散瘀接骨精在四肢骨关节损伤康复中的应用

为观察散瘀接骨精在四肢骨关节损伤康复中应用的疗效,将208例由于四肢骨关节损伤所致的组织粘连和瘢痕形成引起的陈旧性伤痛患者分两组治疗。对照组99例,在医师指导下行功能训练、物理治疗等常规处理;治疗组109例,加用散瘀接骨精以手法在损伤部位反复按揉20分钟,每天2次,7～10天为1个疗程;分别观察两组病人用药前后疼痛、肿胀、压痛、功能障碍等症状体征。均于治疗2个疗程后第4周观察疗效,结果治疗组显愈率80.7%,总有效率99.1%,对照组显愈率31.3%,总有效率82.8%,两组疗效差异有显著性。表明散瘀接骨精在四肢骨关节损伤康复治疗中效果显著。     

推拿定点拔伸侧扳法治疗颈椎病机制分析

颈椎病的治疗方法很多,通过对各种治疗方法疗效的比较和机理分析的研究,以及大量对此病治疗的临床报道,均可得出一个结论:无论手法配合中药内服外用还是配合针灸治疗,均好于单独使用针灸或单独中药内服外用的疗效。可见手法在治疗颈椎病中的重要性和必要性,而定点扳法是手法疗效取得的关键,是推拿所独有的效果,是药物、牵引、理疗和微创手术或局部给药所不能比拟的。推拿手法具有灵、便、廉的特点,如操作规范,也是一种安全有效的对因治疗方法,符合中医"治病求本"治疗原则。推拿没有手术疗法的高风险、高投入、损伤大和时间长的缺点,也没有西药对肝脏、肾脏和胃的损伤及刺激。与其他物理疗法相比,远期疗效更好。     

推拿松肌及整骨手法相结合治疗腰椎间盘突出症77例

[目的]总结推拿松肌及整骨手法相结合治疗腰椎间盘突出症的临床疗效.[方法]运用松肌及整骨手法相结合的非手术方法治疗腰椎间盘突出症77例.[结果]77例腰椎间盘突出症患者中,痊愈57例,显效16例,无效4例,总有效率达94.81%.[结论]以推拿松肌及整骨手法相结合治疗腰椎间盘突出症,疗效满意.     

青年腰椎间盘突出症的发病及其诊治

报告青年腰椎间盘突出症２５例，以手法为主进行综合治疗，治愈率达８８％。临床观察表明，青年腰椎间盘突出症患者在椎间盘的生理特性、病理变化和临床特点等方面与儿童和少年腰椎间盘突出症存在着差异。患者发病除外伤和脊柱发育性结构异常等因素外，还有椎间盘退变因素。认为临床诊断命名应改变过去将儿童、少年和青年发病笼统概括为青少年腰椎间盘突出症和把发病年龄界定为２０岁以下的传统观点。要按照腰椎间盘突出症发病时的不同年龄时期，使诊断命名更为确切。临床治疗宜针对青年腰椎间盘突出症的发病和临床特点，视病情首选非手术疗法。     

Heat preconditioning prevents enterocyte mitochondrial damage induced by surgical manipulation

BACKGROUND: The small intestine is susceptible to free radical-induced damage and our earlier work has shown that surgical manipulation of the intestine results in generation of oxygen free radicals, leading to mucosal damage. Heat preconditioning has been shown to offer protection against various stresses including oxidative stress and this study looked at the effect of heat preconditioning on surgical manipulation-induced intestinal mitochondrial alterations. METHODS: Control and rats pretreated with heat were subjected to surgical manipulation by opening the abdominal wall and handling the intestine as done during laparotomy. Mitochondria were prepared from isolated enterocytes and structural and functional alterations were assessed. RESULTS: Surgical manipulation of the intestine resulted in mitochondrial alterations as seen by ultrastructural changes and altered lipid composition. Mitochondria were functionally impaired as evidenced by altered calcium flux, decreased respiratory control ratio, and increased tetrazolium dye reduction and swelling. Along with this, biochemical alterations such as increased lipid and protein oxidation were seen following surgical manipulation. Mild heat preconditioning of the animal prevented these damaging effects. CONCLUSIONS: These studies suggest that stress in the small intestine due to surgery can affect enterocyte mitochondrial structure and function and these effects can be prevented by mild whole body hyperthermia prior to surgery.     

