单下肢后伸持续机械牵引配合推拿治疗腰椎间盘突出症40例

目的:观察单下肢后伸持续机械牵引配合推拿治疗腰椎间盘突出症的临床疗效。方法:将80例患者随机分为2组各40例。观察组采用单下肢后伸持续机械牵引配合推拿治疗;对照组采用骨盆牵引法配合推拿治疗。观察比较2组临床疗效和JOA评分。结果:总有效率观察组为97.50%,对照组为85.00%。两组比较,有显著性差异(P<0.05),JOA评分两组治疗后比较,有显著性差异(P<0.05),观察组疗效优于对照组。结论:持续单下肢后伸机械牵引在治疗腰椎间盘突出症的疗效上优于传统的骨盆牵引法。     

思政融入推拿治疗学教学初探

推拿治疗学作为推拿学科中的重要组成部分,是实践性很强的临床课程,重点讲述推拿临床常见病证的治疗。为深入贯彻党的教育方针,落实“课程门门有思政”,此文探寻推拿治疗学的思政元素,探索融入思政教育的切入点,以期推动推拿治疗学等中医临床课程思政建设。     

推拿、针灸、牵引配合黄芪桂枝五物汤加味治疗腰椎管狭窄症(阳虚型)30例临床观察

目的:观察在传统推拿、针灸、牵引治疗基础上配合内服黄芪桂枝五物汤加味治疗慢性腰椎管狭窄症(阳虚型)的临床疗效。方法:将60例患者随机分为2组各30例。治疗组采用传统推拿、针灸、牵引并配合内服黄芪桂枝五物汤加味治疗;对照组仅采用推拿、针灸、牵引治疗。观察比较2组,临床疗效和JOA评分。结果:总有效率治疗组为96.67%,对照组为86.67%,2组比较,差异有显著性意义(P<0.05);2组治疗后JOA评分比较,差异有显著性意义(P<0.05),治疗组疗效优于对照组。结论:慢性阳虚型腰椎管狭窄症符合血痹辨证,用黄芪桂枝五物汤加味治疗有显著疗效。     

独活续断汤口服和离子导入治疗肝肾亏虚型膝骨关节炎患者疗效及对膝关节液SDF-1/CXCR4信号通路的影响

目的:观察独活续断汤口服和离子导入治疗肝肾亏虚型膝骨关节炎(KOA)的临床疗效及对基质细胞衍生因子-1(SDF-1)/C-X-C趋化因子受体4型(CXCR4)信号通路的影响。方法:将150例天津中医药大学第一附属医院确诊的肝肾亏虚型KOA患者随机分为对照组、中药口服组和中药离子导入组,每组各50例,对照组给予硫酸氨基葡萄糖胶囊,口服0. 5 g/次,2次/d口服,中药口服组给予独活续断汤150 m L/次,2次/d口服,中药离子导入组给予独活续断汤,于髋骨穴、膝关穴、膝眼穴及犊鼻穴进行离子导入,30 min/次,1次/d,三组患者均治疗4周;观察入组患者治疗前后膝关节肿胀程度及疼痛程度变化,并统计临床疗效;酶联免疫夹心吸附测定检测入组患者治疗前后膝关节液中SDF-1,CXCR4,基质金属蛋白酶-3(MMP-3)及MMP-13含量。结果:中药口服组疗效优于中药离子导入组和对照组,且复发率最低(P 0. 05);与本组治疗前比较,中药口服组治疗后压痛值升高(P 0. 05),中药口服组患者视觉模拟评分(VAS),膝关节肿胀评分、西安大略麦马斯特大学骨关节炎指数评分(WOMAC)及膝关节液SDF-1,CXCR4,MMP-3及MMP-13蛋白含量均降低(P 0. 05),且优于中药离子导入组和对照组(P 0. 05)。结论:独活续断汤口服及离子导入治疗肝肾亏虚型KOA均有明显疗效,但口服疗效最佳,其机制可能与抑制SDF-1/CXCR4炎症信号通路及软骨细胞降解有关。     

