Objective To analyze the relevant data of WeChat platform continuous nursing for cesarean section patients at home. Methods A total of 126 patients undergoing cesarean section in our hospital from February 2021 to February 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 63 cases in each group. The control group received routine nursing, and the observation group added continuous nursing under WeChat platform on the basis of routine nursing. The postpartum mood, self-care ability and scar score were compared between the two groups. Results The scores of tension, fatigue, anger, depression, confusion and vitality in the observation group were lower than those in the control group, and the differences were statistically significant (P ＜0.05). The scores of self-concept, self-care responsibility, self-care skills and health knowledge in the observation group were higher than those in the control group, and the differences were statistically significant (P ＜0.05). The scar score of the observation group was lower than that of the control group, and the difference was statistically significant (P ＜0.05). Conclusion The implementation of continuous nursing service on WeChat platform for cesarean section patients after discharge can improve their mood in puerperium, promote the healing of wounds after operation, and improve their self-care ability at home, which is worthy of clinical application.

目的:观察改良聚乙丙交酯(PGLA)线平刺透穴束带埋线法配合耳穴刺激对肝郁气滞型肥胖患者肥胖指标及焦虑与抑郁等负性情绪的影响.方法:将60例肝郁气滞型单纯性肥胖患者随机分为两组,均在常规营养科指导以及耳穴刺激的基础上,对照组30例采用羊肠线穴位埋线,治疗组30例采用改良PGLA线平刺透穴束带法埋线,采用Inbody S10人体成分仪观察肥胖相关指标及焦虑、抑郁自评量表负性情绪变化,记录患者首次食欲下降时间、治疗总次数以及不良反应.结果:两组患者在治疗前各项肥胖指标差异统计学意义(P＞0.05);两组患者治疗后肥胖相关指标以及焦虑、抑郁自评分均较治疗前有所改善,差异具有统计学意义(均P ＜0.05);其中,治疗组首次食欲下降时间较对照组缩短,差异具有统计学意义(P＜0.05),治疗总次数较对照组减少,差异具有统计学意义(均P ＜0.05);治疗3个疗程后,治疗组腰围疗效明显优于对照组,疼痛、皮下硬结等不良反应均低于对照组,差异具有统计学意义(P＜0.05).结论:改良PGLA线平刺透穴束带埋线法配合耳穴刺激能有效降低肥胖相关指标,改善负性情绪,降低不良反应.

目的 了解问题式教学法(problem-based learning,PBL)与讲授式教学法(lecture-based learning,LBL)结合在留学生《针灸学》教学中的应用效果.方法 将2014级和2015级南京医科大学临床医学专业本科留学生分为两组进行研究,试验组96人,在完成LBL课程教学的基础上,叠加使用PBL教学法;对照组65人,采用单纯LBL教学法,在学期结束后采用闭卷考核的方式对教学效果进行评估.结果 考核结果显示,试验组学生的期末成绩优于对照组(P=0.000),试验组40分及以上的学生人数多于对照组(P=0.008).结论 PBL+LBL混合教学法的教学效果优于单纯LBL教学法.

目的 探讨脑膜瘤MRI图像体视学参数与其良恶性之间的关系,以寻找一种临床鉴别脑膜瘤良恶性的方法.方法 收集2014年5月～2018年9月我院收治的182例脑膜瘤患者的MRI图像和病理学资料,其中男性39例,女性143例,利用体视学方法测量肿瘤体积(V)及肿瘤表面积密度(Sv).结果 所有患者中,良性组共148例,平均体积36.51 cm3,平均表面积密度4.83;恶性组共34例,平均体积49.09 cm3,平均表面积密度7.06.良恶性组脑膜瘤体积比较,差异无统计学意义(P＞0.05);恶性组脑膜瘤表面积密度高于良性组,差异有统计学意义(P＜0.05).恶性组Sv≥6.18 27例(27/34);良性组Sv≤5.60 127例(127/148).结论 MRI图像体视学方法测定脑膜瘤表面积密度可行,脑膜瘤表面积密度与病理级别有关,Sv≥6.18和Sv≤5.60可以作为鉴别脑膜瘤良恶性的指标.

