两种方法治疗慢性肾功能衰竭疗效比较

目的：探讨两种方法治疗慢性肾功能衰竭（CRF）的疗效和肾功能改变。方法：将100例慢性肾功能衰竭患者随机分成两组：西医＋中医治疗组（观察组）50例,单纯西医治疗组（对照组）50例,比较近期疗效及治疗前后肾功能变化。结果：观察组显效23例（46.0%）,有效19例（38.0%）,无效8例（17.6%）,总有效率为84.0%;对照组显效16例（32.0%）,有效18例（36.0%）,无效16例（32.0%）,总有效率为68.0%,观察组疗效明显优于对照组（P〈0.01）;观察组肾功能改善明显优于对照组（P〈0.01）。结论：中西医结合治疗慢性肾功能衰竭近期疗效及肾功能变化均优于单纯西医治疗。     

A Multicentral Randomized Control Study on Clinical Acupuncture Treatment of Bell＇s Palsy

To confirm the clinical therapeutic effects of acupuncture and moxibustion on Bell＇s palsy. Methods： 480 cases from 4 hospitals were enrolled for this study, among whom 439 cases completed the whole course of the study. The patients were randomly divided into the following 3 groups, a control group（treated with prednisone, vitamin B 1, vitamin B 12 and dibazol）, an acu-moxibustion group （treated with filiform needle plus moxibustion）, and a basic treatment plus acu-moxibustion group （treated with oral medicine like those in the control group plus acupuncture, and with moxibustion like in the acu-moxibustion group）. The whole treatment course lasted 4 weeks. The therapeutic effects were evaluated according to the symptoms and signs, House-Brackmann grading scale and facial disability indexes（FDI）. Results： All the 4 centers （hospitals） completed this study well, with no statistically significant difference found among the 4 centers in therapeutic effects. The patients with different conditions were well distributed in the 3 groups, thus the basic general data were comparable （P〉0.05）. The therapeutic effects of the two treatment groups were better than the control group （respectively P〈0.05 and P〈0.01）, and it was the best in the acu-moxibustion group （P〈0.01）. Conclusion： Acupuncture and moxibustion may exert definite therapeutic effects on Bell＇s palsy, better than that of the basic treatment group or the basic treatment plus acu-moxibustion group.     

Chondromalacia Patellae Treated by Warming Needle and Rehabilitation Training

Objective:To observe the effect of wanning needle combined with rehabilitation training on chondromalacia patellae in a randomized controlled trial. Methods: The 92 cases were randomly divided into a treatment group treated by warming needle plus rehabilitation training (47 cases) and a control group treated by medication plus rehabilitation training (45 cases), and the therapeutic effect was compared after 20 sessions.Results: The pain was relieved more obviously in the treatment group than in the control group (P<0.05),and the total effective rate was 91.8% and 71.1% respectively (P<0.01). Conclusion: Warming needle plus rehabilitation training was superior in the therapeutic effect and duration of producing relief of pain to medication plus rehabilitation training in treating chondromalacia patellae.     

参脉加丹参注射液为主治疗老年冠心病心绞痛41例分析

以参脉加丹参注射液为主治疗老年冠心病心绞痛,并与单纯西药治疗作对照,结果:治疗组对心绞痛症状显效27例,改善12例.有效率95.12％。对照组对心绞痛症状显效8例.改善23例,有效率77.5％。经统计学处理P<0.05,治疗组疗效优于对照组。表明参脉加丹参注射液可作为治疗老年冠心病心绞痛的有效药物。     

银藻降脂方治疗高脂血症的临床观察

目的:观察银藻降脂方治疗高脂血症的临床疗效。方法:60例高脂血症患者随机分为2组,治疗组30例给予银藻降脂方,对照组30例给予血脂康胶囊,用药30d,观察对血脂的影响。方法:治疗组总有效率80.0%,对照组66.6%;治疗组血清总胆固醇(CHO)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)治疗后明显降低,治疗组TG下降优于对照组,差异有统计学意义(P<0.05)。方法:银藻降脂方能改善高脂血症患者的血脂水平,安全性高。     

