78例儿童带状疱疹临床分析

目的对四川及周围邻近地区儿童带状疱疹患者进行临床分析。方法回顾性分析78例儿童带状疱疹患者在发病年龄、性别、季节、诱发因素及临床表现等方面进行统计学比较。结果儿童带状疱疹发病的性别及季节因素不明显,大部分患儿无前驱症状,患病率随年龄增长而递增,大部分患儿疼痛轻微,或无疼痛症状,发病部位以肋间神经分布区最多,上呼吸道感染为儿童带状疱疹的最主要诱因,病程较短,预后良好。结论儿童带状疱疹的临床特点有许多不同于成人之处。     

中西医结合治疗重症带状疱疹

急性带状疱疹是由水痘一带状疱疹病毒（Varicella zoster virus，VZV）引起的一种以较剧烈疼痛为特征的疾病，中老年人和免疫力降低者好发此病。带状疱疹病毒是一种具有亲神经和亲皮肤特性的病毒，通过皮肤的感觉神经末梢或鼻粘膜侵入人体，通过逆行轴突运转方式入侵神经系统，然后进入脊神经后根的神经节或脑神经的神经节细胞内长期潜伏存在，呈休眠状态，平时不发生任何症状，当机体内环境发生变化，特别是正常免疫防卫机制受损伤或受抑制时，便激活带状疱疹病毒，在受侵害的神经节内大量生长繁殖而发病。     

浅析带状疱疹患者的护理

目的分析带状疱疹患者的全面护理。方法对30例带状疱疹患者进行全面的临床护理（一般护理、心理护理、饮食护理、疼痛护理、皮肤护理等）,并对其护理方法梳理与总结。结果患者痊愈27例、占90%,并且结痂时间、病程等方面均大大缩短。结论全面的临床护理会起到事半功倍的效果。     

浅析带状疱疹患者的护理

目的 分析带状疱疹患者的全面护理.方法 对30例带状疱疹患者进行全面的临床护理(一般护理、心理护理、饮食护理、疼痛护理、皮肤护理等),并对其护理方法梳理与总结.结果 患者痊愈27例、占90%,并且结痂时间、病程等方面均大大缩短.结论 全面的临床护理会起到事半功倍的效果.     

季德胜蛇药治疗眼睑带状疱疹55例分析

眼睑带状疱疹是一种较为严重的眼睑病。其特点是三叉神经分布区域的全部或某一支皮肤发生伴有炎性的成簇疱疹,多发生于老人及体弱者。本文对55例眼睑带状疱疹患者采用季德胜蛇药局部外涂结果分析,以评价该药对疱疹的消退效果。现报告如下。 一、材料与方法 1.一般资料:本科从1993年6月至1998年6月收治眼睑带状疱疹患者55例,其中男性30例,女性25例,年龄19～70     

高频超声在带状疱疹诊断中的应用

目的应用高频超声观察各期带状疱疹患者的皮肤和皮神经的声像图改变，为临床早期诊断寻求影像学依据。方法75例拟诊断为带状疱疹患者，其中男性31例，女性44例，年龄22～79岁。病变位于躯干54例，四肢近端21例。采用直接扫查法，用10MHz彩色多普勒超声检测患者病变处皮肤层及皮下组织层厚度、皮神经直径和各层回声情况，以患者健侧对应部位为对照。结果67例确诊为带状疱疹，高频超声显示出疹前期及红斑丘疹期患者病变处与健侧比较皮肤层及皮下组织层明显增厚（P＜0．01），皮神经直径明显增大（P＜0．01），回声均减低；水疱期患者病变处皮肤层及皮下组织层未见明显增厚（P＞0．1），回声未见明显减低；但皮神经直径仍可见增大（P＜0．01），回声减低。结论高频超声检测带状疱疹患者（特别对早期不典型患者）皮肤和皮神经声像图表现异常，为临床早期诊断、减少误诊提供了影像学依据。     

带状疱疹患者的心理调查与分析

目的探讨带状疱疹患者的心理状态,分析抑郁与带状疱疹的关系。方法采用Hamilton汉密尔顿抑郁量表(HAMD)(24项)为评定工具,对296例带状疱疹患者进行调查分析。结果 296例带状疱疹患者中,总分<8分92例,占31.08%;总分8～20分22例,占7.43%;总分21～35分144例,占48.65%;总分>35分38例,占12.84%;存在抑郁不良心理反应者占68.92%。带状疱疹患者存在不同程度的抑郁,而且抑郁的时间越长越增加带状疱疹发生的危险性。结论带状疱疹的发病与患者长时间抑郁有密切关系,尤其是青中年患者,应注意心理卫生,加强心理疏导,减轻心理压力,从而提高生活质量。     

