AN ANALYSIS OF THE THERAPEUTIC EFFECT OF ACUPUNCTURE TREATMENT IN 500 CASES OF SCHIZOPHRENIA

1.500 schizophrenia patients were treatedwith acupuncture in our OPD with the followingresults:Cure 55.0% (275 cases);remarkable im-provement 16.8% (84 cases);improvement16.6% (83 cases);no effect 11.6% (58 cases).The total elective rate was 88.4% (442 cases).Cure and remarkable improvement rate was71.8% (359 cases).2.According to TCM differentiation thepatients were grouped as of three types (maniac,depressive,and paranoid).Acupuncture wasadministered through selected points.Themaniac type was generally considered as Yang(阳疮) and treated with acupuncture at pointsmainly on the Du channel.The manipulationwas reducing. Most of the depressive type was Yin (阴疮)and was treated with acupuncture on points alongthe Ren channel.The manipulation was restora-tion.Paranoia was treated mainly by invigoratingthe spleen and warming the gallbladder.Manipul-ation was also restoration.As the changes insymptoms were noted in the patient,the points orchannels were adjusted accordingly.Psycho-therapy accompanied the acupuncture treatment.Small doses of sedatives were given in some casesto boost the treatment.3.Statistically,no apparent relationship wasfound between sex,age,frequency of attacks,differentiation grouping and typing in the Wes-tern medicine system,and the therapeutic effect.Patients with a single attack were not helpedmore than patients with frequent attacks.Theprognosis for young patients under 15 was similarto that for those over 45.Our results did not tallywith the traditional concept that acupuncturetreatment in the simple type of schizophrenia wasless hopeful than for the other types.This discre-pancy required further investigation.4.Better therapeutic results were observedin patients with the shorter course of less than one year and those with sudden or relativelysudden onset of the disease,or vice versa.Itis worthy of note that 9 of our patients with acourse of over ten years responded excellently tothe therapy.5.Of the 275 cured patients,194 were fol-lowed up,revealing 63 recurrent cases,a rate of32.5%,most of which occurred within 2 yearsfollowing treatment.     

156 CASES OF GILLES DE LA TOURETTE'S SYNDROME TREATED BY ACUPUNCTURE

The principle of clearing Yangming and nourishing the kidney and heart was adopted in the treatment of 156 cases of Gilles de la Touretie's Syndrome with acupuncture. The total effective rate was 92.3%, and the cure rate in children aged 11-15 years was markedly higher than that in children 6-10 years of age. Among 84 cases with abnormal EEC, the pathological waves in 54 disappeared or ameliorated after the treatment.     

POSTOPERATIVE INTUSSUSCEPTION IN CHILDREN： A REVIEW OF 14 CASES

Objective To search the etiologic factor, clinical diagnosis points and treatment of postoperative intussusception （ PI ）. Methods To retrospectively review the clinical materials of 14 cases with PI including the cause of disease and treatment. Results PI occurred within 10 days （average 4 days） after the primary operation. Bowel obstructive symptoms gradually emerged. One case was diagnosed with intussusception by sonography and received enema reduction of intussusception by hydrostatic pressure. Thirteen cases were performed secondary operation. Small intestine was main site of intussu- sception. Manual reduction of the lesion was performed in 12 cases and bowel resection and anastomosis was done in 1 case with bowel necrosis. Conclusion PI should be suspected if child presents with the symptoms of ileus in early postoperative period. Abdominal sonography may have some value on diagnosis of Pl. Operation is the first choice for the treatment of PI.     

TCM DIFFERENTIAL TREATMENT OF 30 CASES OF IgA NEPHROPATHY

Thirty cases of IgA nephropathy having been diagnosed by biopsy with kidney puncture were selected. The treatment was based on the differentiation of syndromes in traditional Chinese medicine (TCM). The disease was divided into 4 stages: the initial stage with the lesion in the lung and kidney, the stable stage with the lesion in the spleen and kidney, the late stage with the lesion in the liver and kidney, and the recurrent stage. They were treated by TCM. Of them, 10 cases were completely alleviated, 13 markedly alleviated, 4 improved, and 3 ineffective, the total effective rate being 90%.     

A COMPARATIVE OBSERVATION ON TREATMENT OF HEART FAILURE DUE TO DIASTOLIC INSUFFICIENCY OF THE LEFT VENTRICLE -A Report of 43 Cases

43 cases of heart failure due to diastolic insufficiency of the left ventricle were treated with TCM differential treatment as the treatment group, the total effective rate being 86.0%. Statistically significant duTerence (P< 0.05) in the therapeutic effects was found between the treatment group and the control (25 cases) group. Improvement of the left ventricular diastole in the treatment group was more obvious than that of the control group (P< 0.01), while contractility of the left ventricle was also improved to a certain extent.     