博乐欣与氯丙咪嗪治疗强迫症的对照研究

目的 :本文旨在探讨 5 -HT抑制博乐欣治疗强迫症疗效及副作用与氯丙咪嗪比较。方法 :选择符合诊断标准的强迫症 36例 ,随机分成A、B两组。A组口服博乐欣 ,初始剂量 5 0mg/d ,1～ 2周内加到 1 0 0～ 2 5 0mg/d ;B组服安拿芬尼 ,初始剂量 5 0mg/d ,1～ 2周内加到1 0 0～ 2 5 0mg/d ;观察 8周后疗效及副作用。结果 :A组显效 1 2例 ,有效 6例 ,总有效率6 6 6 9% ;B组 ,显效 1 3例 ,有效 4例 ,总有效率 72 2 2 % ,两组比较无显著差异。结论 :博乐欣是一种安全有效的抗强迫症的新药     

艾灸治疗艾滋病腹泻60例临床观察

目的:观察艾灸疗法治疗艾滋病腹泻的疗效。方法:将90例患者随机分为治疗组60例,采用艾灸疗法治疗;对照组30例,采用口服黄连素片加糖盐水补液治疗。结果:治疗组60例临床有效率为93%,对照组30例临床有效率为80%,疗效结果比较,P<0.01。结论:治疗组疗效明显,且方法简便易行。     

针刺治疗女性更年期抑郁症30例

目的:评定针药对照治疗女性更年期抑郁症的疗效。方法:将60例入选病例随机分为针刺组和西药组,每组各30例,分别给予针刺和口服百优解治疗,6周为1疗程。两组患者分别于治疗前和1疗程结束后采用汉密尔顿抑郁量表(HAMD)、焦虑量表(HAMA)评定疗效。结果:针刺与抗抑郁剂都有很好的抗抑郁效果,两组疗效比较无显著性差异(P>0.05),但针刺组起效较慢,在抗抑郁的同时还有抗焦虑作用。结论:针刺有良好的抗抑郁作用,可能是通过对神经内分泌系统整体的良性调节发挥对女性更年期抑郁症的治疗作用。     

舒郁汤治疗围绝经期抑郁症30例

目的:观察舒郁汤治疗女性围绝经期抑郁症的临床疗效。方法:选取围绝经期抑郁症患者60例,采用分层随机抽样法分为治疗组30例、对照组30例,治疗组采用自拟方舒郁汤治疗,对照组口服谷维素和维生素B_1治疗,治疗8周后,比较两组汉密尔顿抑郁量表(HAMD)评分,检测两组血清雌二醇(E_2)、促卵泡成熟素(FSH)、促黄体生成素(LH)水平。结果 :治疗后治疗组HAMD评分低于对照组(P0.05)、E_2水平高于对照组(P0.05);两组FSH、LH水平都有所降低,但治疗组水平明显低于对照组(P0.05);治疗组总有效率96.67%,优于对照组的66.67%(P0.05)。结论:舒郁汤治疗围绝经期抑郁症疗效显著。     

Frequent Ventricular Extrasystole Treated by Needling Neiguan （PC 6） plus Oral Administration of Mexiletine——A Report of 30 Cases

Purpose:To observe the therapeutic effect of needling at Neiguan(PC 6)plus oral administration ofmexiletine.Methods:60 cases of frequent ventricular extrasystole were randomly divided into two groups:a treatment group,and a control group.In the control group,mexiletine was orally administered,and in thetreatment group needling at bilateral Neiguan(PC 6)plus oral administration of mexiletine were given.2weeks of treatments constituted a therapeutic course.Results:Of the 30 cases in the treatment group,23cases were markedly effective,5 cases improved,and 2 cases failed;while in the control group 16 caseswere markedly effective,8 cases improved,4 cases failed,and 2 cases aggravated.The total effective ratesof 90.3% and 80.0%,respectively in the treatment and control groups showed a very significant differencebetween the two groups(P<0.01).Conclusion:Needling at bilateral Neiguan(PC 6)may enhance thetherapeutic effect for frequent ventricular extrasystole.     

