排序方式: 共有20条查询结果,搜索用时 15 毫秒
1.
目的:分析黄帝内针治疗粘连期肩周炎患者的临床效果及其红外热像相关情况。方法:选择深圳平乐骨伤科医院2020年3-9月收治的99例粘连期肩周炎患者,以随机数字表法分为三组,各33例。A组予以黄帝内针方案干预,B组予以常规针刺方案干预,C组予以双氯芬酸钠肠溶胶囊方案干预。对比三组的临床疗效、视觉模拟评分法(VAS)评分、Constant-Murley量表(CMS)评分及红外热成像仪病变区域温度。结果:A组总有效率为96.97%显著高于B组的81.82%和C组的69.70%(P<0.05)。干预3 d后、干预7 d后、干预后4周、干预后12周时,A组VAS评分显著低于B组及C组,且B组低于C组,差异均有统计学意义(P<0.05)。干预7 d后,三组疼痛、徒手肌力检查(MMT)、关节活动范围(ROM)、日常生活能力(ADL)评分较干预前均上升,且A组各方面评分均高于B组及C组,且B组高于C组,差异均有统计学意义(P<0.05)。干预7 d后及干预后4周时,A组红外热成像病变区温度显著低于B组及C组,且B组低于C组,差异均有统计学意义(P<0.05)。结论:黄帝内针干预可... 相似文献
2.
3.
目的:观察毫火针点刺根结穴疗法对改善慢性非特异性下腰痛(NLBP)患者临床症状和满意度的有效性及安全性。方法:将80例患者按照随机数字表法随机分为毫火针疗法组和对乙酰氨基酚组(每组各40例)。毫火针疗法组取病变部位夹脊穴、阿是穴、肾俞(双)、命门、腰阳关、委中(双)、睛明(双)、至阴(双)进行毫火针点刺治疗,隔日治疗1次,每周3次,2周为一疗程,共治疗2个疗程;对乙酰氨基酚组口服对乙酰氨基酚片,每天1次,每次1片,共治疗4周。两组均在治疗前、治疗2周时、治疗结束时记录各个时间点的Oswestry功能障碍指数评分(ODI)、视觉模拟评分(VAS)和患者治疗满意度评分,并对治疗过程的安全性进行评价。结果:治疗结束时,毫火针疗法组脱落2例,对乙酰氨酚组脱落4例,最终完成74例,两组患者在治疗过程中均未出现严重不良反应。与治疗前比较,两组治疗后各个时间点的ODI评分、VAS评分和患者治疗满意度评分均显著改善(均P0.05)。两组间比较,治疗2周时两组的ODI评分和VAS评分组间比较无统计学差异(均P0.05);治疗结束时毫火针疗法组的ODI评分和VAS评分均低于对乙酰氨基酚组,差异均有统计学意义(均P0.05);治疗2周时毫火针疗法组的满意度优于对乙酰氨基酚组(P0.05),治疗结束时其满意度显著优于对乙酰氨基酚组(P0.01)。结论:毫火针点刺根结穴疗法对改善NLBP患者的临床症状疗效确切,满意度高,安全性高,其综合疗效优于具有高等级循证医学证据的一线用药对乙酰氨基酚片,值得临床推广应用。 相似文献
4.
