Professor SHAO Jing-ming has obtained more significant effect during the clinical practice in treatment of wheezing diseases by adopting ＂three-acupoint and five-needling method＂ created by himself, and the effect h...Professor SHAO Jing-ming has obtained more significant effect during the clinical practice in treatment of wheezing diseases by adopting ＂three-acupoint and five-needling method＂ created by himself, and the effect has been widely recognized by doctors and patients. After decades of development, Shao＇s ＂three-acupoint and five-needling method＂ has become a therapy with complete theoretical system and a large number of clinical research achievements, and its application scope has been expanded. In this paper, the achievements of Shao＇s ＂three-acupoint and five-needling method＂ during clinical studies in the early, middle and current development stages and related problems were reviewed comprehensively.展开更多
目的分析中医穴位贴敷联合三球式呼吸训练用于慢性阻塞性肺疾病稳定期(stable phase of chronic obstructive pulmonary disease,S-COPD)的临床效果。方法选取2023年3月—2024年9月福建省福鼎市医院收治的42例S-COPD患者为研究对象。以...目的分析中医穴位贴敷联合三球式呼吸训练用于慢性阻塞性肺疾病稳定期(stable phase of chronic obstructive pulmonary disease,S-COPD)的临床效果。方法选取2023年3月—2024年9月福建省福鼎市医院收治的42例S-COPD患者为研究对象。以随机数字表法分为对照组(n=21)与研究组(n=21)。对照组开展常规干预联合三球式呼吸训练,研究组在常规干预联合三球式呼吸训练基础上开展穴位贴敷。比较2组干预前后的肺功能、中医症状积分、康复指标以及生活质量评分。结果干预后,研究组第1秒用力呼气容积(forced expiratory volume in the first second,FEV_(1))为(56.93±3.95)m L、用力肺活量(forced vital capacity,FVC)为(57.73±5.51)mL、FEV_(1)/FVC为(60.83±6.74)%,均高于对照组的(52.51±3.43)mL、(52.53±4.07)mL、(55.51±4.43)%,差异有统计学意义(P<0.05)。干预后,研究组喘息、咳嗽、咳痰症状得分分别为(0.93±0.14)分、(1.02±0.12)分、(0.84±0.07)分,均低于对照组的(2.86±0.43)分、(2.94±0.17)分、(2.54±0.37)分,差异有统计学意义(P<0.001)。干预后,研究组慢性阻塞性肺疾病评估测试问卷(COPD assessment test,CAT)评分、博格呼吸困难评分量表(Borg dyspnea rating scale,Borg)评分分别为(8.67±0.72)分、(1.20±0.29)分,均低于对照组的(12.65±0.85)分、(2.21±0.34)分;研究组6 min步行距离(six-minute walking distance,6MWD)为(390.60±39.47)m,远于对照组的(334.42±40.66)m;研究组日常生活能力评定量表(activity of daily living scale,ADL)评分为(80.18±5.77)分,高于对照组的(72.26±8.12)分,差异有统计学意义(P<0.05)。干预后,研究组生理、心理、环境、社会得分分别为(82.73±3.46)分、(80.73±3.02)分、(85.73±3.17)分、(89.71±3.51)分,均高于对照组的(76.71±3.19)分、(75.52±2.96)分、(77.56±4.43)分、(77.70±3.16)分,差异有统计学意义(P<0.001)。结论中医穴位贴敷联合三球式呼吸训练用于S-COPD患者的临床效果显著,可促进肺功能恢复,对病症缓解、生活质量的提升均有积极功效。展开更多
目的:观察穴位针刺联合三伏贴治疗老年膝骨关节炎(knee osteoarthritis,KOA)的临床疗效及对患者血清骨代谢与Lequesnse指数的影响。方法:选取2022年7月至2023年7月江西中医药大学第二附属医院诊治的KOA患者100例,按照随机数字表法分为...目的:观察穴位针刺联合三伏贴治疗老年膝骨关节炎(knee osteoarthritis,KOA)的临床疗效及对患者血清骨代谢与Lequesnse指数的影响。方法:选取2022年7月至2023年7月江西中医药大学第二附属医院诊治的KOA患者100例,按照随机数字表法分为对照组和联合组,每组50例。两组患者均进行基础康复训练,对照组另给予三伏贴贴敷治疗,联合组在对照组治疗的基础上给予穴位针刺治疗。观察两组患者临床疗效、不良反应发生率、中医证候评分、Lysholm功能评分、Lequesnse指数,检测两组患者治疗前后血清骨钙素(bone glaprotein,BGP)、骨保护素(osteoprotegerin,OPG)、I型胶原C端肽(C-telopeptide of type I collagen,CTX-Ⅰ)、白细胞介素(interleukin,IL)-1、基质金属蛋白酶(matrix metalloproteinase,MMP)-3、肿瘤坏死因子(tumor necrosis factor,TNF)-α水平。结果:两组KOA患者治疗后中医证候评分、Lequesnse指数降低、Lysholm功能评分均优于治疗前(P<0.05),且联合组治疗后中医证候评分和Lequesnse指数低于对照组,Lysholm功能评分高于对照组,差异有统计学意义(P<0.05);联合组治疗后BGP、OPG水平高于对照组,CTX-I水平低于对照组,差异有统计学意义(P<0.05);联合组治疗后IL-1、MMP-3、TNF-α水平低于对照组,差异有统计学意义(P<0.05);联合组有效率为92.00%,对照组有效率为76.00%,联合组有效率高于对照组,差异有统计学意义(P<0.05);对照组不良反应发生率为8%,联合组不良反应发生率为4%,两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:穴位针刺联合三伏贴治疗老年KOA,可调节血清炎症因子水平与骨代谢指标,降低Lequesnse指数,改善患者骨关节功能,提高患者生活质量,且不良反应发生率较低。展开更多
基金Supported by The Workstation of Affiliated Hospital of Gansu University of Chinese Medicine,Henan Shao’s Acupuncture-Moxibustion School Studio:LP0116036-Z8
文摘Professor SHAO Jing-ming has obtained more significant effect during the clinical practice in treatment of wheezing diseases by adopting ＂three-acupoint and five-needling method＂ created by himself, and the effect has been widely recognized by doctors and patients. After decades of development, Shao＇s ＂three-acupoint and five-needling method＂ has become a therapy with complete theoretical system and a large number of clinical research achievements, and its application scope has been expanded. In this paper, the achievements of Shao＇s ＂three-acupoint and five-needling method＂ during clinical studies in the early, middle and current development stages and related problems were reviewed comprehensively.