107例儿童毛细血管瘤90Sr/90Y皮肤敷贴治疗效果分析

正毛细血管瘤是临床上常见的起源于中胚叶的先天性良性肿瘤。其病因是局部血管壁先天发育不良,导致毛细血管扩张,所以其基本的病理改变是扩张的毛细血管相融合,血液充斥其中,患者在出生时或出生后不久即出现于皮肤、黏膜,甚至肝脏、肌肉等部位,全身各部位皮肤均可发病,婴幼儿发病     

巨型先天性黑素细胞痣的研究现状与治疗策略

巨型先天性黑素细胞痣(GCMN)是指出生时即存在的皮肤黑色素沉着性病变,其特征主要是病变面积大、黑素细胞浸润皮肤深处或皮下组织,具有独特的组织学表现。患者大多呈散发性,但也有家族性病例的报道,其发病机制目前尚不确切。由于严重影响外观,并可能发展为恶性黑色素瘤或神经皮肤黑变病(NCM),常对患者及其家属造成严重的心理负担。GCMN的治疗方式包括手术治疗和非手术治疗,不同方式均有其适应证和优缺点。目前对GCMN的预防及治疗效果尚不尽如人意,有研究初步表明药物治疗有望降低其并发症的发生率、改善患者的预后,可做为传统治疗的辅助疗法。     

树突状细胞参与免疫性血小板减少症发病机制的研究进展

<正>免疫性血小板减少症(Immune thrombocytopenia,ITP)是一种免疫异常介导的出血性疾病,主要表现为外周血中血小板减少,皮肤、黏膜及内脏出血,其发病机制复杂,尚未完全明了。ITP是临床上最常见的自身免疫性出血性疾病,故有必要对其发病机制深入研究,以便指导临床治疗。目前ITP的发病机制主要涉及:(1)经典的体液免疫机制即ITP患者体内产生了针对血小板膜表面糖蛋白的自身抗     

针刺对家兔脑软膜微血管管径及血流速度的影响

本文用电针足三里、曲池、人中和内关穴，观察家兔软脑膜微动脉和微静脉管径及血流速度的变化。结果刺激足三里引起激动脉扩张，血流速度加快，作用明显；电针曲池亦引起微动脉扩张，血流速度加快，但作用较弱；电针人中，内关引起微动脉收缩，血流速度减慢，微静脉反应均较弱。     

人体穴位周围区域电压的测定

采用穴位电压检测装置,利用湿电极和弹性电极使电极端面与穴位表面在恒定压力下良好接触,输入矩形波,测量了30例正常人列缺穴周围的电压,得知探测电极高穴位点越远,相应的电压值越低,且下降梯度有变化。即穴位不是一个几何点,而是一个一定范围的小面积。     

Surgical treatment for intra-thoracic migration of acupuncture needles

The aim of this study was to introduce the experience of diagnosis and treatment for patients with migrated acupuncture needle to pleural cavity and or lung parenchyma. We had treated 5 patients who had acupuncture needles in their thoracic cavity from January 2000 to September 2009. The mean age was 55.8 yr old. All patients suffered from the sequelae of the cerebrovascular accident and had been treated with acupuncture. They had drowsiness and hemiplegic or quadriplegic motor activity. Fever and dyspnea were main symptoms when referred to us. Diagnosis was made by the chest radiography and chest computed tomography which revealed straight metallic materials in their thoracic cavity. The needles were removed via thoracotomy or thoracoscopic procedures. Pleural decortications were also needed in four patients. Thoracoscopic surgery was successfully performed in two patients. After the removal all patients became symptomless. Although we experienced only five patients who have migrated acupuncture needles in thoracic cavity, we suggest that thoracoscopic removal of the needle with or without pleural decortication is the most optimal modality of treatment in those patients.     

Toward establishing scientific credibility in acupuncture research.

While the effectiveness of acupuncture has been established clinically, research methods and tools which are basic for establishing objective scientific credibility in medicine have been a problem in acupuncture research. Research methods developed in other areas and reported in the literature are presented which could, if applied to acupuncture research, contribute toward establishing scientific credibility in medicine.     

