目的 观察肌骨超声定位下放散式体外冲击波疗法(Radial extracorporeal shock wave therapy,rESWT)治疗冈上肌肌腱炎(Supraspinatus tendinitis,ST)的临床疗效.方法 选取冈上肌肌腱炎患者54例,按照随机数字表法分为观察组与对照组,各27例.对照组给予痛点结合体表解剖标志定位行rESWT治疗,并辅以常规康复治疗,观察组在对照组基础上予以肌骨超声定位下行rESWT治疗.在治疗前、治疗后即刻和治疗后5周、12周,采用视觉模拟评分法(Visual analogue scale,VAS)、加州大学肩关节评分(University of California at Los Angeles,UCLA)、肌骨超声疗效评价对两组患者疗效进行比较.结果 两组治疗后即刻、5周及12周的VAS及UCLA肩关节评分比较,差异有统计学意义(P<0.05);两组治疗前后VAS及UCLA肩关节评分比较,差异有统计学意义(P<0.05);观察组的治愈率和治疗有效率均高于对照组,但两组比较差异无统计学意义(P>0.05).结论 肌骨超声定位下rESWT治疗可有效改善ST患者肩部疼痛及关节功能,有较好的临床推广应用价值.

本文复习了与皮部针相关的古代文献及现代研究,明确了皮部的解剖学内涵,率先提出了皮部针疗法概念以及皮部受邪的肥胖病发病机制,并应用皮部针疗法治疗单纯性肥胖症2000余例,取得满意疗效。作者认为皮部针疗法属广义毫针浅刺法,不需要特殊针具,也不局限于特定疾病和特定部位的治疗,因其明显提高针刺治疗的依从性及医疗安全性,除用于治疗单纯性肥胖外,相信在临床各科尤其针灸保健领域有广阔的应用前景。

面神经炎是临床常见病、多发病,本病早期病理改变表现为面神经茎乳突孔处炎性水肿和脱髓鞘.现西医界及针灸界一些临床医师均不主张早期局部针刺治疗,认为应以药物消炎消肿为主.但临床上药物疗效并不理想.为另辟蹊径, 2000年6月至2002年5月我们应用超激光疼痛治疗仪治疗面神经炎急性期患者40例,同时与单纯药物治疗40例进行对照观察,现报告如下.

采用先超激光照射后加电针治疗急性面神经炎患者 80例与先西药后电针治疗 40例进行对照观察.结果前者疗效优于后者.

应用北京柏尔医用设备有限公司研制的 BPM Ⅲ型红外偏振光治疗仪,对各种急、慢性疼痛性疾病 128例进行治疗观察,总有效率 95.3%.

腰椎间盘突出症是引起腰腿痛的常见病症,治疗方法较多,疗效各异.1998年1月～2002年5月,我们采用硬膜外腔药物液压疗法加常规理疗治疗此病,并与对照组比较,证明该方法疗效满意.

OBJECTIVE To investigate the changes of pulmonary tissue area density and their mechanisms in rats with hypoxic pulmonary hypertension (HPH). METHODS 54 Wistar rats were divided into hypoxia 10 d (n = 12), 20 d (n = 12), 30 d (n = 12) groups and control group (n = 18). The rats in hypoxia groups were exposed to a simulated hypoxia environment at a height of 5 km above sea level to establish HPH models. The changes in pulmonary tissue area density and pathological morphology were determined by image analysis, optical microscope, electron microscope and histochemistry. RESULTS After hypoxia, the pulmonary tissue area density markedly increased on 10 d (27.08% +/- 1.29%, P < 0.05), especially on 20 d (31.33% +/- 0.27%) and 30 d (31.10% +/- 1.95%) while that in control group was 22.78% +/- 1.17% (P < 0.01). The area density on 20 d was higher than that on 10 d (P < 0.05) but there wasn't significantly different between 10 d and 30 d (P = 0.057) after hypoxia. Pathological examination showed: edema and collapse of pulmonary tissue, swelling and degeneration of type II alveolus epithelial cells (PII); congestion, accumulation of polymorphonuclear neutrophils and platelets in capillaries; swelling and degeneration of endothelial cells, thickening of basement membranes. CONCLUSIONS Hypoxia can induce increase in pulmonary tissue area density and decrease in aerial exchange area in alveoli. These changes may be related to the pulmonary collapse caused by the damage of PII and pulmonary surfactant system, structural remodeling of small pulmonary arteries, increase in blood cells and protein granules in alveolar cavity.

