排序方式: 共有37条查询结果,搜索用时 15 毫秒
1.
针刺治疗抑郁性神经症27例临床观察 总被引:3,自引:0,他引:3
目的 观察针刺治疗抑郁性神经症的临床疗效.方法 将60例抑郁性神经症患者随机分为针刺调肝组(治疗组)和邻近假穴针刺组(对照组),每组30例.观察治疗前后SCL-90量表、抑郁自评量表(SDS)、汉密尔顿抑郁量表(HAMD)评分和治疗后总有效率.结果 治疗组总有效率92.6%,对照组总有效率56.0%,差异有统计学意义(P<0.01);两组各评分均较治疗前明显下降(P<0.01);两组治疗后比较,差异亦有统计学意义(P<0.01).结论 针刺调肝法治疗抑郁性神经症具有较好的临床疗效. 相似文献
2.
目的 探讨形成脑梗死的原因、防治及CT的诊断价值。方法 回顾我院4年来收治颅脑外伤合并大面积脑梗死12例,就其临床表现、CT表现、预后等进行分析。结果 12例患者有11例行颅内血肿清除术,其中7例死亡,5例呈植物生存状态。结论 颅脑损伤引起大面积脑梗死原因是多方面的,一旦发生,病死率、病残率较高,CT检查和及时复查了解颅内血肿变化,及时采取积极有效的治疗措施,可预防大面积脑梗死的发生。 相似文献
3.
目的:观察针刺对于抑郁性神经症的临床疗效。方法:采用多中心随机对照研究,将440例患者分为针刺组、百忧解组、非穴位针刺组。针刺组采用四关穴(合谷、太冲)为主的穴位,百忧解组服用药物百忧解20mg/d,非穴位针刺组患者接受针刺治疗,但取穴偏离真正的穴位。在治疗前、后进行汉密尔顿抑郁量表(HAMD)计分,按HAMD减分率进行疗效评价,以Asberg氏抗抑郁药副反应量表(SERS)结合严重不良反应记录进行安全性评估,对数据进行意向性分析(ITT分析)。结果:针刺组的总有效率为86.4%,优于非穴位针刺组的59.1%及百忧解组的72.7%;针刺组的HAMD计分与百忧解组相当,而且2组均优于非穴位针刺组;针刺组及非穴位针刺组的SERS计分均明显低于百忧解组,未见晕针等严重针刺不良反应记录。结论:针刺对于抑郁性神经症是一种有效、安全的疗法;针刺治疗抑郁性神经症的疗效可能优于百忧解或与百忧解相当,但副作用远低于百忧解。 相似文献
4.
5.
6.
【摘要】目的:探讨磁共振扩散加权成像(DWI)及表观扩散系数(ADC)在泪腺淋巴瘤和淋巴细胞浸润型炎性假瘤中的鉴别诊断价值。方法:回顾性分析36例DWI呈稍高信号的泪腺肿块初诊患者,根据手术病理结果分为淋巴瘤组(16例)和淋巴细胞浸润型炎性假瘤组(20例)。b值取 800s/mm2,逐层勾画肿瘤边界,以获得整体兴趣区(ROI),获得DWI稍高信号区平均ADC值(ADCm)、肿块对侧颞叶脑白质ADC值ADCw),计算二者比值(ADCR)。采用受试者工作特征曲线(ROC),评价肿块ADCm值及ADCR的诊断价值。结果:泪腺淋巴瘤ADCm值及ADCR分别为(0.783±0.215)×10-3mm2/s、0.914±0.231;泪腺淋巴细胞浸润型炎性假瘤ADCm值及ADCR分别为(1.218±0.514)×10-3mm2/s、1.441±0.642;泪腺淋巴瘤ADCm值及ADCR低于淋巴细胞浸润型炎性假瘤(P<0.05)。以ADCm=0.828×10-3mm2/s为阈值,曲线下面积(AUC)为0.964±0.027、敏感度93.8%、特异度90.0%、符合率91.7%;以ADCR=1.167为阈值, AUC为0.933±0.040、敏感度87.5%、特异度80.0%、符合率88.9%。结论:磁共振DWI及ADC值在泪腺淋巴瘤和淋巴细胞浸润型炎性假瘤鉴别诊断中具有重要参考价值。 相似文献
7.
