手法治疗颈源性肩周炎的临证经验

笔者曾师从广东省中医院吴山教授学习1年，现将其辨治肩周炎的临证体会介绍如下。1手法治病同样讲究治病求本1．1“治病求本”对正骨推拿临床的指导标和本代表着矛盾双方在疾病过程中的密切关系，如从病因和症状分，病因是本，症状是标；从疾病先后看，旧病是本，新病是标。如吴教授提到临床常见的眩晕，病因比较多，     

正骨推拿手法配合超短波照射治疗急性腰扭伤81例

急性腰扭伤是一种最常见的腰痛病,是指腰部肌肉、筋膜、韧带、椎间小关节、腰骶关节的急性损伤,多因姿势不正或突然遭受外力闪挫撞击所致。本病多发于青壮年体力劳动者、长期弯腰工作者和平时缺乏锻炼者。急性腰扭伤主要表现是"急"和"痛",起病较急且疼痛多剧烈,药物治疗效果不佳,疼痛难以及时缓解,若处理不当则易演变为慢性腰痛,严重影响日常工作和生活,给家庭和社会带来一定的负担。2008年9月至2010年6月,笔者采用正骨推拿手法     

腹部推拿调控肠易激综合征的脑肠轴学说机制探讨

肠道易激综合征（IBS）是胃肠道最常见和最重要的功能性疾病,其特征为腹痛、腹胀、便秘或腹泻。近年来随着人们生活节奏的加快,饮食结构的改变,神经、精神、感染因素所致的IBS发病率有上升趋势。腹部推拿刺激某些特定的穴位能取得较好的临床疗效,     

胸椎小关节错缝的相关临床思考与手法治疗对策

胸椎小关节错缝属于中医筋伤范畴,又称椎骨错缝,推拿手法是治疗胸椎小关节错缝的的关键手段之一,中医伤科历来重视手法在治疗的作用。《医宗金鉴.正骨心法要旨》指出:"是则手法者,诚正骨之首务哉。"说明古代医家早就认识手法是决定疾病转归的关键因素,治疗过程中常伴随手法整复关节后出现一声咔哒声后,患者往往出现舒服感,因此手法往往作为治疗首选[1]。     

埋线法配合超短波治疗腰肌劳损疗效观察

目的观察埋线疗法配合超短波治疗腰肌劳损的临床疗效,探讨其可能的作用机制及护理指导对本病治疗的重要性。方法将59例慢性腰肌劳损患者随机分成2组,观察组30例采用埋线疗法配合超短波治疗,同时给予适当的护理指导;对照组29例采用传统推拿治疗。2组均以14 d为1个疗程。结果观察组痊愈22例,显效6例,有效2例,显效率93%,总有效率100%;对照组痊愈16例,显效5例,有效6例,显效率72%,总有效率93%。2组疗效相比有显著性差异(P<0.05)。结论埋线疗法配合超短波治疗慢性腰肌劳损临床疗效确切,结合护理指导,能获得更加满意的效果,值得推广运用。     

促红细胞生成素促进坐骨神经再生的实验研究

Objective To investigate the effect of recombinant human erythropoietin(rh-EPO) on the nerve regeneration of adult rats sciatic nerves. Methods Tirty-six healthy male Wistar rats were involved and left sciatic nerve repaired model was used.The experimental rats were divided randomly into two groups:the EPO group and the control group,18 rats in each group.rh-EPO 3 000 U/kg was injected daily into the abdominal in EPO group,and normal saline was injected into the abdominal every day after operation in control group.On 4 and 8 weeks after operation,these items were determined,the sciatic function index (SFI),biomechanics examination,histological observation,electrophysiological examination,myelinated fibers density and sectional area measurement.Results On weeks 4 after operation,the SFI of EPO group and control group were-65.26 ± 3.42 and-70.83 ± 4.12,respectively,the maximum tensile resistance were (3.86 ± 0.29)N/mm2 and (3.38 ± 0.21 )N/mm2,the delayed ratio of latency of motor nerve were 2.34 ± 0.23 and 2.78 ± 0.29,and the recovery ratio of wave amplitude were 0.23 ± 0.05 and 0.14 ± 0.03 respectively.On eight weeks after operation,the SFI of EPO group and control group were-51.34 ± 2.98 and-57.23 ± 4.86,respcetively,the maximum tensile resistance were (4.67 ± 0.36) N/mm2 and (4.13 ± 0.32) N/mm2,the delayed ratio of latency of motor nerve were 1.32 ± 0.15 and 1.62 ± 0.21,the recovery ratio of wave amplitude were 0.41 ± 0.09 and 0.26 ± 0.07,the nerve fibers cross ratio were 0.57 ± 0.05 and 0.38 ± 0.03,and the recovery ratio of sectional area of myelinated fibers were 0.81 ± 0.06 and 0.58 ± 0.03,respectively.Those items in EPO group were significantly superior to those in the control group (P ＜ 0.05 ＝.Conclusion rh-EPO can promote the injured nerve regeneration and improve the recovery of their function.     

