活血化淤治疗产后小便不通

<正> 因产后多伴有血瘀、血虚津伤的特点,故用活血祛瘀化气法治疗产后小便不通有显效。基本方:生化汤加琥珀。方中,当归、川芎补血活血,桃仁活血祛瘀,黑姜温经散寒止痛;甘草调和诸药;琥珀活血化瘀;又能化气行水     

阿德福韦酯联用拉米夫定对慢性乙肝的病毒复制和T细胞亚群的影响

目的 探讨阿德福韦酯联合拉米夫定治疗YMDD变异CHB(慢性乙型肝炎)的效果,并关注其对外周血T细胞亚群的影响,以期为临床工作提供理论支持.方法 收集来我院治疗的134例YMDD变异的CHB患者,按患者的入院顺序分为观察组与对照组,观察组(67例)应用阿德福韦酯和拉米夫定联合治疗,对照组(67例)单用阿德福韦酯治疗,应...     

电针对抑郁症患者人格特征的作用：一项随机对照试验

Objective

To explore the personality-adjusting effect of electro-acupuncture treatment for depression and compared this treatment with paroxetine treatment.

Methods

A non-blinded, randomized controlled trial was adopted. Sixty depressed patients, who met trial criteria, were randomly assigned to the treatment and the control groups. In the treatment group, electro-acupuncture treatment was used, and paroxetine treatment was used in the control group. During the 24-week study period, 12 patients dropped out and 48 patients completed the study. The Minnesota Multiple Personality Inventory (MMPI) was adopted as the evaluation tool. At the same time, the Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS) and Montgomery-Asberg Depression Rating Scale (MADRS) were used to evaluate the psychological state. Evaluations were done before and after treatment.

Results

After treatment, patients’ psychological state improved significantly in both groups (P<0.01). For the treatment group, within-group comparison between baseline and after 24 weeks of treatment showed that severity of depression had significantly decreased (P<0.01). MADRS and SDS scores decreased significantly (P<0.05) and MMPI subscale scores for hypochondriasis, depression, psychopathic deviate, psychasthenia, social introversion and fake decreased significantly (P<0.05). For the control group, severity of depression also decreased significantly. MADRS and SDS scores decreased significantly (P<0.05); and MMPI subscale scores for hypochondriasis, depression, hysteria, paranoia, and psychasthenia decreased significantly (P<0.05). Between-group comparison demonstrated that for the MMPI subscales paranoia and social introversion, the decrease of score was greater in the treatment group than in the control group (P<0.05). However, there were no other significant differences between the control group and the treatment group.

Conclusion

Electro-acupuncture is effective for treating depression and affects personality traits.     

以结构性问卷对社区成年人进行郁证流行病学调查

目的：以结构性问卷对社区成年人进行郁证流行病学调查。方法：以整群抽样的形式对755名香港成年人采用横断面的方法进行结构性问卷调查。结果：以症状严重程度的自我评估为参考,受试者工作特征的分析结果显示,50分为郁证量表的最佳诊断分界点,其中,假阳性和假阴性值分别为25.8%和23.3%。郁证的患病率为6.2%,其中,女性患病率较男性高,男女之比为1：2.8（P=0.02）。郁证与年龄呈显著负相关关系（r=-0.22,P〈0.01）,但与婚姻状况、教育程度以及个人收入无显著相关关系。在郁证患者中,30.4%的患者表现出有极大的意愿去寻求治疗（男性为25.0%,女性为32.4%）。结论：郁证在成年人中颇为普遍,且患者有较高的寻求治疗的意愿。由此可见,此概念可以作为干预治疗的一个切入点,值得作更进一步的研究。本文分析了采用结构性问卷进行流行病学研究的局限性并提出了相应的改善措施     

穴位热敷治疗慢性疲劳综合征28例临床观察

慢性疲劳综合征（Chronic Fatigue Syndrome，CFS）是一组以慢性或反复发作的疲劳为主，伴有多种精神神经症状，但无其他慢性器质性及精神性疾病的症候群。我们根据CFS的临床特点，认为气虚血瘀、脏腑功能失调与CFS的发生关系密切，于2006年选用了一组具有调气活血、平衡脏腑功能的穴位，     

针刺治疗香港地区慢性疲劳综合征的临床研究

目的:评价传统针剌治疗香港地区慢性疲劳综台征(chronic fatigue syndrome,CFS)的临床疗效。方法:采用单盲、随机、对照研究方法,将99例合恪受试者按1:1比例随机分成治疗组50例和对照组49例。治疗组以传统针刺法,选取百会、足三里、三阴交穴治疗;对照组以平针按穴法(针不刺入皮肤),选穴同治疗组。疗程共4周。每周治疗2次。按照英国Trudie Chalder等制定的疲劳量表和美国疾病控制中心1994年制定的CFS诊断标准及SF-12生活质量量表,建立效应评价表,评价疗效及安全性。结果:治疗后两组临床症状得到改善,在身体疲劳、精神疲劳及SF-12生活质量方面,治疗组优于对照组(P<0.01或P<0.05);受试者未发现不良反应。结论:针剌治疗CFS安全有效。