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1.
[目的] 观察耳穴压豆疗法对老年慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)患者症状及肺功能的影响。[方法] 选取2018年11月至2020年10月入住浙江大学医学院附属第一医院老年医学科,符合纳入标准的AECOPD患者60例,使用随机数字表法分成观察组30例和对照组30例。对照组采用常规治疗,观察组采用常规治疗和耳穴压豆(王不留行籽)疗法。分别于治疗前和治疗1、2、3个月评价肺功能,干预后临床症状和COPD评估测试问卷(COPD assessment test,CAT)评分。[结果] 耳穴压豆治疗3个月后,观察组第1秒用力呼气量占预计值(forced expiratory volume in first second accounted for the predicted value,FEV1%)和第1秒用力呼气量/用力肺活量(forced expiratory volume in first second/forced vital capacity,FEV1/FVC%)高于对照组,差异具有统计学意义(P<0.05)。耳穴压豆治疗3个月后,观察组总有效率(81.8%)高于对照组(64.3%),但两组比较差异无统计学意义(P>0.05)。耳穴治疗干预3个月后,观察组CAT评分低于对照组,差异有统计学意义(P<0.05)。[结论] 耳穴压豆可显著改善AECOPD患者肺功能,且耳穴压豆疗法操作简便,易于掌握,具有临床推广价值。  相似文献   
2.
The application of traditional Chinese medicines (TCMs) has a history of more than 2000 years, which have the characteristics of multi-component, multi-target, and high safety. Post-infectious cough (PIC) is a respiratory disease with high incidence. It belongs to subacute cough and accounts for as much as 40%–50%. Cough is the main clinical manifestation of PIC. PIC seriously affects people's life quality because of complex etiology, long-term course of disease, treatment difficulties and other characteristics. Western medicines are based on the principle of symptomatic treatment, so they are often difficult to control PIC fundamentally. These factors could due to that PIC is prolonged and unable to heal repeatedly. TCMs have obvious advantages in treating PIC, with accurate curative effects, less side effects and adverse reactions and are effective in improving PIC-related symptoms and indicators, enhancing patients' life quality and reducing pain. TCMs, guided by holistic concept and syndrome differentiation, advocate determine treatment on the basis of pattern types, and have remarkable clinical treatment effects. As for TCMs etiology, pathogenesis and syndrome types of PIC, TCM scholars have not yet reached a unified standard. However, most of them think that wind pathogen can cause PIC alone, or it can be combined with other evils, which might be the main mechanism of PIC. This paper discusses the advantages and limitations of TCMs in PIC treatment from etiology, pathogenesis, distribution of syndrome types and treatment of TCMs. This article focuses on the treatment methods and pharmacodynamic material basis of wind pathogen, providing ideas in treating PIC of TCMs clinically and innovative drug development.  相似文献   
3.
围生期是子代大脑及中枢神经发育的关键时期,此期内发生的不同事件都会对子代大脑的发育进程有着深远影响。糖皮质激素、抗生素、硫酸镁、咖啡因、肺表面活性物质及亚低温治疗等是围生期的常见治疗药物及手段,与新生儿的神经发育预后有着密切关系。该文总结近年围生期治疗对新生儿神经发育影响的最新研究进展,为临床决策提供参考。  相似文献   
4.
《Cirugía espa?ola》2023,101(8):548-554
IntroductionPelvic fractures due to high energy trauma present a high risk of associated injuries that compromise the functional and vital prognosis of the patients. The objective of this study was to analyze the relationship between traumatic pelvic fractures and their associated injuries according to the Tile classification.MethodsRetrospective observational study of patients who suffered traumatic pelvic fractures (Type A, B or C of the Tile classification) with concomitant associated injuries, analyzing hemoglobin levels, between 6/2013 and 1/2016.ResultsA total of 42 patients were included; of those 69% (n = 29) were males, mean age was 48 years. 45% (n = 19) suffered traffic accidents and 26.2% (n = 11) falls. There was a different proportion in pelvic injuries: Tile A (n = 15, 35.7%), B (n = 20, 47.6%), and C (n = 7, 16.6%) of cases. 54.8% (n = 23) underwent surgery, 21.4% (n = 9) needed temporary or definitive external fixation. Significant differences were found between Tile A type and scapula fractures (P=.032), and Tile B with sacral fractures (P=.033) and visceral injuries (P=.049), while there is a tendency without a statistical significal between Tile C and costal fractures. 61.9% (n = 26) needed blood transfusion; 9.5% (n = 4) presented hypovolemic shock.ConclusionsTile A pelvic fractures were associated with scapular fractures, and Tile B with transforaminal fractures of the sacrum and with visceral injuries (lungs, liver and genitourinary). The small number of Tile C prevent us to confirm an association with any pathology, although they are the ones which presnt more hemodynamically instability and thoracic injuries.  相似文献   
5.
