不同刮痧方法干预腰椎间盘突出症的疗效观察

目的 探讨不同刮痧方法干预腰椎间盘突出症(lumbar disc herniation,LDH)的效果.方法 2017年7月至2018年6月,便利抽样法选取扬州市某医院骨伤科门诊就诊的非急症期LDH患者90例,随机分为循经刮痧组、穴位刮痧组及循经加穴位刮痧组各30例.刮拭三个疗程后,比较三组日本骨科学会下腰痛评估表评分...     

全息经络刮痧疗法在失眠患者中应用的疗效观察

目的:探讨全息经络刮痧疗法在失眠患者中应用的疗效.方法:选取2020年1月至2020年10月于本院治疗的74例失眠患者作为研究对象,随机将其分为两组,对照组37例,接受常规药物治疗,研究组37例,在对照组的基础上给予全息经络刮痧疗法.比较两组患者治疗有效率,PSQI得分情况.结果:1)治疗后,统计两组患者的治疗效果,与...     

经络穴位刮痧治疗假性近视临床观察

<正>假性近视又叫调节痉挛性近视,青少年长时间近距离用眼易导致用眼疲劳过度、眼睫状肌痉挛、瞳孔调节范围缩小,以致远视力减退,视物不清,但这时的眼球还没有变形或变形很小,属于可逆性病变。这个阶段是很好的治疗关键期,如果错过这个机会就会形成真性近视,所以对假性近视的及时治疗尤为重要。     

刮痧临床护理应用的文献计量学分析

目的对刮痧法在我国临床护理的应用现状进行文献计量学分析,为临床护理应用和科学研究提供经验和借鉴。方法利用计算机系统检索2000年1月1日至2016年12月31日发表在中国学术期刊全文数据库及万方数据知识服务平台的有关刮痧临床护理应用的文献,利用Excel软件建立数据库,对其年发文量、地区分布、作者机构、被引次数、合著率、基金资助情况、高被引期刊分布、相关疾病和症状进行统计分析。结果共纳入文献181篇,其中期刊论文179篇、学位论文2篇。2000~2008年相关文献的发文数量较稳定,2009年以后呈快速增长态势;文献第一作者分布于18个省、3个直辖市和4个自治区,发文量排名前五的为江苏、四川、山东、广西、浙江,共发文102篇(56.35%);研究机构以综合性医院为主,文献合作度1.88(340/181),合著率59.12%;文献发表在94种期刊上;科研基金资助少。刮痧法临床护理应用于各种疾病引起的痛症,其次是失眠、发热等。结论刮痧的临床应用呈增长的态势,应用热点集中于痛症、失眠、发热等症状,以后的研究中应加强区域合作和联合应用等。     

刮痧治疗类风湿关节炎临床观察

笔自2002年1月至2003年6月采用刮痧法治疗类风湿关节炎20例，并与西药组对照，疗效满意。现报告如下：     

刮痧治疗感冒90例临床观察及护理

2005年以来,我站结合门诊治疗,对90例感冒病人使用民间传统的刮痧治疗,取得较好疗效.现总结如下.     

中医刮痧疗法的作用机制及临床应用研究进展

刮痧疗法具有简、便、易、廉、疗效显著等优势逐渐广泛应用于临床。本文结合近年来的文献,分析、归纳了刮痧疗法在临床上应用的病种,并分别从中医学和现代医学的角度分析刮痧疗法的作用机制,为今后刮痧疗法的研究提供参考。     

抚触刮痧疗法治疗小儿厌食的临床观察与护理研究

目的 抚触刮痧疗法治疗小儿厌食的临床研究.方法 将2007年1月~2008年2月收治的厌食小儿59例作为研究对象,随机分为治疗组和对照组.治疗组30例,进行抚触,同时配合刮痧;对照组29例,给予儿宝颗粒口服,观察两组治疗后食欲、体重的变化情况.结果治疗组总有效率90%,对照组有效率65.51%,具有显著性差异.结论抚触刮痧疗法治疗小儿厌食具有肯定的临床效果.     

