and wind-heat disturbance. In the process of following the teacher, the author found that Xiaoshuming decoction was effective in the treatment of tinnitus. Xiaoshuming decoction is commonly used in the treatment of stroke and its sequelae, facial neuritis, rheumatoid arthritis, Guillain-Barre syndrome, allergic rhinitis-asthma syndrome in children. There is no clinical report on the treatment of tinnitus. Now, taking Xiaoshuming decoction as an introduction, using the theory of five Zang-organs meridians and collaterals, this paper expounds the theoretical basis of testing cases with teachers, and combines acupuncture to strengthen peri-auricular metabolism and microcirculation, so as to promote the combination of TCM theory and clinic, so as to provide reference for clinical treatment of tinnitus.
