低频电针足三里对酒依赖大鼠饮酒行为的影响

目的:研究低频电针(2Hz)足三里对酒依赖大鼠饮酒行为的影响。方法:共24只SD大鼠(酒依赖模型组18只,对照组6只)。采用6%(v/w)的酒精水溶液作为SD大鼠唯一的饮水来源共30天建立酒精躯体依赖模型,进一步将其分为戒断组、捆绑组、电针组各6只大鼠。分别对酒精依赖大鼠进行急性(电针一次)和慢性(电针六次)低频电针足三里处理,观察急慢性电针对大鼠饮酒量和酒精偏爱程度(酒精/水自由选择)的影响。结果:急性电针足三里处理大鼠饮酒量和酒精偏爱组间比较差异有显著性(F(2,15)=7.034,P=0.007;F(2,15)=4.810,P=0.024),电针组饮酒量和酒精偏爱较对照组(捆绑对照和非捆绑对照)均降低,其中三组饮酒量和酒精偏爱均值和标准差分别为(4.2±0.4,9.6±0.9,8.0±0.7)及(4.3±0.2,7.5±0.7,7.8±0.7);差异有统计学意义(P<0.001)。慢性电针足三里处理后大鼠饮酒量和酒精偏爱程度与对照组(捆绑对照和非捆绑对照)比较均无显著性差异。结论:急性低频电针足三里能抑制酒精依赖大鼠的饮酒行为。

穴位注射防治儿童支气管哮喘临床研究

目的观察穴位注射双足三里防治儿童支气管哮喘的临床疗效。方法将140例哮喘患儿随机分为2组,分别为治疗组及对照组,每组各70例。对照组予哮喘健康教育管理(就儿童哮喘的日常防护教育的相关问题,如对环境、饮食控制等内容反复多次对患儿及其家属进行宣教)+天灸(又称季节穴,在三伏、三九、春分、秋分以代温灸膏贴敷肺腧、定喘等穴位);治疗组在此基础上按病情分级加维D2果糖酸钙注射液+维生素B12注射液于双足三里进行穴位注射。2组疗程均为1年,1年后观察并评估2组的中医证候疗效。结果在中医证候疗效方面,对照组总有效率为61.4%,显效率为30.0%;治疗组总有效率为81.4%,显效率为34%。2组中医证候疗效相比,治疗组优于对照组(P<0.05)。结论穴位注射在防治儿童支气管哮喘方面疗效肯定,能够减轻临床症状,减少喘息发作次数,从而改善患儿肺脾肾虚证候。

期门穴艾灸配合足三里注射黄体酮注射液治疗胆绞痛临床观察

目的:胆绞痛(Colic):是急诊科常见病,由于胆绞痛发病急,疼痛剧烈难忍,迅速缓解症状消除疼痛是临床医师的首要任务,治疗上需要有及时、有效、安全的止痛方法,减轻病人的痛苦。方法:在山莨菪碱注射液治疗胆绞痛的基础上,同时使用期门穴艾灸配合足三里注射黄体酮针,从用药治疗开始观察病人止痛效果,观察40min,评估疗效。结果:治疗组患者总有效率93.3%显著高于对照组60.0%(P<0.05),有统计学意义,提示治疗组与对照组比较有显著性差异。结论:在山莨菪碱注射液治疗胆绞痛的基础上,同时使用期门穴艾灸配合足三里注射黄体酮针,提高了止痛效果,可以减少因止痛无效而要肌注盐酸曲马多、盐酸哌替啶等强效止痛药。

Effect of Biostimble Therapy on Gastrointestinal Function Recovery after Gynecological Surgery

Objective:To clarify the effectiveness and safety of the Biostimble therapeutic instrument in postoperative gastrointestinal dysfunction in gynecology.Methods:Eighty cases of gynecological surgery patients from Changle County People's Hospital in Shandong Province were selected and divided into the experimental group and the control group,with 40 patients in each group.Low-frequency pulse electrical stimulation on the Zu San Li acupoint with Biostimble therapy instrument was carried in the experimental group.Electrode pads were arranged at the location of the bilateral Zu San Li acupoints,and the Biostimble treatment was applied twice a day for 30 minutes each time.The patients in the control group received stand postoperative nursing.The time of first anal venting,the time of recovery of bowel sounds,the duration of abdominal distension,the duration of abdominal pain,and the postoperative symptom score were observed in the two groups.Adverse events were recorded.Results:Compared to the control group,the experimental group demonstrated significantly shorter bowel sound recovery time,first anal exhaust time(all P<0.001).The duration of abdominal distension was 23.79±5.12 hours,and the duration of abdominal pain was 30.15±4.24 hours in the experimental group.While the duration of abdominal distension was 29.07±5.06 hours,and the duration of abdominal pain was 37.17±5.24 hours in the control group.There was a significant difference between the two groups(All P<0.001).The mean postoperative symptoms scores in the experimental group(1.17±1.03)were lower than those in the control group(2.08±1.71)at the 72-hour after the operation(P=0.005).The complete recovery rate in the experimental group was higher than that in the control group.The difference in treatment outcome between experimental and control was statistically significant(P=0.013).Conclusion:Biostimble therapy instrument electrostimulation on Zu San Li acupoints can promote rapid recovery of gastrointestinal function in patients after general gynecological surgery.