Objective:To observe the clinical effect on superior cluneal nerve(SCN)entrapment syndrome treated with the release technique of long round-sharp needle.Methods:The syndrome differentiation based on meridian muscle re...Objective:To observe the clinical effect on superior cluneal nerve(SCN)entrapment syndrome treated with the release technique of long round-sharp needle.Methods:The syndrome differentiation based on meridian muscle region was adopted.The release technique of the long round-sharp needle was used at the lesions of meridian tendon region,Yāoyícì(Beside Yaoyi)and the transverse process of the third lumbar vertebra in 34 patients with SCN entrapment syndrome.The treatment was given once a week,4 treatments made one course.After one course treatment,the therapeutic effect was observed.The results of pain rating index(PRI),the visual analogy scores(VAS)and the present pain intensity(PPI)were compared before and after treatment.Results:Of 34 patients,28 cases(82%)were cured,6 cases(18%)effective and 0 case(0%)failed.The total effective rate was 100%.The scores of PRI,VAS and PPI were(10.78±1.98),(5.98±1.19)and(3.91±1.68)successively in 34 cases before treatment and they were(1.98±1.79),(0.89±1.12)and(0.82±0.79)after treatment.The score of every evaluation scale after treatment was lower significantly than that before treatment(all P<0.01).Conclusion:The release technique of long round-sharp needle achieves the satisfactory clinical effect on SCN entrapment syndrome.Hence,this therapeutic method deserves to be promoted.展开更多
The emergence of nine needles in Nèijīng（《内经》, The Inner Classic） laid a foundation for the formation and development of needling instruments and acupuncture manipulation in later ages, but the application...The emergence of nine needles in Nèijīng（《内经》, The Inner Classic） laid a foundation for the formation and development of needling instruments and acupuncture manipulation in later ages, but the application of nine needles was not realized during clinical practice of acupuncture-moxibustion in later ages. Round-sharp needle is one of the nine needles. In this study, round-sharp needle was taken as an example to introduce the excavation and revitalization of nine needles and diagnosis and treatment rules explored by Mr. CHEN Lixin according to The Inner Classic. The needle shape, needling manipulation and clinical application of round-sharp needle based on The Inner Classic were described in detail.展开更多
BACKGROUND Hemorrhoids are a common anal condition and can afflict an individual at any age.Epidemiological survey results in China show that the prevalence of anorectal diseases is as high as 50.1%among which 98.08%o...BACKGROUND Hemorrhoids are a common anal condition and can afflict an individual at any age.Epidemiological survey results in China show that the prevalence of anorectal diseases is as high as 50.1%among which 98.08%of patients have hemorrhoid symptoms.AIM To assess long-term efficacy and safety of cap-assisted endoscopic sclerotherapy(CAES)with long injection needle for internal hemorrhoids.METHODS This study was retrospective.Data from patients with symptomatic internal hemorrhoids treated with CAES using endoscopic long injection needle from April 2016 to December 2019 were collected.Patients were telephoned and followed at two time points,December 2020 and 2021,to evaluate the improvements in symptoms,complications,recurrence,and satisfaction.RESULTS Two hundreds and one patients with internal hemorrhoids underwent CAES with the long needle.The first median follow-up was performed 33 mo postoperatively.Symptoms improved in 87.5%of patients after the first CAES.Efficacy did not decrease with treatment time extension.Fifty-four patients underwent colonoscopy after the first CAES treatment of which 21 underwent CAES again,and 4 underwent hemorrhoidectomy.At the first follow-up,62.7%of patients had both improved hemorrhoid grades and symptoms,and 27.4%had a significant improvement in both parameters.At the second follow-up,61.7%of the patients showed satisfactory improvement in their hemorrhoid grade and symptoms when compared with pre-surgery values.90%of patients reported CAES was painless,and 85%were satisfied/very satisfied with CAES treatment outcomes.CONCLUSION The present study based on the largest sample size reported the long-term follow-up of the treatment for internal hemorrhoid with the CAES using endoscopic long injection needle.Our findings demonstrate that CAES should be a micro-invasive endoscopic technology yields satisfactory long-term efficacy and safety.展开更多
The intensity distribution in the focal region of a high-NA lens for the incident azimuthally polarized multi Gaussian beam transmitted through a multi belt spiral phase hologram is studied on the basis of the vector ...The intensity distribution in the focal region of a high-NA lens for the incident azimuthally polarized multi Gaussian beam transmitted through a multi belt spiral phase hologram is studied on the basis of the vector diffraction theory. Here we report a new method used to generate a needle of transversely polarized light beam with sub diffraction beam size of 0.366A that propagates without divergence over a long distance of about 22A in free space. We also expect that such a light needle of transversely polarized beam may find its applications in utilizing optical materials or instruments responsive to the transversal field only.展开更多
In recent years, the author have treated 47 cases of ischemic apoplexy-induced sequelae with long needles to perform penetrating puncture, and achieved satisfactory results as reported in the following.
