睡眠障碍是围绝经期女性常见症状之一,临床表现为入睡困难,夜间觉醒次数增多,睡眠质量下降等。非药物疗法治疗围绝经期睡眠障碍的方法有针灸、穴位贴敷、穴位埋线等中医外治法、心理疗法、运动疗法等,上述疗法治疗围绝经期睡眠障碍的疗...睡眠障碍是围绝经期女性常见症状之一,临床表现为入睡困难,夜间觉醒次数增多,睡眠质量下降等。非药物疗法治疗围绝经期睡眠障碍的方法有针灸、穴位贴敷、穴位埋线等中医外治法、心理疗法、运动疗法等,上述疗法治疗围绝经期睡眠障碍的疗效较为明确。其中中医外治法可单独或与药物等常规方法联合应用,具有整体调节的特色诊疗优势,心理疗法对医师专业技能要求较高。目前关于非药物疗法围绝经期睡眠障碍的研究多以观察临床疗效为主,少见作用机制探讨及大样本临床研究,相关疗法临床操作规范化也有待进一步研究。Sleep disorder is one of the common symptoms of perimenopause women, which is clinically manifested as difficulty in falling sleep, increasing number of night awakneings, and decreasing sleep quality. Non-drug therapy for perimenopausal sleep disorders include acupuncture and moxibustion, acupoint application, acupoint embedding and other external treatment of traditional Chinese medicine, psychotherapy, exercise therapy, etc. The therapeutic effect of the above therapy for perimenopausal sleep disorders is relatively clear. The external treatment of traditional Chinese medicine can be applied alone or in combination with convetional methods such as drugs, which has the characteristics of diagnosis and treatment advantages of overall regulation. Psychological therapy requires high professional skills of physicians. At present, the research on non-drug therapy for perimenopausal sleep disorders mainly focuses on the observation of clinical efficacy, and rarely discusses the mechanism of action and large-scale clinical studies. The standardization of clinical operation of related therapies also needs further research.展开更多
非药物的治疗手段越来越受到临床治疗疾病的关注。笔者认为目前中西医非药物疗法在双心疾病治疗过程中的重要性已开始逐渐展露,但目前非药物疗法作用于双心疾病的临床研究与基础研究方面,确实存在科学性的差异性,疾病性质有时难以界定,...非药物的治疗手段越来越受到临床治疗疾病的关注。笔者认为目前中西医非药物疗法在双心疾病治疗过程中的重要性已开始逐渐展露,但目前非药物疗法作用于双心疾病的临床研究与基础研究方面,确实存在科学性的差异性,疾病性质有时难以界定,如何使两者达到统一,仍然需要更多的临床工作者进行更好的临床实践与推广及经验总结。Non-drug treatment has attracted more and more attention in clinical treatment of diseases. The author believes that the importance of non-drug therapy of traditional Chinese and Western medicine in the treatment of double heart disease has begun to gradually reveal. However, there are indeed scientific differences in the clinical research and basic research of non-drug therapy on double heart disease. The nature of the disease is sometimes difficult to define. How to achieve unity between the two still requires more clinical workers to carry out better clinical practice and promotion and experience summary.展开更多
目的比较抗菌光动力疗法(aPDT)与全身抗菌药物辅助治疗牙周炎的疗效。方法搜索Embase、PubMed、Web of Science、Cochrane Library、中国知网、万方数据库、维普数据库共7个数据库,搜索时间从建库至2023年11月止,被搜索文献的语言类型...目的比较抗菌光动力疗法(aPDT)与全身抗菌药物辅助治疗牙周炎的疗效。方法搜索Embase、PubMed、Web of Science、Cochrane Library、中国知网、万方数据库、维普数据库共7个数据库,搜索时间从建库至2023年11月止,被搜索文献的语言类型为中文或英文。根据纳入排除标准筛选文献。用Cochrane工具进行文献质量评价。用RevMan 5.4软件和Stata 14.0软件对被纳入的文献进行Meta分析和发表偏倚检测。结果共有8篇文献被纳入。Meta分析结果表明,治疗后3个月时,当光敏剂(PS)为亚甲基蓝(MB)时,龈下刮治和根面平整术(SRP)+aPDT对探诊深度(PD)的改善效果优于SRP+全身抗菌药物;治疗后3个月时,当PS为吩噻嗪氯时,SRP+全身抗菌药物对PD的改善效果优于SRP+aPDT(P<0.05)。治疗后3个月,SRP+aPDT/SRP+全身抗菌药物对临床附着水平(CAL)、探诊出血(BOP)的改善效果均无明显区别(P>0.05);治疗后6个月,SRP+aPDT/SRP+全身抗菌药物对PD、CAL、BOP的改善效果均无明显区别(P>0.05)。与基线期相比,治疗后3个月时,SRP+aPDT使PD、CAL、BOP分别改善了(0.80±0.19)mm、(0.94±0.29)mm、19.74%±1.91%(P<0.05);而SRP+全身抗菌药物使PD、CAL、BOP分别改善了(1.02±0.27)mm、(0.95±0.25)mm、19.39%±11.83%(P<0.05)。治疗后6个月,SRP+aPDT使PD、CAL、BOP分别改善了(1.37±0.47)mm、(1.29±0.52)mm、28.97%±2.43%(P<0.05);而SRP+全身抗菌药物使PD、CAL、BOP分别改善了(1.55±0.53)mm、(1.34±0.49)mm、29.34%±10.47%(P<0.05)。结论SRP+MB-aPDT对PD的改善效果优于SRP+全身抗菌药物;SRP+全身抗菌药物对PD的改善效果优于SRP+吩噻嗪氯-aPDT,MB-aPDT或许能成为全身抗菌药物辅助治疗牙周炎的替代方法。牙周炎类型、2型糖尿病、吸烟、aPDT次数、全身抗菌药物的种类及其治疗时间等因素对于SRP+aPDT/SRP+全身抗菌药物的治疗效果影响相当。展开更多
