最新刊期
2001年第1期
- 摘要：为确定参与外周神经末梢之间跨节段信息传递的纤维类别 ,实验采用在脊神经背侧皮支上分离细束的方法 ,观察了电刺激相邻脊髓节段皮神经对C类机械感受单位传入放电的影响。结果发现 ,87 5 % (3 5 /4 0 )的慢适应和 5 0 % (5 /1 0 )的快适应C类机械感受单位在刺激后 90sec内放电频率显著增加 ,以 3 0sec内放电增加最为显著 (P <0 0 0 1 )。对机械刺激后放电越长的单位以及慢适应单位更容易被跨节段电刺激激活。感觉单位的自发放电频率与其对跨节段电刺激的反应无关。结果提示 ,C类纤维参与了外周神经末梢之间的跨节段信息传递 ,这可能是循经感传发生的神经生物学基础之一。关键词：C类机械感受单位;适应;信息传递;循经感传932|0|6更新时间：2023-08-11
- 摘要：本实验在 67只豚鼠过敏性休克模型上 ,观察不同强度或频率电针“内关”穴对过敏性休克豚鼠低血压反应的影响 ,并用放免法测定下丘脑、垂体前后叶催产素 (OT)的含量 ,试图初步探讨电针“内关”穴抗过敏性休克的作用机理。结果提示 ,电针“内关”穴有明显而快速的抗过敏性休克的作用。电针频率相同时 ,高强度电针“内关”穴的升压效应比低强度的好 ;电针强度不变时 ,高频电针“内关”穴的抗过敏性休克作用显著优于低频者。电针“内关”穴抗过敏性休克的作用均有OT介导。高强度电针时OT似乎是通过促进垂体前叶ACTH等激素释放实现的 ;而高频电针的升压效应可能是促进了下丘脑OT的释放所致。关键词：电针;“内关”穴;过敏性休克;平均动脉压;催产素964|0|2更新时间：2023-08-11
- 摘要：本试验选用健康大鼠 ,随机分为正常对照组、“足三里”组、非经非穴组、免疫抑制组、免疫抑制 +“足三里”组。应用流式细胞仪技术 ,通过微量全血直接免疫荧光染色法测定各组大鼠的外周血T淋巴细胞亚群。实验结果如下 :电针“足三里”组大鼠T4细胞百分率明显高于正常对照组 (P <0 0 1 ) ,T8细胞百分率与正常对照组相比无统计学差异 (P >0 0 5 )。电针非经非穴组 ,各项指标与正常对照组相比无统计学差异 (P >0 0 5 )。且“足三里”组T4细胞百分率明显高于非经非穴组 (P <0 0 1 )。免疫抑制组T4细胞百分率明显低于正常对照组 (P <0 0 5 ) ,T8细胞百分率无明显变化 (P >0 0 5 )。免疫抑制 +“足三里”组大鼠T4细胞百分率与免疫抑制组相比有明显改善和提高 (P <0 0 1 )。结果显示 ,电针“足三里”穴可明显提高正常大鼠与免疫抑制大鼠的淋巴细胞亚群。而电针非经非穴点则无此作用。关键词：细胞免疫;电针;“足三里”穴;大鼠1088|0|2更新时间：2023-08-11
- 摘要：利用光学显微镜观察自血混合丙球穴注对过敏性哮喘豚鼠肺组织和支气管形态变化的影响 ,结果表明 ,丙球加自血注射效果最好 :粘液栓基本消失 ,平滑肌未见明显痉挛、增厚 ,炎症细胞浸润大大减轻 ,支气管壁充血、水肿消失。丙球穴注也有上述作用 ,但效果一般。自血穴注效果较好 ,但稍比丙球加自血注射差。通过本实验 ,为自血混合丙球穴注治疗哮喘在临床上取得的良好疗效提供了理论依据。关键词：自血;丙球;穴注906|0|1更新时间：2023-08-11
- 摘要：采用牛Ⅱ型胶原作大鼠背部皮内注射诱发胶原性关节炎 (Collagen inducedArthritis,CIA) ,作为类风湿性关节炎的大鼠模型 ,观察了在“足三里”穴进行经皮电刺激对模型大鼠关节炎发病率、起病时间、关节炎指数、抗Ⅱ型胶原 (CⅡ )抗体水平及骨与关节破坏等的影响。结果表明 ,经穴经皮电刺激治疗 ,能明显推迟胶原免疫大鼠关节炎的发生 ,在治疗初、中期 ,能明显控制造模大鼠的肢体累及率和关节炎病变程度 ,但不能显著降低血清抗CⅡ抗体水平。此外 ,该疗法尚能有效地防止发病大鼠足爪骨与关节的破坏。关键词：经皮电刺激;类风湿性关节炎;Ⅱ型胶原1082|0|6更新时间：2023-08-11
- 摘要：本文观察了乌鸡调经丸对抗针刺“足三里”穴位引起的大鼠子宫平滑肌兴奋性收缩的作用和对由此引起的小鼠流产的保胎作用。用银针在大鼠“足三里”穴位处进针刺激 ,当子宫平滑肌兴奋达最高时 ,按 1 .0和 4.0 g生药 /kg口服乌鸡调经丸 ,再观察子宫平滑肌的兴奋状态 ;取受孕小鼠 ,每天按 1 .0 ,2 .0 ,4.0 g生药 /kg口服乌鸡调经丸 ,从第三天开始每天加针刺“足三里” ,连续 1 0天 ,共 1 3天。处死小鼠 ,打开腹腔检查各组小鼠是否有死胎。结果 :针刺“足三里”后 ,大鼠子宫兴奋性增加 ;小鼠发生流产数增多。而应用乌鸡调经丸后 ,大鼠子宫平滑肌明显松弛 ,引起流产小鼠数明显减少。提示乌鸡调经丸明显对抗针刺引起大鼠的子宫平滑肌兴奋 ,使子宫平滑肌松弛 ,促进小鼠的保胎作用。关键词：乌鸡调经丸;针刺;子宫平滑肌;保胎作用858|0|2更新时间：2023-08-11
- 摘要：本文观察了针刺治疗震颤麻痹对患者血中LPO和SOD含量的影响 ,结果表明 ,针刺能提高震颤麻痹病人血中超氧化物歧化酶 (SOD)的含量 ,而其中以病程短的病人血中SOD含量升高较为显著 ,同时发现 ,年龄在 60岁以上者及女性病人针刺后血中SOD增长幅度较大。关键词：震颤麻痹;针刺;超氧化物歧化酶;氧自由基;过氧化脂质1088|0|4更新时间：2023-08-11
- 摘要：本文根据“各种原因导致气血逆乱于上 ,脑络痹阻或血溢于脑 ,致气滞血瘀 ,脑络瘀阻 ,神明不调 ,而致中风”之论 ,运用头体针相结合的“调神通络”针刺法治疗急性脑梗塞 ,采用神经功能缺损积分、上田氏偏瘫十二级肢体功能评定、日常生活活动的指数进行临床对比观察。结果表明治疗组疗效优于对照组。关键词：“调神通络”针法;针刺;急性脑梗塞903|0|1更新时间：2023-08-11
- 摘要：本文介绍 3 0例针药结合麻醉下行新声门再造术。体针取扶突、合谷穴 ,术前选用哌替啶、颅痛定、甲氧氯普胺等镇痛药物 ,行针药复合麻醉 ,成功率达 96.7%。关键词：喉肿瘤;声门再造;针药结合麻醉758|0|0更新时间：2023-08-11
