In the present study, the authors selected points according to differentiation of symptoms and signs and applied filiform needles to treating 40 cases of hiccup who had tried treatment with Western and Chinese drugs b...In the present study, the authors selected points according to differentiation of symptoms and signs and applied filiform needles to treating 40 cases of hiccup who had tried treatment with Western and Chinese drugs but without any effect and achieved satisfactory results. After acupuncture treatment, 34 cases (85 %) were cured, 4 (10 %) improved markedly and 2(5 %) improved, with total effective rate of 100 %.展开更多
AIM:To investigate whether routinely measured clinical variables could aid in differentiating intestinal tuberculosis(ITB)from Crohn’s disease(CD).METHODS:ITB and CD patients were prospectively included at four South...AIM:To investigate whether routinely measured clinical variables could aid in differentiating intestinal tuberculosis(ITB)from Crohn’s disease(CD).METHODS:ITB and CD patients were prospectively included at four South Indian medical centres from October 2009 to July 2012.Routine investigations included case history,physical examination,blood biochemistry,ileocolonoscopy and histopathological examination of biopsies.Patients were followed-up after 2 and 6 mo of treatment.The diagnosis of ITB or CD was re-evaluated after 2 mo of antituberculous chemotherapy or immune suppressive therapy respectively,based on improvement in signs,symptoms and laboratory variables.This study was considered to be an exploratory analysis.Clinical,endoscopic and histopathological features recorded at the time of inclusion were subject to univariate analyses.Disease variables with sufficient number of recordings and P<0.05 were entered into logistic regression models,adjusted for known confounders.Finally,we calculated the odds ratios with respective confidence intervals for variables associated with either ITB or CD.RESULTS:This study included 38 ITB and 37 CD patients.Overall,ITB patients had the lowest body mass index(19.6 vs 22.7,P=0.01)and more commonly reported weight loss(73%vs 38%,P<0.01),watery diarrhoea(64%vs 33%,P=0.01)and rural domicile(58%vs 35%,P<0.05).Endoscopy typically showed mucosal nodularity(17/31 vs 2/37,P<0.01)and histopathology more frequently showed granulomas(10/30vs 2/35,P<0.01).The CD patients more frequently reported malaise(87%vs 64%,P=0.03),nausea(84%vs 56%,P=0.01),pain in the right lower abdominal quadrant on examination(90%vs 54%,P<0.01)and urban domicile(65%vs 42%,P<0.05).In CD,endoscopy typically showed involvement of multiple intestinal segments(27/37 vs 9/31,P<0.01).Using logistic regression analysis we found weight loss and nodularity of the mucosa were independently associated with ITB,with adjusted odds ratios of 8.6(95%CI:2.1-35.6)and 18.9(95%CI:3.5-102.8)respectively.Right lower abdominal quadrant pain on examination and involvement of≥3 intestinal segments were independently associated with CD with adjusted odds ratios of 10.1(95%CI:2.0-51.3)and 5.9(95%CI:1.7-20.6),respectively.CONCLUSION:Weight loss and mucosal nodularity were associated with ITB.Abdominal pain and excessive intestinal involvement were associated with CD.ITB and CD were equally common.展开更多
The authors have treated 172 cases of cervical spondylopathy with acupuncture basedon the differentiation of symptoms and signs.Of 172 cases,58（33.2％）were cured,60（35.0％）were markedly improved,and 48（27.9％）we...The authors have treated 172 cases of cervical spondylopathy with acupuncture basedon the differentiation of symptoms and signs.Of 172 cases,58（33.2％）were cured,60（35.0％）were markedly improved,and 48（27.9％）were improved.The total effective rate was 96.1％.Acupuncture treatment is more effective for cervical spondylopathy with little change in bone sub-stance,but less effective in cases with severe bone proliferation.And its eminant effect is an algesia,no significant change is found in X-ray examination before and after treatment.展开更多
The author has treated 93 cases of female sterility with acupuncture. ln accordancewith clinical symptoms and signs, the disease was classified into f0ll0wing types: the stagnation of liv-er-Qi, disharmony of Qi and b...The author has treated 93 cases of female sterility with acupuncture. ln accordancewith clinical symptoms and signs, the disease was classified into f0ll0wing types: the stagnation of liv-er-Qi, disharmony of Qi and blood; deficiency 0f kidney-Yang, infertility of the retention of cold inthe uterus; the retention of phlegm-dampness, vascular obstruction of the uterine c0llaterals; andblood stasis, the stagnation of the uterine collaterals. According to the the0ry of Five Elements, theacupoints were selected to treat each type of syndrome. Of thern, 86 cases were effective, 7 cases in-effective. The effective rate was 92. 5 %.展开更多
目的观察温针灸联合局部封闭治疗桡骨茎突狭窄性腱鞘炎的临床疗效。方法选取68例桡骨茎突狭窄性腱鞘炎患者随机分成观察组和对照组(每组各34例),对照组给予单纯局部封闭治疗,观察组在对照组基础上给予温针灸治疗,观察两组患者治疗前后...目的观察温针灸联合局部封闭治疗桡骨茎突狭窄性腱鞘炎的临床疗效。方法选取68例桡骨茎突狭窄性腱鞘炎患者随机分成观察组和对照组(每组各34例),对照组给予单纯局部封闭治疗,观察组在对照组基础上给予温针灸治疗,观察两组患者治疗前后视觉模拟评分法(visual analog scale,VAS)、主要症状及体征评分,比较治疗后两组患者临床疗效。结果治疗后,两组患者VAS评分和主症及体征评分总分均较本组治疗前有所降低,差异有统计学意义(P<0.05或P<0.01),且观察组评分均低于对照组,差异有统计学意义(P<0.05);观察组总有效率高于对照组,两组比较差异有统计学意义(P<0.05)。结论温针灸联合局部封闭治疗桡骨茎突狭窄性腱鞘炎效果显著,且优于单纯局部封闭治疗,值得临床进一步研究推广。展开更多
文摘In the present study, the authors selected points according to differentiation of symptoms and signs and applied filiform needles to treating 40 cases of hiccup who had tried treatment with Western and Chinese drugs but without any effect and achieved satisfactory results. After acupuncture treatment, 34 cases (85 %) were cured, 4 (10 %) improved markedly and 2(5 %) improved, with total effective rate of 100 %.