麦普替林联合氟西汀治疗抑郁症的疗效对比分析

目的：评价麦普替林联合氟西汀治疗抑郁症的临床疔效和安全性。方法：将符合CCMD-3抑郁症诊断标准的61例抑郁症患者随机分为治疗组（麦普替林联合氟西汀组）（31例）和对照组（氟西汀组）（30例），治疗6周。用汉密顿抑郁量表（HAMD）评定疗效，用抗抑郁药副反应量表（SERS）评定不良反应。结果：治疗组和对照组的有效率分别为84％和77％，两者比较差异无显著性，但治疗组的痊愈率达到65％和对照组37％相比差异有显著性，同时治疗组的起效比对照组快。结论：麦普替林联合氟西汀治疗抑郁症是一种恰当的联合治疗方法。     

钩针联合肌内效贴治疗肱骨外上髁炎疗效观察

正肱骨外上髁炎为临床常见的损伤性疾病,好发于中年以上的女性~([1]),主要表现为肘关节外侧(肱骨外上髁附近)疼痛,尤其在腕关节背伸和前臂旋后时疼痛更为明显。该病多因肘关节反复伸直或旋后累及前臂伸肌群所致,这种累积性损伤往往病程较长,由于病灶在关节部位,有不易修复和易复发的特点,     

Clinical Observation on Cervical Spondylopathy of the Vertebroarterial Type Treated by Electro-acupuncture

Objective: To observe the clinical therapeutic effects of electro-acupuncture in the treatment of cervical spondylopathy of the vertebroarterial type. Methods: According to the consulting order, the patients were randomly divided into a treatment group (29 cases treated with electro-acupuncture), and a control group (28 cases treated with simple acupuncture). 20 treatments were given to patients in both groups. Results: The markedly effective rate of the treatment group was 75% and that of the control group was 61.54% (P<0.05). Conclusion: Electro-acupuncture has a better therapeutic effect than the simple acupuncture in the treatment of cervical spondylopathy of the vertebroarterial type.     

腔内注射玻璃酸钠联合康复训练治疗早期膝骨关节炎的疗效观察

目的:观察腔内注射玻璃酸钠配合康复训练治疗老年人早期膝关节骨性关节炎的疗效,并对患者股四头肌表面肌电进行分析和评价。方法:将120例膝关节骨性关节炎患者随机分为治疗组和对照组,每组60例。治疗组采用膝关节腔内注射玻璃酸钠联合膝关节康复训练,对照组采用理疗方法,对两组患者治疗前后进行VAS疼痛评估、Lysholm膝关节功能评分和表面肌电检测。结果:两组治疗后疼痛程度均明显减轻,但两组比较差异有统计学意义(P<0.05)。治疗组关节功能恢复优良率为83.3%,明显优于对照组(P<0.05)。两组患者治疗后股四头肌表面肌电的中位频率和平均频率改善程度有显著差异(P<0.05)。结论:腔内注射玻璃酸钠联合康复训练能有效治疗早期膝关节的骨性关节炎,并可以改善患者股四头肌抗疲劳能力。     

穴位刺激调控法治疗强迫症的临床研究

目的：对比穴位刺激调控法与氯丙咪嗪治疗强迫症的疗效。方法：15例强迫症采用穴位刺激调控法,20例采用氯丙咪嗪进行为期8周的治疗,并采用Y－BOCS、汉密尔顿量表（HAMD）、副反应量表（TESS）及通用的临床疗效评定方法对其临床疗效及副反应进行评定。结果：穴位刺激调控组平均起效时间1－2周,显效率73％,Y－BOCS减分率51．32％,HAMD减分率53．5％;氯丙咪嗪组平均起效时间3－4周,显效率70％,Y－BOCS减分率48．21％,HAMD减分率57．74％。两组疗效无显著差异（P＞0．05）。结论：穴位刺激调控法治疗强迫症是一种安全可靠的方法,值得临床推广。     

