对皮肤感觉的暗示感受性及其和针麻效果的关系

本工作探讨了对皮肤感觉(电触觉和电感觉)的暗示感受性及其和针麻效果的关系,被试者为准备肺切除的53名患者。暗示感受性的测试方法是:以单脉冲方法刺激器(恒压)测试患者胸部的电触觉和痛阈,测试时同时并联一SB-14型示波器以显示刺激强度,指导语为:“这个实验目的是看看你的反映感觉的稳定性。一般人的感觉都是比较稳定的。刺激强、弱可以从示波器上波高的格数上看到,刺激越强,波就越高。看看你是不是每次都在那个格上下开始有感觉(或感觉到痛)”先固定示波器Y轴增幅,连续测试4次,然后进行两次暗示性测试。方法为降低示波器Y轴增幅一定数量,     

胰岛素和氨茶碱影响针麻效果的临床观察

<正> 大量研究资料反复证明,脑内5-羟色胺(5-HT)能神经元系统在针刺镇痛中有着重要作用。激活或加强这个系统的神经传递,针刺镇痛效应得到提高;相反,破坏或减弱这个系统的神经传递,则针刺镇痛效应明显降低。我们以往的动物实验结果表明,胰岛素和氨茶碱在提高脑内5-HT含量的同时,可明显提高大白鼠的针刺镇痛效应。为了验证上述动物实验结果,并探索提高临床针麻效果的可能途径,我们用双盲法观察了胰岛素和氨茶碱对临床针麻效     

氟哌啶醇对针麻效果的影响

国内对针麻原理的解释有经络学说,神经学说,体液学说。我们是偏于神经观点的,几年来的工作都与植物神经有关系,认为抑制交感神经活动可提高针麻的效果,为此我们观察过口一受体阻断剂麦角毒碱和舒肝理气,散表,升阳,可能与抑制交感系统功     

电针参数对针麻镇痛效果的影响

电针疗法具有操作简便、节省人力、使用安全和提高针麻效果等优点,在临床上应用日益普遍。电针镇痛作用是针刺麻醉的基础,不同的电针参数例如波形、频率、强度和时间能影响镇痛效果。本文综述近年来这方面的进展,认为要想取得较好的镇痛效果,应选择疏密波或连续波,刺激初选用高频,刺激一段时间后转为低频,强度应根据患者的体质及病情需要而定,时间一般为20~40 min。     

针麻刺激频率对甲状腺手术效果的影响

<正> 目前针麻刺激频率尚无统一见解,为了比较同一组穴位不同的刺激频率对针麻效果的影响,我们于1982年3月以前对150例针麻甲状腺手木患者,均采用合谷、内关穴,分成三组,使用不同的刺激频率,在刺激强度相同的情况下,对针麻效果进行观察,结果如下。     

针麻对颅内压的影响

<正> 针麻用于颅脑手术是可取的麻醉方法之一。但针麻对颅内压的影响如何,尚未见有数据的报导。为探索针麻对颅内压的影响,借以进一步掌握针麻用于颅脑手术的适应证,自1980年6月至9月共对9例针麻颅脑手术病人进行了颅内压监测。初步报导如下:     

分析影响针麻效果的一些因素

我院在1978年10月之前共作甲状腺针麻手术1707例,现选择其中病种为甲状腺腺瘤或甲状腺囊腺瘤,手术方式为甲状腺次全切除,电针仪用G 6805型,刺激频率为80～100赫芝的连续波,刺激强度以病员能耐受的最大刺激强度,现将540例进行分析,比较不同穴位,辅助用药以及病员的耐痛程度和耐电程度对针麻效果的影响,针麻效果的评     

针麻胃大部切除术的临床效果观察

通过筛选穴位及改进外科手术方法对从13岁到73岁共142人胃、十二指肠溃疡患者做了临床针麻手术效果的观察。六种针麻处方的成功率为98.6％,平均优良率79.5％。其中单侧头面二针加双侧足三里组优良率为83.3％(31例);双侧头面二针加双侧足三里组优良率为88.9％(36例)。     

