捏脊疗法联合穴位按摩对反复呼吸道感染患儿细胞免疫功能的影响

目的探讨捏脊疗法联合穴位按摩对反复呼吸道感染(RRTI)患儿细胞免疫功能的影响。方法随机对照试验研究。选取2020年6月-2021年10月本院96例RRTI患儿作为观察对象, 采用随机数字表法分为2组, 每组48例。对照组给予穴位按摩, 观察组在对照组基础上联合捏脊疗法。2组均治疗8周, 随访8个月。分别于治疗前后进行中医证候评分, 采用流式细胞仪检测外周血CD4+、CD8+水平和CD4+/CD8+比值。观察随访期间RRTI发作次数, 评价临床疗效。结果观察组总有效率为93.75%(45/48)、对照组为81.25%(39/48), 2组比较差异无统计学意义(χ2=3.43, P=0.064)。观察组治疗后咳嗽、疲乏、气短懒言、自汗积分低于对照组(t值分别为3.95、9.64、7.68、8.34, P<0.01)。与同组治疗前比较, 2组治疗后CD4+水平及CD4+/CD8+比值升高(P<0.01), CD8+水平降低(P<0.01), 但2组治疗后比较差异无统计学意义(P>0.05)。随访期间, 观察组反复发作次数少于对照组(t=10.60, P<0.0...     

电针合口服羊藿巴戟口服液治疗男性少弱精症的临床观察

目的研究电针合口羊藿巴戟服液治疗男性少弱精症的临床疗效和对精子质量的影响。方法 90例男性少弱精子症患者随机分为联合治疗组30例,予以电针治疗合口服羊藿巴戟口服液,电针取穴肾俞、命门、关元、三阴交;电针组30例,予以电针治疗,穴位同联合治疗组。口服药组,予以羊藿巴戟口服液服用。三组均以2个月为1疗程。结果联合治疗组和电针组、口服药物组的总有效率分别为93.3%,70.00%、73.3%。联合治疗组的总有效率优于电针组、口服药物组(P0.05)。治疗组治疗后精子密度和精子活力提高较治疗前和对照组治疗后更显着(P0.05)。结论电针治疗和口服羊藿巴戟口服液对治疗男性少弱精症有疗效,但是电针与羊藿巴戟口服液联合使用的治疗效果更加显著。     

耳穴皮内针治疗失眠:随机对照试验

ObjectiveTo compare whether there is clinical effects difference between intradermal needle at auricular acupoint and conventional acupuncture for insomnia.MethodsA total of 70 patients were randomly assigned into an intradermal needle group and an acupuncture group, 35 patients in each group. Finally 34 patients completed the study in the intradermal group, 32 patients completed validly in the acupuncture group. The patients in the intradermal needle group received intradermal needle therapy, in which the needle was imbedded subcutaneously at auricular acupoint: Shénmén (神门 TF₄), Pízhìxià (皮质下 AT₄), Zhĕn (枕 AT₃₎, Xīn (心 CO₁₅), and back-shu point: Gānshū (肝俞 BL18), Xīnshū (心俞 BL15), Shènshū (肾俞 BL23) and Pǐshū (脾俞 BL20), as well as Ānmián (安眠 EX-HN18) retained for 2 days, and the patient would received a second therapy every other day, one course of treatment consisted of 3 times of treatment. The patients in the acupuncture group received a conventional acupuncture therapy, in which Zhàohăi (照海 KI6), Shēnmài (申脉 BL62), Shénmén (神门 HT7), Sānyīnjiāo (三阴交 SP6), EX-HN18, Sìshéncōng (四神聪 EX-HN1) were punctured conventionally with needle and the needle was retained for 30 min, once per day, one course of treatment consisted of 5 times of treatment. Before and after the4 courses of treatment, Pittsburgh sleep quality index (PSQI) of the patients in the two groups were evaluated, and their clinical therapeutic effects were evaluated too.ResultsThere were no statistically significant differences of PSQI scores and clinical therapeutic effects of the patients with insomnia in two groups after treatment (both P>0.05).ConclusionsIntradermal needle at auricular acupoint and conventional acupuncture therapy have comparable clinical therapeutic effects.     

耳穴皮内针治疗失眠:随机对照试验（英文）

Objective:To compare whether there is clinical effects difference between intradermal needle at auricular acupoint and conventional acupuncture for insomnia.Methods:A total of 70 patients were randomly assigned into an intradermal needle group and an acupuncture group,35 patients in each group.Finally 34 patients completed the study in the intradermal group,32 patients completed validly in the acupuncture group.The patients in the intradermal needle group received intradermal needle therapy,in w...     

超短波联合阿奇霉素治疗小儿支原体肺炎的效果及对血清炎症因子水平与免疫功能的影响

目的 探讨超短波联合阿奇霉素治疗小儿支原体肺炎的效果及对血清炎症因子水平与免疫功能的影响。方法 选取2021年1月至2022年1月湖北省妇幼保健院收治的90例支原体肺炎患儿为研究对象，以随机数字表法分为单药组与联合组，每组45例。单药组常规给予阿奇霉素治疗，联合组在单药组用药基础上辅以超短波治疗。比较两组症状改善状况、疗效、治疗前后血清炎症因子水平和免疫功能。结果 联合组患儿体温复常、咳嗽消失、肺部啰音消失及住院的时间均短于单药组(P<0.05)。联合组患儿治疗总有效率高于单药组(P<0.05);联合组治疗后血清白细胞介素-6、白细胞介素-23及肿瘤坏死因子-α水平明显低于单药组(P<0.05)。联合组疗程结束时血清免疫球蛋白A(IgA)水平、CD4⁺的百分比及CD4⁺/CD8⁺细胞比值均高于单药组，差异均有统计学意义(P<0.05)。两组患儿不良反应发生率比较，差异未见统计学意义(P>0.05)。结论 超短波与阿奇霉素联合方案用于临床小儿支原体肺炎治疗中具有确切疗效，可有效改善患儿机体炎症...