如何加强实训以提高针灸推拿学本科学生的专业技能

目前,我国中医药院校针灸推拿专业本科教学模式大多沿用先理论后实践,课堂4年学习,医院1年实习的一贯模式[1].课堂教学偏于理论化,实践技能水平偏低,学生临床见习和实习时,很难适应针灸推拿临床高技能型的实际要求,造成教学与临床的脱节.因此,在课堂教学的同时,加强实训的力度,培养学生的实践动手能力,是对本门课程教学的迫切要求.笔者通过近年来的教学实践总结,认为从以下几个方面开展实训,能够有效提高针灸推拿学本科学生的专业技能.     

MicroRNA-145对骨肉瘤细胞增殖及凋亡的影响

背景与目的 MicroRNA145(miRNA145)是microRNA家族中的重要一员,已被证实在多种肿瘤细胞中呈现低表达,并认为miRNA 145作为一种抑癌基因可以影响肿瘤细胞的生长和侵袭能力,但其在骨肉瘤中的作用未见相关报道.该研究旨在探讨miRNA145对骨肉瘤细胞增殖、细胞周期以及凋亡的影响.方法 用脂质体法将miRNA145真核表达质粒瞬时转染入人骨肉瘤细胞(MG63),实验设置空白对照组、空载体转染组和miRNA145质粒转染组3组,转染后荧光显微镜下观察转染效率,实时定量RT-PCR检测各组细胞miRNA145的表达,MTT增殖实验检测各组细胞的增殖情况,流式细胞仪检测各组细胞周期及细胞凋亡率.结果 转染后miRNA145质粒转染组细胞增殖速度明显下降,细胞周期停止在G1期之前,凋亡率增高,差异有统计学意义(P<0.05).结论 miRNA145可以有效地抑制骨肉瘤细胞的增殖,促进细胞凋亡.     

中药土三七致肝小静脉闭塞病病例分析及文献复习

肝小静脉闭塞病（veno occlusive disease,VOD）,指因肝小叶中央静脉和小叶下静脉非血栓栓塞性闭塞致肝内窦后性门静脉高压症的疾病。临床表现主要有顽固性腹水、肝脏肿大,黄疸等。土三七是我国民间常用的活血化瘀药材。1980年侯景贵等首次报道不当或过量服用土三七导致VOD,近年各地散发此类病例。本文通过分析92例土三七致VOD病例的临床特点,总结探讨临床上对该病的诊断和治疗。     

论短期培训在中医药教育中的地位和意义

随着中医药现代化、国际化、产业化的发展,市场竞争已从国内市场向国际市场转移,来自多方面的资料证明,实施中医药短期培训,可提高中医药的市场竞争力,促进中医药事业的发展.我们通过近年来的中医药教育改革,深刻认识到这种趋势所肩负的历史使命和面临的巨大挑战.我们认为中医药短期培训大有可为,在中医药教育中有着重要的地位和深远的意义.     

中师生心理障碍患者家庭因素对照研究

作者对中师100例心理障碍学生的家庭教育方式、家庭内人际关系等方面进行了调查研究,现报告如下。1　对象及方法对象:100例中师心理障碍学生(下称心理障碍组)和125名正常中师生(下称正常组),均来自许昌师范学校。入组标准,心理障碍组年龄14～20岁,符合CCMD-2-R有关心理障碍诊断标准的现症患者,其中与心理因素有关的心理障碍33例、神经症25例、心因性精神障碍20例、植物神经功能障碍12例、睡眠与觉醒障碍10例。通过病史和体格检查排除严重的躯体疾病,以精神卫生自评量表排除明显的精神障碍。方法:以Perrs等编制的父母养育方式问卷EMBU和…     

Clinical observation on insomnia treated by Wei-defensive qi-regulating and brain-strengthening needling technique