Objective: To observe the therapeutic effect of round-sharp needle for prolapse of lumbar intervertebral disc. Methods: A total of 80 cases of lumbar intervertebral disc prolapse were treated by puncturing Qihaishu (...Objective: To observe the therapeutic effect of round-sharp needle for prolapse of lumbar intervertebral disc. Methods: A total of 80 cases of lumbar intervertebral disc prolapse were treated by puncturing Qihaishu (气海俞 BL 24), Guanyuanshu (关元俞 BL 26), etc., with round-sharp needle, once every week, continuously for 4 sessions. Results: After the treatment, of the 80 cases, 56 (70 %) were cured, 16 (20%) improved,and 8 (10)%) failed, with an effective rate of 90%. Conclusion: Round-sharp needle works well in the treatment of prolapse of lumbar intervertebral disc.展开更多
Risperidone long-acting injectable (RLAI) is approved for the treatment of schizophrenia in many countries. The suggested site is the gluteal muscle with a needle length of two inches (50 mm) in Japan, which is longer...Risperidone long-acting injectable (RLAI) is approved for the treatment of schizophrenia in many countries. The suggested site is the gluteal muscle with a needle length of two inches (50 mm) in Japan, which is longer than the ordinarily used needle for intramuscular injections. The aim of this study was to determine the optimal needle insertion length for accurate delivery of RLAI procedure among subjects who have normal body mass index (BMI: 18 to 25) and high BMI (>25). Thirty-seven patients with schizophrenia were administered RLAI intramuscularly into the dorsogluteal muscle. The standard procedure required inserting 80% of the two inch needle. By using data collected by ultrasonography, the findings confirmed that the median needle insertion lengths for subjects with normal and high BMI were 39.0 and 45.5 mm, respectively. To deliver RLAI effectively and safely, the authors strongly recommend that a specialized needle be used that is “marked” at the 40 mm point from the tip of the needle to the base. In this way regardless of subcutaneous fat content, the RLAI can be safely delivered into the muscle without causing untoward or side effects.展开更多
In some cases, if the insertion depth is shallower than expected, intramuscular (IM) injection of risperidone long-acting injectable (RLAI) may not penetrate the muscle fascia. However, if needle insertion depth is de...In some cases, if the insertion depth is shallower than expected, intramuscular (IM) injection of risperidone long-acting injectable (RLAI) may not penetrate the muscle fascia. However, if needle insertion depth is deeper than anticipated, needle penetration may cause damage to nerves, arteries and veins. Few clinical studies were done to evaluate the depth of needle length insertion reaching the intended gluteal muscle. The aim of this study was to evaluate the suitable depth of injecting RLAI. Twenty-six patients with schizophrenia were treated with RLAI, and randomly divided into two groups: 50 mm needle inserted group (Group-D, deep insertion, n = 13) and 20 mm needle insertion group (Group-S, shallow insertion, n = 13). For Group-S, the needle length was marked with a spacer at exactly 20 mm. Injections were performed by the psychiatrist or nurse, alternating between the two gluteal sites by double-cross method every two weeks. Clinical psychotic symptoms and injection site reactions were recorded throughout the study period. Experienced psychologists who were blinded from the needle-length experimental variable evaluated patients’ psychotic symptoms using the Positive and Negative Syndrome Scale (PANSS) every two weeks. The plasma 9-hydroxyrisperidone (9-OH-RIS) concentrations were measured every two weeks;comparison data were determined on the 8th week and the 14th week. No significant difference was observed in 9-OH-RIS concentrations, psychotic symptoms, injection site skin reactions of subjects in both groups. However, in Group-D, injection site adverse reactions were confirmed in two subjects (15%). In Group-S, injection site reactions were confirmed in six subjects (46%). Although effective 9-OH-RIS concentrations were obtained with the insertion using both depth, it was concluded that the 50 mm insertion length was more suitable for dorsogluteal IM injections in adult patients with schizophrenia as demonstrated by the incidence of local adverse skin reactions.展开更多
