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1.
目的:探讨四白穴针刺效应的传入途径。方法:SD大鼠36只,随机分成空白组、假手术组、辣椒素组、溶媒组、电针"四白"穴+辣椒素组、电针"四白"穴+溶媒组。游离一侧眶下神经,辣椒素组将浸泡有1.5%辣椒素的棉条包绕在眶下神经上。溶媒组用浸泡在溶媒中的棉条包绕在眶下神经上。采用免疫组化技术观察三叉神经脊束核尾侧亚核(cSTN)的c-fos表达。结果:空白组在cSTN各层可见到零星、散在的阳性细胞。溶媒组、辣椒素组以及假手术组cSTN的c-fos阳性细胞数与空白组相似。电针"四白"穴+溶媒组c-fos在cSTN内主要集中在浅层(Ⅰ-Ⅱ层),其阳性细胞的数量明显多于其余各组(P<0.01);cSTN的深层(Ⅲ-Ⅳ层)c-fos数量多于空白组、溶媒组和假手术组(P<0.01,P<0.05,P<0.05)。电针"四白"穴+辣椒素组cSTN的Ⅰ-Ⅱ板层的c-fos阳性细胞数与电针"四白"穴+溶媒组相比明显减少(P<0.01),但cSTN的Ⅲ-Ⅳ板层的c-fos阳性细胞数与电针"四白"穴+溶媒组相比无明显变化(P>0.05)。结论:C纤维可能是四白穴针刺效应(调节胃功能活动)的主要传入途径。  相似文献
2.
舌针治疗中风后运动性失语症46例疗效观察   总被引:1,自引:1,他引:11  
李滋平  符文彬 《新中医》2005,37(11):61-62
目的:观察舌针治疗中风后运动性失语症的临床疗效。方法:将82例中风后运动性失语症患者随机分为2组。治疗组46例,采用舌针治疗(取穴:心穴、脾穴、肾穴);对照组36例,采用体针治疗(取穴:外金津、外玉液、廉泉、哑门、内关、通里)。12次为1疗程,共治疗2疗程。结果:总有效率治疗组为93.48%,对照组为69.44%,2组比较,差异有非常显著性意义(P〈0.01)。治疗后2组语言能力评分均有所改善,与治疗前比较,差异均有显著性意义(P〈0.05)。治疗组与对照组治疗后比较,差异有非常显著性意义(P〈0.01)。结论:舌针治疗中风后运动性失语症疗效优于单纯体针治疗。  相似文献
3.
腹针治疗腰椎间盘突出症临床观察   总被引:1,自引:1,他引:4  
目的比较腹针与常规针刺治疗腰椎间盘突出症的疗效差异。方法将180例腰椎间盘突出症患者随机分为腹针组90例及针刺组90例。确定治疗处方、针刺深度、手法、留针时间、疗程。采用简化McGill疼痛量表、改良日本骨科学会下腰痛评分法M-JOA评分,由第三者进行盲法评价,对结果进行意向性治疗分析判定疗效。结果腹针组90例,结果优49例,占54.4%,良24例,占26.7%,可13例,占14.5%,差4例,占4.4%,总有效率95.6%:针刺组90例,结果优42例,占46.7%,良22例,占24.4%,可19例,占21.1%,差7例,占7.8%,总有效率92.2%。结论经统计学处理分析,表明两组总有效率比较差异无统计学意义,但两组优良率比较差异具有统计学意义,腹针组优于针刺组。  相似文献
4.
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
5.
To probe the therapeutic effect of abdominal acupuncture plus conventional acupuncture on knee osteoarthritis. Methods: PEMS3.1 software was used. The 105 patients with knee osteoarthritis were randomly divided into an abdominal acupuncture group, a conventional acupuncture group and a combined group (abdominal acupuncture plus conventional acupuncture). For the abdominal acupuncture group, the abdominal acupuncture was performed at Zhongwan (CV 12), Guanyuan (CV 4), Wailing (ST 26), Daheng (SP 15), Lower Rheumatism point and Qipang with needles retained for 30 minutes. For the conventional acupuncture group, the acupuncture was practiced at Neixiyan (EX-LE4) and Dubi (ST 35) of the affected limb, Yanglingquan (GB 34), Liangqiu (ST 34), Xuehai (SP 10) and Xiyangguan (GB 33). For the combined group, both methods were applied. Treatment was given once a day, 6 times a week, for 4 weeks. Lysholm knee scoring scale was used to score the functions of knee before and after treatment. Results: Of 35 cases in the abdominal acupuncture group, 8 cases were remarkably relieved, 10 cases relieved, 14 cases improved, and 3 cases failed, the total effective rate was 91.4%. Of 35 cases in the conventional acupuncture group, 7 cases were remarkably relieved, 8 cases relieved, 16 cases improved, and 4 cases failed, the total effective rate was 88.6%. Of 35 cases in the combined group, 13 cases were remarkably relieved, 16 cases relieved, 5 cases improved, and 1 cases failed, the total effective rate was 97.1%. There was a remarkable difference in the effect among 3 groups (P〈O.05). The difference in scores of Lysholm knee scoring scale for knee joint after treatment among 3 groups was very significant (P〈0.01). Conclusion: Abdominal acupuncture has reliable effect for knee osteoarthritis and it has the synergized function when combined with conventional acupuncture.  相似文献
6.
