学会和骄阳“躲猫猫”,专家教您巧“战狼”

正【专家简介】沈南上海交通大学医学院风湿病学研究所所长、主任医师、教授、博士生导师吕良敬亚太地区风湿病联盟狼疮研究组委员、上海交通大学医学院附属仁济医院风湿病科主任医师、教授、博士生导师正值夏季,阳光充足。然而,这个季节的骄阳对于红斑狼疮患者而言却甚为毒辣,阳光中的紫外线往往会促使旧病反复或新病发作。因此,专家特别提醒,红斑狼疮患者夏日里一定要坚持和阳光"躲猫猫",做好充分的防晒工作,以免病情反复。     

名老中医蔡炳勤分享“四季茶疗养生”

正中医外科泰斗、国家级名老中医蔡炳勤教授年近八旬,却依旧耳聪目明。每天仍工作在临床一线,而且回家爬七楼也脸不红气不喘。蔡老把这一切都归功于他的"四季茶疗养生"心得。幼时结缘投杏林蔡炳勤出生于广东汕头澄海,澄海外砂村是名中医汇集之     

艾司西酞普兰联合或不联合电针对男性酒依赖住院患者稽延性戒断症状的干预研究

ObjectiveThis study is conducted to investigate the effects differences of escitalopram with or without combined electroacupuncture (EA) among male inpatients with a diagnosis of alcohol dependence and comorbid protracted alcohol withdrawal symptoms (PAWS).MethodsA total of 62 participants who met the inclusion criteria were enrolled in a two-arm randomized, placebo controlled, patients-blind trial and allocated to an escitalopram with real-EA group (real-EA group, patients= 31) and an escitalopram with sham-EA group (sham-EA group, patients= 31), respectively. In addition to the oral administration of escitalopram for total four weeks, patients in each group received corresponding EA treatment five days per week and two days off for consecutive four weeks. Both serum homocysteine (Hcy) test and electrophysiological tests, including event-related potentials (ERPs) and exploratory eye movement (EEM) were performed at pre- and post-treatment. Additionally, the global scores of Penn Alcohol Craving Scale (PACS), 17-items Hamilton Depression Rating Scale (HAMD-17), and Hamilton Anxiety Scale (HAMA) were used for assessing the subjective emotion experience of patients, respectively. Meanwhile, adverse effects were monitored and recorded.ResultsAfter four-week treatment, the global scores of PACS and HAMD-17 declined significantly in both groups (both P<0.05). Furthermore, the decline in the real-EA group was superior to that in the sham-EA group (P<0.05). Meanwhile, the total scores of HAMA only decreased in the real-EA group (P<0.05) but not in the sham-EA group (P>0.05). According to the parameters of ERPs, significant declines for N₂PL, P₃PL, and P₃amp were observed in both two groups (all P<0.05), and the decreases for P₃PL and P₃amp in the real-EA group was much superior to that in the sham-EA group (both P<0.05). According to the parameters of EEM, significant increase for NEF was observed only in the real-EA group (P<0.05). Besides, there was a dramatic decline for serum Hcy level only in the real-EA group (P<0.05). One case in the sham-EA group withdrew from the trial due to self-reported nausea and bitter taste, and outcomes of the remaining 61 patients were adopted for analysis.Conclusion(1) Escitalopram with EA may be a potential alternative therapy for mitigating PAWS among male inpatients with alcohol dependence. (2) Escitalopram with EA might improve the alcohol-dependence induced cognitive dysfunctions via upregulating the expression of Hcy.     

扮靓自己,惊艳时光——谁说穿衣打扮是年轻人的专利?

正【受访专家】蒋蛟东华大学纺织学院纺织科学与工程系教授袁京泉上海市老龄科学研究中心特聘讲师、上海政治学院老年心理学博士有位名叫黄玉珍的百岁老人,年轻时就是闻名百里的美人,出生于1904年的她从年轻时就非常爱漂亮,老了后不仅不像其他老人得过且过,反而对扮靓自己更在意了。老人不管是否出门,每天都     

Memory response to manual acupuncture in chronic insomniacs: evidence from event-related potentials

Objective

To investigate the effectiveness and safety of manual acupuncture for memory loss and sleep quality in chronic insomniacs.

Methods

A total of 60 eligible participants were enrolled and randomized into either a treatment group or a control group, with 30 cases in each group. The treatment group was intervened by manual acupuncture whereas the control group was given sham acupuncture. In the two groups, the interventions were offered once every other day and three times a week, for 8 weeks in total. Before and after the treatment, Pittsburgh sleep quality index (PSQI) and eventrelated potentials (ERPs) were used to assess the patients’ sleep quality and memory, respectively. Meanwhile, adverse events were monitored and recorded.

Results

After 8-week treatment, both the treatment group and the control group showed a significant decrease in the PSQI global score (P<0.001, P<0.01), and the decrease in the treatment group was more significant than that in the control group (P<0.001). The intra-group comparisons of ERPs indicated that, the latencies of N1 and P3 were shortened and the amplitudes of N1 and P3 were increased in the treatment group after the intervention, and the differences were statistically significant (P<0.05, P<0.001); in the control group, there were no significant changes in the latency and amplitude after the treatment (P>0.05). The between-group comparisons of ERPs showed that the treatment group was more effective than the control group in shortening the latency of P3 (P<0.01).

Conclusion

Acupuncture can be a safe and effective treatment option for chronic insomnia coupled with memory impairment.