He-Ne Laser Auricular Irradiation Plus Body Acupuncture for Treatment of Acne Vulgaris in 36 Cases

Acne vulgaris is a kind of chronic inflammation of the hair follicle and sebaceous gland commonly seen in young people at the puberty stage. Usually it affects the face, chest and back to form the black-headed comedo, papule, pus-pocket, node or cystis, o…     

发汗除湿方治疗类风湿性关节炎的疗效分析

目的 观察发汗除湿方治疗类风湿关节炎的临床疗效.方法 选择诊断明确的120例类风湿关节炎患者,随机分为对照组57例、治疗组63例,均给予甲氨蝶呤口服,治疗组加用发汗方,对照组加用尼美舒利,分别在治疗前及治疗后30d、治疗后90d进行28个关节疾病活动评分(DAS28).结果 治疗30d、90d后,治疗组总有效率分别为71.7％、88.3％,对照组总有效率分别为49.1％、73.6％.两组总有效率差异有统计学意义(P＜0.05).结论 发汗除湿方联合甲氨蝶呤治疗类风湿性关节炎疗效明确可靠.     

联合用药治疗强迫症的双盲对照研究

目的　采用联合用药方法 ,探索治疗强迫症的新方法。方法　将符合入组条件的 6 0例强迫症患者随机分成 2组 ,联合用药组采用氯丙咪嗪、舍曲林和苯妥英钠同时治疗 ,对照组用氯丙咪嗪治疗 ,用药 8周 ,通过Y -Bocs量表和疗效量表 (CGI)观察疗效。结果　联合用药组在治疗 8周时Y -Bocs减分率为71 8% ,氯丙咪嗪组为 5 2 8% ,2组评分差异有显著性 (P <0 0 5 ) ,且不良反应无显著差异。结论　联合用药治疗强迫症效果明显 ,应视为一个较好的治疗方法     

Clinical Observation in 86 Cases of Acne Vulgaris Treated with Compound Oldenlandis Mixture

86 cases of acne vulgaris were treated with Fu Fang She She Cao He Ji (复方蛇舌草合剂 CompoundPrepared from Chinese Angelica and Flavescent Sophora Root) as the controls, to observe the therapeuticeffect of the former. The results showed that the cure plus markedly effective rate was 73.26% in thetreatment group, and 47.06% in the control group, with a significant difference in the cure plus markedlyeffective rate between the two groups (P＜0.01), and also in the total effective rate between the two groupssignificant (P＜0.05). It may be concluded that the Compound Oldenlandis Mixture is a better agent for theillness.     

A Controlled Study on Treatment of Mental Depression by Acupuncture plus TCM Medication

Objective: To evaluate the therapeutic effect and safety of acupuncture plus TCM medication for treatment of mental depression. Method: 61 cases of mental depression were randomly divided into a treatment group of 30 cases and a control group of 31 cases. The former group was treated by acupuncture plus TCM medication, and the latter with TCM medication alone. The Hamilton Mental Depression (HAMD) scoring system was adopted to evaluate the therapeutic effects, and the Treatment Emergent Symptom Scale (TESS) was used to evaluate the adverse reactions. Results: The treatment group was superior to the control group in the total effective effect (P<0.05), with a significant difference in the HAMD score before and after treatment between the 2 groups (P<0.01). There were marked differences in the reducing rate of HAMD score at the end of the second and sixth week of the treatment between the 2 groups (P<0.05) and the difference was very obvious at the end of the fourth week (P<0.01). No remarkable difference was found in adverse reactions between the 2 groups (P>0.05). Conclusion: Acupuncture plus TCM medication may show satisfactory results for mental depression, indicating that a synergic action may exist between acupuncture and TCM medication.