目的探讨滋水涵木针法联合头穴透刺治疗卒中后上肢运动功能障碍的疗效。方法选取2020年9月—2022年2月医院治疗的卒中后上肢运动功能障碍患者100例,随机分为对照组(53例,头穴透刺疗法)和观察组(47例,滋水涵木针法联合头穴透刺疗法),对...目的探讨滋水涵木针法联合头穴透刺治疗卒中后上肢运动功能障碍的疗效。方法选取2020年9月—2022年2月医院治疗的卒中后上肢运动功能障碍患者100例,随机分为对照组(53例,头穴透刺疗法)和观察组(47例,滋水涵木针法联合头穴透刺疗法),对比两组治疗后临床疗效、Fugl-Meyer运动功能评分上肢部分(Fugl-Meyer assessment-upper extremity,FMA-UE)评分、改良Barthel指数(modified Barthel index,MBI)评分和沃尔夫运动功能测试(Wolf motor function test,WMFT)评分、Brunnstrom偏瘫上肢肌力分级及运动诱发电位皮质潜伏期(cortical latency,CL)和中枢运动传导时间(central motor conduction time,CMCT)值变化。结果观察组治疗有效率较对照组明显较高(P<0.05);两组治疗后FMA-UE评分、MBI评分和WMFT评分较治疗前均明显升高(P<0.05),且观察组较对照组升高更显著(P<0.05);治疗前两组Brunnstrom偏瘫上肢肌力分级间差异无统计学意义(P>0.05);治疗后两组Brunnstrom偏瘫上肢肌力分级较治疗前显著改善(P<0.05);且观察组与对照组相比较改善更明显(P<0.05);两组治疗后CL和CMCT值较治疗前显著降低(P<0.05);且观察组降低更明显(P<0.05)。结论采用滋水涵木针法联合头穴透刺治疗卒中后上肢运动功能障碍具有较好的疗效,能够改善上肢运动功能,提高上肢肌力。展开更多
·AIM: To describe the outcomes of bleb needling in primary glaucoma in an Asian tertiary eye centre over a2 y period. To compare the success rates between primary angle-closure glaucoma(PACG) and primary open ang...·AIM: To describe the outcomes of bleb needling in primary glaucoma in an Asian tertiary eye centre over a2 y period. To compare the success rates between primary angle-closure glaucoma(PACG) and primary open angle glaucoma(POAG). Lastly, to identify factors associated with success of bleb needling.·METHODS: This was a retrospective review of 227 patients who underwent bleb needling between June2009 and June 2011 in Singapore National Eye Centre.The 5-fluorouracil(5-FU) augmented bleb needling was performed either at the slit lamp or in the operating theatre. Repeat bleb needlings were performed as necessary. Complete success was defined as maintenance of intraocular pressure(IOP) ≥6 mm Hg and ≤21 mm Hg, in the absence of further surgery or use of antiglaucoma medication. Qualified success met the above criteria with or without use of antiglaucoma medications.· RESULTS: One hundred and seventy-five eyes completed the two-year follow up. Sixty-nine percent of participants had POAG and 31% had PACG. The mean interval between filtering surgery and bleb needling was299.9 ±616.4d for POAG and 167.1 ±272.2d for PACG.Mean needling attempts were 1.9±1.4 and 2±1.6 for POAG and PACG respectively. In general, there was a statistically significant reduction of IOP ranging from21.9% to 26.8% from month 1 through to month 24. The complete success rates at month 6 were 70.0% for POAG and 65.7% for PACG. At month 12, this decreased to62.2% for POAG and PACG and at month 24, 57.9% for POAG and 63.0% for PACG respectively. The qualified success rates at month 6 for POAG and PACG were23.8% and 29.9% respectively, 32.2% and 29.2% at month12, and 34.7% and 29.6% at month 24. The success ratesbetween POAG and PACG were not significantly different(P 】0.05 for complete and qualified success at months 6,12 and 24). An increased number of needlings and higher pre-needling IOP were associated with failure.·CONCLUSION: The 5-FU augmented bleb needling within one year of trabeculectomy in Asian eyes can provide clinically significant IOP lowering of more than20% for 2y. POAG and PACG had similar complete success rates(58% and 63% respectively). Factors associated with greater risk of procedure failure included increased number of needlings and higher pre-needling IOP. Asian eyes have a greater propensity for scarring but bleb needling, if performed in a timely manner can rescue bleb function.展开更多