文摘目的分析中医穴位贴敷联合三球式呼吸训练用于慢性阻塞性肺疾病稳定期(stable phase of chronic obstructive pulmonary disease,S-COPD)的临床效果。方法选取2023年3月—2024年9月福建省福鼎市医院收治的42例S-COPD患者为研究对象。以随机数字表法分为对照组(n=21)与研究组(n=21)。对照组开展常规干预联合三球式呼吸训练,研究组在常规干预联合三球式呼吸训练基础上开展穴位贴敷。比较2组干预前后的肺功能、中医症状积分、康复指标以及生活质量评分。结果干预后,研究组第1秒用力呼气容积(forced expiratory volume in the first second,FEV_(1))为(56.93±3.95)m L、用力肺活量(forced vital capacity,FVC)为(57.73±5.51)mL、FEV_(1)/FVC为(60.83±6.74)%,均高于对照组的(52.51±3.43)mL、(52.53±4.07)mL、(55.51±4.43)%,差异有统计学意义(P<0.05)。干预后,研究组喘息、咳嗽、咳痰症状得分分别为(0.93±0.14)分、(1.02±0.12)分、(0.84±0.07)分,均低于对照组的(2.86±0.43)分、(2.94±0.17)分、(2.54±0.37)分,差异有统计学意义(P<0.001)。干预后,研究组慢性阻塞性肺疾病评估测试问卷(COPD assessment test,CAT)评分、博格呼吸困难评分量表(Borg dyspnea rating scale,Borg)评分分别为(8.67±0.72)分、(1.20±0.29)分,均低于对照组的(12.65±0.85)分、(2.21±0.34)分;研究组6 min步行距离(six-minute walking distance,6MWD)为(390.60±39.47)m,远于对照组的(334.42±40.66)m;研究组日常生活能力评定量表(activity of daily living scale,ADL)评分为(80.18±5.77)分,高于对照组的(72.26±8.12)分,差异有统计学意义(P<0.05)。干预后,研究组生理、心理、环境、社会得分分别为(82.73±3.46)分、(80.73±3.02)分、(85.73±3.17)分、(89.71±3.51)分,均高于对照组的(76.71±3.19)分、(75.52±2.96)分、(77.56±4.43)分、(77.70±3.16)分,差异有统计学意义(P<0.001)。结论中医穴位贴敷联合三球式呼吸训练用于S-COPD患者的临床效果显著,可促进肺功能恢复,对病症缓解、生活质量的提升均有积极功效。
文摘目的:观察穴位针刺联合三伏贴治疗老年膝骨关节炎(knee osteoarthritis,KOA)的临床疗效及对患者血清骨代谢与Lequesnse指数的影响。方法:选取2022年7月至2023年7月江西中医药大学第二附属医院诊治的KOA患者100例,按照随机数字表法分为对照组和联合组,每组50例。两组患者均进行基础康复训练,对照组另给予三伏贴贴敷治疗,联合组在对照组治疗的基础上给予穴位针刺治疗。观察两组患者临床疗效、不良反应发生率、中医证候评分、Lysholm功能评分、Lequesnse指数,检测两组患者治疗前后血清骨钙素(bone glaprotein,BGP)、骨保护素(osteoprotegerin,OPG)、I型胶原C端肽(C-telopeptide of type I collagen,CTX-Ⅰ)、白细胞介素(interleukin,IL)-1、基质金属蛋白酶(matrix metalloproteinase,MMP)-3、肿瘤坏死因子(tumor necrosis factor,TNF)-α水平。结果:两组KOA患者治疗后中医证候评分、Lequesnse指数降低、Lysholm功能评分均优于治疗前(P<0.05),且联合组治疗后中医证候评分和Lequesnse指数低于对照组,Lysholm功能评分高于对照组,差异有统计学意义(P<0.05);联合组治疗后BGP、OPG水平高于对照组,CTX-I水平低于对照组,差异有统计学意义(P<0.05);联合组治疗后IL-1、MMP-3、TNF-α水平低于对照组,差异有统计学意义(P<0.05);联合组有效率为92.00%,对照组有效率为76.00%,联合组有效率高于对照组,差异有统计学意义(P<0.05);对照组不良反应发生率为8%,联合组不良反应发生率为4%,两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:穴位针刺联合三伏贴治疗老年KOA,可调节血清炎症因子水平与骨代谢指标,降低Lequesnse指数,改善患者骨关节功能,提高患者生活质量,且不良反应发生率较低。
