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1.
目的观察芒针温针灸对慢传输型便秘(STC)的治疗效果。方法将209例STC患者随机分为治疗组(106例)和对照组(103例),治疗组采用芒针温针灸治疗,对照组采用西沙必利口服,分别对两组治疗效果和结肠传输功能进行疗效评估。结果经治疗后,治疗组总有效率为92.45%,明显高于组总有效率(79.61%,P0.05)。与治疗前比较,两组均可加速肠道内标记物清除速度(P0.01),治疗组肠道内标记物的清除速度更快(P0.01)。结论芒针温针灸治疗可明显改善STC患者结肠传输功能。  相似文献   
2.
通过计算机技术和数据挖掘手段,以收集到的期刊文献中关于刺络放血病例的治疗为样本数据,采用数据挖掘技术中的关联规则方法,根据自建的刺络放血数据库平台,录入筛选归纳总结,最后提取所需内容,进行刺络放血疗法中关于放血量与方法的挖掘,总结其应用规律和临床意义,以更好的指导临床实践。期刊文献中放血针具共涉及9种,以三棱针使用频次最高,占84.4%(1239/1468);将放血量人为分为6个等级,其中放血量为少许(少于0.1mL)的出现频次最高,为401次。数据挖掘结果显示,刺络治疗在针灸临床中应用极为广泛,放血针具以三棱针最为普遍,放血量以少许(少于0.1mL)最多,但总体上未呈现特别集中趋势。  相似文献   
3.

Objective

To observe the effects of electroacupuncture (EA) of different frequencies on the expression levels of substance P (SP) and vasoactive intestinal peptide (VIP) in the colon of rats with slow transit constipation (STC).

Methods

One hundred healthy male Sprague-Dawley (SD) rats were randomly divided into a normal group, a model group, a low-frequency EA group, a high-frequency EA group and a variable-frequency EA group, with 20 rats in each group. The rats in the normal group were fed with normal diet. The rats in the other groups were fed with phenethylpiperidine in the diet at a dose of 8 mg/(kg·bw) per day, for 120 d, to establish the STC model. Rats in the normal group and the model group did not receive any treatment; rats in the low-frequency EA group were treated with 2 Hz continuous wave EA, rats in the high-frequency EA group were treated with 100 Hz continuous wave EA, and rats in the variable-frequency EA group were treated with 2 Hz/100 Hz sparse-dense EA. The current intensity of the EA was determined by the slight vibration of the rat limbs without painful screaming. The intervention was performed once a day, 15 min/time for continuous 15 d. After treatment, the intestinal transit function and the expression levels of SP and VIP in the colon of the rats in each group were determined.

Results

After treatment, the defecation duration of the first dark stool in the model group was significantly longer than that in the normal group (P<0.05); the defecation durations of the first dark stool in the low-frequency EA group, high-frequency EA group and variable-frequency EA group were significantly shorter than the duration in the model group (all P<0.05); compared with the low-frequency EA group, the first dark stool defecation duration of rats in the variable-frequency EA group was significantly shorter (P<0.05); compared with the normal group, the SP and VIP expression levels in the colon of the model group were significantly decreased (both P<0.01); the SP and VIP expression levels in the colon of the low-frequency EA group, the high-frequency EA group and the variable-frequency EA group were significantly higher than those in the model group (all P<0.05); compared with the high-frequency EA group, the SP expression levels in the colon in the low-frequency EA group and the variable-frequency EA group were significantly increased (both P<0.05); compared with the low-frequency EA group, the VIP expression levels in the colon in the high-frequency EA group and the variable-frequency EA group were significantly increased (both P<0.05).

