指压三阴交穴对腹部术后患者尿潴留的影响

目的:探讨拇指按压三阴交穴对腹部术后尿潴留的影响。方法:90例腹部术后患者随机分为2组,其中治疗组46例,采用拇指按压三阴交穴位法,对照组44例,采用腹部热敷法,观察两种护理措施对腹部术后尿潴留排尿情况的影响。结果:治疗组的治疗效果有明显差异。结论:指压三阴交穴能有效地治疗腹部术后尿潴留。     

点穴治疗神经根型颈椎病疗效观察

目的:观察点穴治疗神经根型颈椎病的临床疗效.方法:将400例患者随机分为点穴组和药物组,各200例.点穴组以手法点按缺盆、肩井、天宗等穴位,每日1次;药物组常规口服根痛平药物,每日2次.治疗3个疗程后,比较疼痛、麻木症状及压顶试验、臂丛牵拉试验、上肢肌力体征和日常生活能力积分的改善情况.结果:两组治疗后麻木积分、压顶试验积分、臂丛牵拉试验积分、上肢肌力试验、日常生活能力积分比较均明显高于治疗前(均P<0.01);治疗后两组间各症状、体征积分比较,差异均有统计学意义(均P<0.01),点穴组优于药物组.点穴组治愈率、总有效率分别为78.0%、99.0%,均优于药物组的61.0%、87.0%(均P<0.01).结论:点穴疗法能较好地改善神经根型颈椎病的症状体征,疗效优于根痛平药物治疗.     

穴位按摩为主治疗产后尿潴留36例

目的：观察以穴位按摩为主治疗产后尿潴留的临床疗效。方法：采用穴位按摩法加中药外熏法及护理的治疗方法。结果：36例患者中,治愈33例,占91．7％,显效3例,占8．3％,总有效率100％。结论：行相应的穴位按摩等治疗,能加强膀胱功能的恢复,减少尿潴留的发生。     

穴位按摩与冷敷配合电动吸乳器对治疗乳汁淤积的效果观察

目的 探讨穴位按摩与冷敷配合电动吸乳器治疗乳汁淤积的效果。方法 选择在我院分娩的发生乳汁淤积的产妇126例,随机分成观察组和对照组,每组63例。对照组督促产妇给婴儿频繁吸吮,观察组在对照组基础上采用穴位按摩、冷敷及配合电动吸奶器打奶。观察两组产妇处理后2 h、12 h、24 h乳汁淤积程度、急性乳腺炎的发生情况以及产妇乳房的舒适度。结果 观察组处理后2 h、12 h、24 h,乳汁淤积程度和产妇的乳房舒适度较对照组均有所改善,差异具有统计学意义（P＜0.05）。对照组发生急性乳腺炎3例。结论 采用穴位按摩与冷敷配合电动吸乳器治疗乳汁淤积,可使乳汁淤积尽快消除,减少急性乳腺炎的发生。     

The efficacy of integrated cognitive behavioral therapy (CBT) and acupressure versus CBT for insomnia: a three-arm pilot randomized controlled trial

ObjectivesThis pilot study aimed to examine the efficacy of integrated cognitive behavioral therapy (CBT) and acupressure in treating insomnia and its daytime impairments in a Chinese adult population.Methods40 eligible participants with insomnia were randomly assigned to either the integrated CBT and acupressure (CBTAcup) group (n = 14), the CBT group (n = 13), or the waitlist control (WL) group (n = 13). Participants in the CBTAcup group attended a 2-hour integrated CBT and self-administered acupressure group treatment once per week for six consecutive weeks, while participants in the CBT group attended six weekly 2-hour CBT for insomnia. Sleep, mood, daytime impairments, quality of life, and treatment credibility and adherence were assessed at baseline, immediate post-treatment (Week 7), and 4-week post-treatment (Week 11).ResultsLinear mixed-effects models showed that both the CBTAcup and CBT groups had significantly lower insomnia severity (d = −1.74 and d = −2.61), dysfunctional beliefs related to sleep (d = −2.17 and −2.76), and mental fatigue (d = −1.43 and −1.60) compared with the WL group at Week 7. The CBTAcup group provided additional benefits in reducing total fatigue (d = −1.43) and physical fatigue (d = −1.45). Treatment credibility was found to be improved in the CBTAcup group from baseline to Week 7.ConclusionsIntegrated CBT and acupressure demonstrated comparable efficacy to pure CBT in treating insomnia symptoms, with additional advantages to improve fatigue symptoms and acceptability in the Chinese population. Further methodologically rigorous studies on a larger scale and longer follow-up are warranted to confirm these findings.     