目的 探讨脑膜瘤体积、表面积密度、部位、病理类型与瘤周水肿之间的关系.方法 收集2013年5月至2018年5月经手术和病理证实为脑膜瘤的212例首发患者的脑膜瘤组织病理切片及影像学资料,运用体视学方法计算出肿瘤瘤体体积、表面积密度、瘤周水肿体积及水肿指数,并分析瘤周水肿特点.结果 发生瘤周水肿组脑膜瘤瘤体体积、表面积密度明显大于不发生瘤周水肿组(P＜0.05);大脑镰旁、前颅窝、中颅窝及蝶骨嵴部位脑膜瘤瘤周水肿发生率明显高于其他部位脑膜瘤(P＜0.05);高级别脑膜瘤瘤周水肿发生率明显高于低级别脑膜瘤(P＜0.05).Logistic回归分析显示:脑膜瘤瘤体体积与瘤周水肿的发生密切相关(P＜0.05).结论 脑膜瘤瘤体体积、表面积密度及高、低级别与瘤周水肿的发生密切相关,但以瘤体体积相关性更大.

目的 观察耳疱疹区毫火针放血结合针刺治疗Hunt面瘫的临床疗效.方法 将40例Hunt面瘫患者随机分为两组,均在常规药物治疗的基础上,治疗组20例采用耳疱疹区毫火针放血结合普通针刺,对照组20例应用普通针刺,采用面神经分级量表(FNGS2.0)观察两组疗效,并比较两组总体治愈率和平均治疗次数,以及观察不良反应.结果 两组患者在治疗前FNGS评分具有可比性,P＞0.05;在治疗10次后,治疗组疗效明显优于对照组,P＜0.05;治疗20次后,两组疗效相当,P＞0.05.两组总有效率无差异,但治疗组平均治疗次数少于对照组,P＜0.05.治疗组未观察到明显不良反应.结论 耳疱疹区毫火针放血结合针刺疗法能安全、有效的促进hunt面瘫患者面神经功能的恢复.

目的:探讨PBL教学法在规范化培训护士中的应用效果.方法:将2016年1～4月轮转的17名规范化培训护士作为对照组,按常规培训法进行培训;将5～8月轮转的19名规范化培训护士作为观察组,在对照组基础上实施PBL教学法;比较两组知识掌握情况、理论成绩、静脉治疗操作合格率、患者满意度及护理人力消耗情况.结果:观察组知识掌握情况、理论成绩、静脉治疗操作合格率、患者满意度及护理人力消耗情况均优于对照组(P<0.01).结论:PBL教学法可明显提高规范化培训护士对于小儿留置针静脉治疗的规范性,从而提高患者满意度.

Objective To observe the clinical efficacy of moving cupping in the anterior cervical region plus bloodletting in treating acute pharyngitis.Method Thirty-six patients with acute pharyngitis were randomized into two groups, 18 cases each. The treatment group was intervened by moving cupping in the anterior cervical region plus bloodletting at Tiantu (CV22), and the control group was intervened by oral administration of Pu Di Lanoral liquid. The therapeutic efficacy was evaluated by using the acute pharyngitis symptoms grading scale, and the adverse reactions in the treatment group were also observed.Result The two treatment methods were both effective, and the between-group difference in comparing the total effective rate was statistically insignificant (P>0.05). Compared with the control group, the treatment group showed a swifter action; pharyngeal pain, dry and burning sensations in pharynx, and mucus congestion were effectively improved, the disease duration was shortened, and there were no adverse reactions in the treatment group.Conclusion Moving cupping in the anterior cervical region plus bloodletting can effectively mitigate the sufferings of the patients with acute pharyngitis without producing any adverse reactions.

