Nursing students'knowledge,willingness,and attitudes toward the first aid behavior as bystanders in traffic accident trauma:A cross-sectional survey

Objectives:The purpose of the study was to investigate the nursing students'levels of the knowledge,willingness,and attitudes toward first aid behavior as bystanders in road traffic accident and the related factors.Methods:A total of 475 nursing students were recruited by convenience choosing in Tianjin University of Traditional Chinese Medicine.The nursing students'self-efficacy,core self-evaluation,knowledge,willingness and attitudes toward first aid behavior as bystanders in traffic accidents were investigated with a self-designed questionnaire.Results:The scores of knowledge,willingness,and attitudes toward first aid behavior in traffic accident trauma were 7.51±1.93,15.54±5.03,and 7.73±1.56,respectively.Students who once gained training of first aid showed lower levels of attitude toward first aid behavior than those untrained(t=-2.345,P=0.019).It was found that self-efficacy was correlated to the knowledge(r=0.150,P<0.001),willingness(r=0.182,P<0.004)and attitudes toward behavior of the first aid(r=0.371,P<0.001)among nursing students.Core self-evaluation was correlated to knowledge(r=0.193,P<0.001)and attitudes toward behavior of the first aid(r=0.199,P<0.001).Conclusions:The first aid knowledge among nursing students was not satisfactory.The study suggested that an unsustainable short first-aid training program may bring negative effects.Countermeasures should be taken to ensure both quality and continuity of first aid training.Meanwhile,more attention should be paid to improving the self-efficacy and core self-evaluation of the nursing students.

Retrospective Analysis of 128 Patients of Acupuncture Consultation After Pancreatic Surgery

This study was conducted to analyze and summaries the current situation of acupuncture post-operative consultation of pancreatic cancer patients in the Qilu hospital of Shandong University,further provide a reference for acupuncture treatment of post-operative complications after pancreatic surgery,especially the effect of acupuncture in treating gastrointestinal dysfunction after pancreatic surgery.The consultation reasons,diagnosis,treatments,patient compliance,and the effect of acupuncture treatment of post-operative was studied and analyzed in 128 cases from October 9,2020 to October 9,2021.A total of 128 patients was selected for this study,and 116 of the patients were completely treated.This study showed that the effective rate of acupuncture;For early post-operative inflammatory bowel obstruction was 94.85%;For post-operative gastric emptying dysfunction was 81.25%;For early post-operative inflammatory bowel obstruction with gastric emptying disorder was 66.67%;and Clinical total effective rate was 91.38%.This study concluded that acupuncture may promote pancreatic gastrointestinal function rehabilitation,and provide a new method to enhance the patient’s recovery after surgery.

Clinical effects of innovative tuina manipulations on treating cervical spondylosis of vertebral artery type and changes in cerebral blood flow

OBJECTIVE:To determine the clinical effect,treatment times,and rheoencephalogram changes in vertebral artery type cervical spondylosis patients treated with innovative Tuina manipulations.METHODS:One hundred and twenty six cervical spondylosis patients(vertebral artery type) were randomly divided into test and control groups.Patients in the test group were treated with innovative Tuina manipulations,while those in the control group were treated with the routine Tuina manipulations according to the textbook of Chinese Massage for Acupuncture and Moxibustion majors.The clinical effects,treatment times,clinical symptoms,and cerebral blood flow were measured.RESULTS:The response to the treatment was 100% in the test group and 88.71% in the control group.Patients in the test group required(7 ± 4) treatments before recovery,while those in the control group required(15 ± 7) treatments before recovery(P<0.05).The clinical symptoms exhibited greater improvement in the test group compared to the control group(P<0.05).There were no differences in cerebral blood flow between the two groups.CONCLUSION:Both innovative Tuina manipulations and routine Tuina manipulations produced satisfactory therapeutic results in vertebral artery type cervical spondylosis patients.However,the innovative manipulation was more effective in improving the functional symptoms,although there were no changes in the cerebral blood flow.

Tuina Treatment for 37 Cases of Postoperative Urinary Retention

Objective： To observe the effect of postoperative urinary retention treated with tuina therapy. Methods： Tuina therapy was applied on 37 cases of postoperative urinary retention; Qihai （CV 6）, Guanyuan （CV 4）, Zhongji （CV 3） and bilateral Sanyinjiao （SP 6） were selected. Results： Thirty-six cases were cured and 1 case was not surveyed after 1 to 3 treatments. Conclusion： Point tuina is an effective method in treating postoperative urinary retention.