近年来,非药物疗法在颈型颈椎病的临床治疗中展现了广阔的应用前景和显著的治疗效果,并且取得了显著的临床研究进展。中医非手术疗法因其疗效好、见效快、创伤性小等特点,逐渐成为治疗颈型颈椎病的首选。其中,牵引、推拿按摩、刮痧、针...近年来,非药物疗法在颈型颈椎病的临床治疗中展现了广阔的应用前景和显著的治疗效果,并且取得了显著的临床研究进展。中医非手术疗法因其疗效好、见效快、创伤性小等特点,逐渐成为治疗颈型颈椎病的首选。其中,牵引、推拿按摩、刮痧、针灸等非药物疗法广泛应用于临床,通过放松颈部肌肉、改善局部血液循环,促进颈椎功能的恢复。此外,拔罐、浮针、刃针、练功等中医特色疗法在颈椎病治疗中发挥了重要作用,显著提高了治疗效果,通过调理气血、疏通经络,有效缓解颈部疼痛、僵硬等症状。本文通过对近十年非药物疗法治疗颈型颈椎病的临床研究进展进行综述,探讨了非药物疗法在颈椎病治疗中的应用,以期为非药物治疗治疗颈椎病提供理论支撑,拓展新的思路和方法,将有助于提升治疗效果和改善患者生活质量。In recent years, non-drug therapy has shown broad application prospect and remarkable therapeutic effect in the clinical treatment of cervical spondylosis, and has made remarkable clinical research progress. Traditional Chinese non-surgical therapy has gradually become the first choice for the treatment of cervical spondylosis because of its good curative effect, quick effect and little trauma. Among them, non-drug therapies such as traction, massage, Gua Sha, acupuncture and moxibustion are widely used in clinical practice to relax neck muscles, improve local blood circulation, and promote the recovery of cervical spine function. In addition, traditional Chinese therapy such as cupping, floating needle, knife needle, and exercise play an important role in the treatment of cervical spondylosis, significantly improving the therapeutic effect, and effectively alleviating neck pain, stiffness and other symptoms by regulating qi and blood, dredging meridians. This article reviewed the clinical research progress of non-drug therapy in the treatment of cervical spondylosis in the past ten years, and discussed the application of non-drug therapy in the treatment of cervical spondylosis, in order to provide theoretical support for non-drug therapy in the treatment of cervical spondylosis, and expand new ideas and methods, which will help to improve the treatment effect and improve the quality of life of patients.展开更多
文摘睡眠障碍是围绝经期女性常见症状之一,临床表现为入睡困难,夜间觉醒次数增多,睡眠质量下降等。非药物疗法治疗围绝经期睡眠障碍的方法有针灸、穴位贴敷、穴位埋线等中医外治法、心理疗法、运动疗法等,上述疗法治疗围绝经期睡眠障碍的疗效较为明确。其中中医外治法可单独或与药物等常规方法联合应用,具有整体调节的特色诊疗优势,心理疗法对医师专业技能要求较高。目前关于非药物疗法围绝经期睡眠障碍的研究多以观察临床疗效为主,少见作用机制探讨及大样本临床研究,相关疗法临床操作规范化也有待进一步研究。Sleep disorder is one of the common symptoms of perimenopause women, which is clinically manifested as difficulty in falling sleep, increasing number of night awakneings, and decreasing sleep quality. Non-drug therapy for perimenopausal sleep disorders include acupuncture and moxibustion, acupoint application, acupoint embedding and other external treatment of traditional Chinese medicine, psychotherapy, exercise therapy, etc. The therapeutic effect of the above therapy for perimenopausal sleep disorders is relatively clear. The external treatment of traditional