OBJECTIVETo observe the effects of "menstrual cycle-based acupuncture therapy" on ovarian function and pregnancy results of in vitro fertilization-embryo transfer (IVF-ET) in patients with decline in ovarian reserve (DOR).METHODSA total of 63 patients of DOR who received treatment of IVF/intracytoplasmic sperm injection (ICSI) were randomly divided into an observation group (30 cases) and a control group (33 cases). The patients in the observation group were treated with "menstrual cycle-based acupuncture therapy". The syndrome differentiation and treatment were given based on different phases of menstruation. Shiqizhui (EX-B 8) and Mingmen (GV 4) were selected during menstrual phase, Shenshu (BL 23), Geshu (BL 17), Sanyinjiao (SP 6) and Taixi (KI 3) were selected after menstruation, Qihai (CV 6), Guanyuan (CV 4), Zigong (EX-CA 1), Zusanli (ST 36) were selected during ovulatory period, Qihai (CV 6), Guanyuan (CV 4), Yanglingquan (GB 34), Taichong (LR 3) were selected before menstruation. The acupuncture was given twice a week until second menstrual cycle of oocyte retrieval. The total times of acupuncture was (15 ± 2). After acupuncture, patients were treated with IVF-ET. The patients in the control group were treated with IVF-ET but no acupuncture. The indices of ovarian reserve function, including basic follicle-stimulating hormone (FSH), estradiol (E2), antral follicle count (AFC), number of retrieved oocytes, number of fertilization and number of high quality embryo, were compared and analyzed before and after acupuncture in the observation group. The differences of outcomes of IVF-ET, including the cycle cancellation rate, implantation rate, the clinical pregnancy rate, were compared between the two groups.RESULTSCompared before acupuncture, the E2, AFC, number of retrieved oocytes, number of high quality embrgo and number of fertilization were all increased after acupuncture in the observation group (all P< 0. 05). Compared with the control group, levels of the E2, the number of retrieved oocytes, number of fertilization and number of high quality embryo were all increased in the observation group (all P < 0.05). Also, the implantation rate, the clinical pregnancy rate were improved (both P < 0.01) and cycle cancellation rate was reduced (P< 0.01).CONCLUSIONThe "menstrual cycle-based acupuncture therapy" can effectively improve the ovarian reserve function in DOR patients, leading to an improved clinical pregnancy rate of IVF-ET.

目的:观察耳管灸结合针刺治疗周围性面神经炎的临床疗效.方法:将30例周围性面神经炎患者随机分为两组,均在常规药物治疗的基础上,治疗组15例采用耳管灸结合针刺,对照组15例采用温针灸结合针刺,用面神经分级量表Facial Nerve Grading Scale 2.0(FNGS 2.0)观察两组疗效,比较两组总体治愈率和平均治疗次数,并观察不良反应.结果:两组患者在治疗前FNGS评分具有可比性,P＞0.05;在治疗2周后,治疗组疗效明显优于对照组,P＜0.05;治疗4周后,两组疗效相当,P＞0.05.两组总有效率无差异,但治疗组平均治疗次数少于对照组,P ＜0.05.治疗组未观察到不良反应.结论:耳管灸结合针刺能有效促进患者尽快恢复,减少治疗次数,经济安全有效,值得推广运用.

Objective:To investigate parents'demand of continue nursing for extremely premature infant after discharging from hospital .Methods: Selected 134 mothers with extremely premature infant in our hospital from July 2014 to June 2015 and by self-design questionnaire survey to summarize the demands for extremely premature infant after discharging from hospital.Results:(1) For those surveyed families with extremely premature infant, their first anxiety was the change of vital signs and weight growth, and also they had worries about prognosis intelligence, eyesight and hearing.(2) For the demand of con-tinue nursing, many families had urgent demands for the prevention of common disease, identification of special cases and early education.(3) For the time and method of continue nursing, top of the list was respectively 1-2 weeks after discharging hospital and getting help through follow -up visits and tel-ephone.Conclusion: Continue nursing is extremely urgent and we shall establish continue nursing service system according to parents'( with extremely pre-mature infant) demands and willingness, in order toraise their life quality and promote the social and economic benefits of continue nursing service .