Action of Tuina on Retro-positioning of Skull Spatial Offset in Patients with Cervical Vertigo

Objective： To investigate the onset mechanism of cervical vertigo from the proprioceptive sensation and provide clinical basis for its treatment. Methods： Among the 121 cases that conformed to the diagnostic criteria of cervical vertigo, 70 cases who presented with negative neck-rotation test and cervical vertigo without obvious vascular factors by transcranial Doppler （TCD） were assigned to the observation group, while 51 cases who presented with positive neck-rotation test and cervical vertigo due to spasm of vertebral basal artery or insufficient blood supply by TCD were assigned to the control group. The cases in the two groups were treated once every day, 5 days make up one treatment course and the results were statistically analyzed after one treatment course. Results： The skull triaxial spatial offset of the cases in the two groups were significantly reduced after the treatment （P〈0.01）. However, there was no statistically significant difference between the skull triaxial spatial offset between the two groups （P〉0.05）. It is not conclusive that the therapeutic effect in the two groups was significantly different after one treatment course. Conclusion： Tuina manipulation therapy can improve the skull spatial offset repositioning ability of the patients.

Tuina Treatment of 150 Cases with Lumbar Intervertebral Disc Herniation

Objective： To observe the clinical efficacy of tuina treatment for lumbar intervertebral disc herniation. Methods： 150 cases with lumbar intervertebral disc herniation were treated with tuina, followed by a retrospective analysis and summarization on the clinical efficacy. Results： 43 cases obtained clinical recovery, 67 cases had a marked effect, 34 cases had improvement and 6 cases failed. The total effective rate was 96.0%. Conclusion： Tuina is effective for lumbar intervertebral disc herniation.

Clinical observation on acupuncture at Jiaji(EX-B 2) points plus tuina in treating thoracic facet joint disorder

Objective： To observe the clinical effects of acupuncture at Jiaji （EX-B 2） points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder. Methods： Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji （EX-B 2） points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments. Results： After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups （P〈0.01}; the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference （P〈0.05）. The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups （P〈0.05）. Conclusion： In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.

Therapeutic observation on tuina for primary hypertension due to liver-fire flaming-up

Objective: To compare the antihypertensive effects of tuina at Taichong (LR 3), Neiguan (PC 6) and Qiaogong (Extra) to screen the best tuina protocol for primary hypertension due to liver-fire flaming-up. Methods: A total of 102 patients with primary hypertension due to liver-fire flaming-up were randomly divided into a Taichong (LR 3) group, a Neiguan (PC 6) group and a Qiaogong (Extra) group according to the random number table, with 34 cases in each group. Patients in the three groups received 4-week tuina treatment with the corresponding acupoint respectively. The blood pressure was recorded by ben chtop mercury sphygmoma no meter before tuina, immediately after tuina treatment, 30 min and 60 min after tuina treatment with the patient in a supine position in a quiet treatment room. The total effective rate was observed. Results: The systolic and diastolic blood pressures of the three groups all decreased after treatment (all P<0.05). The decrease of systolic and diastolic blood pressure at different time points after treatment in the Qiaogong (Extra) group and the Taichong (LR 3) group were better than those in the Neiguan (PC 6) group (all P<0.05). Qiaogong (Extra) group had the highest total effective rate though there was no statistical differenee in the total effective rate among the three groups (P>0.05). Con elusion: Treati ng primary hypertensi on due to liver-fire flami ng-up with tuina at Taich ong (LR 3), Neigua n (PC 6) and Qiaogong (Extra) can reduce systolic and diastolic blood pressure respectively, among which Qiaogong (Extra) has the highest total effective rate.

Clinical Observation on Tuina Therapy for Congenital Muscular Torticollis

Objective:To observe the clinical effect of spleen-strengthening and kidney-benefiting tuina therapy for congenital muscular torticollis.Methods:A total of 63 cases who met the inclusion criteria were randomly allocated into an observation group and a control group.Cases in the control group were treated with tuina manipulation on the local area,whereas cases in the observation group were treated with local tuina plus manipulation that acts to strengthen the spleen and benefit the kidney.Cases in both groups were treated three times a week,20 times for a course of treatment.The clinical effects were observed after three courses.Results:There was no between-group significant difference in the total effective rate.However,the recovery and marked effect rate in the observation group was 63.3%,versus 33.3%in the control group,showing a significant difference(P<0.05).Conclusion:Combining local tuina with spleen-strengthening and kidneybenefiting tuina manipulation could obtain better effect in congenital muscular torticollis than local tuina alone.

Clinical Study on Tuina Combined with Auricular Point Sticking for Cervical Radiculopathy

Objective: To observe the clinical effect of tuina combined with auricular point sticking on cervical radiculopathy and evaluate in health economics. Methods: Using randomized single-blind controlled clinical design, a total of 72 cases with cervical radiculopathy were randomly allocated into an observation group or a control group by the ratio of 1:1, 36 in each group. Cases in the observation group were treated with tuina combined with auricular point sticking, whereas cases in the control group were treated with tuina alone. Then the clinical effects in the two groups were observed and the cost of health economics was evaluated. Results: The drop-out, recovery, improvement and failure cases, recovery rate and total effective rate in the observation group were 1, 15, 20, 0, 42.9% and 100% respectively, versus 2, 6, 23, 5, 17.6% and 85.3% in the control group, showing significant differences in recovery rate and total effective rate(P<0.05). As for health economics, the cost-effect in the observation group was better than that in the control group. Conclusion: Compared with tuina alone, tuina combined with auricular point sticking can obtain better effect and lower cost in health economics for cervical radiculopathy.

