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针身绝缘针低电量针刺球后穴治疗视网膜中央动脉阻塞1例
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作者 茹姝婷 孙武 +2 位作者 陈水龄 张路 褚利群 《中国医药导报》 CAS 2024年第21期183-185,196,共4页
本研究报告1例以针身绝缘针低电量针刺球后穴治疗视网膜中央动脉阻塞的病案。视网膜中央动脉阻塞属于眼科急重症,需要及时、尽早的治疗。目前西医对于此病尚无针对性治疗方案,特别是在视网膜中央动脉阻塞的恢复期无有效治疗方法。本案... 本研究报告1例以针身绝缘针低电量针刺球后穴治疗视网膜中央动脉阻塞的病案。视网膜中央动脉阻塞属于眼科急重症,需要及时、尽早的治疗。目前西医对于此病尚无针对性治疗方案,特别是在视网膜中央动脉阻塞的恢复期无有效治疗方法。本案患者发病前期经过吸氧、降眼压及改善血液循环等西医规范急救治疗,就诊时患眼视力为指数/30 cm,根据病情使用针身绝缘针于球后穴行低电量电针治疗,其中电流量≤3 mA,频率为2 Hz,输出模式为经针模式。经2个月电针治疗后,患者视力由指数/30 cm显著提高至0.5,视野范围显著改善。通过对本案诊疗经过分析及相关文献回顾,重点把握电针对视网膜中央动脉阻塞患者恢复期的治疗意义,进而推广至临床治疗多种视网膜血管病及缺血性视神经疾病。 展开更多
关键词 视网膜中央动脉阻塞 暴盲 针身绝缘 球后穴
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针身绝缘针低电量针刺球后穴治疗眼病二则
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作者 陈水龄 茹姝婷 +4 位作者 李维义 张路 陶方方 史航 褚利群 《中国针灸》 CAS CSCD 北大核心 2024年第10期1221-1224,共4页
球后穴为目前针灸治疗视神经疾病和眼底病的第一大穴,然而由于应用传统针具针刺球后穴时禁止提插捻转、禁用电刺激,因此限制了该穴位的疗效。笔者临床上应用针身绝缘针低电量针刺球后穴治疗视神经疾病,具有作用部位精准、局部刺激量大... 球后穴为目前针灸治疗视神经疾病和眼底病的第一大穴,然而由于应用传统针具针刺球后穴时禁止提插捻转、禁用电刺激,因此限制了该穴位的疗效。笔者临床上应用针身绝缘针低电量针刺球后穴治疗视神经疾病,具有作用部位精准、局部刺激量大的特点,可减少周围神经血管损伤,附典型病例二则,并简单介绍球后穴的中西医认识、针身绝缘针的优势及操作注意事项。 展开更多
关键词 眼病 缺血性视神经病变 青光眼视神经萎缩 针身绝缘 球后穴
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针身绝缘针灸针联合电刺激治疗坐骨神经痛10例
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作者 蔡丽珍 张路 +3 位作者 朴京泽 秦玲利 朱雪莹 孙唯嘉 《中国针灸》 CAS CSCD 北大核心 2024年第1期87-88,共2页
目的:观察针身绝缘针灸针联合电刺激治疗坐骨神经痛的临床疗效。方法:应用针身绝缘针灸针予坐骨神经干精准电刺激治疗坐骨神经痛患者10例。选用0.35 mm×60 mm针身绝缘针灸针,借助超声诊断仪,于承扶穴下10 cm处进针约4 cm。针柄处连... 目的:观察针身绝缘针灸针联合电刺激治疗坐骨神经痛的临床疗效。方法:应用针身绝缘针灸针予坐骨神经干精准电刺激治疗坐骨神经痛患者10例。选用0.35 mm×60 mm针身绝缘针灸针,借助超声诊断仪,于承扶穴下10 cm处进针约4 cm。针柄处连接HANS-2000A神经电刺激仪输出端正极,负极的3M皮肤电极贴片贴于同侧肢体腘窝下10 cm肌肉隆起处,选择连续波,频率10 Hz,每次10 min。隔日1次,每周3次,治疗4周。记录第1次治疗时引发跖反射的最小电流强度。分别于治疗前后观察患者视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、健康调查简表(SF-36)评分,并评定其临床疗效。结果:患者引发跖反射的最小电流强度在0.1~0.4 mA,平均为(0.23±0.09) mA。治疗后,VAS评分、ODI评分均较治疗前降低(P<0.05),SF-36评分较治疗前升高(P<0.05),总有效率为100.0%(10/10)。结论:针身绝缘针灸针能够精准有效刺激坐骨神经干,减轻患者疼痛程度及腰部功能障碍,提高生存质量。 展开更多