OBJeCTIve：To systematically evaluate the long-term effect and safety ofXingnao Kaiqiao nee-dling method in ischemic stroke treatment. DATA ReTRIevAL： We retrieved relevant random and semi-random controlled trials th...OBJeCTIve：To systematically evaluate the long-term effect and safety ofXingnao Kaiqiao nee-dling method in ischemic stroke treatment. DATA ReTRIevAL： We retrieved relevant random and semi-random controlled trials that used theXingnao Kaiqiao needling method to treat ischemic stroke compared with various control treatments such as conventional drugs or other acupuncture therapies. Searched databases included China National Knowledge Infrastructure, Weipu Information Resources System, Wanfang Medical Data System, Chinese Biomedical Literature Database, Cochrane Library, and PubMed, from May 2006 to July 2014. SeLeCTION CRITeRIA： Two authors independently conducted literature screening, quality evaluation, and data extraction. The quality of articles was evaluated according to the Cochrane Reviewers’ Handbook 5.1, and the study was carried out using Cochrane system assessment methods. RevMan 5.2 was used for meta-analysis of the included studies. MAIN OUTCOMe MeASUReS： Mortality rate, recurrence rate, and disability rate were observed. ReSULTS：Nine randomized and semi-randomized controlled trials treating 931 cases of ischemic stroke were included in this review. Meta-analysis results showed that there were no sig-niifcant differences in mortality reduction （risk ratio （RR） = 0.58, 95% conifdence interval （CI）： 0.17–1.93,Z = 0.89,P = 0.37） or recurrence rate （RR = 0.55, 95%CI： 0.18–1.70,Z = 1.04,P = 0.30） of ischemic stroke patients between theXingnao Kaiqiao needling and control treatment groups. However, theXingnao Kaiqiao needling method had a tendency towards higher efifcacy in mor-tality reduction and recurrence rates. TheXingnao Kaiqiao needling method was signiifcantly better than that of the control treatment in reducing disability rate （RR = 0.51, 95%CI： 0.27–0.98, Z = 2.03,P 〈 0.05）. CONCLUSION：TheXingnao Kaiqiao needling method has a better effect than control treatment in reducing disability rate. The long-term effect ofXingnao Kaiqiao needling against ischemic stroke is better than that of control treatment. However, the limitations of this study limit the strength of the conclusions. Randomized controlled trials with a strict, reasonable design, and multi-center, large-scale samples and follow-up are necessary to draw conclusions aboutXingnao Kaiqiao needling.展开更多
肱二头肌长头肌腱炎(tendinitis of the long head of biceps tendon,LHBT)是一种以肩部疼痛、活动受限为主要表现的无菌性炎症,治疗方法尚未统一。体外冲击波疗法(extracorporeal shock wave therapy,ESWT)作为新兴非侵入性物理治疗手...肱二头肌长头肌腱炎(tendinitis of the long head of biceps tendon,LHBT)是一种以肩部疼痛、活动受限为主要表现的无菌性炎症,治疗方法尚未统一。体外冲击波疗法(extracorporeal shock wave therapy,ESWT)作为新兴非侵入性物理治疗手段,因创伤小、患者接受度高而被广泛研究。文章阐述其作用机制(通过机械、空化及热效应缓解疼痛、改善微循环、促进组织修复,并调节炎症因子)、治疗参数(能量密度多为0.12~0.20 mJ·mm^(-2),频率选择尚存争议,建议个体化调整)、不良反应(轻微疼痛和肿胀,可联合肌内效贴布缓解)及联合治疗策略(与筋痹汤湿热敷、中药熏洗、针灸或超声引导针刀等协同增效)。ESWT疗效确切,联合治疗是未来趋势,但需进一步研究明确最佳治疗参数及长期疗效。展开更多