- 摘要：目的 :观察针刺复合安氟醚全麻下实施食管癌根治手术的临床应用效果。方法 :采用随机单盲方法将 1 2 0名食管癌患者随机分为A、B、C三组。A组 (n =40 ) :针刺复合安氟醚吸入全麻组 ;B组 (n =41 ) :电极板穴位刺激复合安氟醚吸入全麻组 ;C组 (n =3 9) :单纯安氟醚吸入全麻组(对照组 )。麻醉诱导三组均静注维库溴铵、芬太尼、异丙酚 ,剂量相同。三组术中均静注芬太尼(2 μg·kg- 1 ·hr- 1 )、维库溴铵 (0 .0 3mg·kg- 1 ·0 .5hr- 1 ) ,并根据麻醉需要吸入安氟醚适宜浓度维持麻醉和肌松。A、B两组同时开放电刺激仪。结果 :A、B两组麻醉Ⅰ级率各为 67.5 0 %、68.2 9% ,C组Ⅰ级率仅 2 8.2 1 % ,两者比较P <0 .0 0 1 ;麻醉全过程安氟醚平均浓度 (ETEnf)A、B两组分别为0 .5 5 %、0 .5 0 % ,C组为 0 .83 % ,A、B两组比C组吸入安氟醚浓度分别低 (少 ) 3 3 .73 %、3 9.76% ,P <0 .0 0 5。结论 :针刺复合安氟醚吸入全麻不但增强镇痛效果 ,而且减少安氟醚吸入用量 ,并突出了针麻优越性 ,可供临床选用。关键词：针刺麻醉;安氟醚吸入麻醉;食管癌手术;临床研究1003|0|3更新时间：2023-08-11
- 摘要：目的 :针刺复合小剂量硬膜外麻醉胆囊切除麻醉方法、效果临床研究。方法 :择期胆囊切除术 1 94例 ,分A(针硬组 )、B(电硬组 )、C(对照组 )三组单盲法观察。硬膜外操作方法、局麻药种类、浓度 (1 .5 %利多卡因 )及给药程序三组相同 ,麻醉阻滞平面均达到T4～ 1 1 以上 ,使镇痛完全 ,肌肉松弛满意 ,牵拉反应轻 ,术中安静。结果 :针刺 (穴位电极 )复合小剂量硬膜外麻醉效果确切 ,A、B两组I级率分别为 75 .76%、60 .3 2 % ,C组仅 1 3 .85 % ,A、B组与C组比较P <0 .0 0 1。硬膜外麻醉首次用药量、每小时用药量、每例用药量C组均比A、B两组多 ,其中每小时用药量比A、B两组分别多 3 6.2 3 %、3 3 .5 7% ,P <0 .0 0 1 ,说明针刺与硬膜外麻醉两者复合可增强麻醉效果 ,减少硬膜外麻醉用药量 ;监测提示 (HR、MAP、RR、TV、MV、SPO2 、ECG)术中生命体征基本平稳 ,全组病例安全渡过手术 ;儿茶酚胺检测A、B两组麻醉后血浆NE含量减少 ,麻醉效果优良 ,并提示A、B两组有减轻或缓解手术应激反应作用 ;T淋巴细胞亚群检测显示针刺除有加强镇痛作用、减少麻醉用药量外 ,还可能加强细胞免疫功能。说明针刺 (穴位电极 )与硬膜外麻醉复合弥补了针麻镇痛不足、肌肉松弛欠佳、牵拉反应明显等不足 ,既保留了针麻优越性及生理状态的平Objective: To conduct clinical research on the anesthetic approach and to observe the effect of acupuncture integrated with small dose of epidural anesthetic for cholecystectomy.Methods: 194 cases of cholecystectomy in 3 groups, Group A (acupuncture + epidural anesthesia group,AEA, n=66), Group B (electrode + epidural anesthesia, EEA,n=63), and Group C (control, n=65) were observed using single blind method. The operating approach of the epidural anesthesic, the type and concentration of local anesthetic (1.5% lidocaine) and administration procedure of the drug in the 3 groups are the same. The anesthetic blocking plane is T 4～11 . Results: In group A and B, the analgesic effect of the anesthesia is perfect, the muscular relaxation satisfactory, the retraction reaction mild, and the patients remain quiet during the operation. The rates of Grade I in Group A and Group B are respectively 75.75% and 60.32%, being significantly higher than 13.85% of Group C (P<0.001). The first dose of drug administration, the every hour dose, the dose of each case for epidural anesthesia in Group C are all higher than those of Group A and Group B. The every hour dose in Group C is higher than those of Group A and Group B by 36.23% and 33.75% respectively (P<0.001). The monitor of the heart rate (HR), mean blood pressure (MAP), respiratory rate (RR), tidal