耳穴贴压护理对改善肛裂术后便秘的临床观察

目的探讨降低肛裂术后便秘发生率的方法。方法选择42例肛裂术后患者,随机分为治疗组和对照组,各21例。治疗组在常规护理基础上加用耳穴贴压护理。对照组采用术后常规护理。分别观察两组术后第2、4、7、11天的排便情况。结果治疗组在肛裂术后1周内排便情况明显好于对照组,1周后排便情况与对照组比较无显著性差异。结论耳穴贴压护理能改善肛裂术后排便,预防和减少便秘的发生。

Analysis of point-selection pattern in acupuncture-moxibustion treatment of amblyopia

Objective：To analyze and summarize the characteristics and pattern in the selection of points and meridians by searching the clinical research literature about acupuncture-moxibustion treatment of amblyopia in the recent 17 years.Methods：By searching Chinese and English databases,such as China National Knowledge Infrastructure （CNKI）,PubMed,etc.,the points in 52 articles in conformity with the requirements were analyzed by frequency statistics by the order of meridians,major points,and adjunct points to summarize the rules and characteristics of the point selection.Results：In 52 articles,there were 21 articles on ear acupuncture and 31 articles on acupuncture-moxibustion treatment.Ten meridians were involved in acupuncture-moxibustion treatment of amblyopia,and the leading 3 meridians were the Bladder,Stomach and Gallbladder Meridians.There were 34 points,10 extraordinary points and 37 ear points were used in acupuncture-moxibustion treatment of amblyopia.The top 10 major points were Jingming （BL 1）,Taiyang （EX-HN 5）,Cuanzhu （BL 2）,Fengchi （GB 20）,Baihui （GV 20）,Hegu （LI 4）,Guangming （GB 37）,Sibai （ST 2）,Chengqi （ST 1） and Sizhukong （TE 23）.The top 5 adjunct points were Zusanli （ST 36）,Shenshu （BL 23）,Ganshu （BL 18）,Sanyinjiao （SP 6） and Taixi （KI 3）.Conclusion：Acupuncture-moxibustion treatment of amblyopia is characterized by the selection of the points mainly from yang meridians,based upon syndromes differentiation plus personal experience,and the points mainly around the eyes and by stressed use of ear points.

盆底肌康复联合耳穴阳性反应点刺激治疗中风后急迫性尿失禁的临床疗效观察

目的:观察盆底肌康复联合耳穴阳性反应点刺激治疗中风后急迫性尿失禁的临床疗效。方法:将180例中风后急迫性尿失禁的患者随机分为对照组、盆底肌康复组、耳穴阳性反应点刺激组、联合治疗组,每组45例。各组均给予常规基础治疗,包括调控血压、血糖及血脂,抗血小板聚集、营养神经、对症支持治疗等。对照组给予留置导尿及膀胱冲洗治疗;盆底肌康复组给予盆底肌康复治疗;耳穴阳性反应点刺激组采用耳穴探测器探测阳性反应点,并据此进行揿针耳部穴位贴压;联合治疗组采用耳穴阳性反应点刺激及盆底肌康复治疗;各组疗程均为4周。比较患者治疗前后尿代动力学、临床症状评分及疗效。结果:治疗后,联合治疗组尿道最大闭合压(MUCP)、膀胱最大容积(VMAX)显著高于其他3组(P<0.05),残余尿量(RUV)、临床症状评分显著低于其他3组(P<0.05,P<0.01)。联合治疗组总有效率(91.1%,41/45)显著优于对照组(62.8%,27/43)、盆底肌康复组(81.8%,36/44)和耳穴阳性反应点刺激组(83.7%,36/43)(P<0.05)。结论:盆底肌康复联合耳穴阳性反应点刺激治疗中风后急迫性尿失禁疗效确切,可明显提高患者生活质量。