Objective:To evaluate the clinical therapeutic effect and safety of individualized moxibustion in treatment of postpartum pantalgia.Methods:A total of 99 patients with postpartum pantalgia were divided into three group at the ratio of 1:1:1 according to random number table,i.e.an individualized moxibustion group,a quantitative moxibustion group and a voltaren group.The same acupoints were selected in the individualized moxibustion group and the quantitative moxibustion group.With the patient in supine,Zhongwǎn(中脘CV12),Guānyuán(关元CV4),bilateral Tiānshū(天枢ST25),bilateral Xuèhǎi(血海SP10),bilateral Yanglingquan(阳陵泉GB34),bilateral Zúsānlǐ(足三里ST36) and bilateral Sānyīnjiāo(三阴交SP6) were selected.With the patient in prone,Dàzhuī(大椎GV14),bilateral Géshū(膈俞BL17),bilateral Píshū(脾俞BL20),bilateral Shènshū(肾俞BL23),Mìngmén 命门(GV4),bilateral Wěizhōng(委中BL40) and bilateral Yǒngquán(涌泉KI1) were selected.In the individualized moxibustion group,the moxibusion dose was determined by patient’s constitution and conditions as well as no occurrence of dry throat,thirst and local skin lesion.In the quantitative moxibustion group,the moxibustion dose was fixed as 1 cone at each acupoint in treatment.In these two groups,the treatment was given once every two days,three times a week and the treatment for 2 weeks was as 1 course.Totally,2 courses of treatment were required.In the voltaren group,voltaren ointment was used externally at the pain area,once a day,for 4 weeks totally.Separately,before treatment,at the end of treatment course and in follow-up,the symptom score of traditional Chinese medicine(TCM),pain score of visual analogue scale(VAS) and patient’s treatment satisfaction score were observed in the patients of the three groups.Results:In comparison within group,TCM symptom score,VAS score and the treatment satisfaction score at the end of treatment were all reduced obviously as compared with those before treatment in each of the three groups(P <0.05).In 4,12 and 24 weeks of followup after treatment,the differences in these data were not significant as compared with those at the end of treatment in the individualized moxibustion group and the quantitative moxibustion group respectively(all P> 0.05).In the voltaren group,these data were not different as compared with those at the end of treatment in 4 weeks of follow-up(all P> 0.05),but these data were all increased as compared with those at the end of treatment in 12 and 24 weeks of follow-up(all P <0.05).In comparison among three groups,at the end of treatment and in 4,12 and 24 weeks of followup,the above-mentioned three therapeutic effect indicators were all different significantly(all P <0.05).In comparison between two groups,in the individualized moxibustion group,TCM symptom score,VAS score and the patient’s treatment satisfaction score were all lower than those in the quantitative moxibustion group at the end of treatment and at each time point of follow-up successively,indicating the significant differences(all P <0.05).Conclusion:Individualized moxibustion and quantitative moxibustion improve the short-term and longterm therapeutic effect on postpartum pantalgia as compared with the external application of voltaren ointment.The therapeutic effect and patient’s satisfaction of individualized moxibustion for replenishing kidney and nourishing blood are better than the quantitative moxibustion.The individualized moxibustion therapy for replenishing kidney and nourishing blood achieves a satisfactory effect on postpartum pantalgia and is excelled to voltaren ointment that is strongly recommended in modern medicine.Individualized moxibustion is an external therapy of TCM with optimal short-term and long-term therapeutic effect and reliable safety.Hence,it deserves to be promoted in practice. 相似文献
5.
6.
目的调查老年肿瘤患者心理社会问题的现状。方法采用痛苦评估及应答系统对吉林省长春市等5个地区7家医院就诊的患者按照1∶1抽样进行问卷调查,并采用Pearson相关分析和χ~2检验探讨心理痛苦评分与患者年龄分布的差异。结果共有58例肿瘤患者接受调查,根据年龄分为老年组和中青年组,两组患者症状的发生情况差异无统计学意义(疼痛:χ~2=0.017,P=0.897;疲劳:χ~2=2.698,P=0.100;恶心:χ~2=0.220,P=0.639);老年组抑郁的发生比率为46.16%,中青年组抑郁的发生率为40.62%,两组差异无统计学意义(χ~2=0.025,P=0.875);老年组焦虑的发生率为30.77%,中青年组焦虑的发生率为46.87%,两组差异无统计学意义(χ~2=1.555,P=0.212)。结论老年肿瘤患者普遍存在焦虑抑郁等心理问题,同时存在较多躯体症状,心理痛苦温度计在肿瘤患者中的应用可及时发现具有严重心理负担的患者,应尽早进行心理干预。 相似文献
7.