Literature Analysis of Tuina in Regulating Subhealth Status in Recent 10 Years

The literatures of the recent ten years about tuina(massage) therapy in traditional Chinese medicine(TCM) for regulating and treating the subhealth status were searched and analyzed to understand the current thought and methods for the regulation and treatment of subhealth status by tuina. The results showed that tuina had a better regulatory effect for subhealth status. In the selection of the position for tuina application, tuina was predominantly applied to the whole body, guided by the holistic viewpoint and meridian theory of Chinese medicine, especially on the Governor Vessel and Bladder Meridian of the back and on the area the patient felt uncomfortable. In terms of tuina techniques, the routine relaxing technique, tendon-regulating technique and acupoint-pressing technique were used in predominance. In terms of the therapeutic time and course, although the reports were different in various literatures, it was believed in most reports that 50 min and 2-4 sessions per week were appropriate. The therapeutic aim could be achieved by 15-20 sessions. Without pain from the needles and suffering in taking drugs, tuina has a better psychological regulatory effect, therefore it has a better prospect for popular application. But, the basic study on the explanation of its functional mechanism by modern medical theory and means needs to be intensified.

Simple analysis on the embodiment of golden mean(Zhong Yong) thoughts in tuina

The concept of golden mean （Zhong Yong）, i.e. moderation, is the highest principle of moral cultivation in Confucianism. It entails an exclusive methodology in addressing politics, philosophy and everything in the universe. This concept has permeated into all aspects of traditional Chinese culture. As an ancient therapy, tuina is an important part of Chinese medicine and has its characteristic theory and methods. Just like Chinese medicine, tuina has long been greatly influenced by the concept of golden mean. To better promote the development of tuina, it＇s necessary to investigate the historical evolution of tuina and the concept of golden mean as well as the influence of ＇golden mean＇ idea on tuina manipulation, mechanism and treatment.

Treatment of Fatigue Syndrome by Tuina: A Report of 79 Cases

Purpose To study the therapeutic methods of fatigue syndrome.Methods Seventy-nine cases of fatigue syndrome were treated by Tuina manipulation and a comprehensive assessment of main complaints and accompanied symptoms was made.Results After 3 month’s Tuina treatment, 21 cases were cured, 43 cases improved, 15 cases obtained no effects.Conclusion Tuina has a unique therapeutic effect on fatigue syndrome. Key Words Fatigue Syndrome - Chronic - Tuina - Massage Author: ZHANG Jia-fu, male, junior consultant doctorTranslator: CUI Yi-jun

Treatment of Hysteromyoma by Acupuncture-moxibustion plus Tuina: A Report of 33 Cases

Guided by TCM treatment on the basis of syndrome differentiation, the author has treated 33 cases of hysteromyoma, which are divided into stagnation of liver-qi and blood stasis (SLQBS) type, and qi-deficiency and blood stasis (QDBS) type, by acupuncture-moxibustion and Tuina. After 3 therapeutic courses, the total effective rate is 81.8%. The therapeutic effect has no close relationship with the TCM syndrome differentiation. Key Words Acupuncture-Moxibustion - Massage - Uterine Neoplasms - Tuina Author: HU Zhen-xia (1961-), female, senior consultant doctorTranslator: CUI Yi-jun

Combined Tuina and Acupuncture for 142 Cases of Cervical Headache

Cervical headache is a clinical syndrome[1] characterized by headache and pain radiating to the neck, shoulder and arms. This is caused by unstable joints or soft tissue inflammation that irritates or compresses the vessels and nerves. Contributing factors include hyperplasia of the cervical spine, cervical intervertebral disc herniation, decreased intervertebral foramen, facet derangement and surrounding soft tissue injuries. Long-term sedentary lifestyle also played a role in developing this condition. We have treated 142 cases using combined tuina and acupuncture. The results are now reported as follows.

Clinical Progress of Tuina Treatment for Lumbar Intervertebral Disc Herniation in Recent 10 Years

Lumbar intervertebral disc herniation (LIDH) is a commonly encountered clinical disease.Tuina therapy is one of the important conservative treatments for it.In order to understand the clinical status of tuina therapy for this disease,now the literature in recent 10 years is reviewed as follows.