Objective: To observe therapeutic effect of acupuncture for regulating the liver on depressive neurosis. Methods: In a multi-center randomized controlled trial, 440 patients were divided into 3 groups: Acupuncture group for regulating the liver (Acup., 176 cases) was treated by acupuncture at Siguan Points, i.e. bilateral Hegu (LI 4) and Taichong (LR 3), Baihui (GV 20) and Yintang (EX-HN3) plus ear-acupuncture, Prozac group (P., 176 cases) by oral administration of Prozac, and Non-acupoint needling group (NAN, 88 cases) by acupuncture at non-acupoints as acupuncture placebo. Self-rating Depression Scale (SDS) was examined before treatment, and one month, two and three months after treatment respectively to evaluate therapeutic effect, and Rating Scale for Side Effects (SERS) was used to evaluate the safety. Results: After one month of treatment, SDS scores in Acup. Group were significantly lower than that in P. Group (P〈0.05) and than that in NAN Group (P〈0.01), and SDS scores in P. Group were lower than that in NAN Group (P〈0.05), showing the SDS scores in Acup. Group 〈P. Group 〈NAN Group. After 2 months of treatment, SDS scores in Acup. Group were also significantly lower than that in P. Group (P〈0.01) and than that in NAN Group (P〈0.01), and SDS scores in P. Group were also lower than that in NAN Group (P〈0.05), showing the SDS scores in Acup. Group 〈P. Group 〈NAN Group. After 3 months of treatment, SDS scores in Acup. Group were also significantly lower than that in P. Group (P〈0.01) and than that in NAN Group (P〈0.01), and SDS scores in P. Group were also lower than that in NAN Group (P〈0.01), showing the SDS score in Acup. Group 〈P. Group 〈NAN Group. After treatment, SERS scores were 0.16±0.95, 6.51±5.09 and 0.23±1.36 in Acup. Group, P. Group and NAN Group respectively. A significant difference existed between Acup. Group and P. Group (P〈0.05), but no significant difference between Acup. Group and NAN Group (P〉0.05), showing the SERS scores in Acup. Group 〈NAN Group 〈P. Group. No side effect was found in Acup. and NAN groups. Conclusion: The therapeutic effect of acupuncture on depressive neurosis is better than or similar to that of Prozac but with less side effect. 相似文献
8.
腹针联合局部艾灸治疗项背肌筋膜炎63例 总被引:1,自引:0,他引:1
目的观察腹针联合艾灸局部膀胱经穴位为主治疗项背肌筋膜炎的临床疗效。方法腹针取中脘、关元、滑肉门、商曲,艾灸主穴取大椎、双侧大抒、肺俞、心俞、颈部阿是穴。每日1次,周日休息,共治疗2周。结果63位患者,21例痊愈,38例好转,总有效率94%,痊愈率33%。结论腹针联合局部艾灸治疗项背肌筋膜炎有一定的疗效,是一种有效、安全、患者易于接受的治疗方法。 相似文献
9.
黑斑息肉病是一种少见病 ,由Pentz及Jeher分别于 1 92 1年和 1 949年报道 ,故又称P J综合征。笔者搜集 1 989~ 2 0 0 0年间住院病例 1 5例 ,结合有关资料探讨其临床特点、影像学表现及癌变 ,以加深对本病的认识。1 资料与方法男 7例 ,女 8例 ,年龄 1 2~ 80岁 ,平均 2 6岁。仅有 1例80岁 ,余均在 40岁以下。均有口唇、颊粘膜、手指、脚趾等色素斑和消化道息肉 ,合并卵巢癌 1例 ,息肉癌变 2例 ,有家族史 7例。临床表现腹痛 1 0例 ,肠梗阻 8例 ,其中肠套叠 3例 ,消化道出血 1 0例。全部病例均经病理证实。所有病例均行上消化道… 相似文献
10.
目的:观察针刺联合活血化瘀中药、康复训练联合方案治疗急性脑梗死偏瘫患者的临床疗效.方法:用简单随机法将105例患者分为3组:针刺 中药治疗组(针药组)、中药组、基础治疗组各35例.各组均予常规康复及基础药物治疗,中药组加用活血化瘀中药,针药组加用针刺和活血化瘀中药.结果:神经功能缺损评分(NIHSS),针药组总有效率93.5%,中药组84.8%,基础治疗组71.9%.日常生活能力指数(BI),针药组残疾率41.9%.中药组63.6%、基础治疗组75.0%.针药组疗效均优于中药组和基础治疗组.结论:联合治疗方案在改善中风患者的神经缺损功能、提高患者生活质量等方面具有优势. 相似文献