文摘Objective:To observe the clinical effect on superior cluneal nerve(SCN)entrapment syndrome treated with the release technique of long round-sharp needle.Methods:The syndrome differentiation based on meridian muscle region was adopted.The release technique of the long round-sharp needle was used at the lesions of meridian tendon region,Yāoyícì(Beside Yaoyi)and the transverse process of the third lumbar vertebra in 34 patients with SCN entrapment syndrome.The treatment was given once a week,4 treatments made one course.After one course treatment,the therapeutic effect was observed.The results of pain rating index(PRI),the visual analogy scores(VAS)and the present pain intensity(PPI)were compared before and after treatment.Results:Of 34 patients,28 cases(82%)were cured,6 cases(18%)effective and 0 case(0%)failed.The total effective rate was 100%.The scores of PRI,VAS and PPI were(10.78±1.98),(5.98±1.19)and(3.91±1.68)successively in 34 cases before treatment and they were(1.98±1.79),(0.89±1.12)and(0.82±0.79)after treatment.The score of every evaluation scale after treatment was lower significantly than that before treatment(all P<0.01).Conclusion:The release technique of long round-sharp needle achieves the satisfactory clinical effect on SCN entrapment syndrome.Hence,this therapeutic method deserves to be promoted.
基金Supported by Science and technology research project of institution of higher education in Hebei Province:QN2015139planned project of science and technology support in Hebei Province:132777268planned scientific research project of Administration of Traditional Chinese Medicine of Hebei Province:2014014
文摘The emergence of nine needles in Nèijīng（《内经》, The Inner Classic） laid a foundation for the formation and development of needling instruments and acupuncture manipulation in later ages, but the application of nine needles was not realized during clinical practice of acupuncture-moxibustion in later ages. Round-sharp needle is one of the nine needles. In this study, round-sharp needle was taken as an example to introduce the excavation and revitalization of nine needles and diagnosis and treatment rules explored by Mr. CHEN Lixin according to The Inner Classic. The needle shape, needling manipulation and clinical application of round-sharp needle based on The Inner Classic were described in detail.
文摘BACKGROUND Hemorrhoids are a common anal condition and can afflict an individual at any age.Epidemiological survey results in China show that the prevalence of anorectal diseases is as high as 50.1%among which 98.08%of patients have hemorrhoid symptoms.AIM To assess long-term efficacy and safety of cap-assisted endoscopic sclerotherapy(CAES)with long injection needle for internal hemorrhoids.METHODS This study was retrospective.Data from patients with symptomatic internal hemorrhoids treated with CAES using endoscopic long injection needle from April 2016 to December 2019 were collected.Patients were telephoned and followed at two time points,December 2020 and 2021,to evaluate the improvements in symptoms,complications,recurrence,and satisfaction.RESULTS Two hundreds and one patients with internal hemorrhoids underwent CAES with the long needle.The first median follow-up was performed 33 mo postoperatively.Symptoms improved in 87.5%of patients after the first CAES.Efficacy did not decrease with treatment time extension.Fifty-four patients underwent colonoscopy after the first CAES treatment of which 21 underwent CAES again,and 4 underwent hemorrhoidectomy.At the first follow-up,62.7%of patients had both improved hemorrhoid grades and symptoms,and 27.4%had a significant improvement in both parameters.At the second follow-up,61.7%of the patients showed satisfactory improvement in their hemorrhoid grade and symptoms when compared with pre-surgery values.90%of patients reported CAES was painless,and 85%were satisfied/very satisfied with CAES treatment outcomes.CONCLUSION The present study based on the largest sample size reported the long-term follow-up of the treatment for internal hemorrhoid with the CAES using endoscopic long injection needle.Our findings demonstrate that CAES should be a micro-invasive endoscopic technology yields satisfactory long-term efficacy and safety.
