Research progress of traditional Chinese medicine nursing techniques for the management of postoperative complications in mixed hemorrhoids

Mixed hemorrhoids,especially ring-shaped mixed hemorrhoid,is still a headache for anorectal surgeons due to its post-operative complications.In recent years,clinicians have been studying and exploring to avoid and alleviate these complications.In the Chinese medicine industry,the application of traditional Chinese medicine nursing technology has good and unique effect in prevent local pain,perianal edema,promote wound healing,relieve urinary retention,improve constipation,relieve anxiety,and so on.This article summarized the evidences of investigated the role of traditional Chinese medicine nursing technique in preventing and treating mixed hemorrhoid so that practitioners can make decision based on the best available evidences.

Advances in surface plasmon resonance for analyzing active components in traditional Chinese medicine

The surface plasmon resonance(SPR)biosensor technology is a novel optical analysis method for studying intermolecular interactions.Owing to in-depth research on traditional Chinese medicine(TCM)in recent years,comprehensive and specific identification of components and target interactions has become key yet difficult tasks.SPR has gradually been used to analyze the active components of TCM owing to its high sensitivity,strong exclusivity,large flux,and real-time monitoring capabilities.This review sought to briefly introduce the active components of TCM and the principle of SPR,and provide historical and new insights into the application of SPR in the analysis of the active components of TCM.

Rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes postoperative gastrointestinal function recovery

BACKGROUND During the perioperative period, the characteristic therapy of traditional Chinese medicine is effective in improving postoperative rehabilitation. In large-scale hospitals practicing traditional Chinese medicine, there is accumulating experience related to the promotion of fast recovery in the perioperative period.AIM To evaluate the efficacy and safety of Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique.METHODS This prospective, multicenter, randomized, controlled study included two groups: Treatment group and control group. The patients in the treatment group and control group received Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique and routine treatment, respectively. Clinical observation regarding postoperative recovery of gastrointestinal function was performed, including the times to first passage of flatus, first defecation, and first normal bowel sounds. The comparison between groups was conducted through descriptive analysis, χ~2, t, F, and rank-sum tests.RESULTS There was a statistically significant difference in the time to postoperative first defecation between the treatment and control group(87.16 ± 32.09 vs 109.79 ±40.25 h, respectively;P < 0.05). Similarly, the time to initial recovery of bowel sounds in the treatment group was significantly shorter than that in the control group(61.17 ± 26.75 vs 79.19 ± 33.35 h, respectively;P < 0.05). However, there was no statistically significant difference in the time to initial exhaust between the treatment and control groups(51.54 ± 23.66 vs 62.24 ± 25.95 h, respectively;P >0.05). The hospitalization expenses for the two groups of patients were 62283.45 ±12413.90 and 62059.42 ± 11350.51 yuan, respectively. Although the cost of hospitalization was decreased in the control group, the difference was not statistically significant(P > 0.05). This clinical trial was safe without reports of any adverse reaction or event.CONCLUSION The rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes the recovery of postoperative gastrointestinal function and is significantly better than standard approach for patients after colorectal surgery.

Research on Combined Rehabilitation Method and Its Mechanism of Traditional Chinese Medicine Daoyin Technique with Biofeedback Technique

Objective: To study an anti resistance active exercise training method which is consistent with the principle of “transcendental goal power” to promote the plasticity change of central nervous system (CNS) in order to recover the motor function after CNS injury, observe its clinical effect and explore its mechanism. Methods: The potential of CNS was induced by six-step Daoyin technique of Chinese medicine, and the potential signal was received in real time by bio-electrical signal receiving equipment and displayed in curve form. Combined with the Operant conditioning biofeedback technique, targeted guidance was given to patients to continuously enhance the action muscle signal intensity and weaken the antagonistic muscle signal intensity, so that the motor program was gradually re-established. Sixty-four patients with hemiplegic elbow dysfunction of old cerebral infarction who had been trained but could not be improved further and had a history of more than 1 year were treated for one course, 90 times and 45 minutes each time. Lovett, Elbow Rom, Fugl-Meyer, program signal intensity and proportion were evaluated before and after treatment. The data were analyzed statistically. Before and after treatment, Lovett MMT, ROM of elbow joint, Fugl Meyer, motor program signal intensity and proportion were assessed, and the data were statistically analyzed. Results: After treatment and before treatment, there was a significant difference between the functional evaluation data (P < 0.01). The function of elbow joint was improved;this is the result of reconstructing the motor program on the basis of developing the potential of CNS by means of the “transcendental goal power” mechanism of the method. There was no recurrence after 6 months of follow-up. Conclusion: The Chinese Medicine Daoyin feedback rehabilitation technique is an effective method to improve elbow joint function of hemiplegia patients with cerebral infarction.

