不同针法分期治疗肩关节周围炎90例

ObjectiveTo observe the clinical efficacy of different acupuncture modalities in the treatment of adhesive capsulitis a tthrough different clinical stages.MethodsNinety patients of adhesive capsulitis weregraded in three different stages based on clinical presentations. Patients in painful stage were treated with silver needles once every 5to 7 days for two courses; patients in adhesive stage were given acupotomy treatment every 7 to 10 days for two courses; while patients in recovery stage were treated with acupuncture with warm needles by moxibustion on tendon knots, once a day 10 times in a course, for two courses of treatment. The disease scores were compared between all groups before and after the treatment, and clinical efficacy was evaluated after the treatment.ResultsThe disease scores in patients of all three stages were higher after treatment, and the differences were statistically significant (all P < 0.05). Among 90 patients with adhesive capsulitis, 32 cases were clinically under controlled, 37 cases claimed remarkably effective, 18 were effective, and 3 ineffective cases, thus the total effective rate for this stage-based treatment is 96.7%.ConclusionFor adhesive capsulitis,different acupuncture modalities targeting patients in different clinical stages were feasible and effective, the disease scores of patients were significantly improved.     

药艾条灸治疗足癣疗效观察

目的:观察药艾条治疗湿热下注型足癣的疗效.方法:将144例足癣患者采用随机数字表分为药艾条组、清艾条组和达克宁组,各48例.药艾条组及清艾条组采用局部熏灸治疗,达克宁组采用硝酸咪康唑乳膏(达克宁霜)局部涂擦,均治疗21天,于治疗前后记录足癣症状体征评分,评价疗效.结果:药艾条组总有效率为89.59%,与清艾条组的81.25%相比差异无统计学意义(P>0.05),优于达克宁组的70.84%(P<0.05);药艾条组在改善瘙痒、丘疹、水疱及浸渍糜烂症状方面优于清艾条组和达克宁组(均P<0.05).结论:药艾条熏灸治疗湿热下注型足癣有较好疗效,优于清艾条及达克宁治疗.     

李郑生教授肝脾胃同治临床医案举隅

李郑生教授在临证中十分重视"肝脾胃同治"思想,辨治脾胃病时强调必须紧密联系肝,认为肝为阳脏,体阴而用阳,主疏泄条达;只有肝疏泄条达正常,脾土才能正常运化而不致壅滞,肝脾胃同治法重在顺应肝的疏泄条达之性、脾的健运升清之性及胃的受纳和降特性.李郑生教授善用疏肝健脾和胃法治疗内科杂病,根据病情灵活变通,用药轻灵,严谨精当,疗...     

儿童良性癫痫伴中央颞区棘波的临床和脑电图特征

目的：分析伴中央颞区棘波的儿童良性癫痫（BECT）的临床和脑电图特点。方法：对39例BECT的临床和脑电图资料进行分析。结果：本组发病年龄在3～14岁,发作均与睡眠密切相关,30例为部分性发作,39例发作间期腑电图均有中央和（或冲颞区棘波、尖波,口服传统抗癫痫药疗效满意。结论：BEcT临床发作与睡眠密切相关,发作的基本类型为部分性发作,发作间期脑电图均有中央和（或）中颞区棘波或尖波,预后良好。     

肿痛散治疗踝关节扭伤60例随机对照研究

目的:观察肿痛散外敷治疗踝关节扭伤的临床疗效。方法:将120例踝关节扭伤患者,按1:1的比例随机分为2组。对照组给予云南白药气雾剂,治疗组给予肿痛散外敷。2组均治疗7次后观察疗效。结果:治疗组有效率为100.0%,对照组有效率为83.3%,治疗组临床疗效优于对照组,差异有统计学意义。结论:肿痛散外敷治疗踝关节扭伤疗效显著。     

李郑生教授肝脾胃同治临床经验总结

肝脾胃同治法的临床应用范围极广,涉及临床各科,以慢性病为主。肝脾胃同治法重在顺应肝的疏泄条达之性、脾的健运升清之性及胃的受纳和降特性。李郑生教授在临证中十分重视"肝脾胃同治"思想,擅用疏肝健脾和胃法治疗内科杂病,根据病情灵活变通,用药轻灵,严谨精当,疗效显著。     

Tolosa-Hunt综合征伴急性小脑共济失调1例

患儿女 ,5岁。因头痛呕吐 ,行走不稳 12h ,于 2 0 0 4年 4月入院。患儿 12h前晨起后出现头痛 ,以眼部及前额为主 ,呈持续性钝痛 ,伴呕吐 3次 ,非喷射状。行走、站立不稳。无发热、视物模糊、惊厥。患儿 2周前有上呼吸道感染病史。入院查体 :体温 36 8℃ ,呼吸 2 6 /min ,脉搏 98/min ,血压12 0 / 7 0kPa ,体重 2 1kg ;神志清 ,精神萎靡 ,反应迟钝 ,行走、站立不稳。无皮疹、出血点 ,浅表淋巴结无肿大。双眼睑结膜充血 ,眼球水平震颤 ,双侧瞳孔等大正圆 ,对光反射存在 ,视力正常 ,眼底未见异常。颈软 ,无抵抗感 ,双肺呼吸音略粗 ,未闻及 …     

小儿急性小脑性共济失调16例分析

1999年3月～2003年12月我院及重庆医科大学附属儿童院收治了16例小儿急性共济失调.现分析如下.     

柔筋健步丸联合埋线、刺络疗法治疗强直性脊柱炎60例

目的:探讨柔筋健步丸联合埋线、刺络法治疗强直性脊柱炎(AS)的疗效和安全性.方法:将120例AS患者随机分为治疗组和对照组各60例.治疗组分别给予柔筋健步丸口服联合埋线、刺络治疗,对照组给予柳氮磺胺吡啶(SASP)治疗,连续治疗12周.对比两组患者治疗前后症状积分、疼痛VAS评分、晨僵时间、Schober试验、枕墙距、胸廓活动度及红细胞沉降率(ESR)、C反应蛋白(CRP).结果:治疗组显效32例,有效21例,无效7例,有效率占88.3％;对照组显效27例,有效19例,无效14例,有效率占76.6％.两组疗效对比,差别无统计学意义(P＞0.05).治疗组症状积分、Schober试验、晨僵时间改善程度,明显优于对照组(P＜0.01).结论:柔筋健步丸口服联合埋线刺络法治疗AS疗效确切,无不良反应,值得临床推广使用.