关键词 坐骨神经痛 针身绝缘
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针身绝缘针灸针对家兔坐骨神经干电刺激的有效性与安全性评价 被引量:7
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作者 胡光迪 秦玲利 +9 位作者 张路 付建华 李天昕 徐水洋 宋玉娟 李磊 杨斌 沈建武 蒋磊 项国梁 《针刺研究》 CAS CSCD 北大核心 2021年第6期492-496,514,共6页
目的:初步评价针身绝缘针灸针对家兔坐骨神经刺激的有效性与安全性。方法:将18只新西兰雄兔,随机分为空白对照组、普通针组、绝缘针组,每组6只。空白对照组无干预措施,仅用于神经取材对比评价安全性;绝缘针组与普通针组于家兔暴露的左... 目的:初步评价针身绝缘针灸针对家兔坐骨神经刺激的有效性与安全性。方法:将18只新西兰雄兔,随机分为空白对照组、普通针组、绝缘针组,每组6只。空白对照组无干预措施,仅用于神经取材对比评价安全性;绝缘针组与普通针组于家兔暴露的左下肢坐骨神经干处分别以涂层针灸针或传统针灸针针刺,并连接电刺激仪与隔离器。当观察到家兔足部出现规律性跖反射(坐骨神经效应器反射)时记录电流强度。针刺结束后,HE染色法观察坐骨神经损伤程度,透射电镜观察坐骨神经干的超微结构变化。结果:绝缘针组引发规律跖反射的电流强度为(0.29±0.07)mA,普通针组为(0.86±0.08)mA,绝缘针组明显低于普通针组(P<0.01)。HE染色结果显示,普通针组轴突变性,形成嗜酸性小体,神经纤维水肿,局灶性髓鞘丢失;绝缘针组神经纤维损伤不明显,且轴突仅在少数区域变性。透射电镜观察结果显示,普通针组神经髓鞘板层结构分离,各层间排列杂乱,层间可见大量空泡及裂隙,神经轴索萎缩,轴浆及线粒体肿胀、空泡化;绝缘针组神经髓鞘结构正常,且呈现同心圆样明暗相间的板层结构,髓鞘空泡及裂隙较少,神经轴索仅小部分线粒体、微丝、微管结构异常,整体空泡样变性明显少于普通针组,仅部分有髓纤维轻微变性,轴索病变不明显。结论:针身绝缘针灸针对家兔坐骨神经干的电刺激较普通针灸针的刺激更精准,安全性更好,所需电流强度更小。 展开更多
关键词 针身绝缘 微米涂层 坐骨神经干
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行针基本手法分类及本质的探讨 被引量:2
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作者 孙立明 李平 《针灸临床杂志》 2008年第1期43-44,0,共2页
关于行针基本手法的分类方法,古今学者的说法存在着差别,至今尚未形成统一的标准。本文通过参考古代文献和现代文献,结合个人体会,进行分析、归纳、总结,为行针基本手法分类的标准化提出了建议。
关键词 基本手法 上下运动 旋转运动 针身弯曲运动
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超声内镜引导下细针纹身术对最大径≤3 cm胰腺病变腹腔镜胰腺远端切除术的术前定位价值
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作者 刘飞 蔡紫萱 +6 位作者 佘远岭 程桂莲 徐丽明 危少华 高德康 胡端敏 吴伟 《中华消化杂志》 CAS CSCD 北大核心 2023年第12期806-811,共6页
