《中医推拿学》留学生教学探讨

<正>随着我国经济持续稳定增长,综合国力不断提升,越来越多的留学生选择中国作为他们留学的目的国;尤其是国外医学院的学生,对中国传统的针灸推拿学更是怀有浓厚的兴趣。这些留学生来中国学习中医推拿的时间很短,而求知愿望迫切,     

中医药高等院校本科生毕业考核改革的探索与实践

质量是高等教育的生命线,毕业考核是保障人才培养质量的最后一道关口。本文阐明了毕业考核的作用及原则,分析了中医药高等院校本科生毕业考核的现状,通过我校的毕业考核改革实践,总结了改革取得的成效。     

介入导向下经鼻胃空肠联合置管在食管癌术后临床应用

<正>食管癌患者术后由于消化道重建后的容量及功能恢复时间较长而不能正常、足量进食,术后机体处于高代谢状态,术后发生吻合口狭窄、吻合口或胸腔胃瘘,围术期放化疗引起消化道反应等多种因素造成患者免疫力下降、营养不良、消化道瘘不愈甚至发生严重的肺部感染等,营养支持治疗及胃肠减压是重要的治疗措施[1-4]。近年来随着营养支持理论和实践的发展,以及对胃肠功能功能认识的加     

前列腺增生合并腹股沟疝同期手术14例总结

前列腺增生（Benign prostatic hyperplasia，BPH）合并腹股沟疝临床常见，大多为老年患者，机体耐受力差，常合并其他疾病，合理的手术方法既要科学有效，又要保证医疗安全，同时缩短住院时间，为患者减轻经济负担。在不断实践的基、础上，我科自2006年3月至2009年12月对14例行耻骨上经膀胱前列腺增生部切除术的BPH患者同时行腹股沟疝无张力修补术，疗效可靠，现报告如下。     

基于核心素养培育理念探讨《康复推拿学》课程体系的构建

作为传统医学重要组成部分的推拿医学,传承发展数千年,不断与时俱进。在康复医学传入我国之后,推拿与康复医学学科交叉发展成为大势所趋。如何有机地将两者融合发展,更好地服务于康复临床,成为中医教育研究重点之一。通过教学实验实践,认为有必要将"推拿和康复融合理念指导下的临床思维和技术能力"确定为康复推拿学科交叉型教学的核心素养,在理念、评定、技术三方面多层次进行《康复推拿学》课程体系构建。     

推拿治疗乳腺增生症的研究近况

随着现代生活节奏的加快,近年来乳腺增生症的发病率明显升高,且呈年轻化的趋势。通过收集整理临床上有关于推拿及结合其它疗法治疗乳腺增生症的文献,发现不同推拿方法对乳腺增生症均具有良好的治疗效果,故在临床上应重视推拿,充分发挥其见效快、操作性强、无副作用、痛苦小之特点,以提高乳腺增生症的临床疗效。     

Effect of An-pressing manipulation on the serum levels of T-AOC and CK-MM in volunteers with delayed onset muscle soreness in biceps brachii

Objective

To observe the effect of An-pressing manipulation on biceps brachii with delayed onset muscle soreness (DOMS) in healthy male volunteers.

Methods

A total of 30 male college student volunteers were randomly divided into a blank group, a model group and a treatment group, 10 cases in each group. Subjects in the blank group did not receive any intervention; subjects in the model group received active weight-bearing eccentric exercise on the non-favored side of the upper limb to establish the models, while not receiving any treatment; subjects in the treatment group received both the same modeling and An-pressing manipulation treatment. The subjective rating of perceived exertion (RPE), subjective soreness sensation threshold and soreness grade were evaluated before modeling, immediately after modeling, and 24, 48, 72, 96 and 120 h after modeling. Serum total antioxidant capacity (T-AOC) was measured before modeling, immediately after modeling, and 24, 48 and 72 h after modeling. Serum creatine kinase MM isoenzyme (CK-MM) was measured before modeling and 24, 48 and 72 h after modeling.

Results

At 24, 48, 72 and 120 h after treatment, the soreness grades of the treatment group were lower than those of the model group (all P<0.05). The RPE scores of the treatment group were lower than those of the model group (all P<0.05) immediately after modeling, at 24, 48, 72, 96 and 120 h after modeling. The subjective soreness sensation threshold of the treatment group was higher than that of the model group immediately after modeling, at 24, 48, 72 and 96 h after modeling (all P<0.05). Immediately after modeling, T-AOC value in the treatment group was higher than that in the model group and blank group (both P<0.05). CK-MM of the treatment group was lower than that of the model group at 48 h and 72 h after modeling (P<0.05).

Conclusion

An-pressing manipulation shows a certain therapeutic effect on biceps brachii with DOMS by strengthening the body's antioxidant and anti-damage abilities, which can effectively reduce the pain and accelerate the recovery from fatigue damage.

     

从针刺十二经穴对健康人体表胃小肠电的影响探讨经穴与脏腑相关的特异性关系

目的:通过观察针刺十二经脉经穴对健康成人体表胃、小肠电图的影响,探讨经脉、穴位与脏腑之间的相对特异性关系。方法:应用多导生理记录仪记录30例健康成人针刺不同穴位前后的体表胃、小肠电图,比较胃、小肠电图频率、振幅变化的差异。结果:针刺足三里、养老、曲池穴能使胃、小肠电振幅上升。针刺足三里、养老、通里、内关等穴位能分别调节胃、肠运动的节律;针刺足三里、养老、阴陵泉等穴能同时调节胃、肠运动的节律,促进二者协调运动。表现出与健康人胃相关的有曲池、太冲、外关、足三里、阴陵泉、养老;表现出与健康人小肠相关的有通里、阳陵泉、阴陵泉、养老。其中阴陵泉、养老与胃、肠两脏都有关系。结论:从体表经穴观察相应脏腑的功能变化发现经脉(穴)与脏腑之间确实存在着相关性关系,其效应规律可概括为"多经司控一脏"与"一经调节多脏"。     

重复输尿管畸形一例分析

1 病例资料 患者，女，5岁。以反复尿频、尿急5年于2006年10月26日入院。无尿失禁，无会阴部外伤史及手术史，孕期彩超检查右输尿管扩张。查：神情，心、肺未见异常，膀胱区无隆起，无压痛，双肾区无叩痛，尿道外口无红肿，无狭窄。泌尿系彩超：双肾正常大小，右肾轻度积水，右输尿管全程囊性扩张。     

外伤性输尿管肾盂连接部断裂一例

患者,女,40岁.入院前34小时从1.5m高处跌下,右侧腰部撞在石块上,当即剧烈疼痛,不能活动,逐渐加重.就诊时血压 14/9kPa,贫血貌.腹部膨隆,全腹压痛病,反跳痛,以右侧为重,移动性浊音阳性.右侧腰部皮肤皮下组织有挫伤淤血、腹腔穿刺吸出不凝固的血性液体.Hb75g/L,尿常规未见异常.B超双肾未见异常.住院后行剖腹探查术,术中见腹腔内血性液体2000ml,右侧后腹膜广泛淤血,浆膜层破裂,吸尽血性液体,清除后腹膜凝血块,结扎出血点,