Even if the relationships between nutrition and inflammatory bowel disease (IBD) remain underexplored, the current literature is providing, day by day, much more evidence on the effects of various diets in both prevention and treatment of such illnesses. Wrong dietary habits, together with other environmental factors such as pollution, breastfeeding, smoke, and/or antibiotics, are among the theoretical pathogenetic causes of IBD, whose multifactorial aetiology has been already confirmed. While some of these risk factors are potentially reversible, some others cannot be avoided, and efficient treatments become necessary to prevent IBD spread or recurrence. Furthermore, the drugs currently available for treatment of such disease provide low-to-no effect against the symptoms, making the illnesses still strongly disabling. Whether nutrition and specific diets will prove to effectively interrupt the course of IBD has still to be clarified and, in this sense, further research concerning the applications of such dietary interventions is still needed.  相似文献   
6.
甲状腺结节、乳腺结节与子宫肌瘤都是女性常见疾病。随着人们健康意识的提高以及超声检查的广泛应用,3种疾病的检出率不断升高。近年来西医及中医学研究均发现,甲状腺结节、乳腺结节与子宫肌瘤的发生存在一定的关联性。西医学研究认为,三者均归属于下丘脑-垂体-腺体轴,均受雌激素水平影响,有相似的生理病理基础;从中医学理论分析,甲状腺、乳腺与胞宫位于足厥阴肝经所过之处,均会受情志因素影响,气郁、瘀血、痰浊是其共同的病理产物,治疗都以疏肝散结为治疗总则,故3种疾病在中医病因病机及治疗上有相似之处。本文从西医、中医发病机制角度,重新认识甲状腺结节、乳腺增生与子宫肌瘤内在相关性,以期临床中实现早预防、早诊断、早治疗。  相似文献   
7.
冠心病的发生、发展与中医体质存在密切关系。冠心病患者在遗传物质的差异、生长地域环境的不同等影响因素下表现出中医体质类型的差异性。诸多体质学研究发现冠心病患者以偏颇体质、兼夹体质为主。中医体质研究从宏观角度反映冠心病患者的疾病特质,中医体质分布规律的研究对冠心病的认识具有重要意义,本文就近10年来冠心病中医体质类型分布、客观化研究及临床应用研究相关进展作一综述。  相似文献   
8.
目的:应用关联规则、聚类分析等数据挖掘技术,分析中药专利复方治疗腹泻型肠易激综合征的用药规律。方法:检索治疗腹泻型肠易激综合征的中药专利复方,根据纳排标准进行筛选。建立Excel表,对入选的复方进行术语规范化处理,应用数据挖掘软件对数据进行频次统计、频繁项集分析、关联规则分析、聚类分析、复杂网络分析。结果:共得到96首专利复方,频次统计发现用药多温、平,以甘、辛、苦味药为主,使用频次较高的中药包括白芍、陈皮、白术、防风、茯苓、甘草、木香、黄连、麸炒白术、柴胡等;频繁项集分析显示药物配伍以调和肝脾、燥湿止泻为主;关联规则分析显示常见药对包括防风-白芍、柴胡-白芍、炙甘草-陈皮、山药-茯苓等;聚类分析发现3个中药功能模块,即补脾柔肝、祛湿止泻;理气止痛,燥湿止泻;温中散寒、涩肠止泻;复杂网络分析发现核心药物33味,核心配伍的功效为补脾柔肝、祛湿止泻。结论:数据挖掘为临床治疗腹泻型肠易激综合征提供了参考依据,应以调肝、健脾、温肾为基本大法,兼顾涩肠止泻、养心安神、调和寒热等,根据患者症状辨证论治。  相似文献   
9.
中国传统运动疗法作为极具特色的康养健身运动疗法,在防病治病中的宝贵价值备受国际康复医学界关注。而慢性筋骨病是骨伤科临床中的常见病、多发病与疑难杂病,临床呈现出“一大五多五高”的特征,成为当前重大的健康问题与临床防治研究课题。本文通过深入探究中国传统运动疗法特点以及其在慢性筋骨病康复中的应用原理、原则及优势作用,提出以传统运动疗法为依托,构建慢性筋骨病防病治病应用方法模式;以三因制宜为指导,构建医院-社区-团体-患者为一体的康复管理模式;以“治未病”工程为支撑,构建慢性筋骨病管理信息资源共享平台模式;为切实提高防、控、治的能力与水平找准抓手与路径,为构建慢性筋骨病康复模式提供新的思路与方向。  相似文献   
10.
Maximising access to and the success of fertility treatments should be a priority for global reproductive health, as should overall patient well-being. The demand for in vitro fertilization (IVF) and other assisted fertility treatments has increased over the past decade and is likely to further increase in years to come. Nevertheless, there is still considerable unmet demand for infertility support worldwide. Moreover, the high emotional, physical and financial burden experienced by individuals undergoing IVF cycles can be a risk for their mental and physical health, which in turn can influence treatment continuation and the likelihood of IVF success. Studies from various parts of the world show that most individuals undergoing IVF also use adjunct alternative medicines and procedures, the most common being traditional Chinese medicine (TCM). The complementary and synergistic role of TCM for individuals undergoing IVF is an area that merits further attention and research, both for its potential positive effects on IVF success rates and for its broader physical and mental health benefits. However, much of the existing evidence is not sufficiently robust or consistent for findings to be adopted with confidence. This commentary argues that much work must be done to understand the efficacy and clinical best practices for these integrated approaches. This can be achieved in part by developing more robust and clinically relevant randomized controlled trial protocols, collecting and triangulating evidence through a variety of study designs and methods, and strengthening the collection and pooling of clinic-level data.  相似文献   
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