广州地区医院患者对针灸满意度模糊综合评价研究

目的：了解广州地区医院患者对现行医院针灸治疗的满意度,并对其进行科学的评价,以期为发展中国的针灸和中医药事业提供参考,同时对满意度评价系统中模糊综合评价原理的思想及方法运用进行探讨。方法：采取整群抽样的方法,对2010年8月-2011年8月广州地区4所三级甲等中医院门诊患者及住院满1周的患者共1200例进行抽样调查,回收有效问卷1000份运用模糊综合评价的原理对调查结果进行分析。调查内容包括受访者健康状况等13项。结果：患者对医德医风的非常满意和满意率为80％,患者对就医环境的非常满意和满意率为71％,患者对针灸治疗的非常满意和满意率为73％。结论：根据最大隶属度的原则,患者对针灸满意度评价结果为满意。     

环跳温针灸联合膀胱经下肢腧穴针刺治疗坐骨神经痛随机平行对照研究

[目的]观察环跳温针灸联合膀胱经下肢腧穴针刺治疗坐骨神经痛疗效。[方法]使用随机平行对照方法,将44例住院患者按病历号抛硬币方法简单随机分两组,针刺得气,留针20min,1次/d。对照组22例针刺膀胱经下肢腧穴,承扶、殷门、委中、承山、昆仑,得气,患者可耐受。治疗组30例,环跳穴温针灸,3寸毫针(0.35×75cm),垂直皮肤进针,刺入2.8寸(70mm),局部酸胀感,并有明显沿臀部向足部放射触电感;得气针柄末端插一根圆柱形艾柱(长2cm、直径1cm),点燃,防止艾灰烫伤;留针期间更换3次艾柱;膀胱经下肢腧穴针刺同对照组。连续治疗5d,休息2d为1疗程。观测临床表现、疼痛视觉模拟量表(VAS)评分、治疗满意度、不良反应。治疗2疗程(14d),判定疗效。[结果]疼痛视觉模拟量表(VAS)评分两组均明显改善(P0.01),治疗组改善明显优于对照组(P0.05)。治疗满意度:治疗组非常满意10例,满意11例,不清楚0例,不满意1例,非常不满意0例,满意率95.45%;对照组非常满意5例,满意11例,不清楚0例,不满意5例,非常不满意0例,满意率72.72%,满意率治疗组优于对照组(P0.05)。[结论]环跳温针灸联合膀胱经下肢腧穴针刺治疗坐骨神经痛,疗效满意,无严重不良反应,值得推广。     

温针灸治疗老年性痴呆的护理干预

目的:研究温针灸治疗老年性痴呆的护理干预。方法:92例进行温针灸治疗的老年性痴呆患者,按照随机数表法分为实验组与参考组,各46例。参考组患者采用传统基础护理治疗,实验组则在以上基础上配合综合护理干预治疗,比较两组护理满意情况。结果实验组护理满意率为91.30%,参考组护理满意率为65.22%,对比差异具有统计学意义(P0.05)。结论:相对传统基础护理而言,采用综合护理干预可以有效提升老年性痴呆的温针灸治疗效果,改善医疗服务的满意度,具有推广意义。     

针灸结合中医辨证治疗偏头痛46例

目的 观察以针灸结合中医辨证综合治疗偏头痛的临床疗效.方法 将偏头痛患者136例随机分为3组,针药组46例采用针灸和中药综合治疗,针灸组46例和中药组44例分别采用针灸和中药进行治疗.结果 针药组总有效率95.65%,针灸组和中药组总有效率分别为82.61%、79.55%.结论 针灸结合中医辨证综合治疗偏头痛有显著疗效.     

医药资讯

针灸针国际标准发展论坛举行由大韩韩医研究院主办的一次性无菌针灸针国际标准发展论坛近日在韩国大田召开。世界卫生组织西太区传统医学官员崔?勋以及来自中国、韩国、日本、澳大利亚、越南的专家及观察员共二十多人参加了此次论坛。论坛讨论了关于制定一次性无菌针灸针国际标准(ISO)的程序,参会人员一致认为有必要制定一次性无菌针灸针国际标准,讨论和修改了韩国起草的一次性无菌针灸针国际标准,但是参会人员一致认为,发展一次性无菌针灸针国际标准需要继续讨论,并且会将此次论坛讨论过的草案带回本国,向有关部门咨询。目前,世界上有针…     

针灸综合疗法分期治疗面神经炎38例

目的:观察针灸综合疗法分期治疗面神经炎的临床疗效.方法:采用针灸综合疗法分期治疗面神经炎38例,急性期选取周边和远端穴位用温针疗法,慢性期选取局部穴位用透穴电针和指针疗法.结果:38例患者中,痊愈率为76.32%,总有效率为100%.结论:对于面神经炎,采用针灸综合疗法分期治疗,能取得较为满意的效果.     