Surgical manipulation of the small intestine and its effect on the lung

BACKGROUND: Surgical manipulation of the intestine results in generation of oxygen free radicals leading to mucosal damage as evidenced by ultrastructural and biochemical changes. It is likely that the gut-derived mediators can bring about damage to distant organs such as the lung. METHODS: Surgical manipulation of the gut was performed by opening the abdominal wall and handling the intestine. Lung damage was assessed by histology, markers of oxidative stress, and protein content in bronchoalveolar lavage fluid. Protection offered by pretreatment with various compounds such as allopurinol, L-arginine, quinacrine, and indomethacin was also studied. RESULTS: Gut manipulation resulted in neutrophil infiltration, oxidative stress, and permeability changes in the lung and these changes were maximum 30 and 60 min following surgical manipulation, which recovered with time and reversed to normal by 24 h. Prior treatment with inhibitors of xanthine oxidase, phospholipase A(2), or cyclooxygenase showed a protective effect against lung damage. CONCLUSION: This study has shown that laparotomy and intestinal handling result in distant organ (lung) damage which is probably brought about by neutrophil infiltration and oxidative stress on the lung. This is likely mediated by compounds generated in the intestine and transported into the systemic circulation since inhibition of generation of chemical mediators in the intestine offers protection against lung damage.     

捻转补泻手法针刺足三里穴对脘腹部皮肤温度的影响

目的阐明针刺捻转补法与泻法的操作是否存在效应上的差异,并探讨其效应差异是否为补泻效应的差异.方法应用红外线热像技术,采用不同的捻转补泻手法针刺健康人足三里后,观察其在即刻、10、20、30min,对脘腹部皮肤温度的影响.结果不同捻转补法与泻法的操作存在着不同程度的效应差异,其中补法可以使皮温升高,泻法可以使皮温降低,以石氏捻转补泻针法较为明显.结论1)补泻手法,补法和泻法的操作可产生不同的效应.2)不同捻转补泻手法对皮肤温度产生的升降效应为补泻效应,其中以石氏捻转补泻手法最为明显.3)证明补泻手法实施的必要性.     

小针刀治疗髌下脂肪垫炎简化技术临床疗效观察

髌下脂肪垫急性损伤或慢性劳损,均可产生无菌性炎症.本病相当于中医学"痹证"中的膝痛.本文介绍在小针刀治疗髌下脂肪垫炎的基础上,改进操作方法,简化技术,收到一定疗效.共观察治疗152例,男37例,女115例,结果治愈91例,好转38例,总有效率达84.87%.     

"定骨舒筋"用于髌骨骨折早期康复的临床研究

目的观察"定骨舒筋"手法用于髌骨闭合性骨折早期康复的疗效。方法60例伤后半个月的病例,对照组30例在夹板固定下行股四头肌收缩活动;治疗组30例去除夹板,用手法对骨折端进行有效的固定而进行主动和被动的关节活动。结果治疗组平均愈合时间4.33周,比对照组明显缩短(P<0.01),膝关节活动度比对照组明显提高(1个月P<0.01;2个月P<0.05),3个月膝关节功能积分优级率比对照组高(P<0.05)。结论"定骨舒筋"对骨折的提前愈合和关节的尽早恢复具有良好的临床疗效。     

万氏改良推拿手法治疗C_1-C_2失稳型颈椎病的研究

目的：探索经颅多普勒（TCD）超声在万氏改良旋转复位手法治疗颈椎C1-C2失稳的诊断及疗效的评定价值。方法：按临床诊断标准收集椎动脉C1-C2失稳型颈椎病患者157例（疾病组）,对照组为年龄相近的健康人群38例。采用德国进口的DWL-X-4型彩色经颅多普勒超声仪于万氏改良推拿手法治疗C1-C2失稳型颈椎病前后对脑血管血流进行检测分析。结果：疾病组（治疗前）椎基底动脉血流速度明显低于对照组（P〈0.05）;疾病组（治疗前）TCD异常率为90.6%,治疗后椎基底动脉系血流速度明显改善（P〈0.05）与对照组相比无显著差异（P〉0.05）。结论：TCD可作为椎动脉C1-C2失稳型颈椎病患者辅助诊断及疗效评定的参考依据。