压力性尿失禁的针灸治疗与护理

目的观察针灸配合健康指导治疗压力性尿失禁的疗效。方法以针刺手法和温灸相结合为主,同时配合健康指导治疗压力性尿失禁患者40例,2个疗程后观察疗效。结果总有效率85%,且临床观察显示,疗效与病程及年龄均无明显关系。结论针灸配合健康指导是治疗压力性尿失禁的一种行之有效的方法,值得推广应用。     

举元固摄汤配合针灸功能锻炼治疗女性压力性尿失禁52例疗效观察

目的:观察自拟举元固摄汤配合针灸、盆底肌肉功能锻炼综合治疗女性压力性尿失禁的临床疗效。方法:将52例压力性尿失禁患者随机分为治疗组和对照组各26例。治疗组采用自拟举元固摄汤配合针灸、盆底肌肉功能锻炼综合治疗,对照组采用针灸及盆底肌肉功能锻炼治疗,4周为1个疗程,1~3个疗程后对比两组疗效。结果:治疗组临床疗效近期治愈率30.8%,总有效率92.3%,对照组近期治愈率7.7%,总有效率73.1%,治疗组优于对照组,两组对比差异有统计学意义(P<0.05)。结论:自拟举元固摄汤配合针灸、盆底肌肉功能锻炼综合治疗女性压力性尿失禁有较好的临床疗效,值得推广。     

温针灸联合Kegel盆底康复训练对产后压力性尿失禁的临床研究

目的 观察温针灸联合Kegel盆底康复训练对产后压力性尿失禁的疗效。方法 将66例产后压力性尿失禁患者按随机数字表法分为治疗组与对照组，每组33例。对照组予以Kegel盆底康复训练，观察组予以温针灸联合Kegel盆底康复训练，观察两组患者治疗前后的漏尿量、尿失禁程度评分、盆底肌力、生活质量评分及临床疗效。结果 两组患者治疗后漏尿量、尿失禁程度评分、盆底肌力、生活质量评分与治疗前比较，差异均有统计学意义（P<0.05）；观察组漏尿量、尿失禁程度评分降低程度大于对照组（P＜0.05），生活质量评分增加程度大于对照组（P＜0.05）。观察组临床疗效优于对照组（P<0.05）。结论 温针灸联合Kegel盆底康复训练治疗压力性尿失禁比单一Kegel盆底康复训练的疗效更好。     

针灸治疗女性压力性尿失禁患者的临床疗效分析

目的分析针灸治疗女性压力性尿失禁患者的临床疗效。方法选取本院妇科70例压力性尿失禁患者作为研究对象,其中2017年9月至2018年9月入院的30例患者作为对照组,行常规运动治疗;2018年10月至2019年10月入院的40例患者作为观察组,在常规疗法的基础上采用针灸治疗。比较两组治疗前后压力性尿失禁受控程度、生活质量和临床疗效。结果治疗前,两组压力性尿失禁受控程度评分比较差异无统计学意义;治疗后,两组压力性尿失禁受控程度评分均低于治疗前,且观察组明显低于对照组(P<0.05);观察组生活质量评分中心理社会影响、逃避、自我困扰、限制等各项内容评分均显著低于对照组(P<0.05);观察组治疗总有效率为95.00%,显著高于对照组的76.67%(P<0.05)。结论采用针灸治疗女性压力性尿失禁患者,能有效改善患者的生活质量,缓解各项临床症状,能显著提高临床疗效,值得临床推广应用。     

针灸加功能锻炼治疗产后早期压力性尿失禁

[目的]探索产后早期压力性尿失禁有效治疗途径。[方法]采用穴位针灸加盆底肌功能锻炼治疗产后早期尿失禁56例。[结果]56例病人经过治疗,有效55例,占98.2%;无效1例,占1.8%。[结论]针灸加功能锻炼治疗产后尿失禁有独特疗效。     

针灸疗法对压力性尿失禁的研究

中医认为,压力性尿失禁的发生与肺、脾、胃、心、肝、肾、三焦的功能密切相关,其病位在膀胱,多由于肾气亏虚、下元不固或气血亏虚、膀胱失约或湿热下注、积于膀胱导致。针灸具有疏通经络、调和阴阳的作用,治疗压力性尿失禁的方法主要包括毫针、电针、穴位注射以及针灸并用、针灸结合盆底肌训练等,主要通过其调节排尿中枢的作用发挥疗效。今后针灸治疗本病的研究方向应为增加辨证分型,统一疗效标准,并采用多中心、大样本、随机对照,合理设计的临床实验以增强针灸治疗本病的说服力。     

针灸联合益气升提散穴位敷贴治疗产后压力性尿失禁疗效观察

正压力性尿失禁是一种常见于经产妇的储尿期功能障碍性疾病,患病率为27.5%～61.0%,临床表现为喷嚏、咳嗽等会导致腹压增高的运动时,尿液自主经尿道外口流出~([1-2])。产后压力性尿失禁发生的主要原因为产后盆底功能障碍,目前治疗以功能锻炼、电刺激等为主,但疗效不够理想。产后压力性尿失禁属中医"小便不禁""遗尿"等范畴,发病多与肾气虚有关,治疗需从固摄肾气方面入手~([3])。本研究探讨针灸联合益气升提散穴位敷贴治疗产后压力性尿失禁临床疗效,现报道如下。1资料与方法     

非手术治疗压力性尿失禁及宣教

目的:探讨和观察非手术治疗压力性尿失禁的临床疗效。方法:通过对临床10例病人用提肛法和间断排尿法治疗压力性尿失禁,分析此方法对压力性尿失禁的临床治疗情况。结果:非手术方法治疗压力性尿失禁显效率达80(。结论:非手术疗法治疗压力性尿失禁及正确的宣教取到很好的临床效果。减轻了患者痛苦,提高了病人生活质量。     

灸法治疗压力性尿失禁的研究概况

压力性尿失禁是我国妇女的常见病、多发病,严重影响患者的身心健康。临床上对压力性尿失禁的治疗手段多种多样,其中针灸治疗该病的优越性已经被逐步证实。本篇文章就中医传统灸法,检索相关文献资料,汇总分析,为进一步推广灸法治疗压力性尿失禁提供思路。     

康复训练联合针灸治疗对改善产后压力性 尿失禁障碍的临床疗效的观察

目的　探讨康复训练与针灸治疗相结合对产后有压力性尿失禁障碍患者的临床疗效观察.方法　选择产后４２天并患有尿失禁症状的女性１００例,年龄２０岁 到４５岁之间,不伴有泌尿系统障碍的其他疾病.随机分为治疗组和对照组,治疗组用康复训练联合针灸治疗进行干预,对照组给予常规治疗,共治疗８周,采用盆底肌 力综合测试以及总漏尿次数(LT)测试进行疗效评定.结果　治疗前两组在综合肌力测试和总漏尿次数组间差异均无统计学意义(P＞０．０５),治疗８周后,发现两组患者 在盆底综合肌力测试和总漏尿次数方面都有所改善(P＜０．０５),治疗组的上述两项指标均优于对照组(P＜０．０１),差异有显著意义.结论　对产后有尿失禁障碍的患者 进行康复训练与针灸治疗可显著改善产后压力性尿失禁症状,从而进一步提高患者的生活质量.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.