K-1 Yongquan complementary resuscitation maneuver, systematized since 1987, has been consistently performed in sudden death and cardiac arrest conditions as a final resource in both basic and advanced CPR failure. Exp...K-1 Yongquan complementary resuscitation maneuver, systematized since 1987, has been consistently performed in sudden death and cardiac arrest conditions as a final resource in both basic and advanced CPR failure. Experimental analytical studies identify the prevention, control and assessment of treatments set up as well as the determination of their efficiency offering;in that way, there are more possibilities than risks during the trial period. That type of study refers to the random criterion in order to measure differences and, in that way, it establishes causal associations which may better determine the intervention mechanism. As inferred by this criterion, control groups would not profit from the benefit of providing a second chance by means of the proposed maneuver during rescue. Such determination leaves those included in the control group deserted to their own ill-fate, adding—consequently—a certain lethal risk, which should basic and advanced CPR fail. In view of this panorama, we tried to find a methodology that should ensure the validation process according to the model presented;to that end, we propose the Cohort Retrospective Study. All of the above has given evidence that there is a difference if one takes into consideration as control the group of “deceased patients” instead of considering among them “patients that may be deceased”. Such apparently simple consideration—thanks to the Cohort Retrospective model—manages to efface the high possibility of a “fatal damage”, as proposed by the randomness principle upon a prospective non-intervention group. Beyond the scientific methodology that supports it the efficiency of the maneuver derives mainly from the sustained increase in survival rates presented in the successive statistics published since its application.展开更多
AIM: To introduce new applications into the ILCORcardiopulmonary resuscitation(CPR) "chain" sequence.METHODS: Stages of the CPR sequence("chain"): prior to the application of chest massage: assess ...AIM: To introduce new applications into the ILCORcardiopulmonary resuscitation(CPR) "chain" sequence.METHODS: Stages of the CPR sequence("chain"): prior to the application of chest massage: assess the victim's state of consciousness and lung-heart failure;seek help(call 911), or in situations in which it is impossible to start the ILCOR protocol:(1) if the victim is trapped in car crash, overturned car, landslide, massive number of victims or catastrophe; or(2) delayed CPR.During chest compression: Yongquan is simultaneously stimulated by a third rescuer. During defibrillator application: activate K-1 Yongquan through needles before defibrillation. Unsuccessful CPR: "gold standard"for legal clinical death.RESULTS: Implies comparing two hypotheses: Ho(null hypothesis) demonstrates no association between the two variables studied; Ha(alternative hypothesis) implies some degree of relation between them. Difference between the two treatments is observed. If it is greater than the standard error multiplied by a coefficient of security, the difference is significant: Ha will be accepted and Ho rejected. First we will compare CPR without defibrillator(method "A") and K-1 Yongquan method(method "B"), using percentages of representative samples(treatment "A": 6.4% response, treatment "B": 85% response). If │PA- PB│ is greater than the product of 1.96 times the standard error, the difference is significant. Because │PA- PB│ = 0.786 is greater than 0.098, the difference between 0.064 and 0.85 is statistically significant. Thus, we reject Ho and accept Ha as correct. Thus, it is improbable that chance was responsible for this association. This analysis shows that K-1 Yongquan method has a "quality guarantee". Second, we compare defibrillators("A") with K-1 Yongquan method("B")(treatment "A": 48%, treatment "B": 84%, │PA- PB│= 0.36; │PA- PB│ = 0.36 is greater than SE × 1.96 = 0.0148 and also statistically significant, demonstrating again the comparative value of the Yongquan method. CONCLUSION: The Yongquan resuscitation manoeuver is a non-invasive, non-tiring, costless, and easy-toapply procedure that provides a second chance when other options fail.展开更多