Objective: Obesity is a major public health problem. Regulating food intake and promoting metabolism of fat are two important options for treating obesity. Auricular vagus nerve stimulation (AVNS) is considered as an alternative approach to vagal nerve stimulation. The aim of this study was to investigate the effects of AVNS and its mechanisms on obesity in obese rats. Methods: Male Sprague-Dawley rats were fed either a high-fat diet (HFD) or a normal diet for 8 wk. Qualified HFD rats were randomly divided into three groups: the HFD group, the AVNS group, and the sham group for 6 wk treatment. Body weight and daily energy intake were recorded weekly. The rats were sacrificed for measurement of weight of bilateral perirenal, epididymal white adipose tissue (WAT), dorsal brown adipose tissue (BAT), and gastric emptying. Serum cholecystokinin (CCK), peptide YY3 to (36) (PYY3-36) and norepinephrine (NE) were assayed by enzyme-linked immunosorbent assay. Real-time quantitative polymerase chain reaction was used to assess the mRNA expressions of CCK subtype receptor a (CCKa) in the antrum, PYY3-36 receptor in the distal ileum, beta(3)-adrenoceptor, and uncoupling protein gene 1 (UCP1) in the BAT. Results: Compared with HFD group, AVNS significantly reduced body weight and epididymal WAT and increased BAT weight, serum NE, mRNA expressions of beta(3)-adrenoceptors, and UCP1 of the BAT, but had no effect on daily energy intake, perirenal WAT weight, gastric emptying, serum levels of CCK and PYY, or mRNA expressions of CCKa receptor and PYY3-36 receptor in the relevant tissues. The sham group, as a comparison group for AVNS, saw less effect in any of the indexes compared with the HFD group. AVNS had more effect on weight loss, reduction of perirenal WAT, and increase of NE, beta(3)-adrenoceptor, and UCP1 than sham. Conclusions: AVNS was more effective in reducing body weight and causing visceral fat loss. Biochemical tests found more NE released in the serum and more beta(3)-adrenoceptor and UCP1 expression in the BAT. All of these features suggested that energy expenditure might play an important role in obesity management by AVNS. (C) 2015 Elsevier Inc. All rights reserved.

目的:探讨穴位埋线治疗单纯性肥胖症的临床发展趋势及运用规律.方法:以回顾性研究方式,借助文献计量学方法,对中国期刊全文数据库(CNKI) 1995-2012年公开发表的穴位埋线治疗单纯性肥胖症的临床研究文献进行统计分析,并从处方选穴、埋线技术、疗效特点等方面进行总结,探讨其临床运用规律.结果和结论:穴位埋线是治疗单纯性肥胖症的有效方法,其临床应用率呈逐年递增趋势.处方规律体现出分经选穴以调理脾胃为要,分部选穴多用腹部穴的基本思路.埋线技术的发展与时俱进,针具的改良更趋微型而少创痛,新型埋线材料的引入使该疗法的安全性不断提升.穴位埋线治疗本病具有近期疗效显著和远期疗效稳定的特点,与传统的针刺疗法及药物减肥比较,显示出良好的优势.

目的:观察耳甲部电针刺激对肥胖鼠体质量、摄食、脂肪代谢的影响.方法:60只4周SD雄性大鼠独笼饲养,按随机数字表法抽取10只作为空白对照组(Normal组)正常食物喂养,余50只高脂食物喂养8周后,36只大鼠体质量高于空白对照组体质量平均数的10％,将其按随机数字表法分成模型组(Model组)、耳甲部电针刺激组(EA-ACR组)、非耳甲部电针刺激组(Sham-EA-ACR组),每组12只.观察肥胖大鼠的体质量、摄食量、胃排空、内脏脂肪质量和棕色脂肪质量的变化.结果:与Model组比较,EA-ACR组大鼠体质量明显下降(P=0.02),睾周脂肪减少(P=0.02),棕色脂肪含量增多(P＜0.05),肾周脂肪差异无统计学意义(P =0.31):Sham-EA-ACR组大鼠体质量下降不明显(P=0.65),睾周脂肪减少不明显(P=0.47),棕色脂肪含量变化差异无统计学意义(P＞0.05),肾周脂肪差异无统计学意义(P=0.30);摄食量高脂饲料各组明显低于空白对照组(P＜0.05),高脂饲料各组差异无统计学意义(P＞0.05);胃排空各组差异无统计学意义(P＞0.05);与Sham-EA-ACR组比较,EA-ACR组大鼠体质量下降有意义(P＜0 05),睾周脂肪减少(P=0.01),肾周脂肪减少(P＜0.05),棕色脂肪含量增多(P＜0.05).结论:耳甲部电针刺激可能主要是通过促进脂肪代谢产生减肥的效果.

Objective:To observe the effect of electro -acupuncture ( EA) combined with Huatuo Jiaji injec-tion with Analgecine for treating herpetic neuralgia .Methods:Thirty patients with herpetic neuralgia were ran-domly divided into Analgecine (A) group (15 cases) and Methycobal (B) group (15 cases).A group was treated by EA and Huatuo Jiaji injection with Analgecine , while B group was with Methycobal .The results were evaluated by comparing the whole effect and analgesic effect .Results:The whole score and analgesic score were both significantly declined in A and B groups ( P<0.01) , but there was no significant difference of post -treat-ment whole score and analgesic score in two groups ( P >0.05 ) .Conclusion:Electroacupuncture with Anal-gecine combined with Huatuo Jiaji injection has a quick effect , safety and better efficacy for treating herpetic neuralgia , which is worthy of clinical application .

