针灸防治非酒精性脂肪性肝病研究概况

非酒精性脂肪性肝病发病率逐年升高,其发病机制尚不明确。西医以对症药物治疗为主,但这些药物存在如肝损伤等诸多不良反应。祖国医学中的针灸疗法因其具有针对性强、多靶点、多层次等特点日益受到关注。文章从非酒精性脂肪性肝病的西医发病机制、中医病因病机入手,进一步分析针灸防治非酒精性脂肪性肝病的作用机理,以期为针灸防治非酒精性脂肪性肝病临床应用提供一定的理论依据。     

检验医学在社区卫生服务中的运行模式和作用

目的:探析检验医学在社区卫生服务中的运行模式与作用。方法:选取18个社区的1150名人员,其中,社区医护工作人员200名,社区患者或居民950名,采用问卷调查方法进行调查分析。结果:检验医学在社区卫生服务应用中,主要以开展常规检验为主,其中,约96%的社区医护工作人员认为,检验医学进行社区常规卫生检验服务应用,有利于疾病的及早诊断,并且有利于提高医护人员的治疗水平;约97%的的社区患者或居民认为,检验医学用于进行社区常规检验项目开展,为社区群众就医提供了很大的便利性。结论:检验医学在社区卫生服务中的运行应用,受到社区医护人员以及患者、居民的普遍认可,具有较大的积极作用和意义。     

中医针灸治疗慢性溃疡性结肠炎疗效观察

目的探讨中医针灸治疗慢性溃疡性结肠炎临床应用效果。方法对照组仅给予中药汤剂口服,研究组给予中药汤剂联合针灸治疗,记录两组临床疗效。结果研究组经中医汤剂联合针灸治疗后,该组慢性溃疡性结肠炎患者获得临床总有效率高达88.89%,对照组仅为68.89%(P0.05)。结论对慢性溃疡性结肠炎患者给予中医汤剂治疗基础上加用针灸后可显著提高其临床疗效,有利于保障患者生活质量及身心健康。     

旴江医学著名医家针灸学术思想和成就述要

通过对旴江医学著名医家有关针灸文献的整理,探讨旴江医学针灸学术思想、学术成就及其对中医针灸的影响.浅析盱江医学在针灸理论和临床应用上的重要意义.     

计算机在医院检验信息处理中的作用和前景展望

随着医学科学技术和计算机技术的飞速发展,计算机在医院检验信息处理中的应用越来越广,在医学检验领域中所发挥的作用也越来越大,为临床病人的诊断、治疗及愈后观察提供了重要的依据。本文从检验科的基本职能出发,谈一下计算机在医院检验科所发挥的作用,并对其应用前景进行了展望。     

实验诊断在中医临床中的作用

分析实验诊断在中西医临床诊断、治疗观察、预防保健中的作用,发展实验室诊断与中医临床综合能力建设,发掘中医医院临床实验室的中医特色.实验诊断能够为中医临床诊断和治疗提供客观的实验数据,为中医药规范化、现代化建设提供有力的科学依据.中医医院要充分发挥实验诊断在中医临床诊断和治疗、预后判断中的作用,还要使中医医院临床实验室不断创新发展.这将有利于中医学走向世界,更好地服务于大众.     

检验医学在临床医学中的重要性

检验医学是医学的重要组成部分,在临床医学中的重要作用不可忽视。检验的及时性、可靠性、准确性将直接影响临床科室对疾病的了解与治疗。本文通过对检验医学与临床医学的沟通结合为研究任务,希望借此对临床医学和检验医学的发展、进步提供帮助与借鉴。     

从生化检验浅谈如何提高检验质量

随着医学科学发展的需要,医学检验在临床、卫生防疫等医学领域中起到非常重要的作用。各项检验结果为临床治疗工作中的全面诊断治疗、病程以及疗效的监测愈后判断等提供可靠的依据。而影响检验结果有诸多因素,临床实验室检验质量控制始终贯穿分析前、分析中和分析后三个环节。通过医、护、技各方面的相互协作,使每一个检验结果都能在临床的诊断和治疗中发挥作用。     

中医学生针灸临床能力培养之我见

中医学生针灸临床能力培养之我见喻国雄（第一军医大学珠江医院针灸科５１０２８２）关键词针灸，临床教育针灸作为一种治疗手段在临床上的应用是很广泛的，它能治疗多系统的病证，目前我国有一些中医学院设立了针灸系或针灸专业，以培养高级针灸人才。因此，针灸医学的发...     