CLINICAL STUDY ON IRRADIATION COMBINED WITH TRADITIONAL CHINESE MEDICINE IN THE TREATMENT OF LARGE PRIMARY LIVER CANCER

This paper resports the response of inoperable primary liver cancer to whole liver irradiation(WLI)by movingstrip technique(MST)during the period from 1980- 1988.The results showed that WLI by MST gave good response in this malignancy.The 5-year survival after treatment was 30.83% and median survival 25.8 months.The analysis of prognostic factors indicated that the higher the midplane tissue dose(mTD),the longer the survival(P<0.001),and that the survival of those patients tumor diameter was>8 to<13 cm and/or tumor volume>50% to <75% of liver volume was longer than that of there with tumor diameter of≥13 cm and/or tumor volume≥75% of the liver volume(P<0. 001 ).Traditional Chinese medicine is an indispensable therapy during the period of WLI by MST.Both clinical and experimental studies suggest that WLI by MST can enhance the therapeutic effect.

费曼技巧结合TBL教学法在中医老年病的应用

目的探讨费曼技巧结合团队学习(Team-based learning,TBL)教学法在中医老年病教学中的效果。方法以北京中医药大学2017级、2018级中医学(五年制)专业为研究对象,分为对照组(35名,采用传统教学模式)和试验组(35名,采用费曼技巧结合TBL教学法),课程结束后对比、分析两组学生的测试成绩、答题用时及试验组满意度问卷调研结果。结果试验组及格率为91.43%(32/35),显著高于对照组的88.57%(31/35),且试验组答题用时显著较对照组缩短(P<0.05)。问卷调研结果显示,大部分学生认可费曼技巧结合TBL教学法,认为其提高了学习兴趣及解决问题能力。结论费曼技巧结合TBL教学模式可提高学生的主动性,有助于提高考试及格率、提升中医老年病的教学质量,有进一步推广价值。

Study of Controlling Acute Hemorrhage from Esophageal Varices Rupture with Technique of Traditional Chinese Medicine

Objective: To find a method for inducing Chinese drugs to adhere to the esophageal mucosa to control bleeding from ruptured esophageal varices.Methods: The site and time that the Chinese drugs adhere to esophageal mucosa were observed in 30 healthy volunteers under the specific condition of standing and lying posture. Seventy episodes bled with ruptured esophageal varices patients (treated group 36 episodes in 25 patients and control group 34 episodes in 27 patients) suffering from cirrhosis of liver were treated by the technique of drug adhesion.Results: (1) The adhesion of Chinese hemostatie drugs remained in the lower segment of esophagus for more than 15 minutes in lying posture, longer than that in standing posture (P < 0.01). (2) The effectiveness of controlling bleeding esophageal varices had no significant difference between the balloon tamponade and adhesion of Chinese hemostatie drugs (P >0. 05).Conclusion: This drug adhesion technique provides a new approach to control hemorrhage from ruptured esophageal Variees.

基于德尔菲法确定《子宫内膜异位症中西医结合诊疗指南》的临床问题

目的:指南工作组严格遵循指南制定规范,构建《子宫内膜异位症中西医结合诊疗指南》(以下简称“指南”)临床问题,便于指导指南后续工作。方法:在前期文献研究、专家访谈、初步调研的基础上,按照临床问题PICO化构建原则编制专家问卷,通过两轮德尔菲法确定本指南临床问题。结果:两轮德尔菲法分别向34名专家发放问卷,回收率均100%,专家积极系数为100%,权威系数均为0.934,变异系数分别为0%~37%及16%~37%,Kendall协调系数分别为0.177及0.105(均P<0.05)。两轮德尔菲法共有30个临床问题达成共识,经指南工作组专家讨论并将部分临床问题进行合并凝练后,最终纳入9个临床问题。结论:总结了子宫内膜异位症临床当下关注度最高的临床问题,通过两轮德尔菲法调查确定了需要纳入本指南的临床问题,为指南的后续制定工作奠定了良好的基础。