七氟醚在腹腔镜精索静脉曲张高位结扎术的最佳剂量

目的 探讨七氟醚联合瑞芬太尼用于单孔腹腔镜精索静脉曲张高位结扎术的最佳配伍剂量.方法 选择ASAⅠ～Ⅱ级择期行单孔腹腔镜精索静脉曲张高位结扎术的患者45例,随机分为七氟醚最低肺泡有效浓度(MAC)0.5、1.0、1.5共3组,每组各15例.Drager Fabius Plus麻醉机的多功能监护仪监测收缩压(SBP)、舒张压(DBP)、心率(HR)、动脉血氧饱和度(SpO2),气体监测仪监测呼气末二氧化碳分压(PETCO2)和MAC.麻醉维持:瑞芬太尼0.15μg?kg-1 ?min-1持续泵入,3组分别持续吸入0.5、1.0、1.5MAC七氟醚,手术结束前约8min停止吸入七氟醚,气腹关闭时停止泵入瑞芬太尼.结果 气腹后3min 0.5MAC组SBP、DBP升高,HR增快,与气腹前比较有显著性差异(P<0.05),与1.0MAC组和1.5MAC组组间比较均有显著性差异(P均<0.05);0.5MAC组、1.0MAC组、1.5MAC组3组患者术毕自主呼吸、睁眼时间、拔管时间、定向力恢复时间比较均有显著性差异(P均<0.05).1.5MAC组术后躁动较多,与1.0MAC组比较有显著性差异(P<0.05),0.5MAC组与1.0MAC组比较无显著性差异.结论 七氟醚1.0MAC联合瑞芬太尼0.15μg?kg-1 ?min-1用于单孔腹腔镜精索静脉曲张高位结扎术能更好地抑制术中气腹引起的心血管反应,术后苏醒迅速,自主呼吸恢复良好,并能较好地抑制术后恶心呕吐、烦躁等并发症.     

腹部推拿配合艾灸治疗颈性眩晕50例

目的:探讨腹部推拿配合艾灸治疗颈性眩晕的临床疗效。方法:将100例颈性眩晕患者随机分为腹部推拿配合艾灸治疗组和针灸对照组,每组各50例,对比两者临床疗效和相关量表的变化。结果:治疗1个疗程及治疗后3个月复发率对比,腹部推拿配合艾灸治疗组均优于传统针灸治疗组。结论:腹部推拿配合艾灸治疗颈性眩晕的疗效肯定,值得进一步临床推广应用。     

浅析腰椎间盘突出症从肝肾二经论治

腰椎间盘突出症的治疗取穴多以足太阳膀胱经、足少阳胆经等阳经经穴为主,本文从循行路线和临床表现特点着重揭示了本病与足厥阴肝经、足少阴肾经及其经筋关系密切,分析本病之本为肝肾亏虚,治疗从阴经论治,宜注重肝肾同治、针药并用。     

浅谈腰椎假性滑脱的手法治疗

腰椎假性滑脱是指由于退行性骨关节病,如腰椎周围韧带松弛、关节囊变性等,造成腰椎正常生理曲度改变,椎体位置移动,而无椎体及附件的外伤、骨折和先天缺陷的疾病[1].多发生在45岁以上女性,病程可达数年至数十年.本病属于中医学腰腿痛范畴,在准确辨治前提下,运用正骨推拿手法往往可获得良好效果.