Disorder of consciousness （DOC） is one of the most serious sequelae of brain injury, and is challenging for neurologists and rehabilitation special- ists to manage because of its refractory nature （Whyte et al., 2...Disorder of consciousness （DOC） is one of the most serious sequelae of brain injury, and is challenging for neurologists and rehabilitation special- ists to manage because of its refractory nature （Whyte et al., 2013）. Acu- puncture is a traditional Chinese medicine technique that is often used to help improve the level of consciousness in patients with DOC. However, the responses to stimulation of acupoints in patients with DOC are not fully understood.展开更多
Objective: To observe the therapeutic effect of acupuncture plus moxibustion of Yongquan (KI 1) in improving stroke patients’ dyskinesia and blood rheology. Methods: 78 cases of stroke patients were treated by acupun...Objective: To observe the therapeutic effect of acupuncture plus moxibustion of Yongquan (KI 1) in improving stroke patients’ dyskinesia and blood rheology. Methods: 78 cases of stroke patients were treated by acupuncture and moxibustion of Yongquan (KI 1), once daily, with 20 days being a therapeutic course. Indexes of whole blood viscosity, plasma viscosity, platelet aggregation rate, packed cell volume and fibrinogen were detected before and after treatment. Changes of the functional activity were assessed using Barthel marking method. Results: After 2 courses of acupuncture treatment, all the above mentioned indexes and functional activity were improved significantly (P<0.05～0.01). Conclusion: Acupuncture and moxibustion of Yongquan (KI 1) has an active effect in improving stroke patients’ dyskinesia and blood rheology.展开更多
Yongquan （KI 1） is the Jing-Well point of Kidney Meridian of Foot Shaoyin. It can be used to treat many kinds of diseases, such as parietal headache, vertigo and blurred vision, hypopharynx swelling and pain, dry to...Yongquan （KI 1） is the Jing-Well point of Kidney Meridian of Foot Shaoyin. It can be used to treat many kinds of diseases, such as parietal headache, vertigo and blurred vision, hypopharynx swelling and pain, dry tongue, voice loss, epistaxis, apoplexy and apoplectic sequela, dysufia, ungratifying defecation, epilepsy, syncope, planter fever, palpitations, lower limbs spasm, hypertension, vomiting, infantile convulsion. The author applied Yongquan （KI 1） in clinical practice and obtained satisfactory therapeutic effects. Now five cases were introduced as follows.展开更多
目的分析耳尖放血联合吴茱萸贴敷涌泉穴对原发性高血压患者的效果。方法选取2021年6月至2022年12月萍乡市中医院收治的62例原发性高血压患者作为研究对象,并按随机数字表法将其分为常规组与中医组,每组各31例。常规组患者给予尼群地平...目的分析耳尖放血联合吴茱萸贴敷涌泉穴对原发性高血压患者的效果。方法选取2021年6月至2022年12月萍乡市中医院收治的62例原发性高血压患者作为研究对象,并按随机数字表法将其分为常规组与中医组,每组各31例。常规组患者给予尼群地平片口服治疗,中医组患者在常规组的基础上给予耳尖放血+吴茱萸贴敷涌泉穴治疗。比较两组高血压患者的总有效率、动态血压指标、血清相关因子及生活质量。结果中医组患者的治疗总有效率(93.55%)高于常规组(74.19%),差异有统计学意义(P<0.05);治疗后,两组患者的24 h平均收缩压(24 h SBP)、24 h平均舒张压(24 h DBP)均低于本组治疗前,且中医组低于常规组,差异有统计学意义(P<0.05);治疗后,两组患者的C反应蛋白(CRP)、血管内皮素-1(ET-1)、P-选择素(CD62P)均低于本组治疗前,且中医组低于常规组,差异有统计学意义(P<0.05);治疗后,中医组患者的生活质量评分高于常规组,差异有统计学意义(P<0.05)。结论耳尖放血联合吴茱萸贴敷涌泉穴治疗原发性高血压效果显著,可进一步降低患者血压水平,降低血清CRP、ET-1、CD62P水平,减轻机体炎症反应,提高患者生活质量。展开更多
目的:探究艾灸“涌泉穴”治疗脑卒中后轻度认知障碍的效果。方法:选取2021年1月—2022年1月于南平市第一医院就诊的60例脑卒中后轻度认知障碍患者为研究对象。根据随机数表法将其分为对照组和观察组,各30例。两组均给予基础治疗,对照组...目的:探究艾灸“涌泉穴”治疗脑卒中后轻度认知障碍的效果。方法:选取2021年1月—2022年1月于南平市第一医院就诊的60例脑卒中后轻度认知障碍患者为研究对象。根据随机数表法将其分为对照组和观察组,各30例。两组均给予基础治疗,对照组给予盐酸多奈哌齐片,观察组在对照组基础上给予艾灸“涌泉穴”。比较两组干预前后认知功能、日常生活能力,临床疗效及治疗满意度。结果:干预后,观察组简易精神状态检查表(mini-mental state examination,MMSE)、日常生活能力量表(ADL)评分均高于对照组,差异均有统计学意义(P<0.05)。观察组总有效率高于对照组,差异有统计学意义(P<0.05)。观察组、对照组治疗总满意度分别为96.67%、73.33%,观察组治疗总满意度高于对照组,差异有统计学意义(P<0.05)。结论:艾灸“涌泉穴”治疗脑卒中后轻度认知障碍患者,能有效地提高患者的认知及日常生活能力,提高临床疗效,进而提高患者的满意度。展开更多
