针灸辅助治疗脑卒中后抑郁患者后遗症对患者神经功能及日常生活能力的影响

治疗脑卒中抑郁后遗症患者予以针灸进行辅助治疗,对生活、神经功能影响探究。方法 选取2021年1月至2022年12月,我院神经内科诊治患者100例,以治疗方案分组,研究组予以针灸辅治,对照组予以基础治疗,分析治疗效果、心理情绪、神经功能受损评分,生活能力、不良反应等。结果 研究组治疗前NIHSS(9.87±2.57)比较对照组NIHSS(9.63±2.48)无意义。治疗后研究组NIHSS(3.39±1.26)低于对照组NIHSS(4.52±1.03)。研究组HAMD(30.35±3.48)、HAMA(32.39±3.39)低于对照组HAMD(35.62±3.83)、HAMA(37.74±2.98)评分。治疗前,研究组Barthel(67.23±3.59)比较对照组Barthel(67.42±3.81)无意义,治疗后,研究组Barthel(85.78±4.86)高于对照组Barthel(80.36±4.59),研究组不良反应较少,P<0.05.结论 临床治疗脑卒中后遗症时,以针灸辅治,能够减少不良反应,提高生活能力,值得临床推广使用。

通窍明目汤对开角型青光眼患者的治疗作用研究

目的:探讨中药通窍明目汤辅助治疗原发性开角型青光眼患者的临床效果。方法:选取2012年5月至2016年1月鹤壁市中医院眼科中心收治的病情已经得到控制的原发性开角型青光眼患者220例(386眼),根据入院顺序分为观察组和对照组,每组110例,2组均予以小梁切除术等常规方法治疗,观察组同时给予通窍明目汤连续治疗3个疗程(15 d为1个疗程)。结果:治疗后,2组患者治疗后的视力较治疗前均提高(P <0. 05),观察组患者的视野平均光敏度高于对照组(P <0. 005)、平均缺损值均低于对照组(P <0. 05),观察组视网膜中央动脉血流PSA、EDV测定值高于对照组(P <0. 05),RI测定值低于对照组(P <0. 05);治疗后,观察组总有效率74. 55%,对照组为60. 91%,差异有统计学意义(P <0. 05)。结论:中药通窍明目汤辅助治疗原发性开角型青光眼有利于改善血流循环、扩大视野、提高治疗效果。

300 CASES OF HYPERPLASIA OF MAMMARY GLANDS TREATED WITH RED-HOT NEEDLE PLUS FILIFORM NEEDLE

Clinical observations on 300 cases of hyperplasia of mammary glands (group A) treated by red hot needle plus filiform needle are reported in the present study. "Ashi" points were used as the main acupoints. For comparison, other 300 cases (group B) were treated with routine acupuncture method, and Rugen (ST 18) was used as the main acupoint. In addition, other auxiliary acupoints were supplemented in the light of the concrete syndromes in these two groups. The treatment was given once daily, with 10 sessions being a therapeutic course. Of the 300 cases in group A, 240 were clinically cured, amounting to 80%; 58 were effective, amounting to 19.3%; 2 were failed, with a total effective rate of 99.3%. Of the 300 cases in group B, 113 were clinically cured, 165 effective, 22 were failed, with a total effective rate of 92.7%. The therapeutic effect of group A is significantly superior to that of group B (P<0.05).