基于“督脉入脑理论”探讨卒中后吞咽障碍的病因病机和治疗思路

“督脉入脑”理论最早见于《黄帝内经》《难经》等古籍中,后经张锡纯等医家再加以诠释,该理论由此形成。近年来,随着卒中发病率不断上升,卒中后吞咽障碍(PSD)的患病率逐渐升高。中医学认为,PSD可归属于“中风”“喑痱”“喉痹”等范畴。作者基于“督脉入脑”理论从肾精不足、阳脉虚衰、瘀血不去3方面分别论述PSD的病因、病机及治疗思路,针对其肾精不足之病因病机,可用补肾益髓开窍汤;针对其阳脉虚衰之病因病机,可用通督调神针法;针对其瘀血不去之病因病机,可用通督化瘀灸。从“督脉入脑”理论论治PSD体现出中医学辨证论治思想,能够为PSD的治疗提供新的方法与思路。

甘麦大枣汤联合少阳枢机针法治疗产后抑郁临床研究

目的:观察甘麦大枣汤联合少阳枢机针法治疗产后抑郁的临床疗效。方法:将80例产后抑郁患者按照随机数字表法分为对照组39例和观察组41例。对照组给予草酸艾司西酞普兰片治疗,观察组在对照组治疗的基础上加用甘麦大枣汤联合少阳枢机针法治疗。比较两组患者的临床疗效及治疗前后神经递质水平[5-羟色胺(5-hydroxytryptamine, 5-HT)、多巴胺(dopamine, DA)]、抑郁症状评分、睡眠质量评分变化情况。结果:对照组有效率为74.36%,观察组有效率为92.68%,两组患者有效率比较,差异具有统计学意义(P<0.05)。两组患者治疗后5-HT、DA高于本组治疗前,观察组治疗后5-HT为(58.74±15.12)μg·L^(-1),DA为(167.91±63.15) nmol·24 h^(-1),高于对照组治疗后(P<0.05)。两组患者治疗后各项爱丁堡产后抑郁量表评分低于本组治疗前,且治疗后观察组低于对照组(P<0.05)。两组患者治疗后睡眠质量评分低于本组治疗前,观察组治疗后睡眠质量评分为(11.27±3.50)分,低于同期对照组(P<0.05)。结论:甘麦大枣汤联合少阳枢机针法治疗产后抑郁,可改善患者的抑郁症状,提高睡眠质量,其作用机制可能与调节血清中5-HT、DA水平有关。

Recent Advances in the Study of Ancient Books on Traditional Chinese Medicine

The ancient books on traditional Chinese medicine(TCM) are the source of knowledge for TCM physicians. Therapeutic principles and therapeutic methods for healing many diseases are recorded in these ancient TCM books, providing a huge number of references for modern TCM physicians on conducting diagnosis and administering treatment for different diseases. The ancient TCM books can be dated back thousands of years, and this vast knowledge is recorded in different medical books in the form of text. However, it is difficult to systematically assimilate much information in ancient TCM books. At present, many researchers are applying advanced analytical techniques to analyze the text data in the ancient TCM books. Advanced techniques that have been applied include database construction, cognitive linguistic analysis, fuzzy logic, data mining, and artificial intelligence(AI) technology. There are different characteristics in these advanced analytical techniques. In this study, we comprehensively review recent advances in these techniques applied to the study of ancient TCM books. Furthermore, as AI technology is increasingly utilized in the medical field as well as in the study of ancient TCM books, we also review the application of AI technology to the study of ancient TCM books.

中华优秀传统文化元素融入大学英语写作课堂的教学实践研究

中华优秀传统文化是中国人民社会主义道路自信、制度自信、文化自信的重要源泉。加强中华文化教育,是构建中华文化传承体系,推动文化创新的重要途径。该文探讨在大学英语写作课堂上,以中华优秀传统文化的基本内涵为主要学习目标,从精选写作主题、找准写作视角、掌握英文语篇写作技巧和对比中西思维方式四方面入手融入中华文化教育,实现专业知识学习与文化素质培养的无缝衔接,助力中华文化以准确、适当、得体的英语语言有效地进行国际传播,让世界更好地理解当代中国。