Conclusion

EA improves the intestinal function of STC model rats by regulating the expression levels of SP and VIP in rat colon. The EA stimulation with 100 Hz continuous wave, 2 Hz/100 Hz sparse-dense wave shows a better improvement in the colonic transit function in STC rats, followed by 2 Hz continuous wave.
  相似文献   
4.
目的:系统评价穴位埋线疗法对单纯性肥胖症的治疗效果。方法:计算机检索中国知网(CNKI)、万方数据资源系统、中国生物医学文献数据库中关于穴位埋线疗法对单纯性肥胖症效果的随机对照试验,用ladad质量计分法对纳入研究的质量进行评价,结局指标采用ReviewManage5.1软件分析。结果:最终纳入16.g随机对照试验文献。Meta分析结果显示,穴位埋线治疗单纯性肥胖症总有效率与对照组相比,差异有统计学意义[OR=2.51,95%可信区间(1.74,3.63),Z=4.91,P〈0.000011;文献质量评价显示,仅1篇文献得3分,其余15篇文献得分≤2分,文献质量普遍较低,发表存在偏倚,且对盲法、退出失访及随访的追踪报道过少;统计治疗选穴共有27个穴位,以天枢、中脘、丰隆、水分、阿是穴、大横等穴为主。结论:穴位埋线治疗单纯性肥胖症疗效肯定,但其临床有效性尚缺乏充分证据,因此.还需进一步临床研究才能为今后临床决策提供可靠依据。  相似文献   
5.
通过收集2010年6月-2015年3月近5年内关于热敏灸疗法的临床、实验研究文献,结合刺灸法数据挖掘课题组所采集热敏灸在各科的数据信息,筛选出在5个科属中具有代表性的病种及临床研究试验进行了归纳。  相似文献   
6.
目的:分析穴位埋线疗法在临床各科疾病中的优势,并探讨其临床应用规律,为临床治疗提供参考依据。方法:采用现代计算机技术,建立穴位埋线数据库,对近40年来与穴位埋线相关的文献进行筛选、录入、审核、提取、统计分析。结果:①录入1075篇文献,穴位埋线疗法在临床各科均有应用,尤其在内科中治疗病种最多,占所有病种的48.54%(50/103),以治疗胃脘痛为主,频次为102次,肥胖病频次为74次;其次是外科疾病,占所有病种的14.56%(15/103),以治疗腰腿痛为主,频次为79次;皮肤科以治疗牛皮癣为主,频次30次;五官科以治疗重睑术为主,频次为30次。②纳入的文献研究中,穴位选择以近部选穴和远部选穴为主;埋线工具有多种,主要以改制的腰穿针为主,在线的选择上以不同型号羊肠线为多。③疗效分析显示,穴位埋线疗法治疗各科疾病疗效显著,尤其以外科和皮肤科最为突出,总有效率均达90%以上。结论:穴位埋线疗法主要优势病种是内科的胃脘痛、肥胖病、痫证、哮喘、腹痛、面瘫、便秘;外科的腰腿痛;皮肤科的牛皮癣和五官科的重睑术。  相似文献   
7.
穴位埋线疗法病谱初探(英文)   总被引:1,自引:0,他引:1  
目的:初步探讨穴位埋线疗法的临床适用病种,整理并分析穴位埋线疗法病谱。方法:采用文献研究方法及数据挖掘技术,经过对1971年—2011年6月发表的与穴位埋线疗法相关的临床研究论文进行筛选、录入、审核、提取有效信息等环节后,归纳总结穴位埋线疗法病谱。结果:穴位埋线疗法适用于103种疾病,涉及6个科属。内科最多,共50种,占总病谱的48.54%;其余依次是外科、五官科、妇科和皮肤科,分别为15种、12种、11种、11种;儿科最少,共4种。同时,按照"效能针灸等级病谱"的规则,初步对该疗法治疗的病种进行等级分类,获得穴位埋线疗法Ⅰ级病谱26种,Ⅱ级病谱30种,Ⅲ级病谱8种。结论:穴位埋线疗法临床运用广泛,病谱不断扩大,值得临床推广应用。  相似文献   
8.
目的:观察针刺对脑卒中后吞咽障碍的影响。方法:将104例脑卒中后吞咽障碍患者随机分为试验组与对照组,每组52例。对照组患者给予常规吞咽康复训练,每日1次,每周6d,连续治疗4周。试验组患者在对照组基础上配合深刺廉泉穴与翳风穴结合常规针刺治疗,每日1次,每周6d,连续治疗4周。治疗前后对两组患者进行标准吞咽功能评定法(SSA)、洼田饮水试验检测,并进行临床疗效及不良反应情况综合评价。结果:与治疗前比较,两组治疗后SSA评分均降低(P0.05);试验组治疗后SSA评分明显低于对照组(P0.05)。治疗后,两组患者洼田饮水试验吞咽能力较治疗前均有提高(P0.05);试验组治疗后洼田饮水试验吞咽能力提高程度优于对照组(P0.05)。治疗后试验组(46/52,88.46%)综合疗效的总有效率高于对照组(32/52,61.54%,P0.05)。试验组不良反应总发生率为9.62%(5/52),对照组不良反应总发生率为11.54%(6/52),两组差异无统计学意义(P0.05)。结论:深刺廉泉穴与翳风穴基础上结合常规针刺治疗可以改善脑卒中后吞咽障碍患者的舌咽功能,协调吞咽肌肉,重建吞咽功能,不良反应发生较少。  相似文献   
9.
目的:初步探讨穴位埋线疗法的临床适用病种,整理并分析穴位埋线疗法病谱.方法:采用文献研究方法及数据挖掘技术,经过对1971年-2011年6月发表的与穴位埋线疗法相关的临床研究论文进行筛选、录入、审核、提取有效信息等环节后,归纳总结穴位埋线疗法病谱.结果:穴位埋线疗法适用于103种疾病,涉及6个科属.内科最多,共50种,占总病谱的48.54%;其余依次是外科、五官科、妇科和皮肤科,分别为15种、12种、11种、11种;儿科最少,共4种.同时,按照“效能针灸等级病谱”的规则,初步对该疗法治疗的病种进行等级分类,获得穴位埋线疗法Ⅰ级病谱26种,Ⅱ级病谱30种,Ⅲ级病谱8种.结论:穴位埋线疗法临床运用广泛,病谱不断扩大,值得临床推广应用.  相似文献   
10.