THE TREATMENT OF PAIN IN BONE METASTASIS OF CANCER WITH THE ANALGESIC DECOCTION OF CANCER AND THE ACUPOINT THERAPEUTIC APPARATUS

The pain in 286 cases of bone metastasis of cancer was treated with an analgesic decoction of herbal drugs in combination with the Acupoint Therapeutic Apparatus that generated low frequency electric impulses into the acupoints. This series of patients comprised 104 cases of medium pain and 182 cases of severe pain, which was practically or completely relieved in 17 or 29 minutes respectively after the treatment; the total effective rate was 74.2% for 212 cases, and the duration of analgesic effect lasted 2.7 hours to 5.2 hours, averaging 3.6 hours. The cases that needed considerable dosages of analgesic tablets or sedatives markedly re-duced their requests of such drugs. Determination of bone marrow stem cells indicated that the herbal treatment produced effects of promoting and protecting the stem cells. The rate of lymphocyte transformation was 45-76% before the treatment and rose to 57-96% after the treatment, demonstrating an increase of 15.2%, which was statistically significant (P< 0.001). The analgesic effect of the decoction was not correlated to the age and sex of the patients or the variety of cancer, except that it was not effective for uterine carcinoma. The main side effects included nausea, vomiting, somnolence, and numbness of the tongue.     

ACUPUNCTURE TREATMENT OF 54 CASES OF SINUS BRADYCARDIA

The article reports 54 cases of sinus bradycardiatreated with acupuncture.The patients had palpita-tion,stuffiness in the chest,shortness of breath andlassitude,some so severe as to be unable to work.All attended our clinic when medication producedlittle effect.Acupoints were selected with propermanipulation,and moxibustion was applied on thebasis of the diffcrentiation of syndromes (辩证施治).Of the 54 cases,35 showed marked effect,12 im-provement,7 no effect,for a total effective rata of87%.Comparison in the same subject betweenmedication and acupuncture treatment showed thelatter more effective than medication,with less side-effects and stable therapeutic result.     

Observation on Treatment of Dizziness Mainly by Acupuncture

Objective: To observe the therapeutic effects of acupuncture on dizziness. Methods: 65 cases were randomly divided into a treatment group of 36 cases, and a control group of 29 cases. In the treatment group, a comprehensive treatment with both drugs and acupuncture was given, with the points Jiaji from C1- C4, Taiyang (EX-HN5) and Touwei (ST 8) mainly selected in the acupuncture treatment; while the control group was treated only with drugs. Results: The treatment group and the control group showed a total effective rate of 91.7% and 79.3% respectively, and a curative rate of 58.3% and 44.8% respectively, with significant differences.     

CLINICAL OBSERVATION ON COMBINED USE OF HERBAL MEDICINE AND ACUPUNCTURE FOR TREATMENT OF 50 CASES OF BILIARY ASC ARIASIS COMPLICATED BY INFECTION

50 cases of biliary ascariasis complicated by infection were treated by An Hui Zhi Tong Decoction (安蛔止痛药) combined with acupuncture. The cure rate was 72%, with a total effective rate of 96%, the therapeutic effect being better than that of the control group of 42 cases treated by western medkine. This therapy exerts good antipyretic effect, improves the symptoms quickly, and has no adverse side effects, thus its therapeutic effect is certain for treatment of biliary ascariasis complicated by infection.     

TCM TREATMENT OF RETINAL VEIN OCCLUSION IN 216 CASES

Traditional Chinese Medicine wasadopted in the treatment of 216 cases(219eyes)of retinal vein occlusion.The period oftreatment averaged 3 months;the total rate ofefficacy was 80.4%.During an averagefollow-up of 3 years,84.1% of the patientsmaitained a stable or slightly improved vision.The authors believed that treatment of thedisease with TCM promoted the absorption ofblood and formation of collateral circulation,and suppressed neovascularization,thus pre-venting repeated bleeding that would lead toserious complications.     

麻疹的双相移位研究进展

近年新生儿、婴儿、成人麻疹患者逐年增加,临床表现一般仍较典型,成年人麻疹患者全身中毒症状较重。麻疹抗体检测结果阳性是主要的诊断依据。麻疹发病的双相移位的机理可能是,免疫保护力不足,婴儿出生时麻疹抗体力低。孕期母传胎的麻疹抗体减弱,母经乳汁传给婴儿的抗体减弱,成人麻疹抗体水平逐年下降。预防措施是怀孕前给予育龄妇女麻疹疫苗接种,鼓励母乳喂养,麻疹疫苗计划免疫适当提前,在成人追加麻疹疫苗的免疫,加强病毒变异的研究等。     

人工全髋关节置换术的手术配合

目的：介绍人工全髋关节置换术的手术配合做法;方法：主要在手术配合的六个方面,解决防感染、防栓塞等问题。结果：30例人工全髋关节置换术均获成功,结论：手术配合是护士责任心和基本功的全面体现,对提高手术效果有至关重要的影响。     

