针刺治疗脑性瘫痪儿童语言障碍临床观察

目的:观察针刺方法对脑性瘫痪儿童语言障碍的疗效,改善患儿预后.方法:将98例脑性瘫痪儿童语言障碍患儿随机分为针刺组(76例)和对照组(22例)进行临床观察,针刺组取四神针、颞三针、脑三针、智三针、舌三针、风池、哑门为主;对照组口服脑复新0.1～0.2 g,γ-氨酪酸0.25～0.5 g,每日3次;肌肉注射神经生长因子2 mL,每日1次.两组均治疗4个月.结果:针刺组总有效率86.8%,对照组总有效率59.1%,差异有极显著性意义(P<0.001);同时治疗组结果显示早期治疗效果较好.结论:针刺对脑性瘫痪儿童语言障碍有明显的改善作用.     

周围性面神经麻痹的针灸治疗

周围性面神经麻痹又称为贝尔氏面瘫,为神经科常见、多发病之一,是针灸治疗有效病证之一;然本病的针灸治疗中存在许多问题如针刺的时机、针刺的手法等等.本文试图以临床为基础,从病理变化与治法相应的角度来探讨针灸本病的治疗.     

关于针刺治疗中风偏瘫痉挛状态的几点认识

中风后偏瘫是高级中枢丧失其对随意运动的控制能力,取而代之的是低位中枢控制下以痉挛为基础的异常运动模式.针对偏瘫的恢复过程,Brunnstrom提出了6阶段理论[1],即中风后偏瘫患者肢体的恢复经历了弛缓(无反射),轻度痉挛、出现联合反应,痉挛加剧、可随意引起协同动作,痉挛减弱、出现分离性运动,自主性运动,运动接近正常的6各阶段.此理论符合中风后偏瘫患者的自然病理演变过程及其恢复的规律,但此理论是中枢性瘫痪恢复的过程,而不是一个病人的完整经历.     

针刺治疗视神经萎缩临床观察

观察针刺对视神经萎缩的疗效和对视觉电生理的影响。比较３６例视神经萎缩患者针刺治疗前后的视力和闪光视觉诱发电位。６３只眼中视力进步４６只眼；闪光视觉诱发电位平均波幅增高。针刺可用于治疗视神经萎缩。     

EFFECT OF ACUPUNCTURE ON BLOOD OXYGEN FREE RADICAL AND NO LEVELS IN TREATMENT OF APOPLECTIC SEQUELAE

“ＪＩＮＳａｎＺｈｅｎ”ｔｈｅｒａｐｙｃｏｍｐｏｓｅｄｏｆ“ＮｉｅＳａｎＺｈｅｎ” ( 3ｐｏｉｎｔｓｉｎｔｈｅｔｅｍｐｏｒａｌｒｅｇｉｏｎ :2ｃｕｎｓｔｒａｉｇｈｔｓｕｐｅｒｉｏｒｔｏｔｈｅｅａｒ ｔｉｐ ;1ｃｕｎａｎｔｅ ｒｉｏｒａｎｄｐｏｓｔｅｒｉｏｒｔｏｔｈｅｆｉｒｓｔｐｏｉｎｔｏｎｔｈｅｓａｍｅｌｅｖｅｌｓｅｐａｒａｔｅｌｙ) ,“ＳｉＳｈｅｎＺｈｅｎ” [4ｐｏｉｎｔｓａｒｏｕｎｄＢａｉｈｕｉ (ＧＶ 2 0 ) :1.5ｃｕｎａｎｔｅｒｉｏｒ ,ｐｏｓ ｔｅｒｉｏｒ,ｌｅｆｔａｎｄｒｉｇｈｔｔｏＧＶ 2 0ｒｅｓｐ…     

EFFECT OF ACUPUNCTURE ON EXPERIMENTAL CEREBRAL INFARCTION IN RATS

Ｗｅｈａｖｅｒｅｐｏｒｔｅｄｔｈａｔｓａｔｉｓｆａｃｔｏｒｙｅｆｆｅｃｔｓｗｅｒｅａｃｈｉｅｖｅｄｉｎｔｈｅｔｒｅａｔｍｅｎｔｏｆｃｅｒｅｂｒａｌｉｎｆａｒｃ ｔｉｏｎｍａｉｎｌｙｗｉｔｈ“ＮｉｅＳａｎＺｈｅｎ”ａｎｄ“ＳｉＳｈｅｎＺｈｅｎ”[1 ] .Ａｔｔｈｅｐｒｅｓｅｎｔ ,“ＮｉｅＳａｎＺｈｅｎ”ａｎｄ“ＳｉＳｈｅｎＺｈｅｎ”ａｒｅｗｉｄｅｌｙａｄｏｐｔｅｄｉｎｔｈｅｃｌｉｎｉｃ .Ｉｎｏｒｄｅｒｔｏａｃｑｕｉｒｅｒｅｌｉａｂｌｅｅｘｐｅｒｉｍｅｎｔａｌｄａｔａ ,ｗｅｉｎｖｅｓｔｉｇａｔｅｄｃｈａ…     