目的:观察十穴八针、透灸联合加味养筋汤治疗肝肾亏虚型退行性膝关节炎的临床疗效。方法:选取2020年1月至2022年2月会理县中医医院针灸科门诊和住院治疗的肝肾亏虚型退行性膝关节炎患者60例,按照随机数字表法分为对照组和观察组,每组30...目的:观察十穴八针、透灸联合加味养筋汤治疗肝肾亏虚型退行性膝关节炎的临床疗效。方法:选取2020年1月至2022年2月会理县中医医院针灸科门诊和住院治疗的肝肾亏虚型退行性膝关节炎患者60例,按照随机数字表法分为对照组和观察组,每组30例。对照组给予膝关节腔内注射玻璃酸钠治疗,观察组给予十穴八针、透灸联合加味养筋汤治疗。观察两组患者治疗前后疼痛视觉模拟评分(visual analogue scale,VAS)、西安大略和麦克马斯特大学骨关节炎指数(western ontario and mcmaster university osteoarthritis index,WOMAC)、膝关节髌底周径及临床疗效。结果:观察组有效率为100.0%,对照组有效率为80.0%,观察组有效率高于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后运动时VAS评分、压痛点VAS评分、膝关节髌底周径、WOMAC评分均明显降低,且观察组治疗后运动时VAS评分、压痛点VAS评分、膝关节髌底周径、WOMAC评分均低于对照组,差异具有统计学意义(P<0.05)。结论:十穴八针、透灸联合加味养筋汤治疗肝肾亏虚型退行性膝关节炎,能改善患者临床症状,减轻膝关节肿胀度,改善膝关节功能。展开更多
目的:观察基于“养肝扶脾”理论的针刺结合颞三针治疗产后缺乳性偏头痛的临床疗效。方法:对32例产后缺乳性偏头痛患者采用“养肝扶脾”选穴针刺并配合颞三针治疗。选穴:膻中、少泽、肩井、乳根,颞三针,并随症加减。膻中、乳根采用叩刺法...目的:观察基于“养肝扶脾”理论的针刺结合颞三针治疗产后缺乳性偏头痛的临床疗效。方法:对32例产后缺乳性偏头痛患者采用“养肝扶脾”选穴针刺并配合颞三针治疗。选穴:膻中、少泽、肩井、乳根,颞三针,并随症加减。膻中、乳根采用叩刺法,余穴常规针刺,颞三针连接电针,每次留针30 min,每天1次,5天1个疗程,共治疗2个疗程,疗程间隔2天。观察治疗前后患者头痛视觉模拟量表评分(visual analog scale,VAS)和头痛积分变化情况及临床疗效;通过乳汁分泌评估缺乳情况,分析缺乳与头痛疗效的相关性。结果:首次治疗后、疗程结束后以及随访期患者VAS评分均低于治疗前(P<0.05),且疗程结束后及随访期患者VAS评分均低于首次治疗时(P<0.05);随访时患者的头痛积分低于治疗前(P<0.05);头痛总有效率为90.6%,缺乳总有效率为87.5%,且头痛疗效与缺乳疗效有相关性(P<0.05)。治疗过程中及随访期均未出现不良反应。结论:基于“养肝扶脾”理论针刺结合颞三针对产后缺乳性偏头痛患者头痛和缺乳均有疗效,二者疗效存在关联性,且针刺具有操作安全、起效迅速、持久镇痛的优势。展开更多
Different micro needle system therapies have different advantages and characteristics.However,at present,the dominant diseases for which each therapy is appropriate are positioned relatively vaguely,and even the acupo...Different micro needle system therapies have different advantages and characteristics.However,at present,the dominant diseases for which each therapy is appropriate are positioned relatively vaguely,and even the acupoint selections for the same disease are different.The clinical application of the dominant disease and application characteristics of each micro needle system therapy is a scientific problem that needs to be explored urgently.Based on the previous data mining study of the clinical application of auricular acupuncture,scalp acupuncture,abdominal acupuncture,eye acupuncture,wrist-ankle acupuncture,hand acupuncture,the second metacarpal bone lateral needling,facial acupuncture,mouth acupuncture and nose acupuncture,the diseases reported more in the clinical literature of each therapy were extracted to find out the same symptoms applicable to different micro needle systems.The clinical application and differences of different micro needle systems for the same disease were compared horizontally,and it demonstrated that the second metacarpal bone lateral needling,facial needle,mouth acupuncture and nose acupuncture were biased towards a partial corresponding therapeutic relationship between one part and the other part,and the eye acupuncture was biased to interfere with the whole by adjusting the function of the organs,and the auricular,scalp and abdominal needles had the both characteristics,and the wrist-malleolus acupuncture and hand acupuncture were often used in various disorders of the meridian-collateral level.The differences were researched and summarized to more accurately guide clinicians in the application of different micro needle system therapies.展开更多
