针刺联合常规疗法治疗抗精神病药物相关代谢综合征的临床观察

目的 观察针刺联合常规疗法治疗抗精神病药物相关代谢综合征的临床疗效.方法 将93例气虚痰结型精神分裂症合并代谢综合征患者随机分为对照组(46例)和治疗组(47例),对照组采用常规药物治疗及生活方式干预,治疗组在对照组治疗措施的基础上加用针刺治疗,两组疗程均为3个月,治疗结束后继续随访6个月.观察比较世界卫生组织生存质量...     

针灸对缓解期精神分裂症患者脑功能效应影响的研究

目的:探讨针灸对缓解期精神分裂症患者的脑功能效应。方法:选取缓解期精神分裂症患者101例,随机分为对照组51例,治疗组50例。对照组给予抗精神病药物治疗,治疗组在精神药物基础上给予针灸治疗。观察两组患者的临床疗效。并对两组各随机抽取10例患者,进行治疗前后的静息态功能性核磁共振成像(fMRI)数据采集,判断其脑功能的效应。结果:与治疗前比较,两组患者CGI评分降低(P<0.05)。与对照组治疗后比较,观察组患者治疗后CGI评分明显降低(P<0.05)。fMRI结果的低频振幅(ALFF)分析,针灸治疗的显著作用主要体现在左侧枕顶叶。局部一致性(ReHo)分析,治疗组的显著提升区域为左侧枕叶舌回。结论:针灸可以提高缓解期精神分裂症患者的临床治疗效果,且对于患者的神经元自发活动具有相关激发效应,这为精神分裂症患者提供辅助治疗的方案,促进中西医结合临床方向的发展。     

头针治疗精神分裂症

<正>精神障碍已成为21世纪影响人类健康的最主要疾病之一,具有高发病率、高资源消耗、高致残率的特点。世界卫生组织在《2001年世界卫生报告》[1]中提出,精神卫生已经成为一个突出的社会问题,全世界1/4的人会在一生中某个时段产生某种精神障碍。据我国2006年的流行病学资料显示,     

Observation on lower-reinforcing and upperreducing acupuncture method for hyperplasia of mammary gland and its influence on estradiol and progesterone

Objective

To observe the clinical effect of lower-reinforcing and upper-reducing acupuncture method for hyperplasia of mammary gland (HMG) and its influence on estradiol (E₂) and progesterone (P).

Methods

A randomized, single-blinded and controlled trial was conducted. A total of 124 cases conforming to the inclusion criteria were randomized by random number table into a treatment group and a control group, with 62 cases in each group. Patients in both groups received acupuncture therapy at the same acupoints, while patients in the treatment group received lower-reinforcing and upper-reducing method, and patients in the control group received even reinforcing-reducing manipulation. The treatment started around 10 d before menstruation and was conducted every other day. Patients received 5 treatments in each menstruation cycle for consecutive 3 cycles. The levels of E₂, P and E₂/P and clinical efficacy were measured before and after treatment.

Results

After treatment, the breast lump size, pain intensity and concomitant symptoms score in both groups were substantially lower than those before treatment, showing statistical significances (all P<0.01), and the improvement in the treatment group was higher than that in the control group, and the between-group comparisons showed statistical significances (all P<0.01). After treatment, the overall effective rate was 91.9% in the treatment group, higher than 72.6% in the control group, and the between-group comparison showed a statistical significance (P<0.01). After treatment, levels of E₂, P and E₂/P value showed no statistical significance when compared with those before treatment in the two groups (all P>0.05).

Conclusion

Lower-reinforcing and upper-reducing acupuncture method can effectively alleviate clinical symptoms and signs in HMG patients, and produce a better effect than even reinforcing-reducing manipulation. The majority of HMG patients’ E₂, P level and E₂/P value were not beyond the normal ranges; therefore, acupuncture showed no substantial influence on E₂ and P levels and E₂/P value.

     

"头八针"治疗紧张性头痛的临床研究

目的:通过观察治疗前后患者TCD水平的变化,并应用VAS评分、中医证候量表等指标,评价比较"头八针"穴组、西药组对紧张性头痛的疗效.方法:63例患者随机分为试验组(n=33)、西药组(n=30),分别予"头八针",西药妙纳进行治疗,并分别记录治疗前后患者VAS评分、头痛持续时间、头痛发作频率、椎基底动脉血流速度及中医头痛证候积分.结果:经治疗,两组患者VAS评分、头痛频率、头痛发作次数、椎基底动脉血流速度及中医证候积分皆较治疗前有所改善.试验组在VAS评分、头痛频率、中医证候积分上均优于西药组,头痛发作次数、椎基底动脉血路速度改善方面血流速度差异无统计学意义(P>0.05).结论:采用"头八针"治疗紧张性头痛的临床疗效较西药明显改善,值得推广.