高速涡轮牙钻及微创拔牙刀在阻生智齿拔除术中的应用

目的:探究高速涡轮牙钻及微创拔牙刀在阻生智齿拔除术中的临床应用效果。方法:将2015年3月至2017年12月在重庆市合川区人民医院接受阻生智齿拔除的160例患者作为研究对象,分为两组,联合治疗组80例患者采用高速涡轮牙钻和微创拔牙刀进行阻生智齿拔除术,常规治疗组80例患者采用常规拔牙方法,治疗结束后,对两组患者的治疗效果情况和治疗满意程度情况进行调查。结果:联合治疗组患者的张口受限距离、肿胀程度、拔牙窝完整度以及手术时间等均明显优于常规治疗组患者,在治疗满意程度方面,联合治疗组患者的非常满意率和总满意率分别为56.25%和96.25%,常规治疗组患者的非常满意率和总满意率分别为32.50%和78.75%。前者明显优于后者。联合治疗组中拔牙依从人数为71例,依从率为88.75%,常规治疗组中拔牙依从人数为50例,依从率仅为62.50%。组间比较,差异具有统计学意义(P 0.05)。讨论:将高速涡轮牙钻及微创拔牙刀应用于阻生智齿拔除术中,大幅度提高了患者的治疗效果,降低了患者的肿胀程度,减少患者的手术时间,有效控制了患者拔牙窝的完整程度,患者治疗满意程度较高。     

无缝隙护理管理模式在中医内科急危重症患者的应用

目的:分析无缝隙护理管理模式在中医内科急危重症患者的应用。方法:选取我院从2015年4月-2017年8月收治64例中医内科急危重症患者,对照组患者给予常规护理,试验组患者给予无缝隙护理管理模式,比较两组患者的临床效果。结果:试验组非常满意是62.5%,基本满意是18.8%,满意是15.6%,总满意率是96.9%,对照组非常满意是34.4%,基本满意是15.6%,满意是12.5%,总满意率是62.5%,两组数据具有差异性(P0.05)。结论:给予患者进行无缝隙护理管理治疗,可以护理满意度,值得在临床上进行推广使用。     

循经针灸配合温针治疗腰椎间盘突出症临床研究

目的:探讨循经针灸配合温针治疗腰椎间盘突出症临床疗效。方法:将我院收治的110例腰椎间盘突出症患者随机分为两组。对照组55例采用温针治疗,观察组55例采用循经针灸配合温针治疗。观察两组临床疗效及治疗满意度的差异。结果:观察组临床总有效率为96.4%,显著高于对照组的72.7%,差异有统计学意义(P0.05);观察组治疗满意率为94.5%,显著高于对照组的80.0%,差异有统计学意义(P0.05)。结论:循经针灸配合温针治疗腰椎间盘突出症临床疗效显著,具有较高的临床有效率,患者对治疗满意度较高,值得临床选择。     

首个ISO中医药国际标准发布 一次性使用无菌针灸针明确12项指标

正据中国中医药报(记者王敬)2月3日,国际标准化组织(ISO)发布信息:由中国专家担任项目提案人制定的《一次性使用无菌针灸针》国际标准正式出版,成为国际标准化组织中医药技术委员会(暂定名)(ISO/TC249)首个发布的中医药国际标准。目前,世界卫生组织已确认64种针灸适应症,并推荐43种病症采用针灸治疗,全球针灸针的年使用量已突破20亿支,并以每年5%~10%左右的环比速度递增。为保证中医针灸的安全性和有效性,满足和适应针灸研究和临床发展需要,ISO/TC249制定了《一次性使用无菌针灸针》国际标准。该标准包括针灸针的名词术语;针灸针的结构和材质要求;针灸针针尖形状要求;针体直径及长度规格;合理的     