针刺对实验性脑缺血作用机理的研究进展

缺血性脑血管疾病是一个非常复杂的病理生理过程 ,是多种机制共同作用的结果。本文从针刺对实验性脑缺血在脑组织形态学改变、血液流变学、脑微循环等方面的研究进展作一综述。     

针刺治疗幻听临床分析

目的 探讨针刺治疗对精神分裂症患者伴有幻听症状的效果.方法 将精神分裂症伴有幻听症状的患者84例,随机分为治疗组和对照组.两组药物治疗不变,治疗组给予针刺治疗,观察两组治疗的效果.结果 针刺治疗组总有效率达78.6%,与对照组相比,两组有显着性差异(P＜0.05).结论 针刺治疗对消除幻听有效.     

An outbreak of skin and soft tissue infection caused by Mycobacterium abscessus following acupuncture

Although outbreaks of Mycobacterium abscessus infection have been reported, none of these reports has identified the potential sources of infection and modes of transmission. In April 2008, we identified and investigated an outbreak of M. abscessus skin and soft tissue infections following acupuncture among the patients who visited an oriental medical clinic. Active surveillance of patients who had visited the clinic was conducted to define the extent of the outbreak. Environmental cultures and a case–control study were performed to elucidate the source of infection and mode of transmission. From 1002 patients interviewed, 109 patients were identified as having suffered M. abscessus skin and soft tissue infections at acupuncture sites. A single strain of M. abscessus was isolated from the wounds of 31 patients and nine environmental samples, including a diluted glutaraldehyde solution. The case–control study revealed that a higher numbers of visits to the clinic for acupuncture (adjusted OR (aOR) 20.12; 95% CI 4.34–93.35) and the use of interferential current therapy or low-frequency therapy (aOR 36.12; 95% CI 5.54–235.44) were associated with the development of M. abscessus infection. The contaminated diluted glutaraldehyde solution that was used to disinfect the physical therapy devices may have been the source of the outbreak of M. abscessus infection in the 109 patients who underwent acupuncture.     

针刺对家兔内生致热原性发热的效应

用126只大耳白家兔分成三部分进行实验,每部分动物均分成实验组和对照组。第一部分和第二部分实验,均用内生致热原复制发热模型。前者实验动物,针刺“百会穴”,后者实验动物,针“刺非穴位”,均观察对发热的影响。第三部分实验动物,均不注射内生致热原,但针刺实验组动物“百会穴”,观察对正常体温的影响实验结果表明:(一) 针刺内生致热原发热家兔“百会穴”,具有明显的退热作用。在体温上升期,发热高度降低,抑制体温上升、加大退热幅度和加快退热速度;(二) 针刺内生致热原发热家兔“非穴位”。没有显著的退热作用;(三) 针刺正常家兔“百会穴”,体温不因针刺而发生显著波动。     

针刺治疗周围性面神经麻痹临床观察

目的：针刺治疗周围性面神经麻痹的临床疗效观察。方法2008年4月~2013年4月在本社区门诊的60例周围性面瘫患者,针刺穴位取用,以病侧的主穴为基础,配合配穴,每次轮流选用7~8穴施以治疗,其中颊车、地仓、合谷三穴为必取之穴,地仓针时沿皮斜向颊车,合谷应取受病的对侧。针刺以徐疾迎随补泻法为主。留针20min,3次/w,4w为一疗程。结果治疗30例治愈,20例有效,10例未愈,总有效率为83.3%。结论周围性面神经麻痹采用针刺治疗,均取得满意效果,值得临床推广应用。     

Brain imaging of acupuncture: comparing superficial with deep needling

The difference between superficial and deep needling at acupuncture points has yet to be mapped with functional magnetic resonance imaging (fMRI). Using a 3T MRI, echo planar imaging data were acquired for 17 right-handed healthy volunteer participants. Two fMRI scans of acupuncture needling were taken in random order in a block design, one for superficial and one for deep needling on the right hand at the acupuncture point LI-4 (Hegu), with the participant blind to the order. For both scans needle stimulation was used. Brain image analysis tools were used to explore within-group and between-group differences in the blood oxygen level dependent (BOLD) responses. The study demonstrated marked similarities in BOLD signal responses between superficial and deep needling, with no significant differences in either activations (increases in BOLD signal) or deactivations (decreases in BOLD signal) above the voxel Z score of 2.3 with corrected cluster significance of P=0.05. For both types of needling, deactivations predominated over activations. These fMRI data suggest that acupuncture needle stimulation at two different depths of needling, superficial and deep, do not elicit significantly different BOLD responses. This data is consistent with the equivalent therapeutic outcomes that are claimed by proponents of Japanese and Chinese styles of acupuncture that utilise superficial and deep needling, respectively.