Acupressure and quality of sleep in patients with end-stage renal disease--a randomized controlled trial

The purpose of the study is to test the effectiveness of acupressure on sleep quality of end-stage renal disease patients. The study was a randomized controlled trial; qualified patients in the dialysis centers of four major hospitals were randomly assigned into an acupressure group, a sham acupressure group, and a control group. A total of 98 participants were included in the study. The main outcomes measured were the Pittsburgh sleep quality index (PSQI) and the sleep log. Data were collected at pretreatment and following treatment. Primary statistical analysis was by means of Analysis of Covariance, the Kruskal-Wallis Test and repeated measure ANOVA. The results indicated that PSQI scores of the acupressure group have a significantly greater improvement (p < 0.01) than the control group. However, there were no differences between the acupressure group and the sham group or the sham group and the control group (p > 0.05). Subscales of PSQI were further analyzed. Results demonstrated significant differences between the acupressure group and the control group in subjective sleep quality (p = 0.009), sleep duration (p = 0.004), habitual sleep efficiency (p = 0.001), and sleep sufficiency (p = 0.004). Significant differences in the subscale of subjective sleep quality (p = 0.003) between the sham acupressure group and the control group were also observed. Sleep log data showed that the acupressure group significantly decreased awake time and improved quality of sleep over time more than the control group (p < 0.01). The improvement could be seen as soon as the acupoints massage was implemented, and it was maintained through the post intervention.     

穴位指针疗法在头静脉输液前应用的护理研究

目的探讨头静脉穿刺前行手三里穴位指针疗法干预对输液护理舒适度的影响。方法将2010年3月至2012年3月住院患者中符合标准的160例患者按照入院时间,随机分成实验组和对照组,每组80例。对照组以《新编护理学基础》为标准,采用常规静脉输液法。实验组在接受穿刺侧手三里穴位指针疗法后按常规静脉输液法,观察两组患者在头静脉穿刺的一次性穿刺成功率、疼痛反应及输液穿刺满意度等进行比较。结果实验组患者在接受穴位指针疗法后,头静脉穿刺的一次性穿刺成功率、疼痛反应及输液穿刺满意度与对照组相比较有统计学意义(P<0.05)。结论在头静脉穿刺前行手三里穴位指针疗法干预,能明显减轻穿刺疼痛,使患者能够顺利配合输液操作,提高头静脉输液穿刺成功率和患者满意度。     

CASE STUDIES OF THE TREATMENT OF HYPOTHYROIDISM BY MERIDIAN THEORY OF CHINESE MEDICINE

Some patients with hypothyroidism still remain symptom after prolonged treatment with thyroxine. Alternative treatment needs to be explored. The treatment is described as overlapof acupunture, supplemented with electric acupuncture, magnetic acupuncture, ear acupuncture, herbaltreatment, and acupressure of thyroid. The result of two case studies will be discussed in the presentation.The theoretical basis for the approach will also be explored.In Chinese medicine, hypothyroidismis often defined as spleen deficiency in the early stage and can be treated with ISRQ recipes (Invigorating the Spleen and Replenishing the Qi). In the chronic stage, hypothyroidism can be seen as kidneydeficiency and can be treated with KRR (Kidney Reinforcing Regimen). Hypthyroidism symptoms aresometimes diffcult to treat. However, TCM (Traditional Chinese Medicine) diagnosis and treatmentare based on an overall analysis of the illness according to patients' condition. After successful treamentof TCM, patients can stop taking Thy