目的评价超声内镜引导下细针纹身术(EUS-FNT)对较小(最大径≤3 cm)的胰腺病变腹腔镜胰腺远端切除术的术前定位价值。方法回顾性分析2017年11月至2022年10月于苏州大学附属第二医院因最大径≤3 cm胰腺病变行腹腔镜胰腺远端切除术的患者... 目的评价超声内镜引导下细针纹身术(EUS-FNT)对较小(最大径≤3 cm)的胰腺病变腹腔镜胰腺远端切除术的术前定位价值。方法回顾性分析2017年11月至2022年10月于苏州大学附属第二医院因最大径≤3 cm胰腺病变行腹腔镜胰腺远端切除术的患者资料。将行EUS-FNT辅助的腹腔镜胰腺远端切除术的8例患者,作为细针纹身术(FNT)联合腹腔镜组;行单纯腹腔镜胰腺远端切除术的14例患者,作为单纯腹腔镜组。观察EUS-FNT的成功率和并发症,比较两组患者的手术时间、手术相关并发症、病变完整切除率。统计学方法采用Mann-Whitney U检验和描述性分析。结果FNT联合腹腔镜组患者病变位于胰体和胰尾各4例。单纯腹腔镜组患者病变位于胰体4例、胰尾10例。FNT联合腹腔镜组病变最大径小于单纯腹腔镜组[14.5 mm(10.8 mm,16.5 mm)比27.0 mm(23.5 mm,30.0 mm)],差异有统计学意义(Z=-3.09,P=0.001)。FNT联合腹腔镜组8例患者均成功实施EUS-FNT,于EUS-FNT后(98.4±8.8)min进行腹腔镜手术,腹腔镜视野下标记点均清晰可见,未见腹腔出血、血肿等并发症;腹腔镜下行胰体尾切除术5例、胰体尾切除术+脾切除术3例,中位手术时间为192.5 min(176.3 min,203.8 min);2例患者术中出血量较大,需输血治疗;8例患者均一次完整切除病变;术后病理诊断为胰腺神经内分泌肿瘤6例、胰腺导管内乳头状黏液性肿瘤(IPMN)1例、实性假乳头状瘤1例。单纯腹腔镜组中行腹腔镜下胰体尾切除术2例、胰体尾切除术+脾切除术12例,中位手术时间为202.5 min(192.8 min,235.0 min),较FNT联合腹腔镜组手术时间有延长趋势,但差异无统计学意义(P>0.05);2例患者术中出血量较大,需输血治疗;1例胰体病变患者术中第1次胰腺离断后标本检查未见病变,再次行胰腺部分切除术后成功完整切除病变;1例患者术后第2天发生腹腔活动性出血,行介入栓塞止血治疗;1例患者术后2周复查计算机断层扫描见胰周有一长径为6 cm的包裹性积液;术后病理诊断分别为胰腺神经内分泌肿瘤5例、IPMN 2例、实性假乳头状瘤1例、胰腺囊肿伴腺上皮低级别上皮内瘤变1例、异位脾脏1例、胰腺导管腺癌4例。结论EUS-FNT可以较好地对行腹腔镜胰腺远端切除术的胰腺小病变进行术前定位,有助于缩短手术时间,提高腹腔镜下病灶完整切除率。 展开更多
关键词 超声内镜 超声内镜引导下细 腹腔镜下胰腺远端切除术
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内镜超声引导下细针纹身术定位胰腺神经内分泌瘤一例(含视频) 被引量:2
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作者 黄佳亮 程桂莲 +3 位作者 吴伟 徐丽明 危少华 胡端敏 《中华消化内镜杂志》 CSCD 北大核心 2020年第9期669-671,共3页
胰腺神经内分泌肿瘤具有恶性潜能,外科手术是首选治疗方法,但外科医师面临术中病灶难以定位的困难。内镜超声引导下细针纹身术通过术前给胰腺病灶纹身染色,能帮助术者快速定位病灶、减少手术时间。本文报道了1例胰尾部神经内分泌肿瘤患... 胰腺神经内分泌肿瘤具有恶性潜能,外科手术是首选治疗方法,但外科医师面临术中病灶难以定位的困难。内镜超声引导下细针纹身术通过术前给胰腺病灶纹身染色,能帮助术者快速定位病灶、减少手术时间。本文报道了1例胰尾部神经内分泌肿瘤患者,通过外科术前内镜超声下亚甲蓝定位染色,成功切除病灶,并达到了R0切除。 展开更多
关键词 腔内超声检查 神经内分泌瘤 内镜超声引导下细 亚甲蓝
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定位塑身溶脂针
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作者 乐言 郑荃 《医学美学美容(美颜志)》 2008年第6期62-63,共2页
“有没有一种减肥方法能让我想瘦哪里就瘦哪里,而且不用节食、不用手术、没有痛苦、见效快、效果持久?”波拉从QQ给我敲过来一行字,我彻底无语了。这个减肥狂,向往魔鬼身材向往得快发疯了!