易筋经改善新冠肺炎无症状感染者隔离期焦虑情绪的临床观察

目的:观察易筋经锻炼对新冠肺炎无症状感染者隔离期焦虑情绪的影响.方法:将160例新冠肺炎无症状感染者按性别分层,采用分层随机化方法分为观察组和对照组,每组80例.对照组予以舱内基础护理,观察组在舱内基础护理的基础上加用易筋经锻炼,每天1次,每次20 min,连续训练至出舱前一天.比较两组的汉密尔顿焦虑量表(HAMA)评分.结果:本研究最终纳入统计者共154例,其中观察组74例,对照组80例.干预后,两组患者的HAMA评分均较干预前增高(P<0.05),观察组干预后HAMA评分低于对照组(P<0.05).对照组女性干预后的HAMA评分高于男性(P<0.05).两组患者精神性焦虑和躯体性焦虑评分均较干预前升高;观察组精神性焦虑评分显著低于对照组(P<0.05),但两组患者躯体性焦虑评分无统计学差异(P>0.05).结论:新冠肺炎感染者隔离期会产生焦虑情绪;易筋经锻炼能有效降低新冠肺炎无症状感染者集中隔离期间焦虑情绪的加重程度.

Effects of wrist-ankle acupuncture on associated factors in uterus tissue and serum in rats with primary dysmenorrhea

Objective：To observe effects of wrist-ankle acupuncture （WAA） onβ-endorphin （EP）, nitric oxide （NO） in uterus tissue and prostaglandin F2α （PGF2α）, substance P （SP） in serum of rats with primary dysmenorrhea. Methods：A total of 45 non-pregnant Wistar rats were randomly divided into a control group, a model group and a WAA group, 15 rats in each group. Rats in the model group and the WAA group received continuous abdominal subcutaneous injection of Diethylstilbestrol to establish dysmenorrhea rat models. On the first day after modeling, rats in the WAA group began to receive acupuncture on Point Lower 1 and Point Lower 2, once a day for 10 d. The control group and the model group didn’t receive any treatment. Writhing latencies and frequencies were recorded.β-EP and NO in uterus tissue homogenates and PGF2α, SP in serum were detected. Results：In the model group,β-EP and NO levels were the lowest among the groups, the serum PGF2α level was the highest, and serum SP level was the lowest. These measurements showed significantly difference between the model group and the control group （P〈0.05）. PGF2α in the WAA group was lower than that in the model group;β-EP, NO and SP levels were higher than those in the model group, with inter-group statistically significant differences （P〈0.05）. Conclusion： WAA may achieve analgesic effect through decreasing PGF2α, increasingβ-EP, NO and SP to relieve uterine cramps, increase blood flow and promote functional improvement.

Clinical application and research progress of cupping therapy

Objective：This article collected,organized,and summarized the medical literatures of cupping therapy from three major Chinese databases including China National Knowledge Infrastructure（CNKI）,Chongqing VIP（VIP）,and Wan Fang,with cupping,moving cupping,flash cupping,pricking cupping,or medicinal cupping as the retrieve title or key words,and the retrieve range was from 1953 to July 15,2015.This article was to give an overall review of cupping therapy from the clinical application and mechanism research based on its application form,indications,and mechanism research progress.The results showed that there are various types of cupping methods;its indications cover multiple subjects such as internal medicine,external medicine,gynecology and pediatrics;and its major action mechanisms include negative pressure suction,increasing pain threshold,promoting dermal blood flow and improving body immunity.

Yi Jin Jing （Sinew-transforming Qigong Exercises） for primary osteoporosis in the elderly： a clinical trial

Objective：To observe the clinical efficacy of Yi Jin Jing （Sinew-transforming Qigong Exercises） for primary osteoporosis in the elderly.Methods：Eighty old patients with primary osteoporosis were randomized into a Yi Jin Jing group and a medication group,40 cases in each group.The Yi Jin Jing group was intervened by Yi Jin Jing （Sinew-transforming Qigong Exercises） training,while the medication group was intervened by oral administration of alendronate sodium tablet.Prior to and after 6-month intervention,the bone mineral density （BMD） of the proximal femur,visual analog scale （VAS） and activities of daily living （ADL） were estimated.Results：There were no significant differences in the BMD of the proximal femur,and VAS and ADL scores between the two groups before the intervention （P〉0.05）.After 6-month intervention,the above items all improved significantly in both groups （both P〈0.01）;the improvements in VAS and ADL scores in Yi Jin Jing group were more significant than those in the medication group （P〈0.01）,while the between-group difference in the BMD of the proximal femur was statistically insignificant （P〉0.05）.Conclusion：Practice of Yi Jin Jing （Sinew-transforming Qigong Exercises） can effectively ameliorate the BMD in the elderly with primary osteoporosis,and it can reduce the pain and improve ADL,with a better general effect compared to oral administration of alendronate sodium tablet.