Influence of Mechanical Pressure to Change of Transcutaneous CO2 Emission by Acupuncture

Objective: In the authors' previous study, acupuncture had an effect along meridians. The effect ofacupuncture can be represented by local energy metabolism which can be expressed by transcutaneous CO2 emission (TCE). To study the transportation of the effect of acupuncture and the influence to the transportation when blocking the meridians, the following experiment was carried out. Methods: Twenty healthy volunteers (male 8, female 12, average age 29) were examined on pericardium meridian at points between Quze (PC 3) and Tianquan (PC 2) (Point a), between Ximen (PC 4) and Quze (PC 3) (Point b), two control points (c and d) beside a and b and Quze (PC 3). TCE was measured on these five points before, during and after acupuncturing Neiguan (PC 6) by a high sensitive CO2 instrument (Frewil-Q.F., made in China). Mechanical pressure of 1 kg (2 cm～ 1 cm area) was given on Ximen (PC 4) or Daling (PC 7) during the acupuncture and TCE were measured before acupuncture, during acupuncture and mechanical pressing, withdrawing acupuncture but keeping pressing and after withdrawing the pressure. Results: TCE increased significantly on point a, b and Quze (PC 3) during and after acupuncture without mechanical press. When mechanical press was given at Ximen (PC 4), no significantly increase was found on above three points during and after acupuncture. When pressing Daling (PC 7), there was still significant (P<0.05) increase at Quz～ (PC 3) and point during acupuncture and significant increase (P<0.05) at point b after acupuncuture while pressing was kept. Conclusion: Acupuncture can enhance the energy metabolism expressed by TCE along meridians and this effect can be eliminated by mechanical pressing along meridians on the way between acupuncture point and measured point.     

刮痧对家兔皮肤血流灌注量及组织形态学影响的比较研究

目的：比较观察刮痧轻重手法对家兔皮肤血流灌注量及皮肤组织形态学的影响变化，探讨刮痧的作用机理和评价其安全性。方法：①在家兔背部施刮痧轻重手法，采用激光多普勒血流成像技术观察家兔刮痧后皮肤血流灌注量的变化情况。②切取刮痧区域皮肤组织，冰冻切片，HE染色，观察皮肤组织形态学变化。结果：①家兔血流图显示重刮区血流升高明显多于轻刮区。直观图显示重刮区出痧明显多于轻刮区。②重刮区皮肤血管扩张并有瘀血；轻刮区皮肤血管扩张不明显，未见瘀血。结论：刮痧轻重手法对家免皮肤微循环血流及皮肤组织血管产生不同程度的影响。     

健康教育在冠状动脉支架植入术后抗血小板治疗中的作用

目的 探讨健康教育在冠状动脉支架植入术后抗血小板治疗中的作用.方法 采用健康教育对90例冠脉支架置入术后患者在住院期间及出院后定期干预,并与81例对照组患者进行服药依从性比较.结果 研究组和对照组患者住院期间用药知识掌握情况、出院指导依从性、支架血栓事件发生率比较,差异有显著性意义(P＜0.01).结论 健康教育有助于改善患者对疾病的认知水平,提高患者服药依从性,减少支架血栓事件的发生.     

小剂量尿激酶治疗急性脑梗死疗效观察

脑梗死又称缺血性脑卒中,是指各种原因引起的脑部血液供应障碍,使局部脑组织发生不可逆损害,导致脑组织缺血、缺氧性坏死.临床分型根据牛津郡社区卒中计划(OSCP)的分型标准将其分为四型:全前循环梗死(TACI)、部分前循环梗死(PACI)、后循环梗死(POCI)和腔隙性梗死(lacunar infarction)[1].溶栓治疗是对脑梗死后最确切、有效的治疗方法,依据病理生理研究,溶栓只能在疾病早期应用,以发病3~6 h内为时间窗,从动物实验和临床观察,时间窗绝非不变的.     

氧气雾化吸入特布他林治疗小儿哮喘急性发作的临床观察与护理

小儿支气管哮喘是儿童时期最常见的慢性呼吸系统疾病,起病急、发病率高,近年来呈不断上升趋势,急性发作时常伴有呼吸困难、气促、胸闷等症状,严重影响患儿的身心健康,甚至危及生命。     

中药口服液体制剂掩味技术的研究进展

目的：综述各种可用于口服液体制剂的掩味技术及目前中药口服液体制剂掩味技术的研究现状。方法：查阅近十几年来的中外文献期刊和各国专利,对各种口服液体制剂的掩味技术进行了分类总结。结果：以适当的方法对中药口服液体制剂进行了初步的掩味研究,使该种剂型掩味技术取得了一定的进展。结论：人们对药物的掩味要求越来越高,我们应该开发更为有效的掩味方法。     

中孕期唐氏综合征三联筛查与二联筛查的筛查效率

目的:比较中孕期唐氏综合征产前筛查中三联筛查与二联筛查的筛查效率,以及评估游离雌三醇(uE3)在产前筛查中的价值。方法:采用时间分辨荧光免疫检测技术,对同意接受产前筛查的孕14~20+6周单胎妊娠以及已经确诊唐氏综合征妊娠孕妇的冻存血清标本进行检测,测定甲胎蛋白(AFP)、人绒毛膜促性腺激素游离β亚基(freeβ-HCG)、uE3浓度,应用L ifeCyc le软件分别计算三联筛查(AFP+freeβ-HCG+uE3)和二联筛查(AFP+freeβ-HCG)的风险值,比较三联筛查与二联筛查对唐氏综合征的检出率和假阳性率。结果:在1 078例中孕期产前筛查以及10例冻存血清标本的唐氏综合征孕妇中,当风险截断值为1/270时,三联筛查与二联筛查对唐氏综合征的检出率均为66.7%,假阳性率分别为4.6%与7.2%;当截断值为1/380时,三联筛查的检出率高于二联筛查(91.7%vs 75.0%),假阳性率分别为7.5%与10.1%。结论:三联筛查是比二联筛查更有效的唐氏综合征筛查方法,有必要制定适合本地区人群的风险切割值,以提高产前筛查的筛查效率。     

早期护理干预对小儿病毒性脑炎运动障碍的影响

目的观察早期护理干预对病毒性脑炎患儿运动障碍的影响。方法 96例患儿随机分为观察组和对照组各48例,观察组给予早期护理干预,对照组给予常规护理,观察2组疗效。结果观察组总有效率为93.7%高于对照组的68.7%,差异有统计学意义(P<0.05)。结论早期护理干预可促进病毒性脑炎患儿运动功能的恢复。