中医适宜技术联合盆底肌肉训练治疗产后压力性尿失禁临床观察

目的 对产后压力性尿失禁患者进行中医适宜技术干预治疗,并观察效果。方法 将60例患者随机分为治疗组和训练组,并对其进行相应治疗,观察2组1 h尿垫试验结果、Sandvik尿失禁指数和国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分改善情况,以及临床疗效。结果 治疗后,治疗组1 h尿垫试验结果、Sandvik尿失禁指数和ICI-Q-SF评分改善均优于训练组。治疗结束时,治疗组总有效率为86.7%(26/30),高于对照组的63.3%(19/30)(P<0.05)。6个月随访时治疗组总有效率86.7%(26/30)亦高于对照组的56.7%(17/30)(P<0.05)。结论 在产后女性中,压力性尿失禁的发生是值得关注的问题。将中医适宜技术与凯格尔训练联用干预产后压力性尿失禁达到巩固、延长疗效的目的。

疼痛专科护士中医疼痛管理培训知识体系的构建研究

目的构建疼痛专科护士中医疼痛管理培训知识体系,为中国疼痛护理人才中医疼痛管理培训提供参考。方法以核心能力理论为指导,通过文献研究和半结构式访谈构建中医疼痛管理培训知识体系初稿,2024年1月—2月采用德尔菲法对17名专家进行2轮函询。结果2轮函询的积极系数分别为100%和94.12%,权威系数均为0.899,肯德尔和谐系数为0.406~0.606(均p<0.001)。最终形成包括5个一级指标、12个二级指标和35个三级指标的疼痛专科护士中医疼痛管理培训知识体系。结论构建的疼痛专科护士中医疼痛管理培训知识体系具有科学性、可靠性,可为中国疼痛护理人才规范化、同质化的中医疼痛管理培训提供指导和借鉴。

浅析天津中药炮制技术的形成、发展与特色

天津中药饮片炮制起源于明代,成于清代,独具地方特色。为了传承与发扬天津中药炮制特色,文章通过整理文献书籍和《天津中药饮片炮制规范》2022版,分析了天津中药炮制技术的形成、发展与特色。天津中药炮制优选道地药材;修治与软化药材技术多样;切制技术兼容并蓄;辅料使用丰富多彩,重用醋与黄酒,善用甘草水炮制解毒;炮炙技术丰富,醋煮技术独具特色,通过比较《中国药典》2020版与其他地方中药材与饮片标准,挖掘出一些特色炮制品种。经过本文的挖掘与分析,可以为天津中药炮制的继承、发展与推广提供参考。

中医护理技术应用创新现状与思考

中医护理技术应用创新是中医护理传承创新的重要要素,也是中医护理优势专科建设的重要抓手。聚焦人民群众日益增长的多元化护理服务需求,积极开展中医护理技术创新研究,进一步改善患者临床结局具有重要的意义。通过梳理中医护理技术应用创新现状,客观分析影响因素,发现中医护理技术应用创新的广度和深度尚需进一步提升,可通过深化专科建设提升守正创新能力,期待中医护理学科在新时代下能取得跨越式发展。

多角度对比中药熏蒸联合睑板腺按摩治疗MGD性干眼临床疗效观察

目的:从多角度对比中药熏蒸和睑板腺按摩治疗MGD性干眼患者临床疗效观察。方法:选择2023年5月~2023年11月在我院就诊的120例MGD性干眼患者采用随机数字表将患者按照1∶1∶1∶1比例随机分为ABCD四个组。其中A组采用先热敷再进行睑板腺按摩,B组采用先睑板腺按摩再进行热敷,C组采取先中药熏蒸再进行睑板腺按摩,D组采取先睑板腺按摩再进行中药熏蒸。四组均进行热敷或中药熏蒸隔日一次,睑板腺按摩每周一次的干预,四周为1个疗程,共干预1个疗程。对四组患者从患者干眼相关评价指标、睑板腺功能相关评价指标、OSDI评分及患者疼痛评分进行观察比较。结果:A组的干眼相关评价指标(BUT、Schirmer I)、睑板腺功能相关评价指标、OSDI评分均优于B组(P<0.05),疼痛评分低于B组(P<0.05);C组的干眼相关评价指标(BUT、Schirmer I)、睑板腺功能相关评价指标、OSDI评分均优于D组(P<0.05),疼痛评分低于D组(P<0.05);A组与C组相比较,C组的干眼相关评价指标(BUT、Schirmer I)、OSDI评分均优于A组(P<0.05),睑板腺功能相关评价指标及疼痛评分无差异(P>0.05)。结论:先进行中药熏蒸再进行睑板腺按摩治疗MGD性干眼,有利于患者症状改善,减轻患者的疼痛,提高患者的治疗效果。

