火针点刺承泣穴治疗周围性面瘫后遗溢泪症的临床观察

ObjectiveTo compare the clinical therapeutic effect on epiphora as sequela of peripheral facial paralysis treated with pricking technqiue of fire needling therapy at Chéngqì (承泣 ST1) and acupuncture treatment at conventional acupoints.MethodsFrom September 2018 through to October 2018, 64 cases of epiphora as sequela of peripheral facial paralysis were collected from the Department of Acupuncture-Moxibustion in Suzhou TCM Hospital. According to random number table, they were divided into an observation group and a control group, 32 cases in each one. In the observation group, pricking technique of fire needling therapy was used at ST1, once every two days. In the control group, acupuncture with filiform needle was applied to Jīngmíng (睛明BL1), Tàiyáng (太阳EX-HN5), Tóngzĭliáo (瞳子髎GB1), Sìbái (四白ST2) and Quánliáo (颧髎SI18) on the affected side as well as Hégŭ (合谷LI4) on the contralateral side, once per day. The 10-day treatment was as one 1 course and the consecutive 3 courses of treatment were required in either of the groups. Before and after treatment, Munk grade, clinical effective rate and the number of treatments were observed in the evaluation of therapeutic effect.ResultsAfter treatment, Munk grade was improved in the patients of the two groups (both P < 0.05). The improvement range in the observation group was larger than that of the control group (P < 0.05). The treatment in either group achieved the obviously therapeutic effect on epiphora as sequela of peripheral facial paralysis. The effective rate in the observation group was 90.32%, higher than 61.29% in the control group (P < 0.05). The mean number of treatments of the curative case were 5.11 in the observation group and were 13.73 in the control group, indicating the statistical significance in difference (P < 0.05).ConclusionPricking technique of fire needling therapy at ST1 achieves the better effect on epiphora as sequela of peripheral facial paralysis as compared with acupuncture at conventional acupoints.     

冠心病病人慢性幽门螺杆菌感染程度与血脂代谢的关系研究

[目的]探讨冠心病病人幽门螺杆菌(HP)感染的发生状况及其与血脂代谢的关系。[方法]选取知情同意的冠心病住院病人159例,根据14 C尿素呼气试验结果将病人分为HP感染组和HP非感染组,同时测定其血脂水平,分析HP感染冠心病病人血脂水平与冠状动脉病变严重程度的相关性。[结果]冠心病病人HP感染组血清总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)水平高于HP非感染组,差异均具有统计学意义(P0.05或P0.01);随着冠心病病人体内HP感染程度的加重,其TC、TG、LDL-C水平亦相应增高,HP不同感染程度病人血清TC、TG、LDL-C水平差异均具有统计学意义(P0.05或P0.01),血清高密度脂蛋白胆固醇(HDL-C)水平随着冠心病病人体内HP感染程度的加重而降低;HP感染冠心病病人血清TC、TG、LDL-C水平随着冠状动脉病变严重程度增加而呈递增趋势,血清HDLC水平随着冠状动脉病变严重程度增加而呈下降趋势。[结论]HP感染可能通过影响机体脂质代谢,促进动脉粥样硬化的形成,是冠状动脉粥样硬化病变的重要危险因素,进而诱发冠心病。