volume (TV), minute volume (MV), blood oxygen saturation level (SPO 2) and electrocardiogram (ECG) denotes that the vital signs keep stable basically during operation under AEA or EEA, patients in all the groups safely pass the operation. After AEA and EEA, the blood catecholamine concentration decreases and the anesthesia effect is fine. The measurement of T lymphocyte subgroup displays that acupuncture can also strengthen the cellular immunity. The facts suggest that AEA and EEA supplement the shortcomings of incomplete analgesia, unsatisfied muscular relaxation and obvious retraction response of acupuncture alone, not only remains the advantage of acupuncture anesthesia in keeping physiological balance, but also meets the anesthetic requirement for cholecystecotomy. Conclusion: AEA and EEA can be used as one of the anesthetic approaches for cholecystectomy.关键词：针刺麻醉;硬膜外复合麻醉;胆囊切除术;麻醉临床研究941|0|3更新时间：2023-08-11
- 摘要：33例胆囊切除术患者随机分为三组 ,A组针刺复合小剂量硬膜外麻醉 1 1例 ,B组穴位电极刺激复合小剂量硬膜外麻醉 1 1例 ,C组单纯小剂量硬膜外麻醉 1 1例。每例于术前 1天、术中(麻醉后 3 0min)及术后第三天 ,分别抽静脉血测定血浆去甲肾上腺素 (NE)、肾上腺素 (E)、多巴胺(DA)含量。结果 :A、B两组血浆NE值术中比术前降低 ,其中A组术中比术前降低有显著差异(P <0 .0 1 ) ,C组 (对照组 )NE值术中比术前略升 ;血浆E值A、B两组术中较术前显著升高 (P <0 .0 1 ) ;血浆DA值三组术中与术前比较均上升。术后 3天血浆NE、E、DA值开始恢复或接近术前一日水平。提示针刺 (A组 )或穴位电极 (B组 )在硬膜外复合麻醉中仍具有调整交感神经功能的作用。针麻效果的差异与血浆NE的变化关系较为密切 ,与血浆E、DA变化相关较少 ,血浆NE含量释放减少者 (A、B两组 )针麻效果优良 ,释放多者麻醉效果较差。上述检测结果同样显示针刺 (或穴位电极 )复合硬膜外麻醉可能具有减轻或缓解手术应激反应的作用。关键词：胆囊切除术;针刺麻醉;硬膜外麻醉;儿茶酚胺892|0|3更新时间：2023-08-11
- 摘要：In accordance with clinical research results of Chinese scientific & technological project of the “9th Five year Program" ——“acupuncture combined with general anesthesia of enflurane inhalation for resection of esophageal carcinoma", the operating rules of the anesthesia, and the rules of the operation of esophageal carcinoma resection have been formulated. The anesthesia operating rules comprise 1) clinical indications of anesthesia: a) indications, and b) relative contraindications; 2) preparations prior to the anesthesia: a) visiting patients; and b) drug application before operation; 3) anesthetic method: a) acupuncture method, bilateral Sanyangluo (TE 8) to Ximen (PC 4) and Xiayifeng, stimulated with 2～4 mA for EA and 10～13 mA for acupoint skin stimulation, frequency 2/15 Hz, 15～30 min, and b) general anesthesia; 4) anesthesia control;and 5) post anesthesia management. The rules of the operation include a) operation posture (right or left lying position); b) incision location; c) esophgectomy and esophagogastrostomy; and d) post operation nursing.关键词：Operating rules Resection of esophageal carcinoma Acupuncture combined with general anesthesia703|0|0更新时间：2023-08-11
