[Objective] To further expound and prove the clinical effect of cervical spondylosis with three-steps manipulation, and to research the value of popularization and application in the basic medical institutions. [Methods] The study adopted three popularizing models. The 270 patient cases with cervical spondylosis were selected. Each 90 cases were from municipal hospital, district hospital and community health center. The trials were randomly divided into three-steps manipulation group, traction treatment group and traditional manipulation group. Compare the clinical efficacy among the three hospitals. Opt Neck Disabi1ity Index (NDI) and Visual Analogues Scale (VAS) qua the observation index sign for quantitative curative effects. [Results] The total clinical efficiency of three-steps manipulation group, traction treatment group and traditional manipulation group were 90.00％, 73.33％and 86.67％.These ratio of cure has obvious statistical difference (P<0.05). The ratio of cure with three-step manipulation has no statistical difference among three different hospitals (P>0.05). [Conclusion] Three-steps manipulation treatment of cervical spondylosis clinical efficacy equivalent to the traditional manipulation, but is better than the single traction treatment obviously. It has the characteristics of simple and easy to master, and it is suitable for using in base hospital of traditional Chinese medicine clinical technology.

Objective To observe the influence of oblique pulling method on soft tissue tension in patients with lumbar disc herniation (LDH).Methods 120 patients were randomly divided into the group A(treatment with oblique pulling method on normal side),group B(treatment with oblique pulling method on affected side),group C (treatment with oblique pulling method on normal and affected sides)and group D(treatment without oblique pulling method).And the corresponding manipulation therapy was given in each group.The displacement values of soft tissue tension in lumbar normal and affected sides were detected and compared before and after treatment by soft tissue tension test system.Results After the different intervention,the displacement values of soft tissue tension in normal and affected sides all showed the increasing tread in the four groups.Compared with treatment before,the displacement values of soft tissue tension in normal and affected sides were increased in group A,B and C after treatment,and the displacement value of soft tissue tension in affected sides was increased in group D after treatment(P ＜0.05).There were statistically significant differences on the displacement values of soft tissue tension between group B or C and group D after treatment (P ＜ 0.05).Conclusion The tuina therapy of oblique pulling method can significantly improve the lumbar soft tissue tension in patients with lumbar disc herniation.

医学新药物、新技术及医疗新器械出现后需要通过一定的途径推广到临床实践中才会让更多的人受益.通过论述医学新生物在发展过程中所采取的推广方法 及途径,探究在推广过程中尚且存在的问题,为临床医学的进一步普及发展及研究成果的有效转移转化提供建议、对策.

整理近5年内推拿治疗小儿反复呼吸道感染(RRTI)的相关文献,总结病因病机与治疗进展如下:西医学研究认为RRTI与儿童免疫力低下、T细胞亚群数量异常有关,中医学认为本病的发生责之小儿营卫虚弱与肺脾肾不足;治疗上除单纯推拿疗法外,还可与中药、敷贴相结合并且均具有确切疗效.但是,研究中存在着客观指标少、随访时间短、缺乏不同手法之间疗效差异的评价.参考文献30篇.

目的 验证曹仁发教授推拿手法方案治疗颈型颈椎病的临床疗效.方法 将60例患者随机分入推拿治疗组和牵引治疗组(每组30例),分别行推拿和牵引治疗.结果 推拿组总有效率96.67％,牵引组76.67％(P＜0.05);NDI:推拿组治疗前后差值(30.73±16.16)％,牵引组治疗前后差值(19.90±13.62)％(P＜0.05);VAS:三次治疗后,推拿组、牵引组二组重复测量主体间效应分析:F=5.95,P=-0.02.结论 曹仁发教授推拿手法方案治疗颈型颈椎病疗效显著,治疗后患者的疼痛减轻,颈椎功能有明显改善,且二者有相关性,值得进一步推广应用.

Objective To further expound and prove the clinical effect of lumbar disc herniation with Three-steps Massage Therapy,and research the value of popularization and application in the community and rural basic medical institutions.Methods The study adopted three popularizing models.180 cases with herniated lumbar disc were selected,90 cases from municipal hospital,45 cases from district hospital and 45 from community health center.The trials were randomly divided into Three-steps Massage Therapy group,traction treatment group and traditional massage therapy group.Compare the clinical efficacy among the three hospitals.ODI(Oswestry disability index) and VAS(visual analogus scale) were used as the observation index sign for quantitative curative effects.Results The total effective rates of Three-steps Massage Therapy group,traction treatment group and traditional massage therapy group were respectively 85.00%,60.00% and 83.33%,with obvious statistical differences between the three groups(P0.05).The ratio of cure with Three-step Massage Therapy has no statistical difference among three different hospitals(P0.05).Conclusion Three-steps Massage Therapy is quite effective for lumbar disc herniation,and suitable for base hospitals.

腰椎间盘突出症是因腰椎间盘变性、纤维环破裂、髓核突出,压迫和刺激相应水平的神经根、马尾神经或脊髓,引起腰痛、下肢放射痛或有膀胱直肠功能障碍等症状及体征的疾病。推拿手法治疗效果显著,与腰椎生理曲度的改善有一定联系。

Temporomandibular joint dysfunction syndrome (TMD) is a commonly encountered disease in the oral and maxillofacial region and often occurs in the young and middle-aged adults.The epidemiological study on this disease by domestic scholars showed its incidence rate was 32.0％-57.3％[1-3].This disease is mainly manifested by motor abnormality of the mandible,pain and clicking sound when opening or closing the mouth[4] and clinically can be divided into 3 stages,namely stage of functional disorders,stage of structure disorders,and stage of joint organic sabotage.Surgery is suggested in modem medicine for the latter two stages of this disease.In the stage of functional disorders,physiotherapy and jaw pads (bite plate) are often applied in the treatment.Acupuncture and tuina are commonly used in the treatment of this disease,mainly in the stage of functional disorders.we reviews the literature on acupuncture and tuina treatment of TMD in recent 5 years as follows.

腰椎间盘突出症又名"腰椎间盘纤维环破裂症",也可称腰椎间盘纤维环破裂症,属于中医学"腰痛"、"痹证"范围.目前临床上常采用手术 疗法和保守疗法.本文着重阐述推拿手法配合牵引在临床上治疗本病的应用情况.

Objective: To explore the effects of massage therapy on waist muscular tension in patients with lumbar disc herniation(LDH) by soft tissue tension test.Methods: Sixty patients with LDH were randomly divided into massage group and traction group,with 30 cases in each group.The massage group was treated by massage therapy,and the traction group was treated by traction therapy.The clinical effects and waist soft tissue tension were observed.Results: The total clinical effective rates of massage group and traction group were 90.00% and 56.67% respectively,with a statistical difference between two groups(P0.01).After treatment,the soft tissue tension displacement of patients(including affected and unaffected side) in massage group increased obviously(P0.01),and the soft tissue tension displacement of patients(including affected and unaffected side) in traction group significantly decreased(P0.05).Conclusion: Massage therapy can improve the waist soft tissue tension in patients with LDH,while traction therapy has no effects or even has negative effects on it.