针刺治疗单纯性肥胖随机对照试验的中英文文献报告质量评价

目的：评价针刺治疗单纯性肥胖随机对照试验（RCT）的中英文文献报告质量。方法：检索国家知识基础设施数据库（CNKI）、中国生物医学文献数据库（CBM）、中国学术期刊数据库（CSPD）、中文科技期刊数据库（CCD）、Web of Science、PubMed、Embase、CENTRAL中有关针刺治疗单纯性肥胖的RCT,检索时间2010年1月1日至2020年8月1日,用临床试验报告的统一标准（CONSORT）声明和针刺临床试验干预措施报告（STRICTA）标准中的条目进行文献报告质量评价,对中英文文献进行对比。结果：最终纳入中文文献26篇,英文文献8篇。中、英文文献CONSORT条目报告率分别是33.89％和49.66％。中、英文文献STRICTA条目报告百分比分别是56.11％和66.18％。结论：针刺治疗单纯性肥胖的RCT报告质量较低,且中英文报告质量水平在各方面有不同程度差异。今后研究者需要进一步学习CONSORT声明和STRICTA标准,并提高临床试验设计水平,加强RCT的报告质量。     

Acupuncture for migraine:A systematic review and meta-analysis

Objective: The goal of this study is to systematically assess the effectiveness of acupuncture compared with medication for migraine.Methods: The Cochrane Library, PubMed, MEDLINE, Embase, China National Knowledge Infrastructure(CNKI), Sinomed, the Chongqing VIP full-text periodical database(VIP) and Wanfang were searched by computer to identify the randomized controlled trails comparing acupuncture with medication for migraine from the beginning of these databases to August 2018, supplementing with literature retrospective and manual searches. Review Manager 5.2 was used for statistical analysis.Results: A total of 13 trails including 1218 participants met the selection criteria.(1) The meta-analysis of 3 articles showed that acupuncture was more effective in reducing the frequency of migraine attacks(MD =-2.03; 95% CI:-2.77 to-1.30; P 0.00001) than medication.(2) The meta-analysis of three articles showed that acupuncture was more effective in reducing the number of migraine days(MD =-1.65;95% CI:-2.78 to-0.52; P= 0.004) than medication after treatment.(3) The meta-analysis of six articles showed that acupuncture was more effective in reducing VAS(MD =-1.26; 95% CI:-1.48 to-1.04;P 0.00001) after treatment.(4) The meta-analysis of two articles showed that acupuncture was more effective in reducing VAS(MD =-1.07; 95% Cl:-1.63 to-0.51; P= 0.0002) during follow-up.(5) The meta-analysis of seven articles showed that the total effective rate of acupuncture was higher than that of medication(MD=1.27; 95% Cl: 1.16 to 1.37; P 0.00001). In addition, fewer adverse effects in acupuncture groups were reported than in medication groups. Overall the quality of the evidence was low.Conclusion: The results of this meta-analysis showed that acupuncture is more effective and safer than medication for migraine. Acupuncture can be considered a treatment option for patients willing to undergo this treatment. But more high-quality studies, based on standardized, comprehensive and objective evaluation, are required to enhance the reliability of the conclusion.     

Filiform needle acupuncture for allergic rhinitis: A systematic review and meta-analysis

BackgroundFiliform needle acupuncture (FNA), the most classical and widely applied acupuncture method based on traditional Chinese medicine theory, has shown a promising effect in the treatment of allergic rhinitis (AR).ObjectiveTo evaluate the efficacy, safety, cost-effectiveness, and patient preference of FNA in the treatment of AR by comparing FNA with sham acupuncture, no treatment, and conventional medication.Search strategyEight electronic databases were systematically searched from inception to October 14, 2021. Additional studies were acquired from clinical trial registration platforms and reference lists.Inclusion criteriaRandomized controlled trials were included if they compared FNA with either sham acupuncture, no treatment or conventional medication for AR.Data extraction and analysisTwo researchers extracted data independently of each other using a predesigned data acquisition form, and results were cross-checked after completion. The primary outcome was symptom score (Total Nasal Symptom Score or Visual Analogue Scale), and the secondary outcomes were the AR control questionnaire, quality of life (QoL) score (Different versions of Rhinoconjunctivitis Quality of Life Questionnaire), medication score (use of rescue medication), mental health score, total IgE, adverse event rate, clinical economic indicators, and patient satisfaction score. Standardized mean difference (SMD) or mean difference (MD) with 95% confidence interval was used to calculate the effect size for continuous data, while risk ratio with 95% CI was used for dichotomous data.ResultsThirty studies were included in this review. Compared with sham acupuncture, FNA significantly reduced the symptom score (SMD: ?0.29 [?0.43, ?0.15]), AR’s impact on QoL (SMD: ?0.23 [?0.37, ?0.08]) and medication score (SMD: ?0.3 [?0.49, ?0.11]). Compared with no treatment, FNA dramatically reduced the symptom score (SMD: ?0.8 [?1.2, ?0.39]) and AR’s impact on QoL (SMD: ?0.82 [?1.13, ?0.52]). There were no increased rates of adverse events with FNA compared to sham acupuncture and no treatment. FNA increased patient satisfaction and may be cost-effective. Most pieces of evidence from the above two comparisons were of high confidence. Moreover, FNA significantly outperformed conventional medication in reducing the symptom score (SMD: ?0.48 [?0.85, ?0.1]) and displayed a lower rate of adverse events, but the quality of evidence was very low.ConclusionFNA is an effective and safe intervention for AR and can help with symptom relief, QoL improvement, reducing medication usage, and increasing patient satisfaction. Further studies are needed to verify its cost-effectiveness and superiority over conventional medication and the best therapeutic strategies.     