文摘The intensity distribution in the focal region of a high-NA lens for the incident azimuthally polarized multi Gaussian beam transmitted through a multi belt spiral phase hologram is studied on the basis of the vector diffraction theory. Here we report a new method used to generate a needle of transversely polarized light beam with sub diffraction beam size of 0.366A that propagates without divergence over a long distance of about 22A in free space. We also expect that such a light needle of transversely polarized beam may find its applications in utilizing optical materials or instruments responsive to the transversal field only.
文摘In recent years, the author have treated 47 cases of ischemic apoplexy-induced sequelae with long needles to perform penetrating puncture, and achieved satisfactory results as reported in the following.
文摘Objective: To observe the therapeutic effect of round-sharp needle for prolapse of lumbar intervertebral disc. Methods: A total of 80 cases of lumbar intervertebral disc prolapse were treated by puncturing Qihaishu (气海俞 BL 24), Guanyuanshu (关元俞 BL 26), etc., with round-sharp needle, once every week, continuously for 4 sessions. Results: After the treatment, of the 80 cases, 56 (70 %) were cured, 16 (20%) improved,and 8 (10)%) failed, with an effective rate of 90%. Conclusion: Round-sharp needle works well in the treatment of prolapse of lumbar intervertebral disc.
文摘Risperidone long-acting injectable (RLAI) is approved for the treatment of schizophrenia in many countries. The suggested site is the gluteal muscle with a needle length of two inches (50 mm) in Japan, which is longer than the ordinarily used needle for intramuscular injections. The aim of this study was to determine the optimal needle insertion length for accurate delivery of RLAI procedure among subjects who have normal body mass index (BMI: 18 to 25) and high BMI (>25). Thirty-seven patients with schizophrenia were administered RLAI intramuscularly into the dorsogluteal muscle. The standard procedure required inserting 80% of the two inch needle. By using data collected by ultrasonography, the findings confirmed that the median needle insertion lengths for subjects with normal and high BMI were 39.0 and 45.5 mm, respectively. To deliver RLAI effectively and safely, the authors strongly recommend that a specialized needle be used that is “marked” at the 40 mm point from the tip of the needle to the base. In this way regardless of subcutaneous fat content, the RLAI can be safely delivered into the muscle without causing untoward or side effects.
文摘In some cases, if the insertion depth is shallower than expected, intramuscular (IM) injection of risperidone long-acting injectable (RLAI) may not penetrate the muscle fascia. However, if needle insertion depth is deeper than anticipated, needle penetration may cause damage to nerves, arteries and veins. Few clinical studies were done to evaluate the depth of needle length insertion reaching the intended gluteal muscle. The aim of this study was to evaluate the suitable depth of injecting RLAI. Twenty-six patients with schizophrenia were treated with RLAI, and randomly divided into two groups: 50 mm needle inserted group (Group-D, deep insertion, n = 13) and 20 mm needle insertion group (Group-S, shallow insertion, n = 13). For Group-S, the needle length was marked with a spacer at exactly 20 mm. Injections were performed by the psychiatrist or nurse, alternating between the two gluteal sites by double-cross method every two weeks. Clinical psychotic symptoms and injection site reactions were recorded throughout the study period. Experienced psychologists who were blinded from the needle-length experimental variable evaluated patients’ psychotic symptoms using the Positive and Negative Syndrome Scale (PANSS) every two weeks. The plasma 9-hydroxyrisperidone (9-OH-RIS) concentrations were measured every two weeks;comparison data were determined on the 8th week and the 14th week. No significant difference was observed in 9-OH-RIS concentrations, psychotic symptoms, injection site skin reactions of subjects in both groups. However, in Group-D, injection site adverse reactions were confirmed in two subjects (15%). In Group-S, injection site reactions were confirmed in six subjects (46%). Although effective 9-OH-RIS concentrations were obtained with the insertion using both depth, it was concluded that the 50 mm insertion length was more suitable for dorsogluteal IM injections in adult patients with schizophrenia as demonstrated by the incidence of local adverse skin reactions.