文摘目的探讨滋水涵木针法联合头穴透刺治疗卒中后上肢运动功能障碍的疗效。方法选取2020年9月—2022年2月医院治疗的卒中后上肢运动功能障碍患者100例,随机分为对照组(53例,头穴透刺疗法)和观察组(47例,滋水涵木针法联合头穴透刺疗法),对比两组治疗后临床疗效、Fugl-Meyer运动功能评分上肢部分(Fugl-Meyer assessment-upper extremity,FMA-UE)评分、改良Barthel指数(modified Barthel index,MBI)评分和沃尔夫运动功能测试(Wolf motor function test,WMFT)评分、Brunnstrom偏瘫上肢肌力分级及运动诱发电位皮质潜伏期(cortical latency,CL)和中枢运动传导时间(central motor conduction time,CMCT)值变化。结果观察组治疗有效率较对照组明显较高(P<0.05);两组治疗后FMA-UE评分、MBI评分和WMFT评分较治疗前均明显升高(P<0.05),且观察组较对照组升高更显著(P<0.05);治疗前两组Brunnstrom偏瘫上肢肌力分级间差异无统计学意义(P>0.05);治疗后两组Brunnstrom偏瘫上肢肌力分级较治疗前显著改善(P<0.05);且观察组与对照组相比较改善更明显(P<0.05);两组治疗后CL和CMCT值较治疗前显著降低(P<0.05);且观察组降低更明显(P<0.05)。结论采用滋水涵木针法联合头穴透刺治疗卒中后上肢运动功能障碍具有较好的疗效,能够改善上肢运动功能,提高上肢肌力。
文摘·AIM: To describe the outcomes of bleb needling in primary glaucoma in an Asian tertiary eye centre over a2 y period. To compare the success rates between primary angle-closure glaucoma(PACG) and primary open angle glaucoma(POAG). Lastly, to identify factors associated with success of bleb needling.·METHODS: This was a retrospective review of 227 patients who underwent bleb needling between June2009 and June 2011 in Singapore National Eye Centre.The 5-fluorouracil(5-FU) augmented bleb needling was performed either at the slit lamp or in the operating theatre. Repeat bleb needlings were performed as necessary. Complete success was defined as maintenance of intraocular pressure(IOP) ≥6 mm Hg and ≤21 mm Hg, in the absence of further surgery or use of antiglaucoma medication. Qualified success met the above criteria with or without use of antiglaucoma medications.· RESULTS: One hundred and seventy-five eyes completed the two-year follow up. Sixty-nine percent of participants had POAG and 31% had PACG. The mean interval between filtering surgery and bleb needling was299.9 ±616.4d for POAG and 167.1 ±272.2d for PACG.Mean needling attempts were 1.9±1.4 and 2±1.6 for POAG and PACG respectively. In general, there was a statistically significant reduction of IOP ranging from21.9% to 26.8% from month 1 through to month 24. The complete success rates at month 6 were 70.0% for POAG and 65.7% for PACG. At month 12, this decreased to62.2% for POAG and PACG and at month 24, 57.9% for POAG and 63.0% for PACG respectively. The qualified success rates at month 6 for POAG and PACG were23.8% and 29.9% respectively, 32.2% and 29.2% at month12, and 34.7% and 29.6% at month 24. The success ratesbetween POAG and PACG were not significantly different(P 】0.05 for complete and qualified success at months 6,12 and 24). An increased number of needlings and higher pre-needling IOP were associated with failure.·CONCLUSION: The 5-FU augmented bleb needling within one year of trabeculectomy in Asian eyes can provide clinically significant IOP lowering of more than20% for 2y. POAG and PACG had similar complete success rates(58% and 63% respectively). Factors associated with greater risk of procedure failure included increased number of needlings and higher pre-needling IOP. Asian eyes have a greater propensity for scarring but bleb needling, if performed in a timely manner can rescue bleb function.