检验医学在临床医学中的重要性

检验医学是医学的重要组成部分,在临床医学中的重要作用不可忽视。检验的及时性、可靠性、准确性将直接影响临床科室对疾病的了解与治疗。本文通过对检验医学与临床医学的沟通结合为研究任务,希望借此对临床医学和检验医学的发展、进步提供帮助与借鉴。     

中医综合疗法治疗肩周炎40例临床观察

目的：探讨中医综合疗法治疗肩周炎的临床疗效。方法：将80例患者随机分为治疗组和对照组。治疗组40例,采用中医综合疗法（中药口服、针灸及按摩手法）治疗;对照组40例,采用单纯西药周围痛点封闭治疗。结果：治疗组总有效率为97.5%,对照组总有效率为67.5%。治疗组临床疗效优于对照组,有显著性差异（P〈0.05）。结论：中医综合疗法治疗肩周炎有协同作用,疗效显著。     

中医药干预糖尿病创面信号通路的研究进展

目的综述中医药调控糖尿病难愈性创面信号通路的研究进展,为中医药治疗糖尿病创面的整体优势提供坚实的理论依据。方法查阅近几年国内外相关的文献资料并总结中医药干预创面愈合信号通路的相关靶点。结果从中医药干预糖尿病创面的应用、效果评价等方面,可以看出中医药调控糖尿病创面信号通路具有多靶点、多层次的优势。结论中医药干预糖尿病创面具有其独特的优势,可更深一步探讨其作用的靶点和机制。     

保定郝氏中医眼科经验

郝氏中医眼科为河北省特色中医专科。郝德新为河北省中医研究院中医眼科名医,祖传眼科,郝氏中医眼科代表人物,对于暴盲证、近视、眼底病等疾病具有丰富诊治经验,疗效显著。郝德新擅长中药方剂与针刺结合治疗眼病,对于中药方剂运用、经穴手法均有独到体会,多从心、肝、肾三经入手诊治眼科疾病。     

中医针灸治疗脑瘫患儿语言障碍的临床研究

目的探讨中医针灸治疗脑瘫患儿语言障碍的临床研究。方法选取2017年7月至2019年8月在本院接受治疗的61例脑瘫患儿作为研究对象,采用随机数表法分为对照组(n=36)与观察组(n=35)。对照组实施基础治疗,观察组在对照组基础上实施中医针灸治疗。比较两组治疗3个月后临床疗效及语言、适应性评分。结果观察组治疗总有效率高于对照组,治疗后,观察组Gesell语言及适应性评分均高于对照组,差异有统计学意义(P<0.05)。结论针对脑瘫患儿实施中医针灸治疗,能有效提升疗效,提高患儿智力,改善语言障碍。     

中医适宜技术治疗社区老年原发性高血压患者疗效观察

目的探讨中医适宜技术治疗社区老年原发性高血压患者的效果。方法将老年原发性高血压患者随机分为两组,对照组120例仅服用西药;治疗组120例在服用原有西药的基础上,采用耳穴贴压与针灸等中医适宜技术治疗,观察两组治疗前后的血压变化。结果两组患者治疗后临床疗效比较,差异有统计学意义(P<0.01)。治疗后患者收缩压、舒张压水平比较,差异均有统计学意义(P<0.05)。结论在常规西药治疗的基础上加用中医适宜技术治疗原发性高血压疗效确切,值得临床推广应用。     

Current Status and Future Prospects of Acupuncture and Traditional Chinese Medicine in Canada

Traditional Chinese medicine (TCM) and acupuncture has been gradually accepted by the mainstream society since the 1970s and has been rapidly expanding, accompanying the tide of Chinese immigration since the 1980s. Acupuncture legislation has been approved by the governments of 5 provinces in Canada between 1988 and 2014. After the acceptance of self-regulation, 5 corresponding colleges were established, one after another. The code of ethics and professional practice standard were developed by the Colleges. British Columbia (BC) became the first Canadian province to offer acupuncture treatments as a supplementary benefit for its Medical Services Plan premium assistance recipients beginning in 2008. The 5 colleges united to form the Canadian Alliance of Regulatory Bodies of Traditional Chinese Medicine Practitioners and Acupuncturists (CARB-TCMPA) in the same year. The Entry-level Occupational Competencies for the Practice of TCM in Canada were developed by CARB-TCMPA in 2010. The Pan-Canadian registration examinations for acupuncturists, herbalists and TCM practitioners have been administered and scheduled since 2013. The Entry-level Occupational Competencies for Doctors of TCM were developed by College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia (CTCMA-BC) in 2014. It sketches the blueprint for future development of the TCM profession in Canada.     