吴氏理筋手法结合J型针刀治疗术后肘关节僵硬的临床研究

目的 探讨吴氏理筋手法结合J型针刀治疗术后肘关节僵硬的临床应用价值。方法 选取江西省南昌市洪都中医院康复科2020年6月—2021年6月收治的60例术后肘关节僵硬患者,以单盲随机法分为对照组(关节松动术)与治疗组(吴氏理筋手法结合J型针刀),各30例。治疗4周后,比较两组Mayo肘关节功能评分(MEPS)与视觉模拟量表(VAS)评分,同时对疗效开展评估。结果 治疗后,与对照组相比,治疗组MEPS评分较高,而VAS评分较低(P<0.05);且治疗组总有效率为100.00%(30/30),明显高于对照组的83.33%(25/30)(P<0.05)。结论 吴氏理筋手法结合J型针刀治疗术后肘关节僵硬患者,能实现肘关节功能的恢复,并减轻患者疼痛,效果确切,具有较高的推广价值。

中药贴敷联合推拿手法对肺炎喘嗽患儿肺功能及症状消失时间的影响

目的本研究旨在探讨中药贴敷联合推拿手法对肺炎喘嗽患儿肺功能及症状消失时间的影响。方法选取2020年4月-2021年6月在我院诊治的102例肺炎患儿为研究对象,按随机数字表法分为对照组和研究组,各51例。观察治疗前后2组中医证候积分、肺功能及免疫功能,统计临床疗效及症状消失时间。结果治疗前,2组患儿发热、咯痰黄稠、咳嗽、气喘息粗、喉中痰鸣、鼻翼煽动、口渴、烦躁、瞬时流量(PEF25)、最高呼气峰流速(PEF)、第1秒最大呼气量(FEV_(1))、肺活量(FVC)、IgG、IgM、IgA水平比较,差异无统计学意义(P>0.05);治疗后,2组患儿发热、咯痰黄稠、咳嗽、气喘息粗、喉中痰鸣、鼻翼煽动、口渴、烦躁评分均较治疗前降低,PEF25、PEF、FEV_(1)、FVC、IgG、IgM、IgA水平较治疗前明显升高,与对照组相比,研究组患儿发热、咯痰黄稠、咳嗽、气喘息粗、喉中痰鸣、鼻翼煽动、口渴、烦躁评分更低,发烧,咳嗽,咳痰,肺部湿罗音都会在较短的时间内消失,PEF25、PEF、FEV_(1)、FVC、IgG、IgM、IgA水平更高,差异具有统计学意义(P<0.05)。结论中药贴敷联合推拿手法可改善肺炎喘嗽患儿肺功能,缩短症状消失时间,降低住院时间,促使患儿康复,疗效显著。

铜绿假单胞菌耐药机制及治疗技术研究新进展

铜绿假单胞菌(PA)是最常见的条件致病菌之一,严重危害人类的健康。随着广谱抗生素的大量应用,导致多重耐药菌株的出现,从而使治疗更加棘手。研究发现,免疫力低下的人群容易诱发PA的感染,随着临床耐药PA检出率的增加及抗生素的治疗效果减弱,部分患者的生活质量及预后受到很大影响。PA的感染难以控制的原因是复杂的耐药机制,其中包括生物膜的形成、孔蛋白的介导作用、外排泵以及抗菌灭活酶的产生等。由于抗生素的应用不能有效控制PA的感染,所以针对耐药机制在药物治疗方面进行研究,其中包括外排泵抑制剂、抗生素佐剂、相关灭活酶抑制剂、外膜透化剂。此外,噬菌体疗法、中药疗法、一氧化氮疗法及纳米技术等特殊治疗也展现出良好的治疗效果,疫苗领域及增强自身免疫力也是未来预防PA感染的重要研究方向。因此,研究PA的耐药机制及治疗技术对PA感染的预防和治疗具有深远的意义。