目的:探讨影响针刺治疗颈椎病颈痛疗效的主要因素,为进一步提高针灸疗效提供参考依据.方法:将106例患者随机分为观察组(53例)、对照组(53例).观察组接受常规针刺治疗,穴取大椎、颈百劳、肩中俞;对照组接受假穴位治疗,针刺点为百劳、肩中俞穴位各向外旁开1 cm.两组均留针20 min,期间予以红外线照射辅助治疗.采用颈痛量表(Northwick Park Neck Pain Questionnaire,NPQ)评价患者治疗前后的生存质量并比较两组疗效,对各种有可能影响疗效的因素进行Logistic回归分析.结果:观察组的有效率为75.5%,对照组为52.8%,两组疗效差异有统计学意义(P<0.05).Logistic回归分析提示,常规穴位针刺的疗效优于假穴位对照组(OR=2.670),患者既往的颈痛发作频率(OR=1.055)和发作持续时间(0R=2.446)均对疗效有影响.结论:针刺对于治疗颈椎病颈痛具有较好的疗效,患者既往的颈痛发作频率和持续时间是影响临床疗效的因素.  相似文献
7.
慢性湿疹是临床常见的过敏性皮肤病,是一种迟发性变态反应性疾病,中医学称之为湿疮。其病因复杂,在慢性阶段以表皮肥厚和苔藓样变为主。目前西医对湿疹尚无特效疗法,多采用对症治疗,以内服抗组胺药物治疗为主,但是疗效一般,而且容易反复。根据慢性湿疹的病因病机及临床症状,笔者结合针灸学理论,采用针刺加刺络放血疗法治疗,取得较好的疗效,结果报道如下。  相似文献
8.
目的:观察眼针配合运动针法治疗脑梗死恢复期偏瘫的临床疗效。方法:将70例患者随机分为2组。对照组34例给予常规针刺治疗;治疗组36例在对照组治疗基础上予眼针配合运动针法治疗。以Brunnstrom六阶段评估法和日常活动能力(Barthel指数)作为观察指标,观察偏瘫和日常活动能力改善情况。结果:2组治疗后偏瘫上下肢功能达到Ⅳ期及以上者均明显增多,与治疗前比较,差异有显著性或非常显著性意义(P〈0.05,P〈0.01);治疗组改善效果优于对照组,差异有显著性意义(P〈0.05)。2组治疗后Barthel指数均明显升高,与治疗前比较,差异有非常显著性意义(P〈0.01),治疗组升高明显高于对照组,差异有非常显著性意义(P〈0.01)。结论:眼针配合运动针法对脑梗死恢复期3级肌力以下患者Brunnstrom分级和Barthel指数有较好的改善作用。  相似文献
9.
目的:观察针刺调肝法治疗肝阳上亢型轻度高血压的临床疗效。方法:将90例肝阳上亢型1级高血压患者采用随机、对照的方法分为对照组(单纯生活方式调整)和治疗组(生活方式调整+针刺治疗)2组,各45例。研究过程中治疗组脱落1例,对照组脱落2例,最后纳入统计的患者,治疗组为44例,对照组为43例。观察治疗前后血压及中医症状积分改善情况。结果:治疗组痊愈率为54.55%,总有效率为93.18%,对照组分别为30.23%、81.40%,2组比较,差异均有显著性意义(P〈0.05)。治疗后2组收缩压、舒张压均下降,与本组治疗前比较,差异有非常显著性意义(P〈0.01);2组治疗后收缩压组间比较,差异有非常显著性意义(P〈0.01),治疗组低于对照组。治疗后2组中医症状积分明显降低,与本组治疗前比较,差异有非常显著性意义(P〈0.01);2组治疗后组间比较,差异也有非常显著性意义(P〈0.01),治疗组低于对照组。结论:在单纯生活方式调整的基础上配合针刺调肝法可以显著提高肝阳上亢型轻度高血压的临床疗效,改善临床症状。  相似文献
10.
脑卒中患者常有不同程度和不同类型的感觉障碍^[1],在临床工作中较重视脑卒中患者的运动障碍,常会忽略对感觉障碍的治疗,这成为影响临床疗效的重要因素之一。本研究在常规治疗的基础上应用腹针治疗脑卒中感觉障碍,以探讨腹针对卒中后感觉功能恢复的影响。  相似文献
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