关键词 溶脂 减肥方法 激光注射溶脂减肥
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Application of Healthy-Side Needling to Treatment of Apoplectic Hemiplegia 被引量:1
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作者 范刚启 吴旭 +1 位作者 薛忠元 毛树章 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2002年第2期143-147,共5页
Acupuncture is effective for the treatment of apoplectic hemiplegia, and the acupoint on the paralytic side is often selected for acupuncture. However, some doctor prefers healthy-side needling with quite satisfactory... Acupuncture is effective for the treatment of apoplectic hemiplegia, and the acupoint on the paralytic side is often selected for acupuncture. However, some doctor prefers healthy-side needling with quite satisfactory results. We study and review the treatment of apoplexy by healthy-side needling to further improve its therapeutic effects. 展开更多
关键词 Acupuncture Therapy Cerebrovascular Accident HEMIPLEGIA Humans
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Length unit "cun" in acupuncture teaching
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作者 王茎 《World Journal of Acupuncture-Moxibustion》 2009年第2期44-47,共4页
Beginning from the origination of the bone-length cun measurement, and proceeding from clinical application, the article differentiated and analyzed 4 measuring methods relate with cun, namely, bone-length cun measure... Beginning from the origination of the bone-length cun measurement, and proceeding from clinical application, the article differentiated and analyzed 4 measuring methods relate with cun, namely, bone-length cun measurement and finger cun measurement regarding to acupoint locating, cun measurement of filiform needle concerning the size of the body of the needle and cun measurement of acupuncture technique referring to the depth of insertion. It explained different senses of cun in the above 4 measurements. The original meaning and the respective implication for each situation should be clarified. Flexible and proper application is required so as to enhance the therapeutic effect of the treatment and avoid possible accidents. 展开更多
关键词 Bone-Length Cun Measurement Finger Cun Measurement Cun Measurement of Fillform Needle Cun Measurement of Acupuncture Technique
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只言片语——周记节选
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作者 沈燕鸣 《中学生天地(初中综合版)(A版)》 2005年第1期20-21,共2页
一古训曰:民以食为天。上午三节课毕,方知此语集中选贤智慧,不可不信。以前不知何谓"前胸贴后背",现在离家不过数里,却已深切感受到--尽管程度不及非洲难民弟兄。而念及自己从前错以玩乐为"天",很是汗颜,心惶惶恐... 一古训曰:民以食为天。上午三节课毕,方知此语集中选贤智慧,不可不信。以前不知何谓"前胸贴后背",现在离家不过数里,却已深切感受到--尽管程度不及非洲难民弟兄。而念及自己从前错以玩乐为"天",很是汗颜,心惶惶恐遭天下人笔也。--《食在一中》 展开更多
关键词 周记 选贤 难民 非洲 浙江省 撇蒸 嘉兴 间爆 和琳 针身
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Promotion of Tissue Regeneration with Acupuncture 被引量:3
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作者 SLOPEK, Axel 马海涛 《Journal of Acupuncture and Tuina Science》 2007年第6期377-382,共6页
Acupuncture can promote the regeneration of tissues. That acupuncture therapy can be called “Regenerative Acupuncture”, which is based upon the idea that by the unlimited and universal power of qi the process of cre... Acupuncture can promote the regeneration of tissues. That acupuncture therapy can be called “Regenerative Acupuncture”, which is based upon the idea that by the unlimited and universal power of qi the process of creation can be triggered again, disabled or destroyed physiological functions of organs and tissues can be restored, and even the reconstruction and renewal of a physically disabled or destroyed organ or tissue might be possible. Regenerative Acupuncture, its point selection and its rationale are based on the ancient and modem Chinese acupuncture literature and clinical experiences of the authors. Now this acupuncture method was introduced by one case report. 展开更多
关键词 Acupuncture Therapy Body Rhythm CHRONOTHERAPEUTICS
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Treatment of Post-stroke Spastic Hemiplegia by Acupuncture plus Rehabilitation Training 被引量:5
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作者 Li Fang-ling Huang Guo-qi 《Journal of Acupuncture and Tuina Science》 2013年第4期235-239,共5页