鉴别颈性眩晕和耳石症

<正>眩晕,是颈椎病的一种常见症状。但同时,很多其他疾病也会引发眩晕症状,例如良性发作性位置性眩晕(耳石症),内耳迷路水肿(梅尼埃病),脑干前庭中枢、小脑等部位的梗死、肿瘤等病变。其中,以耳石症较为常见。颈性眩晕和耳石症的发病机制和治疗方法不同,所以对二者进行鉴别很有必要。下面我们就来了解二者简单的鉴别要点和方法。     

腹部推拿配合针灸治疗瑞士人肝郁气滞型广泛性焦虑症80例临床观察

Objective To observe the clinical effect of abdominal Tuina and acupuncture in treating Swiss generalized anxiety disorder (GAD). Methods 80 patients of GAD caused by liver depression-qi stagnation were randomly recruited into a treatment group and a control group, 40 patients in each. The treatment group was treated with abdominal tuina & acupuncture; while the control group was treated with acupuncture exclusively. Clinical effects and hamilton anxiety scale (HAMA) score were observed in both groups before and after the treatment. Results ①There was significant difference in total efficacy between the two groups CP<0.05), and the treatment group was better than the control group. ②The HAMA score of the two groups after the treatment was lower than that before the treatment, and the difference was significant (P< 0.05). There was also significant difference of HAMA score between the two groups after the treatment (/><0.05), with the treatment group showing better results than the control group. Conclusion Abdominal tuina combined with acupuncture has sound effects in treating Swiss GAD due to liver depression-qi stagnation.     

中医中的医学信息检测与处理的锐器

中医诊断客观化、数字化的进展并不令人乐观.究其原因,一方面研究思路与手段存在诸多问题,另一方面人们对中医自身的认识还很片面、模糊甚至错误.笔者试图从测量学与现代信息检测和处理角度,对中医中的临床医学信息检测与处理思路和手段含英咀华.拨云见日,中医中的临床医学信息检测与处理的思路和手段不仅与现代一些信息检测、处理的思路和手段相暗合,也有对现有手段和方法完善的地方,还有具备极高借鉴价值的东西.这些思路与手段不仅为医学信息检测与处理,也可为其他领域的信息检测与处理提供很有价值的借鉴.     

腹部推拿配合针灸治疗瑞士人肝郁气滞型广泛性焦虑症80例临床观察

Objective To observe the clinical effect of abdominal Tuina and acupuncture in treating Swiss generalized anxiety disorder (GAD). Methods 80 patients of GAD caused by liver depression-qi stagnation were randomly recruited into a treatment group and a control group, 40 patients in each. The treatment group was treated with abdominal tuina & acupuncture; while the control group was treated with acupuncture exclusively. Clinical effects and hamilton anxiety scale (HAMA) score were observed in both groups before and after the treatment. Results ①There was significant difference in total efficacy between the two groups CP<0.05), and the treatment group was better than the control group. ②The HAMA score of the two groups after the treatment was lower than that before the treatment, and the difference was significant (P< 0.05). There was also significant difference of HAMA score between the two groups after the treatment (/><0.05), with the treatment group showing better results than the control group. Conclusion Abdominal tuina combined with acupuncture has sound effects in treating Swiss GAD due to liver depression-qi stagnation.     

内服、外用药配合推拿治疗膝关节滑膜炎48例

膝关节滑膜是组成膝关节的主要结构,日常生活中暴力打击、跌扑损伤、扭伤、过度劳损、关节内游离体、骨折、外科手术等刺激,均可损伤滑膜,使之充血、渗出,产生大量积液,称为创伤性滑膜炎.临床中采用石膏托固定、氟美松磷酸钠封闭、无菌穿刺、加压包扎治疗,虽可立即缓解症状,但疗效很不稳固,复发率极高.笔者采用内服、外用药物配合手法治疗本病48例,疗效满意,报告如下.