不同电针刺激参数对针麻临床效果的影响

目前临床上普遍采用电针麻仪代替人工手法捻针,虽然节省人力,但刺激稍长,针感作用就会减弱,影响针麻效果。我们在中医辨证施治和针刺手法的启示下,初步摸索了电针刺激参数(刺激强度、频率、波形)对针刺镇痛作用的关系。首先在实验室对健康人进行了电针刺激参数的筛选。在刺激强度方面在诱导期内逐渐变峰压的针刺镇痛效果比不变峰压或变一次峰压的好;在频率方面,高频的针刺镇痛     

不同电针刺激参数对针麻临床效果的影响

目前临床上普遍采用电针刺激仪代替人工手法捻针,虽然节省人力,但刺激稍长,针感作用就会减弱,影响针麻效果。我们在中医辨证施治和针刺手法的启示下,初步探索了电针刺激参数(刺激强度、频率、波形)对针刺镇痛作用的关系。首先在实验室对健康人进行了电针刺激参数的筛选。在刺激强度方面,在诱导期内逐渐变峰压的针刺镇痛效果比不变峰压或变一次峰压的好;在频率方面,切口旁针高频的针刺镇痛比低频的     

思想准备状态和针刺镇痛的关系

<正> 对于心理因素在针刺麻醉中的作用,人们的看法殊不一致。有关情绪状态,暗示等心理因素对针麻效果的关系,已有过一些探讨。在我国针刺麻醉的大量临床实践中,多数单位在术前对病人均作“解说”工作,主要内容包括介绍针麻的优越性及尚存在的缺点,术中主要步骤有何感觉,以及应如何配合等。病人的这种“思想准备”对针麻效果有何意义,是否必要,这是一个应     

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE IN THE TREATMENT OF POSTOPERATIVE HEMIPLEGIA

Hemiplegiaisacommoncomplicationofcraniocerebraloperationinclinic.Acupuncturetherapycaneffectivelyraisethemyodynamiaoftheparalyzedlimbandaccelerateitsfunctionalrecovery[1 - 4 ] .FromJanuaryof 2 0 0 2toDecem berof 2 0 0 3 ,theauthorsofthepresentpapertreated 2 0casesofpostoperativehemiplegiapa tientswithacupuncturetherapyandachievedsatisfiedresults.Itisreportedasfollows.1　CLINICALDATAFortyhemiplegiapatientsundergoingcran iocerebraloperationwererandomlyandevenlydividedintocontrolgroupandtre…     

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE PLUS ACUPOINT-INJECTION FOR RHINALLERGOSIS

Aims: To observe the clinical effect of acupuncture plus acupoint-injection of Acidi Nucleici et Caseini Hydrolysatis Composita in the treatment of allergic rhinitis. Methods: Ninety-five cases of allergic rhinitis patients were randomized into acupuncture plus acupoint-injection group (treatment group, n= 40), acupuncture group (control group A, n=30) and muscular-injection group (control group B, n=25). Yingxiang (LI 20), Yintang (EX-HN 3), Baihui (GV20), Fengchi (GB 20), Fengmen (BL 12), Feishu (BL 13), etc. were used. Results: Following 20 days‘ treatment,of the 40, 30 and 25 cases of allergic rhinitis in treatment, control A and B groups, 16 (40.0 % ), 8 (26.7 % ) and 0were cured, 22 (55.0%), 14 (46.7%) and 4 ( 16.0% ) experienced improvement in their symptoms and signs, and 2(5.0%), 8 (26.7%) and 21 (84.0%) failed in the treatment, with the effective rates being 95.0%, 73.3% and16.0% separately. The therapeutic effect of treatment group was significantly superior to those of two control groups ( P ＜ 0.05, 0.01 ). Conclusion: The therapeutic effect of acupuncture plus acupoint-injection of Injecto Acidi Nucleici et Caseini Hydrolysatis Composita is definite.     

CLINICAL OBSERVATION ON THE ANALGESIC EFFECT OF ACUPUNCTURE OF HEGU-POINT GVRING HYSTEROTOKOTOMY

Due to multiple factors as supernutrition of pregnant women, etc., the hysterotokotomy rate is increasing day by day. In most cases, local anesthesia is adopted, the parturient often complain of pain loudly and even groan incessantly. For relieving parturient‘s pain and ensuring the smooth conduction of hysterotokotomy, the author applied acupuncture combined with local anesthetics in 100 cases of hysterotokotomy from March of 1998 to March of 1999 and achieved a good therapeutic effect. Here is the summary.     

