灸刺足三里治疗难治性面瘫临床观察

目的:观察采用灸刺足三里激发“循经感传”治疗难治性面瘫的临床疗效。方法:60例患者随机分为灸刺足三里组(试验组)、常规治疗组(对照组)各30例,对照组取合谷、太冲、头维等穴,试验组在对照组取穴基础上加灸刺足三里,以患者自觉有温热感沿针体传入穴位深层为度。结果:试验组总有效率为93·3%,明显优于对照组的76·7%(P<0·05);试验组中,有循经感传者的总有效率为100·0%,明显优于无循经感传者的80·0%(P<0·05)。结论:灸刺足三里激发“循经感传”治疗难治性面瘫具有较好疗效,值得推广应用。     

周围性面神经麻痹的临床评估及疗效判定标准方案(草案)

目的:建立并完善周围性面神经麻痹的临床评估和疗效判定标准。方法:参照相关的评价标准,结合中医学的自身特点和面神经的功能特性,通过临床反复观察与对比评价,提出周围性面神经的评分量化表、面神经分级标准、辨证分型标准及疗效判定标准。结果:经临床初步测定,评估内容具有参照合理、简便易行、客观精细的特征。结论:该方案可以作为临床评估和疗效判定的标准,但仍需临床效度、信度的测定及多中心研究的支持。     

透刺治疗周围性面神经麻痹

目的寻找和探讨治疗周围性面神经麻痹更为有效的透刺方法。方法按首诊先后顺序随机分成两组,治疗组50例,以阳白透头维,阳白(原穴略上)透上星、丝竹空透鱼腰、牵正透迎香、地仓透颊车、迎香与颊车互透,使透刺方向与局部瘫痪肌束约呈45°角。对照组45例,选穴基本同治疗组,常规透刺,以阳白透鱼腰,攒竹透鱼腰,地仓与颊车互透,牵正透地仓,四白透迎香。结果治疗组痊愈率76.0%,愈显率92.0%;对照组痊愈率55.6%,愈显率75.6%。两组痊愈率、愈显率及痊愈者所需疗次间差异有显著性意义。结论透刺方向与瘫痪肌束呈45°角的刺法更利于面瘫的恢复,疗效更高。     

Clinical observation on the treatment of pseudobulbar paralysis by combined scalp and body acupuncture

目的：观察头针结合体针治疗假性延髓麻痹的疗效。方法：将80例患者随机分为治疗组和对照组各40例，对照组采用西医常规治疗方法，治疗组在此基础上加用头针结合体针治疗。观察两组治疗前后的疗效，并通过经颅多普勒（TCD）观察两组治疗对大脑前动脉（ACA）、大脑中动脉（MCA）和大脑后动脉（PCA）的平均血流速度（VM）影响。结果：治疗组总有效率为97．5％，痊愈率为75％，对照组总有效率为12．5％，无痊愈者。两组比较有显著差异（P〈0．01）。TCD发现治疗组使大脑各动脉的流速明显加快，并改变了左右脑血流的失衡状态，针剌前后VM比较P〈0．01。结论：头针结合体针对假性延髓麻痹有很好的治疗作用。     

Therapeutic Effect Observations on Individualized Treatment of Peripheral Facial Palsy

目的：观察采用个体化方案治疗周围性面瘫的疗效。方法：治疗组121例患者根据其病情特点采用个体化方案进行针剌治疗，与118例常规针灸治疗者进行对照研究，比较其疗程与疗效的差异。结果：治疗组愈显率为90．9％，对照组愈显率为69．5％，差异有显著性（P〈0．01）；两组各疗程愈显率比较，差异有显著性（P〈0．01）。结论：采用个体化方案治疗周围性面瘫效果明显优于常规针刺方法，且疗程短。     

浅刺多穴针法治疗新生儿臂丛神经麻痹68例

方法 :对 6 8例新生儿臂丛神经麻痹患儿 ,随机分为针刺组和营养神经药物组进行对照治疗观察。结果 :针刺组的痊愈率、总有效率明显高于药物组 (P <0 0 1)。结论 :针刺疗法是提高新生儿臂丛神经麻痹治愈率、降低致残率的有效方法     

分期针刺法治疗周围性面瘫31例疗效观察

目的：寻找治疗周围性面瘫的最佳治疗方法。方法：运用“分期针刺法”治疗周围性面神经麻痹31例，并与对照组30例进行比较。结果：治疗组的愈显率为90．3％，对照组为70．0％，治疗组疗效明显优于对照组（P＜0．01）。     

颈动脉加压灌注+动脉给氧技术治疗脑梗死后遗症的临床观察

目的：观察颈动脉加压灌注疗法配合动脉给氧技术对脑梗死后遗症治疗后的观察瘫痪肢体肌力、言语、智力的改善情况，及对人体的不良反应。方法：利用颈动脉加压灌注疗法配合动脉给氧技术进行治疗观察，与静脉给药进行对照，随机分组，采用单盲方法，结合脑CT观察影像学的变化。结果：总有效率，治疗组83．54％；对照组45．03％，两组比较P＜0．05。结论：颈动脉加压灌注疗法配合动脉给氧技术对脑梗死后遗症的治疗可明显提高疗效，安全。     

Antitoxin's effect on tetanus toxin induced sphincter pupillae paralysis in the rabbit

Summary The effectiveness of antitoxin in preventing tetanus toxin's blockage of acetylcholine release from the cholinergic nerves of the rabbit iris was tested by injecting purified tetanus toxin into the anterior chamber, and by injecting horse antitoxin at various time intervals either into the anterior chamber, intravenously, or into the anterior chamber and intramuscularly.The results indicate that antitoxin is ineffective in preventing the development of sphincter pupillae paralysis once it is induced by tetanus toxin, prior to appearance of the symptoms.The efficacy of antitoxin treatment depends on the administration of an optimal therapeutic dose.Neither the rate of development, nor the rate of recovery from the maximal pupillary paralysis are altered by antitoxin treatment.The severity, the duration, and the time of complete recovery from the paralysis are directly related to the time antitoxin treatment begins.     

Magnetic resonance signal alterations in the acute onset of heterotopic ossification in patients with spinal cord injury

The purpose of our study was to evaluate magnetic resonance (MR) signal characteristics of acutely forming heterotopic ossification (HO) in paralyzed patients. Fourteen patients with spinal cord injury (female n=2, male n=12, mean age 38.3 years) and acute onset of radiographically proven HO had contrast-enhanced 1.5-T MRI within 13.4±18.3 days of clinical onset of symptoms. MR signal alterations of affected muscles, fascia, subcutaneous tissue, skin and adjacent bone were evaluated. A diffuse T2-hyperintense signal of multiple muscle groups was seen in all patients (bilateral in 12) involving quadriceps (n=13, 93%), adductors (n=13, 93%) and iliopsoas (n=12, 86%) with contrast enhancement in n=11 (79%), n=8 (57%) and n=8 (57%) patients. All patients had nonenhancing areas (mean size 2×3.5×5.8 cm) within diffusely enhancing muscles. HO formation occurred around these nonenhancing areas in four patients with computed tomography follow-up. Other MR findings included fascial edema (n=14, 100%), fascial enhancement (n=13, 93%), subcutaneous edema (n=13, 93%), subcutaneous enhancement (n=12, 86%), bone marrow edema (n=5, 36%), and joint effusion (n=12, 86%). MRI reveals mostly bilateral edema and enhancement of muscles, fascia and subcutaneous tissue during acute onset of HO. HO develops in the periphery of well-defined areas of no enhancement.