针灸改善脑卒中后抑郁患者抑郁状态及日常生活能力的Meta分析

目的系统评价针灸对脑卒中后抑郁患者抑郁状态及日常生活能力的改善作用。方法计算机检索中国知网(CNKI)、维普中文期刊服务平台(VIP)、万方数据知识服务平台(WanFang Data)、中国生物医学文献服务平台(CBM)以及PubMed、Cochrane等数据库,收集针灸治疗脑卒中后抑郁的临床随机对照试验,文献发表时间为2009年8月27日至2019年8月27日。采用Cochrane风险偏倚评估工具评价文献质量,运用RevMan 5.3软件进行Meta分析。结果共纳入14篇文献,涉及患者1 120例。Meta分析结果显示:与抗抑郁剂相比,针灸疗法有较好的抗抑郁疗效[RR=1.15,95%CI(1.09,1.21),P0.000 01],能更好地改善患者的抑郁状态[SMD=-0.58,95%CI(-0.74,-0.43),P0.000 01],提高日常生活能力[SMD=0.71,95%CI(0.40,1.02),P0.000 01]。结论针灸在改善脑卒中后抑郁患者的抑郁状态、提高日常生活能力方面均优于抗抑郁剂;纳入分析的文献多数存在方法学缺陷,证据级别不高,故结论有待进一步验证。     

京津冀一体化背景下北京与河北地区中医医院合作模式探讨

探讨在京津冀一体化背景下京冀中医医院的医疗合作模式与思路。通过查阅《中国卫生和计划生育统计年鉴-2015卷》,对合作较为典型的燕达医院的医生、患者进行调查后认为,京津地区医疗资源分布不均衡,河北医疗资源不足,所合作医院的患者、医生对合作较为满意。目前,京冀中医医院合作还存在一些问题,需多方面共同努力,促进京津冀医疗资源合理配置。     

逍遥散加减治疗中心性浆液性视网膜脉络膜病变的临床疗效

目的:探讨分析逍遥散治疗中心性浆液性视网膜脉络膜病变的临床疗效。方法:选取2009年1月～2011年5月来我院就诊治疗的中心性浆液性视网膜脉络膜病变患者64例,随机分为对照组和观察组,对照组32例患者采用西医治疗,观察组32例患者采用逍遥散加减法。所有患者在治疗2周后,观察统计患者的疗效情况并调查统计患者的满意度评价情况。结果:观察组32例患者,治愈21例,有效11例,治疗总有效率高达100.0%,患者治疗后满意度达93.8%;对照组患者32例患者治愈14例,有效12例,中治疗总有效率为81.25%,患者术后满意度为78.13%,P0.05。结论:逍遥散加减治疗中心性浆液性视网膜脉络膜病变的临床疗效十分显著,是一种较为理想的中医临床治疗方式。     