中西药结合治疗致心律失常型右心室心肌病的临床分析

目的：探讨中西药结合治疗致心律失常型右心室心肌病的临床效果。方法：2012年1年月-2013年2月收治的心律失常型右心室心肌病患者80例根据挂号单双号分为治疗组与对照组各40例,对照组给予美托洛尔片治疗,治疗组在此基础上给予自拟中药治疗,治疗2周。结果：2组治疗前室早次数对比差异无统计学意义,治疗后次数都明显下降,同时组间对比差异有统计学意义（P〈0．05）。治疗组与对照组的总有效率分别为82．5％和70．0％,组间对比差异有统计学意义（P〈O．05）。结论：中西药结合治疗致心律失常型右心室心肌病能有效减少室早次数,提高治疗疗效,值得临床推广应用。     

肝癌疼痛的中医外治概况及思考

肝癌是临床上最常见的恶性肿瘤之一,根据最新统计,全世界每年新发肝癌患者约60万例,居恶性肿瘤的第5位。其中肝癌疼痛的发生率约占肝癌患者的75%,故在抗癌治疗的同时,止痛也是肝癌治疗中的重要内容。我们从中药外敷肝区止痛、中药涂擦肝区止痛、中药敷脐止痛、穴位敷药止痛、针灸止痛等方面对中医外治法治疗肝癌疼痛进行了述评,并对这些研究取得的成果进行分析和展望。     

胃电图在中医药领域中的应用现状

胃电图是测定胃部功能活动的客观定量指标,已在中医药领域得到了广泛的应用。胃电图为中医药的深层次研究提供了新的观察手段,且越来越多的研究证实,胃电参数的变化可使针灸、中药等中医药治疗手段的疗效得到了客观化的评估,同时亦为中医临床辨证分型等研究提供了一定的参考价值。胃电图在中医药领域中的价值正逐步得到承认和重视,对中西医结合的临床诊治具有积极意义。     

Characteristics and Advantages of Traditional Chinese Medicine in the Treatment of Acute Myocardial Infarction

Objective: To obtain epidemiological data on Traditional Chinese Medicine (TCM) therapeutic status of acute myocardial infarction (AMI) and to determine TCM characteristics and advantages to improve the level of TCM prevention and treatment of AMI. Methods: Clinical epidemiology methods were used to register and survey the TCM therapeutic status of hospitalized AMI patients. In 2001, the Chinese Association of Integrative Medicine surveyed the therapeutic status of 3308 AMI patients hospitalized in 30 hospitals in Beijing and Shanghai from 2000-2001. The Beijing Collaborative Study Group on Therapeutic Status of Acute Myocardial Infarction (the Study Group) then conducted a 10-year-long register survey on hospitalized AMI patients in Third-grade A-Level TCM hospitals in Beijing. After 2002, the Study Group further surveyed the treatment conditions of AMI-hospitalized patients in 10 Second-grade A-Level TCM hospitals. The therapeutic status in 8 Third-grade A-Level Western medicine hospitals was surveyed in 2001 and 2005 as a control. In 2008, in cooperation with the China Association of Chinese Medicine, the Study Group further performed a survey at 26 Third-grade A-Level TCM hospitals nation-wide. Approximately 5000 cases were investigated to obtain authoritative data on the therapeutic status of AMI patients in TCM hospitals in China. Results: We found that Chinese herbal intravenous preparations may be beneficial in reducing the mortality of AMI. Major complications of AMI, such as heart failure and arrhythmia, were significantly less during the 10-year survey period. The mortality of hospitalized AMI patients showed a decline. TCM treatment was helpful for AMI patients in improving their quality of life. Ten-year dynamic monitoring showed that the ability to perform reperfusion and to use drugs appropriately, as well as an effort to carry out the Clinical Guidelines has made great progress in TCM hospitals. However, TCM hospitals still have some problems in treating AMI, including a lack of standardized TCM syndrome diagnosis, the need for syndrome differentiation and treatment standardization, and clinical skills in reperfusion and standardized drug treatment still need to be further improved. Compared with AMI patients in Western medicine hospitals during the same period, those in TCM hospitals had the following characteristics: they were admitted to hospital later; they were older when they had a heart attack; there were more females, they had more problems in their medical history, and they had more concomitant illnesses and complications. Therefore, the demographic baseline data were significantly different between AMI patients in TCM hospitals and those in Western medicine hospitals. This indicated that patients in TCM hospitals were more critical than those in Western medicine hospitals. Conclusions: TCM has special advantages in treating AMI. TCM hospitals are making continuous progress in standardized treatment of AMI, but further improvement is still required. AMI patients in TCM hospitals have some special characteristics, and their condition may be more critical. Further clinical research on TCM treatment of AMI is required.