睛明、承泣穴的深刺法及临床观察

睛明、承泣穴的深刺法及临床观察张宏，靳瑞针刺治疗眼底病有较好的疗效，睛明、承泣为主穴，深刺该两穴是提高治疗效果的手段之一。现将深刺方法及临床体会介绍如下。１对针刺睛明、承泣穴的一般认识１．１睛明为足太阳膀胱经穴，对其针刺深度，《针灸甲乙经》为６分，《...     

Effect of Jin-3-needling therapy on plasma corticosteroid, adrenocorticotrophic hormone and platelet 5-HT levels in patients with generalized anxiety disorder

Objective:To observe the therapeutic efficacy of Jin-3-needling therapy(J3N)on generalized anxiety disorder(GAD)through clinical global impression scale(CGI), and to explore the mechanism by measuring the plasma levels of corticosteroid(CS),adrenocorticotrophic hormone (ACTH),and platelet 5-hydroxytryptamine(5-HT)before and after treatment.Methods:Eighty- six GAD patients with the diagnosis agreeing with the inclusion criteria were assigned,according to the sequence of visiting time,to three groups.The 29 patients in the Western medicine group were treated mainly with fluoxetine or paroxetine,Alprazolam might be given additionally in severe conditions if necessary;the 29 patients in the needling group received J3N therapy with Sishenzhen, Dingshenzhen,Neiguan(PC6),Shenmen(HT7)and Sanyinjiao(SP6)as the chief acupoints selected;and the 28 patients in the combined treatment group were treated with both drugs and needling in the same way as applied in the above two groups.The therapeutic course for all was 6 weeks.Conditions of patients were evaluated before and after treatment with CGI,and levels of CS, ACTH as well as 5-HT were measured by high performance liquid chromatography-electrochemistry. Results:By CGI scoring,the scores of severity index and the general index were not different significantly in the three groups,but the efficacy index proved to be the highest in the needling group, the second in the combined trentment group,and the lowest in the drug group.Plasma level of ACTH and platelet content of 5-HT were lowered in all the three groups after treatment,showing statistical significance(P<0.05),but no significant change was found in CS level(P>0.05).Conclusion:The therapeutic efficacy of J3N in treating GAD is equivalent to,but with the efficacy index significantly higher than,that of conventional treatment.Moreover,when combined with drugs,needling might effectively prevent the side effect of the routinely used Western drugs.The regulatory action of needling on platelet 5-HT and plasma ACTH is probably one of the acting pathways for J3N treatment on GAD.     

急性冠状动脉综合征患者血清Hcy水平与冠状动脉病变的相关性

目的探讨急性冠脉综合征(ACS)患者血清同型半胱氨酸(Hcy)水平与冠状动脉病变程度的关系及临床意义。方法 60例急性冠脉综合征患者作为研究组(包括急性心梗组30例、不稳定型心绞痛组30例),30例健康体检者作为对照组。所有人均取外周静脉血检测血清同型半胱氨酸(Hcy),分析血清同型半胱氨酸(Hcy)水平与Gensini评分的关系。结果与对照组比较,研究组Hcy明显增高,差异有统计学意义(P相似文献   

电针对局灶性脑缺血大鼠NO、NOS和ET-1的影响

目的：研究电针对局灶性脑缺血大鼠缺血区脑组织一氧化氮（NO）、NO合成酶（NOS）和内皮素（ET－1）的影响。方法：凝闭大鼠一侧大脑中动脉致局灶性脑缺血模型，选择缺血区脑组织NO、NOS和ET为指标，观察电针督脉经“大椎”、“百会”2穴对其影响。结果：缺血组在缺血60min后，NO、ET－1含量和NOS活性均明显升高；缺血加电针组，给予电针“大椎”、“百会”2穴治疗10min后，NO、ET－1含量和NOS活性均显著下降。结论：提示电针可抑制脑缺血后脑内NO、ET－1含量和NOS活性，从而保护脑缺血后继发神经元的损伤。