基金Supported by The South-Eastern Norwegian Regional Health Authority,No.2011132,Lovisenberg Diaconal Hospital’s Research FundThe Unger-Vetlesen Medical Fund
文摘AIM:To investigate whether routinely measured clinical variables could aid in differentiating intestinal tuberculosis(ITB)from Crohn’s disease(CD).METHODS:ITB and CD patients were prospectively included at four South Indian medical centres from October 2009 to July 2012.Routine investigations included case history,physical examination,blood biochemistry,ileocolonoscopy and histopathological examination of biopsies.Patients were followed-up after 2 and 6 mo of treatment.The diagnosis of ITB or CD was re-evaluated after 2 mo of antituberculous chemotherapy or immune suppressive therapy respectively,based on improvement in signs,symptoms and laboratory variables.This study was considered to be an exploratory analysis.Clinical,endoscopic and histopathological features recorded at the time of inclusion were subject to univariate analyses.Disease variables with sufficient number of recordings and P<0.05 were entered into logistic regression models,adjusted for known confounders.Finally,we calculated the odds ratios with respective confidence intervals for variables associated with either ITB or CD.RESULTS:This study included 38 ITB and 37 CD patients.Overall,ITB patients had the lowest body mass index(19.6 vs 22.7,P=0.01)and more commonly reported weight loss(73%vs 38%,P<0.01),watery diarrhoea(64%vs 33%,P=0.01)and rural domicile(58%vs 35%,P<0.05).Endoscopy typically showed mucosal nodularity(17/31 vs 2/37,P<0.01)and histopathology more frequently showed granulomas(10/30vs 2/35,P<0.01).The CD patients more frequently reported malaise(87%vs 64%,P=0.03),nausea(84%vs 56%,P=0.01),pain in the right lower abdominal quadrant on examination(90%vs 54%,P<0.01)and urban domicile(65%vs 42%,P<0.05).In CD,endoscopy typically showed involvement of multiple intestinal segments(27/37 vs 9/31,P<0.01).Using logistic regression analysis we found weight loss and nodularity of the mucosa were independently associated with ITB,with adjusted odds ratios of 8.6(95%CI:2.1-35.6)and 18.9(95%CI:3.5-102.8)respectively.Right lower abdominal quadrant pain on examination and involvement of≥3 intestinal segments were independently associated with CD with adjusted odds ratios of 10.1(95%CI:2.0-51.3)and 5.9(95%CI:1.7-20.6),respectively.CONCLUSION:Weight loss and mucosal nodularity were associated with ITB.Abdominal pain and excessive intestinal involvement were associated with CD.ITB and CD were equally common.
文摘The authors have treated 172 cases of cervical spondylopathy with acupuncture basedon the differentiation of symptoms and signs.Of 172 cases,58（33.2％）were cured,60（35.0％）were markedly improved,and 48（27.9％）were improved.The total effective rate was 96.1％.Acupuncture treatment is more effective for cervical spondylopathy with little change in bone sub-stance,but less effective in cases with severe bone proliferation.And its eminant effect is an algesia,no significant change is found in X-ray examination before and after treatment.
文摘The author has treated 93 cases of female sterility with acupuncture. ln accordancewith clinical symptoms and signs, the disease was classified into f0ll0wing types: the stagnation of liv-er-Qi, disharmony of Qi and blood; deficiency 0f kidney-Yang, infertility of the retention of cold inthe uterus; the retention of phlegm-dampness, vascular obstruction of the uterine c0llaterals; andblood stasis, the stagnation of the uterine collaterals. According to the the0ry of Five Elements, theacupoints were selected to treat each type of syndrome. Of thern, 86 cases were effective, 7 cases in-effective. The effective rate was 92. 5 %.
文摘目的观察温针灸联合局部封闭治疗桡骨茎突狭窄性腱鞘炎的临床疗效。方法选取68例桡骨茎突狭窄性腱鞘炎患者随机分成观察组和对照组(每组各34例),对照组给予单纯局部封闭治疗,观察组在对照组基础上给予温针灸治疗,观察两组患者治疗前后视觉模拟评分法(visual analog scale,VAS)、主要症状及体征评分,比较治疗后两组患者临床疗效。结果治疗后,两组患者VAS评分和主症及体征评分总分均较本组治疗前有所降低,差异有统计学意义(P<0.05或P<0.01),且观察组评分均低于对照组,差异有统计学意义(P<0.05);观察组总有效率高于对照组,两组比较差异有统计学意义(P<0.05)。结论温针灸联合局部封闭治疗桡骨茎突狭窄性腱鞘炎效果显著,且优于单纯局部封闭治疗,值得临床进一步研究推广。