Chinese medicine can be applied alone or in combination with convetional methods such as drugs, which has the characteristics of diagnosis and treatment advantages of overall regulation. Psychological therapy requires high professional skills of physicians. At present, the research on non-drug therapy for perimenopausal sleep disorders mainly focuses on the observation of clinical efficacy, and rarely discusses the mechanism of action and large-scale clinical studies. The standardization of clinical operation of related therapies also needs further research.
文摘非药物的治疗手段越来越受到临床治疗疾病的关注。笔者认为目前中西医非药物疗法在双心疾病治疗过程中的重要性已开始逐渐展露,但目前非药物疗法作用于双心疾病的临床研究与基础研究方面,确实存在科学性的差异性,疾病性质有时难以界定,如何使两者达到统一,仍然需要更多的临床工作者进行更好的临床实践与推广及经验总结。Non-drug treatment has attracted more and more attention in clinical treatment of diseases. The author believes that the importance of non-drug therapy of traditional Chinese and Western medicine in the treatment of double heart disease has begun to gradually reveal. However, there are indeed scientific differences in the clinical research and basic research of non-drug therapy on double heart disease. The nature of the disease is sometimes difficult to define. How to achieve unity between the two still requires more clinical workers to carry out better clinical practice and promotion and experience summary.
文摘近年来,非药物疗法在颈型颈椎病的临床治疗中展现了广阔的应用前景和显著的治疗效果,并且取得了显著的临床研究进展。中医非手术疗法因其疗效好、见效快、创伤性小等特点,逐渐成为治疗颈型颈椎病的首选。其中,牵引、推拿按摩、刮痧、针灸等非药物疗法广泛应用于临床,通过放松颈部肌肉、改善局部血液循环,促进颈椎功能的恢复。此外,拔罐、浮针、刃针、练功等中医特色疗法在颈椎病治疗中发挥了重要作用,显著提高了治疗效果,通过调理气血、疏通经络,有效缓解颈部疼痛、僵硬等症状。本文通过对近十年非药物疗法治疗颈型颈椎病的临床研究进展进行综述,探讨了非药物疗法在颈椎病治疗中的应用,以期为非药物治疗治疗颈椎病提供理论支撑,拓展新的思路和方法,将有助于提升治疗效果和改善患者生活质量。In recent years, non-drug therapy has shown broad application prospect and remarkable therapeutic effect in the clinical treatment of cervical spondylosis, and has made remarkable clinical research progress. Traditional Chinese non-surgical therapy has gradually become the first choice for the treatment of cervical spondylosis because of its good curative effect, quick effect and little trauma. Among them, non-drug therapies such as traction, massage, Gua Sha, acupuncture and moxibustion are widely used in clinical practice to relax neck muscles, improve local blood circulation, and promote the recovery of cervical spine function. In addition, traditional Chinese therapy such as cupping, floating needle, knife needle, and exercise play an important role in the treatment of cervical spondylosis, significantly improving the therapeutic effect, and effectively alleviating neck pain, stiffness and other symptoms by regulating qi and blood, dredging meridians. This article reviewed the clinical research progress of non-drug therapy in the treatment of cervical spondylosis in the past ten years, and discussed the application of non-drug therapy in the treatment of cervical spondylosis, in order to provide theoretical support for non-drug therapy in the treatment of cervical spondylosis, and expand new ideas and methods, which will help to improve the treatment effect and improve the quality of life of patients.