目的探索睾丸支持细胞(Sertoli细胞)对骨髓间充质干细胞(BMSC)免疫抑制作用的影响,为二者在移植免疫中的联合应用提供思路。方法二步酶解法处理大鼠睾丸,分离Sertoli细胞;Percoll法分离大鼠BMSC;Ficoll法分离淋巴细胞;刀豆蛋白A(ConA)刺激进行T细胞转化试验;将Sertoli细胞、BMSC和Sertoli细胞+BMSC分别加入未经ConA处理的静止淋巴细胞培养体系和经ConA处理后的T细胞转化体系,MTT法测定淋巴细胞增殖情况,观察BMSC、Sertoli细胞或二者共培养对T细胞活化、增殖的影响。结果 BMSC、Sertoli细胞以及二者共培养对静止的淋巴细胞无明显作用。BMSC、Sertoli细胞及二者共培养对T细胞的活化、增殖均有明显的抑制作用,且Sertoli细胞与BMSC共培养时抑制作用呈现一定的协同性。结论 BMSC和Sertoli细胞均具有负性免疫调节作用,二者共培养可以进一步增强BMSC的免疫抑制效应。 相似文献
8.
目的:建立同时测定茯苓药材中7种三萜类成分含量的方法,并比较不同产地茯苓药材中上述成分的差异性,为茯苓药材的质量控制提供参考。方法:以不同产地的36批茯苓药材为样品,采用高效液相色谱法测定去氢土莫酸、猪苓酸C、3-表去氢土莫酸、3-O-乙酰基-16α-羟基-氢化松苓酸、去氢茯苓酸、茯苓酸、松苓新酸的含量。色谱柱为Thermo Acclaim 120 C18,流动相为乙腈-磷酸水(梯度洗脱),流速为1 mL/min,检测波长为210 nm,柱温为30℃,进样量为20μL。采用SPSS 21.0统计学软件对36批不同产地茯苓药材进行聚类分析。结果:7种三萜类成分在各自质量浓度范围内线性关系均良好(r均不低于0.999 0),平均加样回收率为96.74%~104.04%(RSD为0.54%~1.55%,n=6);精密度、重复性、稳定性(24 h)试验的RSD均小于3.0%(n=6);耐用性试验的RSD均小于5.0%(n=2)。不同产地样品之间7个指标成分的单一含量均存在一定差异,但总体差异不明显(多数样品总含量分布在1.3~1.9 mg/g之间)。经聚类分析,36批样品... 相似文献
9.
目的 总结老年贫血骨髓像的特点 ,明确老年贫血的病因。方法 1 2 0 0例贫血患者分为老年组 (≥ 60岁 )和对照组 (<60岁 ) ,每组各 60 0例。行骨髓穿刺术进行骨髓细胞学检查 ,同时做外周血细胞形态学检查。结果 (1 )红细胞减少时其减少幅度老年贫血组与对照组比较无明显差异 (P>0 .0 5) ,红细胞在正常范围时老年贫血组明显低于对照组 (P<0 .0 1 )。 (2 )老年贫血患者 ,轻度贫血时血红蛋白量减少程度明显小于对照组 (P<0 .0 1 ) ,在中度与重度贫血时两组比较无明显差异 (P>0 .0 5)。 (3)老年人贫血伴有外周血细胞形态改变者占 65.0 % ,对照组占 59.3% (P<0 .0 1 )。结论 (1 )老年人贫血骨髓增生以减低为多见。 (2 )贫血病因以巨幼细胞贫血和缺铁性贫血为主。 (3)病因为急、慢性白血病时 ,常为少见类型的低增生性白血病。 (4)临床表现虽为贫血 ,但真正的病因可能是恶性肿瘤。 (5)骨髓细胞学是老年人贫血有意义的检查项目 ,能够对 96.3%的老年人贫血的病因作出诊断和鉴别诊断 相似文献
10.