我科自1998年1月～2002年5月,采用硬膜外腔药物液压疗法加物理疗法治疗腰椎间盘突出症患者66例,现报道如下.

脾虚泄泻属现代医学慢性腹泻范畴,为临床常见病症,因其病因复杂,故治疗较为困难.近年来中医药及外治法的研究越来越引起重视,麦粒灸作为一种传统的外治法,治疗脾虚泄泻已得到临床认可,但文献报道多局限于对临床症状疗效的评价,缺乏客观定量指标.笔者通过观察脾虚泄泻患者经麦粒灸治疗前后临床症状及实验指标的改变,探讨麦粒灸的疗效,现报道如下.

目的:研究P300电位与额叶及扣带回的关系.方法:以家兔为实验对象,记录额叶、扣带前回和扣带后回损毁前后的P3a电位.结果:P3a极性反转者仅见于扣带前回;损毁扣带后回,P3a波幅及潜伏期无改变;损毁额叶,P3a波幅及潜伏期无显著性改变;同时损毁额叶和扣带前回,P3a消失或波幅降低.结论:扣带前回与P3a发生有关.

慢性肾功能衰竭患者30例,男18例,女12例;年龄27～55岁,平均(45.1±7.3)岁;原发性病为慢性肾炎21例,高血压肾病3例,慢性肾盂肾炎2例,糖尿病肾病2例,急进性肾炎1例,狼疮性肾炎1例;于腕上2～3 cm桡侧行动静脉内瘘术,左侧24例,右侧6例;术后2～4周,透析中最大血流量(160.00±5.96)ml/min,内瘘口血流多普勒测值(108.81±12.59)ml/min.

SD rats were made to be spleen deficiency with diarrhia.The animals were divided into three groups,moxibustion group treated with granule moxibustion on “Pishu”,“Weishu” and “Zusanli” points,once a day,three cones per point, for 15 days;decoction group treated with decoction;and control group without treatment.After treatment the number of mucosa mast cells (MMC) of the rats in moxibustion group was significantly increased than that in control group (P<0 001) and decoction group (P<0 05). The results suggest that moxibustion may regulate the immune function and resistant inflammation reaction.

颞颌关节紊乱综合症(Temporo mandibuar Joint Disordor Syndrom,TMJDS)系指颞颌关节内部结构紊乱,即关节盘与髁状突、关节窝与关节结节之间的关系异常[1,2],是口腔颌面部常见病、多发病.TMJDS病因复杂,治疗方法繁多,故及时祛除病因,选择恰当有效的治疗方法对患者的预后极为重要.1994-01～1999-12,我科应用微波、超短波两种物理方法对确诊为非器质性病变的73例TMJDS患者进行了治疗,疗效显著.并对两种疗法的疗效机制进行探讨.

采用大黄、利血平及饥饱不均复合因素造模法,复制出脾虚泄泻模型.观察了用麦粒灸灸"脾俞"、"胃俞"、"足三里"穴对脾虚泄泻大鼠血清D-木糖、血浆中分子及脑内单胺类介质含量的影响.结果表明:麦粒灸能显著提高大鼠血清D-木糖值,降低大鼠血浆中分子物质含量,调节脑内单胺类神经递质含量.提示麦粒灸对实验性脾虚泄泻具有确切的治疗作用.