文摘K-1 Yongquan complementary resuscitation maneuver, systematized since 1987, has been consistently performed in sudden death and cardiac arrest conditions as a final resource in both basic and advanced CPR failure. Experimental analytical studies identify the prevention, control and assessment of treatments set up as well as the determination of their efficiency offering;in that way, there are more possibilities than risks during the trial period. That type of study refers to the random criterion in order to measure differences and, in that way, it establishes causal associations which may better determine the intervention mechanism. As inferred by this criterion, control groups would not profit from the benefit of providing a second chance by means of the proposed maneuver during rescue. Such determination leaves those included in the control group deserted to their own ill-fate, adding—consequently—a certain lethal risk, which should basic and advanced CPR fail. In view of this panorama, we tried to find a methodology that should ensure the validation process according to the model presented;to that end, we propose the Cohort Retrospective Study. All of the above has given evidence that there is a difference if one takes into consideration as control the group of “deceased patients” instead of considering among them “patients that may be deceased”. Such apparently simple consideration—thanks to the Cohort Retrospective model—manages to efface the high possibility of a “fatal damage”, as proposed by the randomness principle upon a prospective non-intervention group. Beyond the scientific methodology that supports it the efficiency of the maneuver derives mainly from the sustained increase in survival rates presented in the successive statistics published since its application.
文摘AIM: To introduce new applications into the ILCORcardiopulmonary resuscitation(CPR) "chain" sequence.METHODS: Stages of the CPR sequence("chain"): prior to the application of chest massage: assess the victim's state of consciousness and lung-heart failure;seek help(call 911), or in situations in which it is impossible to start the ILCOR protocol:(1) if the victim is trapped in car crash, overturned car, landslide, massive number of victims or catastrophe; or(2) delayed CPR.During chest compression: Yongquan is simultaneously stimulated by a third rescuer. During defibrillator application: activate K-1 Yongquan through needles before defibrillation. Unsuccessful CPR: "gold standard"for legal clinical death.RESULTS: Implies comparing two hypotheses: Ho(null hypothesis) demonstrates no association between the two variables studied; Ha(alternative hypothesis) implies some degree of relation between them. Difference between the two treatments is observed. If it is greater than the standard error multiplied by a coefficient of security, the difference is significant: Ha will be accepted and Ho rejected. First we will compare CPR without defibrillator(method "A") and K-1 Yongquan method(method "B"), using percentages of representative samples(treatment "A": 6.4% response, treatment "B": 85% response). If │PA- PB│ is greater than the product of 1.96 times the standard error, the difference is significant. Because │PA- PB│ = 0.786 is greater than 0.098, the difference between 0.064 and 0.85 is statistically significant. Thus, we reject Ho and accept Ha as correct. Thus, it is improbable that chance was responsible for this association. This analysis shows that K-1 Yongquan method has a "quality guarantee". Second, we compare defibrillators("A") with K-1 Yongquan method("B")(treatment "A": 48%, treatment "B": 84%, │PA- PB│= 0.36; │PA- PB│ = 0.36 is greater than SE × 1.96 = 0.0148 and also statistically significant, demonstrating again the comparative value of the Yongquan method. CONCLUSION: The Yongquan resuscitation manoeuver is a non-invasive, non-tiring, costless, and easy-toapply procedure that provides a second chance when other options fail.