Objective: To observe the clinical effects of acupuncture plus rehabilitation training for post-stroke spastic hemiplegia. Methods: Eighty patients with post-stroke spastic hemiplegia in conformity with the inclusi... Objective: To observe the clinical effects of acupuncture plus rehabilitation training for post-stroke spastic hemiplegia. Methods: Eighty patients with post-stroke spastic hemiplegia in conformity with the inclusion criteria were randomly divided into two groups, a treatment group and a control group, 40 cases in each group. Both two groups were given treatments of routine Western medicine and rehabilitation training. Those in the treatment group were treated by puncturing antagonistic muscles, and those in the control group were given routine acupuncture treatment, to observe the changes in the scores of modified Ashworth scale (MAS), Fugl-Meyer assessment (FMA) and Barthel index (BI) after treatments in the two groups. Results: After treatment, the scores of MAS, FMA and BI in the two groups were statistically different from those of the same group before the treatment (all P〈0.02). After treatment, the differences in the scores of MAS, FMA and BI were all statistically significant (P〈0.01 or P〈0.05). Conclusion: Acupuncture of antagonistic muscles plus rehabilitation training is better than routine acupuncture plus rehabilitation in the treatment of post-stroke spastic hemiplegia. 展开更多
关键词 Acupuncture Therapy HEMIPLEGIA STROKE COMPLICATIONS Rehabilitation Myospasm
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Magnetism and Acupuncture 被引量:2
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作者 Axel SLOPEK 杨玲 徐瑶 《Journal of Acupuncture and Tuina Science》 2010年第2期123-129,共7页
Qi as well as its ability to cure ailments can be released without needling by the application of magnetism. Qi-effects are based upon the magnetic force released by magnetic platelets fastened onto acupoints. This pr... Qi as well as its ability to cure ailments can be released without needling by the application of magnetism. Qi-effects are based upon the magnetic force released by magnetic platelets fastened onto acupoints. This property supports and proves one of the definitions of qi which says, that "qi is bio-electrical magnetism" or "qi is defined as any type of energy which is able to demonstrate power and strength. This energy can be electricity, magnetism, heat, or light". Furthermore, it is suggested to use magnet acupuncture parallel to needle acupuncture according to traditional Chinese body acupuncture rules scientifically controlled in order to carry out research on qi and qi-effects. Here it might even be possible to find a quality and even a parameter to measure the intensity of qi-effects, such as by simply measuring the possible change of the heart beat frequency (pulse frequency) before and after application of the needle or magnetic platelet. It is also possible that there is another parameter in existence which will be changed by the impact of qi and acupuncture which still needs to be detected. 展开更多
关键词 Acupuncture Therapy CHRONOTHERAPY QI Body Rhythm
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Effect of low-frequency electroacupuncture on pancreatic endocrine system in patients with simple obesity 被引量:5
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作者 高飞 许晓康 +9 位作者 梁玉磊 吴中秋 孙小雪 李晓峰 杜潇怡 祝婕 周小红 孙立虹 王丽丽 韩丑萍 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第3期209-213,共5页
Objective: To observe different efficacies of low-frequency electroacupuncture(EA) on pancreatic endocrine system in male and female patients with simple obesity due to spleen deficiency-related dampness. Methods:... Objective: To observe different efficacies of low-frequency electroacupuncture(EA) on pancreatic endocrine system in male and female patients with simple obesity due to spleen deficiency-related dampness. Methods: A total of 80 simple obesity patients were assigned to a male group(n=37) and a female group(n=43). Both groups received a 30-minute low-frequency EA at Yinlingquan(SP 9), Sanyinjiao(SP 6), Zusanli(ST 36), Fenglong(ST 40), Quchi(LI 11), Tianshu(ST 25), Zhongwan(CV 12), Shuifen(CV 9), Qihai(CV 6) and Guanyuan(CV 4). The treatment was done once a day, and 10 times made up a course of treatment. Patients in both groups were treated for 2 courses. Then the changes in body mass index(BMI), serum insulin, insulin antibodies