穴,大椎

摘要： 目的:观察行大椎穴督灸贴对等离子前列腺电切术(PKRP)、输尿管镜下激光碎石术患者围术期低体温的预防效果.方法:选择美国麻醉医师协会(ASA)分级为Ⅰ级或Ⅱ级,择期在全凭静脉麻醉(TIVA)下行输尿管镜下钬激光碎石术/PKRP患者300例,随机分为观察组和对照组,每组150例.对照组采用常规棉被覆盖的保温措施;观察组在对照组基础上,术前30 min于大椎穴贴敷督灸药包.记录患者围术期(入手术室后术前静息状态时、手术5 min、手术10 min、术毕时、术后5 min、术后10 min)各时间点的体温(耳温)、平均动脉压(MAP)、心率、血氧饱和度(SpO2),记录低体温发生例数、术后寒战程度分级,及手术时间、丙泊酚用量、术中输液量、术中冲洗液量.结果:在手术5 min、手术10 min、术毕时,两组患者体温均低于术前及前一个时间点(P0.05).结论:督灸贴敷大椎穴应用于PKRP、输尿管镜下激光碎石术能有效预防围术期低体温,提升患者的体感舒适度.

摘要： 目的 观察三棱针散刺与梅花针叩刺对气滞血瘀型神经根型颈椎病的神经肌电图相关指标的影响.方法 60例气滞血瘀型神经根型颈椎病患者随机分为三棱针组和梅花针组,每组30例.三棱针组采用三棱针散刺治疗,梅花针组采用梅花针叩刺治疗.比较两组治疗前后感觉和运动神经传导速度、潜伏期及诱发电位波幅的变化.结果 两组治疗后感觉和运动神经传导速度、潜伏期及诱发电位波幅与同组治疗前比较,差异均无统计学意义(P>0.05);两组治疗后感觉和运动神经传导速度、潜伏期及诱发电位波幅比较,差异均无统计学意义(P>0.05).结论 三棱针散刺和梅花针叩刺均无法改善受损神经功能,且两者之间没有明显区别.

摘要： Objective:to investigate the effects of the combined conventional rehabilitation training on pulmo-nary function in patients with mild and moderate chronic obstructive pulmonary disease (COPD).Selection meth-ods:a total of 102 patients with mild and moderate COPD stabilization,according to the set of random order is di-vided into two groups,each group of 51 cases,control group routine rehabilitation training,the team in the control group after grinding on the basis of traditional Chinese medicine sticking point in the day,shan,big job,lung yu,anti-asthma,foot three mile 3-5 h/times,10 d time,until the end of the dog days were observed before and after treatment in pulmonary function,clinical symptoms,COPD acute episodes,ability of daily life (ADL).Results:in the control group,the average incidence of acute attack (3.2 ± 1.1) was compared with that of the ADL score (65.6 plus or minus 10.4).The study group had an average of (1.4 ± 0.6) per year,and the average ADL score was (79.9 ± 13.6),and the study group's ADL score was significantly higher than that in the control group,and the number of acute episodes was lower than that in the control group (P<0.05).After treatment,the lung function of the group was better than that of the control group (P<0.05).After treatment,cough,phlegm,wheezing,breath-ing difficulties,rumbling,and shortness of breath were significantly lower than before treatment (P<0.05),and the research group was superior to the control group (P<0.05).Conclusion:the combination of mild and moderate COPD lung function can improve the function of mild and moderate COPD,relieve symptoms,reduce the number of acute episodes,and improve the quality of life.%目的:探讨冬病夏治穴位敷贴法联合常规康复训练对轻、中度慢性阻塞性肺疾病(COPD)患者肺功能影响性.方法:选取共102例轻、中度COPD稳定期患者,按入组顺序随机分成两组,每组51例,对照组常规康复训练,研究组在对照组基础上中药研磨后敷贴穴位天突、膻中、大椎、肺俞、定喘、足三里3-5h/次,10d一次,直至三伏天结束,观察治疗前后在肺功能、临床症状、COPD急性发作次数、日常生活能力(ADL)变化情况.结果:对照组急性发作平均(3.2±1.1)次/年,ADL评分平均为(65.6±10.4)分.研究组急性发作平均(1.4±0.6)次/年,ADL评分平均为(79.9±13.6)分,研究组ADL评分明显高于对照组,急性发作次数低于对照组(P<0.05);治疗后,研究组肺功能改善效果优于对照组(P<0.05);两组治疗后咳嗽、咳痰、喘息、呼吸困难、啰音、气短症状上显著低于治疗前(P<0.05),研究组优于对照组(P<0.05).结论:冬病夏治穴位敷贴法联合常规康复训练能改善轻、中度COPD肺功能,缓解症状,减少急性发作次数,提高生活质量.