基金financially supported by grants from Hebei Province Engineering Talent Cultivation Project and Hebei Province Science and Technology Research and Development Projects,No.11276103D-35
文摘OBJeCTIve：To systematically evaluate the long-term effect and safety ofXingnao Kaiqiao nee-dling method in ischemic stroke treatment. DATA ReTRIevAL： We retrieved relevant random and semi-random controlled trials that used theXingnao Kaiqiao needling method to treat ischemic stroke compared with various control treatments such as conventional drugs or other acupuncture therapies. Searched databases included China National Knowledge Infrastructure, Weipu Information Resources System, Wanfang Medical Data System, Chinese Biomedical Literature Database, Cochrane Library, and PubMed, from May 2006 to July 2014. SeLeCTION CRITeRIA： Two authors independently conducted literature screening, quality evaluation, and data extraction. The quality of articles was evaluated according to the Cochrane Reviewers’ Handbook 5.1, and the study was carried out using Cochrane system assessment methods. RevMan 5.2 was used for meta-analysis of the included studies. MAIN OUTCOMe MeASUReS： Mortality rate, recurrence rate, and disability rate were observed. ReSULTS：Nine randomized and semi-randomized controlled trials treating 931 cases of ischemic stroke were included in this review. Meta-analysis results showed that there were no sig-niifcant differences in mortality reduction （risk ratio （RR） = 0.58, 95% conifdence interval （CI）： 0.17–1.93,Z = 0.89,P = 0.37） or recurrence rate （RR = 0.55, 95%CI： 0.18–1.70,Z = 1.04,P = 0.30） of ischemic stroke patients between theXingnao Kaiqiao needling and control treatment groups. However, theXingnao Kaiqiao needling method had a tendency towards higher efifcacy in mor-tality reduction and recurrence rates. TheXingnao Kaiqiao needling method was signiifcantly better than that of the control treatment in reducing disability rate （RR = 0.51, 95%CI： 0.27–0.98, Z = 2.03,P 〈 0.05）. CONCLUSION：TheXingnao Kaiqiao needling method has a better effect than control treatment in reducing disability rate. The long-term effect ofXingnao Kaiqiao needling against ischemic stroke is better than that of control treatment. However, the limitations of this study limit the strength of the conclusions. Randomized controlled trials with a strict, reasonable design, and multi-center, large-scale samples and follow-up are necessary to draw conclusions aboutXingnao Kaiqiao needling.
文摘肱二头肌长头肌腱炎(tendinitis of the long head of biceps tendon,LHBT)是一种以肩部疼痛、活动受限为主要表现的无菌性炎症,治疗方法尚未统一。体外冲击波疗法(extracorporeal shock wave therapy,ESWT)作为新兴非侵入性物理治疗手段,因创伤小、患者接受度高而被广泛研究。文章阐述其作用机制(通过机械、空化及热效应缓解疼痛、改善微循环、促进组织修复,并调节炎症因子)、治疗参数(能量密度多为0.12~0.20 mJ·mm^(-2),频率选择尚存争议,建议个体化调整)、不良反应(轻微疼痛和肿胀,可联合肌内效贴布缓解)及联合治疗策略(与筋痹汤湿热敷、中药熏洗、针灸或超声引导针刀等协同增效)。ESWT疗效确切,联合治疗是未来趋势,但需进一步研究明确最佳治疗参数及长期疗效。