基金supported by the National Natural Science Foundation of China,No.81171852
文摘Disorder of consciousness （DOC） is one of the most serious sequelae of brain injury, and is challenging for neurologists and rehabilitation special- ists to manage because of its refractory nature （Whyte et al., 2013）. Acu- puncture is a traditional Chinese medicine technique that is often used to help improve the level of consciousness in patients with DOC. However, the responses to stimulation of acupoints in patients with DOC are not fully understood.
文摘Objective: To observe the therapeutic effect of acupuncture plus moxibustion of Yongquan (KI 1) in improving stroke patients’ dyskinesia and blood rheology. Methods: 78 cases of stroke patients were treated by acupuncture and moxibustion of Yongquan (KI 1), once daily, with 20 days being a therapeutic course. Indexes of whole blood viscosity, plasma viscosity, platelet aggregation rate, packed cell volume and fibrinogen were detected before and after treatment. Changes of the functional activity were assessed using Barthel marking method. Results: After 2 courses of acupuncture treatment, all the above mentioned indexes and functional activity were improved significantly (P<0.05～0.01). Conclusion: Acupuncture and moxibustion of Yongquan (KI 1) has an active effect in improving stroke patients’ dyskinesia and blood rheology.
文摘Yongquan （KI 1） is the Jing-Well point of Kidney Meridian of Foot Shaoyin. It can be used to treat many kinds of diseases, such as parietal headache, vertigo and blurred vision, hypopharynx swelling and pain, dry tongue, voice loss, epistaxis, apoplexy and apoplectic sequela, dysufia, ungratifying defecation, epilepsy, syncope, planter fever, palpitations, lower limbs spasm, hypertension, vomiting, infantile convulsion. The author applied Yongquan （KI 1） in clinical practice and obtained satisfactory therapeutic effects. Now five cases were introduced as follows.
文摘目的分析耳尖放血联合吴茱萸贴敷涌泉穴对原发性高血压患者的效果。方法选取2021年6月至2022年12月萍乡市中医院收治的62例原发性高血压患者作为研究对象,并按随机数字表法将其分为常规组与中医组,每组各31例。常规组患者给予尼群地平片口服治疗,中医组患者在常规组的基础上给予耳尖放血+吴茱萸贴敷涌泉穴治疗。比较两组高血压患者的总有效率、动态血压指标、血清相关因子及生活质量。结果中医组患者的治疗总有效率(93.55%)高于常规组(74.19%),差异有统计学意义(P<0.05);治疗后,两组患者的24 h平均收缩压(24 h SBP)、24 h平均舒张压(24 h DBP)均低于本组治疗前,且中医组低于常规组,差异有统计学意义(P<0.05);治疗后,两组患者的C反应蛋白(CRP)、血管内皮素-1(ET-1)、P-选择素(CD62P)均低于本组治疗前,且中医组低于常规组,差异有统计学意义(P<0.05);治疗后,中医组患者的生活质量评分高于常规组,差异有统计学意义(P<0.05)。结论耳尖放血联合吴茱萸贴敷涌泉穴治疗原发性高血压效果显著,可进一步降低患者血压水平,降低血清CRP、ET-1、CD62P水平,减轻机体炎症反应,提高患者生活质量。
文摘目的:探究艾灸“涌泉穴”治疗脑卒中后轻度认知障碍的效果。方法:选取2021年1月—2022年1月于南平市第一医院就诊的60例脑卒中后轻度认知障碍患者为研究对象。根据随机数表法将其分为对照组和观察组,各30例。两组均给予基础治疗,对照组给予盐酸多奈哌齐片,观察组在对照组基础上给予艾灸“涌泉穴”。比较两组干预前后认知功能、日常生活能力,临床疗效及治疗满意度。结果:干预后,观察组简易精神状态检查表(mini-mental state examination,MMSE)、日常生活能力量表(ADL)评分均高于对照组,差异均有统计学意义(P<0.05)。观察组总有效率高于对照组,差异有统计学意义(P<0.05)。观察组、对照组治疗总满意度分别为96.67%、73.33%,观察组治疗总满意度高于对照组,差异有统计学意义(P<0.05)。结论:艾灸“涌泉穴”治疗脑卒中后轻度认知障碍患者,能有效地提高患者的认知及日常生活能力,提高临床疗效,进而提高患者的满意度。