Objective: To analyze the multiple factors affecting acupoint sticking therapy to cure chronic asthma.Methods: Chronic asthmatic models were established by intraperitoneal injection and atomization with ovalbumin.The IgE in blood serum and the pathology of lung tissue were measured and orthogonal design was adopted for optimization of combined programs of 4 factors at 3 levels influencing therapeutic effects of acupoint sticking therapy on chronic asthma.The 4 factors were composition and dosage of herbs,duration time and interval time of sticking therapy.Results: Baijiezi Tufa,0.6g,4h and every 5 day for each time attained the lowest IgE.The composition of herbs and duration time and interval time of sticking therapy were the key factors of acupoint sticking.However,the dosage given in the test had no effect to the outcome.Conclusion: There are multiple factors affecting acupoint sticking therapy.The results demonstrated that proper composition of drugs,duration time and interval time,combined with suitable dosage of herbs could reduce IgE and improve the inflammation of lung tissue effectively.

目的:观察不同材质微创埋线对单纯性肥胖症的治疗作用。方法:随机选择符合纳入标准的患者在中脘、天枢、关元、带脉、丰隆、足三里行聚乙交酯丙交酯(PGLA)、羊肠线和假穴位埋线治疗,10d治疗1次,治疗9次后对肥胖指标、首次食欲降低时间、安全性进行评定。结果:PGLA组、羊肠线组体重及BMI下降,与假埋线组比较均有显著性差异;PGLA组腰臀比下降,与假埋线组比较有显著性差异;PGLA组、羊肠线组首次食欲降低时间与假埋线组比较均有显著性差异;羊肠线组出现压痛、红肿、硬结、轻度发热、过敏等不良反应,发生率明显高于PGLA组。结论:PGLA线体作为埋植材料,其不良反应发生率低于羊肠线,是一种更为理想的埋植材料。

Point application therapy is widely used with assured efficacy in clinic.Cutaneous region,as the outermost meridian system,directly determine the osmotic concentration of the drugs,the stimulus of different levels and the curative effect.Therefore,the cutaneous region plays an important role in the point application therapy.This article will give a brief analysis on the relationship between cutaneous region and point application therapy,the absorbent concentration of cutaneous region,the interaction between skin and drug,the influence of the pharmic stimulation on the nerves and body fluid and the peculiar effect of cutaneous region on different meridians.It is profoundly meaningful for choosing the optimization of application area,enhancing the curative effect,better understanding the mechanism and the relationship between body surface,acupoints and zang-fu organs.

本文对照《中医体质分类与判定》的国家标准,在此基础上加了血虚体质,合为十种体质.大家对照一下,看看自己属于哪种体质,可有针对性地选择养生策略.1.平和体质总体特征:阴阳气血调和,以体态适中、面色红润、精力充沛等为主要特征. 形体特征:体型匀称健壮.常见表现:面色、肤色润泽,头发稠密有光泽,目光有神,鼻色明润,嗅觉通利,唇色红润,不易疲劳,精力充沛,耐受寒热,睡眠良好,胃纳佳,二便正常,舌色淡红,苔薄白,脉和缓有力.心理特征:性格随和开朗.发病倾向:平素患病较少.对外界环境适应能力:耐受风、寒、暑、湿邪,及气候变化.

Objective To compare the anti-asthmatic effects of acupoint sticking therapy with Baijiezi tufa from compound Chinese traditional medicine and single Chinese herb on guinea pigs.Methods Ovalbumin(OVA)-sensitized guinea pigs were treated by acupoint sticking therapy with compound Chinese traditional medicine or single herb.The incubation period and degree of asthma attack were observed after treatment.Results The efficacy of treatment was in an order of compoundBaijieziGansui,Yanhusuo and Xixin.The anti-asthmatic effect was related to the phamacological characteristics of the drug and its degree of skin stimulation.Conclusion The anti-asthmatic effect of compound is better than that of single herb.Among the single herbs,Baijiezi is the strongest in preventing and controlling asthma.