- 摘要：This article informs that based on the clinical research results of the scientific and technological project of the “9th Five Year Program" ——acupuncture combined with small dose of epidural anesthetic for cholecystectomy, the operating rules of the anesthesia and the rules of the operation of cholecystectomyhave have been worked out. The anesthesia operating rules comprise 1) clinical indications of anesthesia: a) indications, and b) relative contraindications; 2) preparations prior to the anesthesia: a) understanding patients' conditions, and b) drug application before operation; 3) anesthetic method: a) acupuncture method, bilateral Neiguan (PC 6) and Zusanli (ST 36), stimulated with 2～3 mA for EA and frequency 2/15 Hz, 15～30 min, and b) epidural anesthesia (penetrative location T 7～8 or T 8～9 ); 4) anesthesia control; and 5) post anesthesia management. The operating rules of the operation include a) indications of operation; b) anesthesia; c) incision location; and d) procedures of operation.关键词：Operating rules Acupuncture combined with epidural anesthesia Cholecystectomy846|0|0更新时间：2023-08-11
- 摘要：目的 :观察麦粒灸对脾虚泄泻患者唾液淀粉酶活性及粪便SIgA的影响。方法 :将患者随机分为治疗组和对照组 ,治疗组采用麦粒灸灸患者脾俞、胃俞、足三里 ,每穴 3壮 ,隔日 1次 ,连续3天 ;对照组用中药治疗。结果 :麦粒灸能显著改善患者脾虚泄泻症状 ,并显著提高唾液淀粉酶活性及降低血清SIgA ,其作用优于对照组。结论 :麦粒灸治疗脾虚泄泻的疗效是肯定的。关键词：脾虚泄泻;唾液淀粉酶;血清SIgA1004|0|1更新时间：2023-08-11
- 摘要：本文报道了用中药Ⅰ号方和Ⅱ号方敷灸神阙穴治疗小儿上呼吸道感染 1 42例 ,总有效率达 90 8%。将本病辨证分为两型 :邪袭肺卫型———急性上呼吸道感染期和脾气亏虚型———急性上呼吸道症状控制后缓解期 ,分别予以辨证施治。指出神阙穴位于脐中 ,具有溢蓄经脉气血的作用 ,为阴阳之寄 ,天地之精汇聚之所 ,与诸经百脉相通。此处敷灸药物 ,易于穿透弥散而被吸收。关键词：呼吸道感染;神阙穴;中药敷灸978|0|2更新时间：2023-08-11
- 摘要：作者自 1 993年以来 ,运用针刺拇指节穴加用局部围针的方法 ,治疗 3 8例带状疱疹 ,每日治疗 1次 ,1 0次为 1个疗程 ,经连续 2个疗程治疗后 ,临床治愈 3 1例 ,占 81 6% ,显效 7例 ,占1 8 4% ,所治病例全部有效。关键词：带状疱疹;围针;拇指节穴714|0|0更新时间：2023-08-11
- 摘要：本文综述了国家“九·五”攀登计划预选项目“经络的研究” 2 0 0 0年度的工作进展。过去的一年中 ,经络研究在循经感传的中枢及外周机制、经脉 脏腑相关的神经生物学机理、经脉循行路线的理化特性等方面围绕各自提出的假说做了大量工作。结果表明 :①针刺引起的反射性肌电反应等信息可沿着肌肉的长轴双向跨神经节段传递 ,Aδ和C类神经纤维介导此传递过程 ,并受交感活动的影响 ;支配穴位区的运动神经元在脊髓前角有严格的上下空间对应关系 ;针刺穴位可引起大脑皮层体觉区及运动区磁共振反应 ,促使皮层功能活动的同步化。②心包经、心经和心脏在脊神经节和脊髓背角有特异性会聚 ,在脊髓内由颈部背角到胸部的侧角等可通过交感节前神经元与心脏联系 ;脊神经节及脊髓内的CGRP等神经肽、阿片肽受体以及外周血液中单胺类递质等均参与其联系过程。针刺胃经经穴可特异性地调节胃肠功能活动 ,外周血液、胃内及延脑极后区内胃肠肽的水平 ;胸部脊髓背角是胃经穴位电针和胃扩张信息汇聚和整和的部位。③沿经脉循行线特异性出现的高温带或低温带是一种正常的生理或病理现象 ,高温带的产生与该处组织能量代谢的旺盛、皮肤微循环的增强有关。