目的:探讨干针治疗慢性肩袖损伤的临床效果。方法:选取肩袖损伤伴功能障碍患者60例,使用随机数字表法分为观察组(n=30)和对照组(n=30)。两组均行物理因子、运动训练及关节松动术常规康复治疗。观察组在常规康复治疗的基础上予干针治疗...目的:探讨干针治疗慢性肩袖损伤的临床效果。方法:选取肩袖损伤伴功能障碍患者60例,使用随机数字表法分为观察组(n=30)和对照组(n=30)。两组均行物理因子、运动训练及关节松动术常规康复治疗。观察组在常规康复治疗的基础上予干针治疗。分别于治疗前、治疗6周后采用视觉模拟评分法(visual analogue scale,VAS)和肢功能障碍问卷(disabilites of the arm,shoulder and hand,DASH)评估两组肩部疼痛程度及上肢运动功能。结果:治疗6周后两组患者VAS及DASH评分均较治疗前改善(均P<0.05),且观察组改善程度明显优于对照组(P<0.05)。结论:干针疗法可减轻慢性肩袖损伤患者的疼痛,促进肩关节的功能恢复。展开更多
慢性腰痛(low back pain,LBP)病理机制复杂,与腰部神经、肌肉、关节等关系密切。多裂肌是维持脊柱稳定的重要组成部分,多裂肌萎缩与LBP的发生、发展密切相关[1]。干针疗法通过有效灭活扳机点,通过体-壁反射或内脏-神经反射发挥抗炎镇痛...慢性腰痛(low back pain,LBP)病理机制复杂,与腰部神经、肌肉、关节等关系密切。多裂肌是维持脊柱稳定的重要组成部分,多裂肌萎缩与LBP的发生、发展密切相关[1]。干针疗法通过有效灭活扳机点,通过体-壁反射或内脏-神经反射发挥抗炎镇痛作用[2],既往研究显示,正常人和LBP患者干针治疗后通过超声可检测到多裂肌增厚。荟萃分析显示,干针治疗可增强颈部疼痛患者的肌力,但对LBP患者是否具有同样效果尚不明确[3]。临床常用的干针针法包括单纯留针和手法行针,本研究观察比较了这两种干针疗法对LBP患者多裂肌压力痛阈值和肌电图振幅的短期影响,现报告如下。展开更多
Objective： To observe the effects of electroacupuncture （EA） at the Conception Vessel on proliferation and differentiation of the nerve stem cells in the inferior zone of the lateral ventricle in cerebral ischemia ...Objective： To observe the effects of electroacupuncture （EA） at the Conception Vessel on proliferation and differentiation of the nerve stem cells in the inferior zone of the lateral ventricle in cerebral ischemia rats. Methods： The model rats were prepared by occlusion of the middle cerebral artery for 2 hours and then by reperfusion. They were randomly divided into two groups： a control group and an EA group. Changes in differentiation and proliferation of the nerve stem cells were observed 7, 14 and 28 days after successful modeling. Results： As compared with the 7-day control group （C-7d group）, there was no significant difference （P〉0.05） in the numbers of 5-bromodeoxyuridine （Brdu） positive cells, Brdu/GFAP, Brdu/Nestin and Brdu/Nse double-labeled cells in the inferior zone of the lateral ventricle in the EA group 7 days after modeling. However, in the 14-day EA group （R-14d group） and the 28-day EA group （R-28d group）, the numbers of Brdu positive cells and Brdu/GFAE Brdu/Nestin, Brdu/Nse double-labeled cells significantly increased as compared respectively with the 14-day control （C-14d group） and the 28-day control （C-28d） group （P〈0.05 or P〈0.01）. Conclusions： EA at the Conception Vessel promotes differentiation and proliferation of the nerve stem cells in the inferior zone of the lateral ventricle in the cerebral ischemia rats, and may stimulate differentiation of the proliferous nerve stem cells towards the astrocvtes.展开更多
文摘目的:探讨干针治疗慢性肩袖损伤的临床效果。方法:选取肩袖损伤伴功能障碍患者60例,使用随机数字表法分为观察组(n=30)和对照组(n=30)。两组均行物理因子、运动训练及关节松动术常规康复治疗。观察组在常规康复治疗的基础上予干针治疗。分别于治疗前、治疗6周后采用视觉模拟评分法(visual analogue scale,VAS)和肢功能障碍问卷(disabilites of the arm,shoulder and hand,DASH)评估两组肩部疼痛程度及上肢运动功能。结果:治疗6周后两组患者VAS及DASH评分均较治疗前改善(均P<0.05),且观察组改善程度明显优于对照组(P<0.05)。结论:干针疗法可减轻慢性肩袖损伤患者的疼痛,促进肩关节的功能恢复。
文摘慢性腰痛(low back pain,LBP)病理机制复杂,与腰部神经、肌肉、关节等关系密切。多裂肌是维持脊柱稳定的重要组成部分,多裂肌萎缩与LBP的发生、发展密切相关[1]。干针疗法通过有效灭活扳机点,通过体-壁反射或内脏-神经反射发挥抗炎镇痛作用[2],既往研究显示,正常人和LBP患者干针治疗后通过超声可检测到多裂肌增厚。荟萃分析显示,干针治疗可增强颈部疼痛患者的肌力,但对LBP患者是否具有同样效果尚不明确[3]。临床常用的干针针法包括单纯留针和手法行针,本研究观察比较了这两种干针疗法对LBP患者多裂肌压力痛阈值和肌电图振幅的短期影响,现报告如下。
文摘Objective： To observe the effects of electroacupuncture （EA） at the Conception Vessel on proliferation and differentiation of the nerve stem cells in the inferior zone of the lateral ventricle in cerebral ischemia rats. Methods： The model rats were prepared by occlusion of the middle cerebral artery for 2 hours and then by reperfusion. They were randomly divided into two groups： a control group and an EA group. Changes in differentiation and proliferation of the nerve stem cells were observed 7, 14 and 28 days after successful modeling. Results： As compared with the 7-day control group （C-7d group）, there was no significant difference （P〉0.05） in the numbers of 5-bromodeoxyuridine （Brdu） positive cells, Brdu/GFAP, Brdu/Nestin and Brdu/Nse double-labeled cells in the inferior zone of the lateral ventricle in the EA group 7 days after modeling. However, in the 14-day EA group （R-14d group） and the 28-day EA group （R-28d group）, the numbers of Brdu positive cells and Brdu/GFAE Brdu/Nestin, Brdu/Nse double-labeled cells significantly increased as compared respectively with the 14-day control （C-14d group） and the 28-day control （C-28d） group （P〈0.05 or P〈0.01）. Conclusions： EA at the Conception Vessel promotes differentiation and proliferation of the nerve stem cells in the inferior zone of the lateral ventricle in the cerebral ischemia rats, and may stimulate differentiation of the proliferous nerve stem cells towards the astrocvtes.