妊娠晚期重度妊高征的监测

重度妊高征表现为高血压、蛋白尿、浮肿等症状 ,严重可以导致母婴死亡。对妊娠足月的重度妊高征 ,可以根据其临产与否及宫颈条件 ,立即决定其为阴道分娩或是剖宫产术。对于妊娠晚期的重度妊高征 ,因其胎龄不足月 ,胎儿生长发育及胎肺成熟度情况需通过一定时间的治疗 ,根据其病情变化来决定其治疗方案或终止妊娠的时机[1,2 ] 。这就需要我们对这一阶段的治疗进行监测 ,防止母儿并发症的发生。现将 2 0 0 0年至今我院收治妊娠晚期重度妊高征 30例的监测结果回顾分析如下。1　资料和方法1.1　研究对象　选择孕 31～ 36周重度妊高征 30例 ,其中 …     

80例局限性银屑病误诊原因分析

本文报告80例局限于小腿或手或足的银屑病。均经皮肤组织病理检查确诊。因部位比较特殊。受多种理化因素影响,使皮疹形态发生轻重程度不同的变化,常看不到典型损害,因而误诊为神经性皮炎,湿疹,慢性皮炎及癣等。作者对误诊原因进行了分析后,提出了鉴别诊断方法。     

腰椎间盘突出症再次手术的原因分析

目的解决腰椎间盘突出症手术中神经压迫。方法对1980～1998年再手术资料进行统计分析,讨论分析再手术原因,再次手术前影像学检查,观察病理变化以确定再手术方法。结果对11例随访6个月～1年,优7例(68．4％),良3例(36．8％),差1例(2．8％)。结论初次手术前详细查体和分析X线片,术中用导尿管和神经剥离探查,尽量避免髓核遗留,手术范围不宜太大,尽量减少对软组织和脊柱结构的破坏,避免形成硬膜囊与神经根粘连而致单纯形疤痕。     

87株幽门螺旋杆菌VacA等位基因的分析

目的以研究方法LiPA（Line Probe Assay）分析VacA等位基因的表达,了解幽门螺旋杆菌致病机理的理解。方法从三个不同城市87位进行胃镜检查患者的胃粘膜中培养出幽门螺旋杆菌,提取DNA,用LiPA方法分析VacA等位基因。结果（1）87位患者以sic（88．5％）和m2a（63．2％）分布为主,未发现s1b和s2;（2）混合菌株感染率为41．4％,远远高于西方国家,其中上海的混合感染率最高（62．5％）,与北京（41．0％）和南宁（20．8％）相比具有显著性差异,P〈0．01;（3）北京、海、南京三个不同城市s1、m等位基因亚型分布率存在差异;（4）溃疡病和非溃疡病患者m1和m2的分布率没有显著性差异。结论我国幽门螺旋杆菌多重菌株感染率较高,不同的m基因型与消化性溃疡的发生无显著性相关。     

降钙素原变化率的测定对细菌性肺炎的评估价值

目的 探讨降钙素原变化率的测定对细菌性肺炎的评估价值.方法 选取住院治疗的细菌性肺炎患者72例,根据治疗效果分为治疗有效组(有效组)47例和治疗无效组(无效组)25例,对治疗有效组和无效组中的降钙素酶原变化及影响肺炎治疗效果的危险因素进行分析.结果 有效组治疗后3天及治疗后7天的降钙素酶原显著低于无效组的患者(P＜0.05);年龄＞65岁、心功能≥3级、COPD、糖尿病、肺部双侧受累(X线示)、菌血症、感染性休克和3天内降钙素酶原变化率＜30％是影响细菌性肺炎治疗效果的危险因素;感染性休克、肺部双侧受累、3天内降钙素酶原变化率＜30％及心功能≥3级是影响细菌性肺炎治疗效果的独立危险因素.结论 测定降钙素原变化率对细菌性肺炎的疗效评估具有重要临床意义,可在临床推广应用.     

十二指肠损伤的治疗体会

目的：提高十二指肠损伤的诊治水平，方法：回顾总结该院1999年－2001年间收治的十二指肠损伤7例临床经验。结果：合并其他腹部脏器损伤86％（6／7），单纯十二指肠损伤14％（1／7）。损伤部位以十二指肠降部为多占71％（5／7），水平部和球部各占14％（1／7），术后并发症发生率28％（2／7）、病死率14％（1／7）。结论：掌握十二指肠损伤的特点，早诊断、早手术、术中认真探查，掌握好检查指征，选择合理恰当术式，加强术后管理，可提高治愈率。     

断指再植的护理体会

随着医疗水平的提高,显微手外科技术在各基层医院已得到广泛开展,所收治的此类患者在逐年增加.随机统计了近两年我院20份34指的病例,通过观察认为手术的成功与否不但取决于损伤的局部条件、术中的操作和术后的治疗,同时与术前、术后的护理也密不可分.对离断指及伤口的妥善处理,积极的术前准备和术后的精心护理,特别是术后对血运的密切观察,同时通过术前术后的健康教育使患者对该疾病的知识有了一定的掌握,认识了康复训练的重要性从而使功能达到最大限度的恢复.