刮痧配合中药足浴治疗不寐64例临床观察

目的观察刮痧配合中药足浴治疗不寐的临床治疗效果。方法选择不寐患者64例,在患者知情同意的情况下,采用刮痧配合中药足浴进行治疗,治疗前后分别采用睡眠质量评定问卷进行检测。结果治疗后,评定项目中睡眠质量、入睡时间、睡眠时间、助眠药物、日间功能等评分及评定总分与治疗前比较均显著降低。总有效率为93.75%。结论刮痧配合中药足浴治疗不寐的效果明显,对改善不寐患者的睡眠质量、睡眠时间和日间功能等方面均有显著作用。     

耳部全息刮痧治疗围绝经期失眠症的临床分析

目的 探讨耳部全息刮痧疗法治疗围绝经期失眠症的临床疗效。方法 本研究共纳入60例围绝经期失眠症患者,根据随机数表法分为观察组30例和对照组30例。对照组采用中药汤剂内服法治疗,观察组采用耳部全息刮痧疗法,共治疗4周。比较治疗前后匹兹堡睡眠质量指数量表(PSQI)、阿森斯失眠量表(AIS)评分变化,并评价疗效。结果 两组治疗后,观察组总有效率为96.7%,对照组为73.3%,两组疗效差异有统计学意义(P<0.05);两组患者治疗后PSQI、AIS评分均降低,治疗前后差异均有统计学意义(P<0.05),且观察组优于对照组(P<0.05)。结论 耳部全息刮痧疗法能够改善围绝经期失眠症疗效显著。     

刮痧对颈型颈椎病疼痛和颈部功能恢复的影响

目的探讨刮痧对颈型颈椎病疼痛和颈部功能恢复的影响。方法便利抽样法选取2012年2—10月在江苏省中医院推拿科门诊初诊的颈型颈椎病患者114例为研究对象,按门诊的先后将其分为对照组（n=54）和观察组（n=60）,对照组患者采用推拿手法进行治疗,观察组患者采用刮痧疗法。干预前后采用McGill疼痛问卷（McGill pain questionnaire,MPQ）和颈椎功能障碍指数量表（the neck disabilit yindex,NDI）对患者的疼痛和颈椎功能进行评估,并比较两组患者干预后不良反应发生情况。结果干预后,观察组和对照组的MPQ疼痛量表各条目和总积分、颈椎功能障碍指数量表评分均明显降低,差异有统计学意义（均P〈0．01）;两组患者MPQ疼痛量表各项条目和MPQ总分的差异均有统计学意义（均P％0．01）。观察组有3例患者首次刮痧时有晕刮现象,对照组未发现有其他任何不良反应发生。结论刮痧和推拿均可明显缓解颈型颈椎病患者的疼痛程度,改善患者的颈椎功能,刮痧对颈型颈椎病患者的疼痛改善效果优于推拿。     

Depression, Night Terrors, and Insomnia Associated With Long-Term Intrathecal Clonidine Therapy

Abstract:   Intraspinal clonidine is an effective adjunct to intrathecal/epidural opioid administration. We report a case of neuropathic pain treated with intraspinal analgesics in which depression, insomnia, and night terrors developed in association with intraspinal clonidine.     

Biofeedback Therapy for Pediatric Headache: Factors Associated With Response

Objectives.— The goal of this study was to measure the effect of biofeedback therapy on pediatric headache and to identify factors associated with response to biofeedback therapy. Background.— In the United States, 17% of children have frequent or severe headaches. Biofeedback therapy (BFT) appears to be an effective treatment for headaches in adults and is often recommended for children with headaches, but there are few data in the pediatric population. It is also not clear which patients are most likely to benefit from biofeedback therapy. Methods.— We examined the records of patients, aged 8 to 18 years old, who were referred to a pediatric BFT clinic for management of headache between 2004 and 2008. We extracted data regarding patient and headache characteristics, medication use, family history, and measures of depression, anxiety, and somatization. Chronic headache was defined as ≥4 headache days/week. Positive response to biofeedback was defined as a 50% reduction in number of headache days/week or hours/week, or ≥3‐point decrease in severity (0‐10 scale) between first and last visits. We analyzed the responder rate for those with episodic and chronic headaches and performed multivariable analysis to determine what factors were associated with headache response to biofeedback therapy. Results.— We analyzed records from 132 children who attended ≥2 biofeedback sessions. Median headache frequency dropped from 3.5 to 2 headache days/week between the first and last visits. The response rate was 58% overall; 48% for chronic headaches and 73% episodic headaches. In multivariate analysis, ability to raise hand temperature by >3°F at the last visit and use of selective serotonin reuptake inhibitors (SSRIs) were associated with a positive response, and preventive medication use was associated with nonresponse. Anxiety, depression, and somatization were not significantly associated with response to biofeedback therapy. Conclusions.— Biofeedback therapy appears to be an effective treatment for children and adolescents with both episodic and chronic headaches. Further study is warranted to compare biofeedback with other treatments for chronic pediatric headache. Use of SSRIs appears to be associated with a positive response to biofeedback therapy, but the reasons for this relationship are unclear and merit further study.     