针刺胃经穴位时在其循行线上和胃内出现含蛋白质的液晶颗粒 ;经脉循行线具有低In the present paper, the authors review progresses of research on meridian theory, the national 9·5' pre selected project of “National Climbing Plan”during 2000. Results indicate that: ① acupuncture stimulation initiated input signals as reflex myoelectric response, spread bi directionally via Aδ and C nerve fibers in a trans segmental way along the longitudinal axis of the myofibers, which is also affected by sympathetic activity. The motor neurons innervating acupoint areas have a strict corresponding space correlation in the anterior horns of the spinal cord. Puncturing acupoint can evoke magnetic resonance response in the somatic sensory region and motor area of the cerebral cortex and promote the synchronous process of the cortical functional activity. ② Afferent nerve fibers from the Pericardium Meridian, Heart Meridian and the heart have a specific convergence in the dorsal ganglion and the spinal cord. In the spinal cord, fibers of the cervical dorsal horn neurons related to the Pericardium Meridian descend and connect with the preganglionic neurons of the upper thoracic segments. Neuro peptides including CGRP, etc and opiate peptide δ receptors, etc in the dorsal ganglions and the spinal cord as well as monoamines neurotransmitters in the periphery blood are all involved in the connection between these two meridians and the heart. Acupuncture of acupoints of the Stomach Meridian had a specific regulation on gastrointestinal functional activities, gastrointestinal hormones in the blood, stomach and bulbar area postrema. The dorsal horn of the lower thoracic spinal cord is one of the important convergent and integration regions of information from EA of acupoints of the Stomach Meridian and the stomach. ③ Both the higher and lower temperature bands appeared specifically along the running course of the meridian are normal or pathological physiological phenomenon. Generation of the higher temperature band is closely related with the hyperactivity of the energy metabolism of the tissues and the increase of blood circulation. After acupuncture of acupoints of the Stomach Meridian, some liquid crystal granules containing proteins may appear in tissues along the running course of the Stomach Meridian and the stomach. The running course of the meridian has a character of lower flowing resistance and the orientation flow of the tissue liquid is affected by arterial pressure, permeability of the capillaries, etc. and ④ The ancient and modern literature and research data have been collected and studied comprehensively.关键词：经络研究;循经感传;经脉脏腑相关;经脉线理化特性;经络文献998|0|10更新时间：2023-08-11
- 摘要：本文将 1 996年以来关于针灸抗脑衰实验研究的主要文献报道归纳整理 ,分为针刺的调节作用、艾灸的调节作用及其他疗法三个方面 ,陈述了目前这些疗法对神经内分泌系统调节作用的实验研究概况 ,并作了简要评述 ,对今后的研究提出了几点建议。关键词：脑衰;针灸调节;神经内分泌学;自由基;细胞凋亡968|0|3更新时间：2023-08-11
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