文摘目的:观察十穴八针、透灸联合加味养筋汤治疗肝肾亏虚型退行性膝关节炎的临床疗效。方法:选取2020年1月至2022年2月会理县中医医院针灸科门诊和住院治疗的肝肾亏虚型退行性膝关节炎患者60例,按照随机数字表法分为对照组和观察组,每组30例。对照组给予膝关节腔内注射玻璃酸钠治疗,观察组给予十穴八针、透灸联合加味养筋汤治疗。观察两组患者治疗前后疼痛视觉模拟评分(visual analogue scale,VAS)、西安大略和麦克马斯特大学骨关节炎指数(western ontario and mcmaster university osteoarthritis index,WOMAC)、膝关节髌底周径及临床疗效。结果:观察组有效率为100.0%,对照组有效率为80.0%,观察组有效率高于对照组,差异具有统计学意义(P<0.05)。两组患者治疗后运动时VAS评分、压痛点VAS评分、膝关节髌底周径、WOMAC评分均明显降低,且观察组治疗后运动时VAS评分、压痛点VAS评分、膝关节髌底周径、WOMAC评分均低于对照组,差异具有统计学意义(P<0.05)。结论:十穴八针、透灸联合加味养筋汤治疗肝肾亏虚型退行性膝关节炎,能改善患者临床症状,减轻膝关节肿胀度,改善膝关节功能。
文摘目的:观察基于“养肝扶脾”理论的针刺结合颞三针治疗产后缺乳性偏头痛的临床疗效。方法:对32例产后缺乳性偏头痛患者采用“养肝扶脾”选穴针刺并配合颞三针治疗。选穴:膻中、少泽、肩井、乳根,颞三针,并随症加减。膻中、乳根采用叩刺法,余穴常规针刺,颞三针连接电针,每次留针30 min,每天1次,5天1个疗程,共治疗2个疗程,疗程间隔2天。观察治疗前后患者头痛视觉模拟量表评分(visual analog scale,VAS)和头痛积分变化情况及临床疗效;通过乳汁分泌评估缺乳情况,分析缺乳与头痛疗效的相关性。结果:首次治疗后、疗程结束后以及随访期患者VAS评分均低于治疗前(P<0.05),且疗程结束后及随访期患者VAS评分均低于首次治疗时(P<0.05);随访时患者的头痛积分低于治疗前(P<0.05);头痛总有效率为90.6%,缺乳总有效率为87.5%,且头痛疗效与缺乳疗效有相关性(P<0.05)。治疗过程中及随访期均未出现不良反应。结论:基于“养肝扶脾”理论针刺结合颞三针对产后缺乳性偏头痛患者头痛和缺乳均有疗效,二者疗效存在关联性,且针刺具有操作安全、起效迅速、持久镇痛的优势。
基金Supported by National Natural Science Foundation:81473773
文摘Different micro needle system therapies have different advantages and characteristics.However,at present,the dominant diseases for which each therapy is appropriate are positioned relatively vaguely,and even the acupoint selections for the same disease are different.The clinical application of the dominant disease and application characteristics of each micro needle system therapy is a scientific problem that needs to be explored urgently.Based on the previous data mining study of the clinical application of auricular acupuncture,scalp acupuncture,abdominal acupuncture,eye acupuncture,wrist-ankle acupuncture,hand acupuncture,the second metacarpal bone lateral needling,facial acupuncture,mouth acupuncture and nose acupuncture,the diseases reported more in the clinical literature of each therapy were extracted to find out the same symptoms applicable to different micro needle systems.The clinical application and differences of different micro needle systems for the same disease were compared horizontally,and it demonstrated that the second metacarpal bone lateral needling,facial needle,mouth acupuncture and nose acupuncture were biased towards a partial corresponding therapeutic relationship between one part and the other part,and the eye acupuncture was biased to interfere with the whole by adjusting the function of the organs,and the auricular,scalp and abdominal needles had the both characteristics,and the wrist-malleolus acupuncture and hand acupuncture were often used in various disorders of the meridian-collateral level.The differences were researched and summarized to more accurately guide clinicians in the application of different micro needle system therapies.