躯体疾病合并抑郁症的发病情况及其治疗

目的 :观察躯体疾病合并抑郁症的发病情况以及不同治疗措施的疗效。方法 :6 8例患有躯体疾病患者填写Zung量表 (抑郁症自评表 ) ,按Zung量表评分标准 ,>4 0分且符合中国精神障碍分类与诊断标准的患者诊断为抑郁症。结果 :内科疾病组 5 5例中 2 5例 (45 .6 % )患有抑郁症 ,显著高于体检组 13例中 2例 (15 .4 % )患有抑郁症(P <0 .0 5 ) ;对内科疾病组 2 5例抑郁症患者中的 10例 ,在躯体疾病和心理治疗的基础上 ,加用抗抑郁药物治疗 ,其有效率 80 .0 % ,显著高于未加用抗抑郁药物治疗的患者 (40 % ,P <0 .0 5 )。结论 ;躯体疾病患者常合并有抑郁症 ;对这些患者同时给予适当的抗抑郁症药物治疗可以提高躯体疾病的治疗效果。     

Cardiac Arrest Associated With Combination Cisapride and Itraconazole Therapy

We report a case of cardiac arrest associated with cisapride in combination with itraconazole and provide a brief review of pertinent literature. Cisapride (Propulsid; Janssen Pharmaceuticals, Titusville, NJ), a gastrointestinal prokinetic drug, has recently been reported to prolong the QT interval. Itraconazole, an oral antifungal agent, is an inhibitor of cytochrome P450 (CYP3A4) metabolism and may elevate serum drug levels of compounds metabolized by this pathway. A 31-year-old woman had a witnessed cardiac arrest while taking the combination of cisapride and itraconazole. Following resucitation, the prolonged QT interval returned to normal after withdrawal of both agents. Echocardiography and cardiac catheterization were within normal limits; electrophysiologic testing failed to induce ventricular tachycardia/ventricular fibrillation. She has had no documented arrhythmias since the arrest. This combination can now be added to a growing list of drugs that may cause torsades de pointes and sudden cardiac death.     

Laser Therapy of Human Papilloma Virus Associated Genital Warts

Introduction: Condylomata acuminata are caused by the Human Papilloma Virus Types 6 and 11. This sexually transferred disease is one of the most widespread diseases in the world and its incidence is growing. Many different treatments exist, but the results are not satisfactory because of the high relapse rate.Patients and methods:During the past five years we treated 437 patients with genital warts with either a CO₂ laser or a Nd:YAG laser, depending on the localisation. A detailed examination preceded every treatment. In cases where the lesions could not be clearly recognised as condomylata, we carried out an ALA-D-Light diagnosis and took biopsies.Results:We treated 280 males and 157 females. 80% of the males and 30% of the females suffered from intraanal lesions. Three males and one female had deep internal urethral lesions and 22% of all patients displayed genital warts at the urethral ostium. 12% of the women had portio lesions and in 4% of the females and in three men we detected dysplasias using the ALA-D-Light diagnosis system. The total relapse rate was of 7%.Discussion:The widespread nature and high infection rate of genital warts together with their possible complications make a reliable and adequate treatment essential. Because of the many phenotypes of condylomata, diseases like dysplasias have to be excluded.Summary:The use of lasers in the treatment of genital warts has helped to reduce the rate of relapse. Appropriate and discriminatory diagnostics prior to treatment lead to better results. Patient's acceptance is high because they often can be treated as outpatients, suffer only minor inconvenience and good cosmetic results are achieved.