Objective

To observe the effects of electroacupuncture (EA) of three different frequencies (2 Hz, 80 Hz and 2 Hz/80 Hz) on the free radicals in hippocampus of vascular dementia (VD) model mice.

Methods

A total of 100 Kunming mice were randomly divided into a sham operation group, a model group, a 2 Hz EA group, an 80 Hz EA group and a 2 Hz/80 Hz EA group, with 20 mice in each group. The ischemia-reperfusion VD model was established by repeated blockade of bilateral common carotid arteries. Mice in EA groups began EA treatment on the 4th day after the operation. Baihui (GV 20), Dazhui (GV 14), Geshu (BL 17) and Zusanli (ST 36) were punctured and then connected to EA instrument, with different waves of 2 Hz, 80 Hz or 2 Hz/80 Hz (10 min/time) applied accordingly, once a day. During the jumping stand experiment, the learning performance, memory performance and hippocampal calcitonin gene-related peptide (CGRP), nitric oxide synthase (NOS), malondialdehyde (MDA), changes in superoxide dismutase (SOD) and true choline esterase (TChE) were observed. In hippocampus, the CGRP level was determined by radioimmunoassay; the MDA level was determined by thiobarbituric acid colorimetric method; the activities of NOS and TChE were determined by spectrophotometry; the activity of SOD was determined by xanthine oxidase method.

Results

Compared with the sham operation group, the performances of learning and memory decreased significantly in the model group (P<0.01); in hippocampus, the CGRP level decreased, the MDA level increased, the activities of NOS and TChE increased, and the activity of SOD decreased in the model group. Compared with the model group, the learning and memory performances of the EA groups were significantly improved (P<0.05 or P<0.01); in hippocampus, the CGRP level increased, the MDA level decreased, the NOS and TChE activities decreased, and the SOD activity increased (P<0.05 or P<0.01). Among EA groups, the 2 Hz/80 Hz EA group was superior to the 2 Hz EA group and the 80 Hz EA group (P<0.05 or P<0.01).

Conclusion

EA can improve the cognitive impairment of mice with ischemia-reperfusion VD. The mechanism may be related to the improvement of cerebral blood circulation, regulation of the central neurotransmitters, fighting lipid peroxidation and promoting nerve cell repair. The therapeutic effects of EA with different frequencies were different, and the intervention effect by EA at 2 Hz/80Hz is the most significant.
  相似文献   
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