三棱火针加拔罐治疗腘窝囊肿30例

ObjectiveTo explore the therapeutic effect of the fire needling with the three-edged needle and the cupping on popliteal cyst.MethodsA total of 60 patients of popliteal cyst were divided into two groups, 30 cases in each one according to the random number table. In the fire needling group, the burnt-red three-edged needle was inserted to the deep layer of the cyst. After the fluid was squeezed out, the cupping was exerted. The treatment was given 1 to 2 times a week, for 4 weeks totally. In the western medication group, prednisolone acetate 25 mg was injected in the cyst capsule, once a week, for 4 weeks totally. The effective rate, recurrence rate and Rauschning–Lindgren grading were evaluated before and after treatment.ResultsThe total effective rate was 80.0% in the fire needling group and was 83.3% in the western medication group, without statistical significance in comparison (P > 0.05). The recurrence rate was 6.7% in the fire needling group and was 30% in the western medication group. The recurrence rate in the fire needling group was lower than that in the western medication group, indicating the statistical significance (P < 0.05). After treatment, Rauschning–Lindgren grade was different statistically as compared with that before treatment in either group (both P < 0.05). Rauschning–Lindgren grade was distributed in 0 to I in the fire needling group after treatment, which was different significantly as compared with the western medication group (P < 0.05).ConclusionThe combined treatment with the fire needling combined with cupping therapy achieves the satisfactory effect on popliteal cyst and the very low recurrence rate and it is easy in operation and deserves to be promoted in primary care.     

疏肝健脾方对冠心病合并抑郁症患者血清BDNF、Ghrelin水平的影响

目的：探讨在冠心病合并抑郁症治疗中采用疏肝健脾方对血清脑源性神经营养因子（BDNF）和胃饥饿素（Chrelin）水平的临床影响。方法：选取我院2020年8月—2021年8月收治的100例冠心病合并抑郁症患者作为研究对象，根据治疗方式分组，采用常规西医治疗的纳入对照组（n=50），在常规西医治疗的基础上增加疏肝健脾方治疗的纳入观察组（n=50），对比两组的临床治疗总有效率和治疗前后的血清BDNF和Chrelin水平。结果：与对照组相比，观察组的临床治疗总有效率较高（P<0.05）；治疗后，与对照组相比，观察组的血清BDNF和Chrelin水平均较高（P<0.05）。结论：在冠心病合并抑郁症治疗过程中，疏肝健脾方的治疗效果更显著，能有效提高血清BDNF和Chrelin水平。