针灸治疗围绝经期抑郁症有效性和安全性的系统评价

目的:评价围绝经期抑郁症针灸治疗的临床有效性和安全性。方法:收集针灸治疗围绝经期抑郁症临床研究随机对照文献,计算机检索CBM(1979-)、CNKI(1979-)、VIP(1989-)和万方数字化期刊群(1998-)、PubMed(1966-)、EMbase(1980-)和Cochrane Library,所有检索时间截至2010年10月1日,并手工检索广州中医药大学图书馆过刊资料库,而后按照Cochrane Handbook 5.0对每个纳入试验进行偏倚风险和质量评估,统计学分析采用RevMan5.0.24软件。用GRADE profiler软件和标准评估证据质量。结果:本系统评价纳入13个随机对照试验,共1057例患者,Meta分析得出针灸结合西药在有效率[OR=2.76,95%CI(1.38,5.51)]和痊愈率[OR=2.91,95%CI(1.82,4.65)]上都优于单纯西药治疗,但针灸与西药的比较上,无论有效率[OR=1.08,95%CI(0.64,1.83)]、痊愈率[OR=1.04,95%CI(0.70,1.56)]还是HAMD评分(第2周[WMD=-0.35,95%CI(-3.43,2.72)];第4周[WMD=0.01,95%CI(-1.96,1.98)];第6周[WMD=-0.19,95%CI(-2.57,2.18)])比较差异均无统计学意义,与西药疗效相当。GRADE证据质量等级为低级。安全性方面,针灸(针灸结合西药)的不良事件发生率(1.5%)明显少于西药对照组(12.5%),显示针灸比西药治疗相对安全。结论:针灸是一种相对安全的治疗措施,不良反应较少,在结合西药治疗围绝经期抑郁症的降低HAMD评分上显示出可能有效的趋势,单纯针灸和西药疗效相当。我们仍需要进一步研究才能为临床决策提供治疗可靠的依据。     

针灸合中药熏洗治疗跟痛症疗效观察

目的:观察针灸合中药熏洗治疗跟痛症的临床疗效。方法:将122例跟痛症患者随机分两组,68例为针灸合中药熏洗治疗组,54例为扶他林外用对照组。结果:治疗组有效率为98.5%,对照组72.2%(P<0.01)。结论:针灸合中药熏洗治疗跟痛症是有效方法。     

ACUPUNCTURE CLINIC PATIENTS TREATED FOR LABOR PREPARATION:A PRELIMINARY OBSERVATIONAL STUDY

Objective: To describe characteristics of and treatment effects in U.S.women who had acupuncture for labor preparation(cervical ripening).Although acupuncture is increasingly used in the U.S., few observational studies of acupuncture patients have been conducted.With particular consideration for vulnerable populations, we focusedthis preliminary inquiry on pregnant women.Design: Observational study surveyed background characteristics, birth variables(setting, interventions), and treatment satisfaction among former clinic patients treated in pregnancy.The response rate was 51.3% and yielded 66 participants treated for labor preparation.Intervention: Acupuncture points were selected according to traditional Chinese medicine(TCM) system of diagnosis and pattern differentiation and on modified version of Roemer's Scheme(Mannheim Model; Roemer, 2005).Results: Patients were in their mid-30s, educated, and most were white.They underwent a mean of 2.2(SD=1.0; range 1-4) treatments beginning in pregnancy week 37.Seventeen(25.8%) planned out-of-hospital birth.Hospital birthing mothers' birth intervention rates were lower than those reported in national surveys, with a medical induction rate of 13.6% compared to 34% in Decercq et al(2006) and an episiotomy rate of 4.6% compared to 25% in Declercq et al.An 18.2% labored cesarean rate was comparable to the national data(Menacker Hamilton, 2010).No out-of-hospital births transferred to hospital, but one(5.88%) required labor stimulation(suppository).Treatment satisfaction ranged from high to very high.Conclusion: This preliminary study of a U.S.acupuncture clinic sample suggests benefits in terms of reducing certain birth interventions, and patients found acupuncture care and effects to be satisfactory.Our high percentage of home birth indicates a need to address treatment effects and overall safety in this subgroup.     

中西医结合保守治疗异位妊娠的护理体会

目的:探讨中药对异位妊娠的临床疗效。方法:对符合标准的52例异位妊娠患者进行回顾性分析,均采用中西医结合疗法进行保守治疗和优质护理。主要包括使用MTX、米非司酮和活血化瘀中药汤剂。结果:44例(84.62%)患者保守治疗成功,8例(15.38%)患者出现妊娠破裂转为手术治疗。治疗后患者的ESCA、HAMA和HAMD评分均降低,与治疗前比较,差异均有统计学意义(P<0.05)。38例患者对护理工作非常满意,占73.08%;52例患者对护理工作均感到满意,总满意率为100%。结论:活血化瘀中药联合MTX和米非司酮对异位妊娠的保守治疗疗效安全可靠,采用优质护理有利于提升护理服务水平和患者对治疗的依从性,提高患者对护理工作的满意度。