and leptin level in the two groups were observed and analyzed. Results: After treatment, the BMI, serum insulin, insulin antibodies and leptin levels were significantly reduced in both groups(P〈0.01 or P〈0.05); the BMI and serum insulin concentration were more significantly reduced in the male group than those in the female group(both P〈0.01); and the leptin level was more significantly reduced in the female group than that in the male group(P〈0.01). Conclusion: EA can significantly regulate BMI and pancreatic endocrine system in both men and women with simple obesity; however, there is a gender difference: better effect for men in reducing BMI and serum insulin and better effect for women in reducing serum leptin level. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE Obesity Sex Characteristics Body Mass Index INSULINS Insulin Antibodies LEPTIN
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Effect of Needle-retaining Time on Therapeutic Efficacy for Post-stroke Hemiplegia 被引量:1
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作者 Li Hai-zhou Xie Kai +3 位作者 Zhou Li-feng Fu Qing-lan Zheng Pei-hong Han Chou-ping 《Journal of Acupuncture and Tuina Science》 2013年第4期222-225,共4页
Objective: To observe the effect of needle-retaining time in scalp acupuncture on therapeutic efficacy for post-stroke hemiplegia. Methods: A total of 82 cases who met the inclusion criteria were randomly allocated... Objective: To observe the effect of needle-retaining time in scalp acupuncture on therapeutic efficacy for post-stroke hemiplegia. Methods: A total of 82 cases who met the inclusion criteria were randomly allocated into a control group (22 cases), a short-time needle- retaining group (30 cases) and a long-time needle-retaining group (30 cases). Conventional Bobath therapy was employed in the control group while the scalp acupuncture was combined in the short-time (0.5 h) needle-retaining group and long-time (24 h) needle-retaining group. Then functional assessments were made 1 month and 3 months after treatment using FugI-Meyer motor scale {FMMS), FugI-Meyer assessment of balance (FMA-B) and modified Barthel index (MBI) score. Results: Cases in the long-time needle-retaining group obtained better effects in motor function of the limbs and activities of daily living (ADL) than the other two groups (P〈0.05). In addition, there was no statistical significance between the short-time needle-retaining group and the control group (P〉0.05). Conclusion: The needle-retaining time in scalp acupuncture is substantially associated with the effect for post-stroke hemiplegia and long-time needle-retaining is more advisable. 展开更多
关键词 Acupuncture Therapy Scalp acupuncture Stroke COMPLICATIONS HEMIPLEGIA Rehabilitation
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Measurement of the applanated diameter of ocular cornea using a novel optical probe
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作者 张学勇 卢荣胜 +1 位作者 李平 马建国 《Optoelectronics Letters》 EI 2011年第4期294-297,共4页
A precise measurement of the applanated diameter of the ocular cornea with the optical probe is very important in applanation tonometry.A novel optical probe with a common path configuration is presented.The optical p... A precise measurement of the applanated diameter of the ocular cornea with the optical probe is very important in applanation tonometry.A novel optical probe with a common path configuration is presented.The optical probe mainly consists of a cone-shaped prism and a photodetector.The former serves as a measuring body touching the ocular cornea to shape the area to be measured,and the latter converts the quantity of the luminous flux returning from the cone-shaped prism into one electronic current signal.Laboratory experiments are carried out on a simulated eyeball,followed by an enucleated porcine eyeball specimen.Experimental results show that there is a significant rise of the normalized variational current with increasing the applanation diameter of the ocular cornea,and the sensitivity is 0.2111/mm with an error of 0.00263/mm.Measurements of the normalized variational current on the porcine eyeball have good agreement with those on the simulated eyeball. 展开更多
关键词 Optoelectronic devices PRISMS
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