Objective： To explore the therapeutical effect of ear-acupoint pressing combined with Ear Apex （HX6,7） bloodletting on haemorheology in chloasma patients with Gan （Liver） depression pattern. Methods： A total of ...Objective： To explore the therapeutical effect of ear-acupoint pressing combined with Ear Apex （HX6,7） bloodletting on haemorheology in chloasma patients with Gan （Liver） depression pattern. Methods： A total of 180 chloasma patients were randomly assigned to three groups, 60 cases in each. Patients in the ear- acupuncture （EA） group were treated with ear-acupoint pressing combined with Ear Apex（HX6,7） bloodletting; vitamins C and E were put into practice in the Western medicine （WM） group together with 0.025% tretinoin cream for local external application; patients in the placebo group were treated with urea-cream by external use, while 30 healthy volunteers were in the control group. After a treatment course of 2 months, the changes of haemorheology, injury skin area, colour score and symptom score before and after the treatment were observed. Results： There was no significant difference on whole blood reduced viscosity （high shear, medium shear, and low shear）, erythrocyte aggregation index, hematocrit, plasma viscosity among the four groups （F=2.65, P〉0.05）. Compared with those before treatment, the whole blood viscosity （high shear） and whole blood reduced viscosity （high shear） after treatment in the EA group, the WM group and the placebo group were with no statistical significance （P〉0.05）. The injury skin area and colour score after treatment were significantly lower than those before treatment in the EA group and the WM group （P〈0.05）, while there was no significant difference in placebo group （P〉0.05）. Clinical symptoms of the EA group were obviously improved after the 2-month treatment, which was significantly different compared with those before treatment （P〈0.05）, there was significant difference compared with those of WM group and placebo group （P〈0.05）. Conclusion： There was no significant difference on haemorheology index between healthy people and chloasma patients without angionosis, cerebrovascular disease, hematopathy, metabolic disease or any other organic disease. Ear-acupoint pressing combined with Ear Apex （HX6,7） bloodletting can effectively improve concurrent symptoms, lighten chloasma and lower chloasma area in patients accompanied by Gan depression.展开更多
Application of surgical endoscope, used alone or in combination with the surgical microscope, for the operative management of ear and temporal bone conditions may allow improved access and clearance of disease. Preser...Application of surgical endoscope, used alone or in combination with the surgical microscope, for the operative management of ear and temporal bone conditions may allow improved access and clearance of disease. Preservation of normal structures may also be improved.As the use of this tool is increasing, the need for better understanding of the anatomy of the ear is becoming evident. This is particularly so for endoscopic surgery aiming at removal of lesions involving the infra-cochlear corridor and/or petrous apex.Human temporal bone-derived labyrinth casts(molds), originally made for endolymphatic duct and sac analysis which genuinely represent the membranous labyrinth and its adjacent soft tissues, were morphometrically analyzed in terms of the anatomic relations between structures in and around the infra-cochlear corridor. The distance between the petrous carotid artery(PCA) and the basal turn of the cochlea, the distance between PCA and infra-cochlear vein(ICV)/cochlear aqueduct(CA), and the distance between the lower surface of basal cochlear turn and the point where the carotid artery and jugular vein(JV) meet close to the jugular foramen, were measured to be around 1.3 mm, 6 mm and 8 mm respectively, thus constituting an approximate 6?8 mm2 infra-cochlear corridor. This analysis and further study with larger samples might be helpful for operation via this corridor led to the petrous apex where cholesterol granuloma, cholesteatoma and other lesions are not uncommon.展开更多
基金Supported by Zhejiang Province Science and Technology Project of Traditional Chinese Medicine(No.2010B501678)
文摘Objective： To explore the therapeutical effect of ear-acupoint pressing combined with Ear Apex （HX6,7） bloodletting on haemorheology in chloasma patients with Gan （Liver） depression pattern. Methods： A total of 180 chloasma patients were randomly assigned to three groups, 60 cases in each. Patients in the ear- acupuncture （EA） group were treated with ear-acupoint pressing combined with Ear Apex（HX6,7） bloodletting; vitamins C and E were put into practice in the Western medicine （WM） group together with 0.025% tretinoin cream for local external application; patients in the placebo group were treated with urea-cream by external use, while 30 healthy volunteers were in the control group. After a treatment course of 2 months, the changes of haemorheology, injury skin area, colour score and symptom score before and after the treatment were observed. Results： There was no significant difference on whole blood reduced viscosity （high shear, medium shear, and low shear）, erythrocyte aggregation index, hematocrit, plasma viscosity among the four groups （F=2.65, P〉0.05）. Compared with those before treatment, the whole blood viscosity （high shear） and whole blood reduced viscosity （high shear） after treatment in the EA group, the WM group and the placebo group were with no statistical significance （P〉0.05）. The injury skin area and colour score after treatment were significantly lower than those before treatment in the EA group and the WM group （P〈0.05）, while there was no significant difference in placebo group （P〉0.05）. Clinical symptoms of the EA group were obviously improved after the 2-month treatment, which was significantly different compared with those before treatment （P〈0.05）, there was significant difference compared with those of WM group and placebo group （P〈0.05）. Conclusion： There was no significant difference on haemorheology index between healthy people and chloasma patients without angionosis, cerebrovascular disease, hematopathy, metabolic disease or any other organic disease. Ear-acupoint pressing combined with Ear Apex （HX6,7） bloodletting can effectively improve concurrent symptoms, lighten chloasma and lower chloasma area in patients accompanied by Gan depression.
文摘Application of surgical endoscope, used alone or in combination with the surgical microscope, for the operative management of ear and temporal bone conditions may allow improved access and clearance of disease. Preservation of normal structures may also be improved.As the use of this tool is increasing, the need for better understanding of the anatomy of the ear is becoming evident. This is particularly so for endoscopic surgery aiming at removal of lesions involving the infra-cochlear corridor and/or petrous apex.Human temporal bone-derived labyrinth casts(molds), originally made for endolymphatic duct and sac analysis which genuinely represent the membranous labyrinth and its adjacent soft tissues, were morphometrically analyzed in terms of the anatomic relations between structures in and around the infra-cochlear corridor. The distance between the petrous carotid artery(PCA) and the basal turn of the cochlea, the distance between PCA and infra-cochlear vein(ICV)/cochlear aqueduct(CA), and the distance between the lower surface of basal cochlear turn and the point where the carotid artery and jugular vein(JV) meet close to the jugular foramen, were measured to be around 1.3 mm, 6 mm and 8 mm respectively, thus constituting an approximate 6?8 mm2 infra-cochlear corridor. This analysis and further study with larger samples might be helpful for operation via this corridor led to the petrous apex where cholesterol granuloma, cholesteatoma and other lesions are not uncommon.
