束针疗法治疗顽固性面瘫40例

目的：探讨束针疗法治疗顽固性面瘫的疗效。方法：将80例顽固性面瘫患者随机分为治疗组和对照组,两组各40例。治疗组采用束针疗法加传统针刺治疗;对照组采用传统针刺治疗。治疗后比较疗效。结果：治疗组总有效率为95％,对照组总有效率为85％,治疗组优于对照组（ P＜0．05）。且治疗组疗程短,见效快。结论：束针疗法治疗顽固性面瘫疗效明显优于传统针刺。     

电针配合推拿整复治疗颈胃综合征疗效观察

目的：探讨颈胃综合症的非药物治疗方法。方法：将符合纳入标准的92例患者随机分为治疗组（针刺＋推拿整复）和对照组（胃炎康胶囊＋颈复康颗粒）各46例,观察和比较两组患者的改善情况。结果：治疗组46例颈胃综合症患者经治疗后治愈30例（65．2％）,好转14例（30．4％）,无效2例（4．4％）,总有效率为95．6％。对照组治愈16例（34．8％）,好转21例（45．7％）,无效9例（19．5％）,总有效率为80．5％。治疗组明显优于对照组,有显著性差异（P〈0．05）。结论：采用电针加推拿整复治疗颈胃综合症可获较好的疗效。     

交叉法固定小儿四肢静脉留置针的效果观察

目的探讨一种更有效的固定留置针的方法,达到延长留置时间,减轻每日穿刺给患儿及家属带来的痛苦,保护血管,方便用药。方法将527例患儿按入院时的住院号分组,单号为观察组269例,双号为对照组258例,两组均采用美国BD公司生产的24GBDY型留置针。穿刺成功后观察组用普通医用布胶交叉法固定留置针,对照组用普通布胶环形缠绕法固定留置针。结果观察组留置针留置时间为(5.048±0.130)d,对照组留置针留置时间为(2.837±0.132)d。结论交叉法固定优于普通环绕法,固定牢固,不适反应少,留置时间明显延长,患儿及家属乐于接受,值得临床推广。     

杨兆钢老中医临床经验录

杨兆钢教授提出芒针"疏弹趋动,技巧术行"独特的针刺治疗理念,应用芒针,运用中医理论,在临床治愈了很多疑难杂症,现简要阐述马凡氏综合征、癃闭、子宫肌瘤的中医辨证、中医治法、针刺取穴、临床疗效以及体会。     

松针的化学成分和药理活性研究进展

松针是松科植物的针状叶,主要含挥发油、黄酮类、木脂素、色素、维生素、氨基酸和多种矿物质。松针的药用历史悠久,研究证实其具有降血糖、调血脂、抗肿瘤、抗衰老、抗突变、抑菌、抗病毒和镇痛抗炎等药理作用。综述了近年来国内外对松针的化学成分和药理活性研究的进展,为进一步研究、开发和利用松属植物资源提供参考。     

A spatial analysis of the physical and social environmental correlates of discarded needles

The role that the urban environment plays in influencing drug users' injection and needle disposal decisions is poorly understood. We identified potential attractors and deterrents of needle discarding, and then used a geographic information system (GIS) to quantify these factors for a neighborhood in Montréal, Canada. In multivariate logistic regression, discarded needles were found to have more associations with physical factors than with social factors. Visual exposure and proximity to a single-room occupancy hotel, a pay phone, an adult service or a pawnshop were important physical environmental predictors. These findings are discussed in relation to developing public health and urban design-based harm reduction approaches to needle discarding in public space.     

风三针治疗中风后吞咽障碍临床研究

目的:观察“风三针”针刺疗法在治疗中风后吞咽障碍的临床疗效。方法:随机收集中风后吞咽障碍患者60例,按照不同的治疗方法分为对照组和治疗组各30例。两组均先进行吞咽康复训练,后治疗组予风三针针刺治疗,观察两组治疗后洼田饮水试验评分,VFSS吞咽难度评分,并进行对比分析其临床疗效。结果:对照组及治疗组在治疗4个疗程后,治疗组总有效率93.33%高于对照组70.00%(P<0.05); 两组洼田饮水试验评分治疗后均低于治疗前(P<0.05),治疗组的评分低于对照组(P<0.05); 两组的VFSS吞咽难度评分治疗后均高于治疗前(P<0.05); 治疗组的VFSS难度评分高于对照组(P<0.05)。结论:“风三针”针刺疗法在治疗中风吞咽障碍中临床疗效确切。     

通督热针法与捻转补法治疗早期强直性脊柱炎对比研究

目的比较通督热针法与捻转补法治疗早期强直性脊柱炎的临床效果。方法选取在我院就诊的早期强直性脊柱炎患者76例,随机分为两组各38例。对照组实施捻转补法治疗,观察组采用通督热针法治疗,比较两组巴氏强直性脊柱炎疾病活动指数(BASDAI)、巴氏强直性脊柱炎功能指数(BASFI)评分及疗效。结果治疗前,两组患者BASDAI和BASFI评分比较,差异不显著(P0.05);治疗后,观察组BASDAI和BASFI评分均明显低于对照组,差异显著(P0.05);观察组治疗效果较对照组明显提高,差异显著(P0.05)。结论与捻转补法治疗比较,通督热针法可提高早期强直性脊柱炎患者治疗效果,改善患者症状。     

松针叶聚戊烯醇的研究进展

松针叶为松科松属植物马尾松、湿地松、黄山松、落叶松、黑松、红松等的叶子,在全国各地均有分布,具有悠久的药用历史。聚戊烯醇是松针叶的主要活性成分,与人体内所含的多萜醇结构和生物活性相似,具有抗老年痴呆、抗氧化、保护肝损伤、治疗硬化症等作用。目前对松针叶聚戊烯醇的提取、分离纯化工艺及药理作用研究取得了一定进展,但国内关于其应用于临床的制剂开发尚未见报道。对松针叶聚戊烯醇的深入研究将有利于充分利用我国松针叶资源。本文对目前国内外松针叶中聚戊烯醇的提取和分离纯化方法、含量测定、药理作用、制剂等方面进行总结,并对其研究前景进行展望。从目前的研究状况来看,松针叶聚戊烯醇的分离纯化技术、药理作用机制、制剂开发等方面很值得更深入的研究,尤其是其制剂开发方面。     

Subarachnoid anesthesia in young patients: a comparative analysis of two needle bevels

BACKGROUND AND OBJECTIVES: This prospective, randomized, double-blind study compares the efficacy of two spinal needles in terms of their performance characteristics and associated perioperative complaints in young patients. METHODS: ASA I and II patients aged from 20 to 40 years undergoing lower limb orthopedic surgery were included during a 12-month period. After application of the protocol, 158 patients were recruited. The patients were randomized to two groups: group I: 26-gauge Atraucan (n = 79) and Group II: 27-gauge Whitacre (n = 79). A study was made of the demographic parameters, technical characteristics, and peri- and postoperative complications. RESULTS: No significant differences were found in the technical handling of the needles, number of attempts made to achieve the puncture, or the time required to perform the technique. No technical failures (spinal anesthesia inadequate for the planned surgery) were reported, and the frequency of complications during the procedure was identical in both groups. Frequency of postdural puncture headache (3.8%) or severity and duration showed no difference between the two groups. The overall assessment of postoperative complications revealed similar scores for both needles. CONCLUSIONS: Technical handling (ease with which block was performed) of the needles analyzed was extremely easy, showing a high success rate which associated with the similar incidence of complications. Type of bevel does not appear to be a determining factor in the quality or morbidity associated with subarachnoid block when fine-gauge needles are used in young patients.