In order to make a report on 90 cases of insomnia treated by the Wei-defensive qi-regulating and brain-strengthening needling technique,as a clinical subject of the multiple center,for assessing the preliminary standardized indications and operating methods and making an initial summary for writing the draft of the technique operation.MethodsBy ratio of 11,the patients in conformity with the criteria were randomly divided into the experimental group and control group.In the experimental group,45 cases were treated with the Wei-defensive qi-regulating and brain-strengthening needling technique on Baihui (GV 20),Dazhui(GV 14),Shenmai(BL 62),Zhaohai(KI 6),plus ear points.In the control group,45 cases were treated with routine acupuncture on Sishencong(Ex-HN 1),Shenmen (HT 7),Sanyinjiao(SP 6),etc.The therapeutic effects in the two groups were observed and assessed in comparison.ResultsThe results showed cure in 15 cases.remarkable effect in 27 cases,effect in 42 cases,failure in 6 cases,and the total eriective rate in 94.4% in 90 cases of insomnia.In the three centers,the statistic management was performed based upon PSQI integral and showed significant difference(P＜0.01),and no significant difference among various groups(P＞0.01).ConclusionThe therapeutic effect in the treatment of insomnia by Wei-defensive qi-regulating and brain-strengthening needling technique is better than the control group and the therapeutic effect and methods in various centers are stable.without any deviation.     

中医气功学教学改革的尝试和探讨

探讨和实践中医气功学教学方法改革已成为中医院校教学改革必不可少的内容,对中医气功的科学化、规范化意义重大。通过合理组织教学,加强实践能力培养;全面分析气功形式,科学选择功法;正确引导学生,严肃学风考风3个方面探讨和尝试,发现提高教学水平同时,对学生身体素质、专业技能和技巧方面,有明显促进。     

The Short-term Therapeutic Effect of the Three-part Massotherapy for Insomnia Due to Deficiency of Both the Heart and the Spleen——A Report of 100 Cases

Objective: To evaluate the short-term therapeutic effect of the three-part massotherapy on insomnia due to deficiency of both the heart and spleen. Methods: Two hundred cases were randomly divided into a treatment group and a control group, each consisting of 100 cases. Patients in the treatment group were treated with the three-part massotherapy, while those in the control group with oral administration of Guipi Wan (归脾丸 Pill for Invigorating the Spleen and Nourishing the Heart). The total clinical therapeutic effects, the total scores of Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS) of the treatment group were compared with those of the control group. Results: After the treatment, the total therapeutic effects, PSQI, SAS, and SDS of the two groups all showed significant improvement (P<0.01), and the scores of the treatment group were superior to those of the control group (P<0.01). Conclusion: The three-part massotherapy has definite therapeutic effects on insomnia due to deficiency of both the heart and the spleen, which is safe and easy to operate, and worthy of popularization.     

针刺四神聪穴治疗失眠的多中心随机对照研究

目的观察针刺四神聪穴治疗失眠的疗效，为腧穴主治提供临床依据。一方法将246例失眠患者采用多中心随机对照方法分为四神聪组（124例）、足三里组（122例）。四神聪组采用针刺四神聪穴治疗，每日1次；足三里组针刺足三里穴，每日1次；共治疗15次，30天后随访评价。结果四神聪组临床痊愈79例，显效15例，有效8例，无效22例；足三里组痊愈63例，显效11例，有效8例，无效40例。针刺四神聪组疗效优于足三里组（P〈0．05）。治疗结束1个月后随访，两组在晨起体力恢复和中医症状改善方面，四神聪组疗效优于足三里组（P〈0．01）。结论针刺四神聪穴能有效改善睡眠质量，减少抑郁和焦虑。     

自血疗法配合中药外涂治疗痤疮65例

1997年 2月至 1 999年 7月 ,笔者在单纯采用自血疗法基础上 ,配合外涂自拟消痤散治疗青少年面部痤疮 65例 ,取得了满意疗效 ,现总结如下。1　一般资料本组 65例均为门诊患者 ,其中男 39例 ,女 2 6例 ;年龄 1 4岁～ 1 8岁 41例 ,1 9岁～ 2 0岁 1 8例 ;2 1岁～ 2 5岁 6例 ,均属未婚青少年。面部痤点数量多 ,点大 ,色红或紫 ,且起脓点 ,伴口干 ,咽燥 ,舌红苔黄腻等以湿热为主症的占 38例 ;面部痤疮集中 ,数量少 ,点小 ,色暗 ,时起时落 ,且伴体乏身困等气血亏虚为主症的占 2 7例。其中痤疮破损后结节增生者 9例。2　治疗方法2 .1　中药外涂自拟…