针刺足三里穴对高脂血症的临床观察

<正> 大量的人群普查和实验研究表明,高脂血症是导致动脉粥样硬化性心脑血管病的危险因素之一。世界卫生组织亦认为它是冠心病的易患因素,已将高胆固醇血症列为冠心病的诊断条件之一。动脉粥样硬化性心脑血管病是中、老年人的常见病、多发病,近年来其患病率及死亡率均有逐年增加的趋势。故设法降低高血脂对防治动脉粥样硬化性心脑血管病具有重要意义。目前,国内外均将其作为防治与研究的重点。鉴于对现有降血脂药物的疗效尚有争论,且易产生多种副     

OBSERVATION OF THERAPEUTIC EFFECT ON TREATMENT OF THE GREATER OCCIPITAL NEURALGIA WITH ACUPUNCTURE

Thegreateroccipitalneuralgiaischieflymanifestedasprominentstabbing throbbingpainintheoccipitalr transmittedtothelateraltemproparietalregion.Thepainattackscontinuouslyorintermittently,associate paroxysmalaggravationofspinalnervedisorder.Thediseaseiscommonl…     

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE TREATMENT OF 123 CASES OF SCAPULOHUMERAL PERIARTHRITIS

Ｓｃａｐｕｌｏｈｕｍｅｒａｌｐｅｒｉａｒｔｈｒｉｔｉｓｉｓｏｎｅｏｆｔｈｅｃｏｍｍｏｎｌｙｓｅｅｎｄｉｓｅａｓｅｓｉｎｃｌｉｎｉｃａｎｄｉｓａｎｉｎｄｉｃａ ｔｉｏｎｏｆａｃｕｐｕｎｃｔｕｒｅｔｈｅｒａｐｙ .Ｔｈｉｓｄｉｓｅａｓｅｉｓｒｅ ｆｅｒｒｅｄｔｏｔｈｅｒｅｔｒｏｇｒａｄｅａｆｆｅｃｔｉｏｎａｎｄｓｔｒａｉｎｉｎ ｄｕｃｅｄｗｉｄｅｓｐｒｅａｄｃｈｒｏｎｉｃａｓｅｐｔｉｃｉｎｆｌａｍｍａｔｉｏｎａｒｏｕｎｄｔｈｅｓｈｏｕｌｄｅｒｊｏｉｎｔａｎｄｉｔｓｓｕｒｒｏｕｎｄｉｎｇｓｏｆｔｔｉｓｓｕ…     

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE ON OPTIC ATROPHY(48 CASES)

48 cases of optic atrophy were treated with acupuncture. Qiuhou (EX-HN 7), Jing-ming (BL 1), Ganshu (BL 18), Pishu (BL 20), Fengchi (GB 20), Cuanzhu (BL 2), Yiming (EX-HN 14), Guangming (GB 37), Taiyang (EX-HN 5), Yanglao (SI 6), Sibai (ST 2), Tongziliao(GB 1) were selected as main points, of which three to five points were punctured each time, but thefirst two were used necessarily. According to an overall differentiation of symptoms and signs auxiliarypoints were supplemented. The treatment was given once everyday with the manipulations of twirlingneedles plus slow or rapid insertion for reinforcing or reducing to make the needling sensation reach theeye regions. Twelve treatments made a course with an interval of 3 days between the two courses. Itwas shown that 15 cases were markedly effective (3l. 25 % ), 26 improved (54. 17% ), and 7 ineffec-tive (14. 58 % ). The total effective rate was 85.42%.     

伤害性刺激对躯体感觉皮层单位放电的影响及电针效应

<正> 大脑皮层在针刺镇痛中的作用是研究针刺镇痛原理的课题之一,以往我们曾在正常人、颅脑手术病人以及实验动物上,用大脑皮层诱发电为指标研究机体对痛刺激(或伤害性刺激)时的大脑皮层诱发电位,并观察某些镇痛药及针刺的影响。