摘要： 目的:探讨针刺联合沙美特罗替卡松治疗支气管哮喘(BA )急性发作期的临床效果及其对患者肺功能、血清炎症反应及 T 淋巴细胞亚群的影响.方法:将入选的128例BA急性发作期患者均分为两组,对照组采用沙美特罗替卡松粉吸入剂进行治理;观察组使用针刺联合沙美特罗替卡松粉吸入剂进行治疗.对比两组治疗前后肺功能指标(FEV1、FVC 、PEF ) 、血清炎症因子(IFN-g、IL-8 、IL-4) 、T淋巴细胞亚群(CD3+、CD4+、CD8+、CD4+ /CD8+)值变化情况;统计两组临床显控率及总有效率.结果:治疗后,两组肺功能指标FEV1、FVC 、PEF值、血清炎症因子IFN-水平及T 淋巴细胞亚群CD3+、CD4+、CD4+ /CD8+值均明显升高( P＜0 .05 ) ;血清炎症因子IL-8 、IL-4水平及T 淋巴细胞亚群CD8+含量均明显降低( P＜0 .05 ) .且与对照组比,观察组肺功能指标、血清炎症因子及 T淋巴细胞亚群指标含量变化更明显( P＜0 .05) .观察组临床显控率71 .88%,总有效率为96 .88%,对照组则分别为46 .88%,82 .81%,两组临床显控率及总有效率间差异有统计学意义(P＜0 .05) .结论:针刺联合沙美特罗替卡松治疗急性发作期BA可有效控制患者临床症状,改善患者肺功能,抑制机体炎症反应,提高机体免疫力,疗效明显优于单纯沙美特罗替卡松.%Objective :To investigate the clinical effect of acupuncture combined with salmeterol triamcinolone in the treatment of acute exacerbation of bronchial asthma (BA) and its effect on lung function ,serum inflammatory response ,and T lymphocyte subsets .Methods :The 128 acute exacerbation patients who were enrolled in the study were divided into two groups .The control group was treated with salmeterol monohydrate inhaler ,the observation group was treated with acupuncture combined with salmeterol monohydrate inhaler .The changes in lung function pa-rameters (FEV1,FVC ,PEF) ,serum inflammatory factors (IFN-,IL-8 ,IL-4) ,and T lymphocyte subsets (CD3+, CD4+,CD8+,and CD4+ /CD8+) before and after treatment were compared in the two groups ;the clinical manifes-tation rate and total effective rate in two groups was counted .Results :After treatment ,the FEV1,FVC ,PEF val-ues ,serum inflammatory cytokines ,and T lymphocyte subsets CD3+,CD4+,and CD4+ /CD8+ values were signifi-cantly increased in both groups (P＜0 .05) ,the levels of serum inflammatory cytokines IL-8 ,IL-4 and CD8+ in T lymphocyte subsets were significantly lower (P＜0 .05).Compared with the control group ,the changes of lung func-tion ,serum inflammatory factors and T lymphocyte subsets were more obvious in the observation group (P＜0 .05). The clinical display control rate of the observed group was 71 .88%,the total effective rate was 96 .88%,and the control group was 46 .88% and 82 .81% ,respectively .There was a significant difference of the clinical manifestation rate and total effective rate between two groups (P＜0 .05).Conclusion :Acupuncture combined with salmeterol was effective in controlling clinical symptoms of patients with acute exacerbation of BA ,improving lung function ,inhibi-ting body inflammatory response ,and improving immunity .The curative effect is significantly better than that of salmeterol.

摘要： Objective To explore the effects of acupuncture on the expression of protein kinase B (PKB/AKT) in lung tissues of asthma rats.Methods Forty SPF male SD rats were randomly divided into a blank group, a model group, an acupuncture group and a blocker group, 10 rats in each one.The rat model of asthma was established by egg albumin stimulation in the model group, acupuncture group and blocker group.Since the establishment of rat model, the rats in the acupuncture group were treated with acupuncture at "Dazhui" (GV 14), "Feishu" (BL 13) and "Fengmen" (BL 12) before atomization;the rats in the blocker group were treated with intervention of blocker LY294002, once every two days, for 7 times.There was no treatment in the blank group and model group.HE staining was applied to observe the morphologic changes of lung tissues;the immunohistochemical method was applied to test the protein expression of AKT in lung tissue.Results HE staining indicated the infiltration and aggregation of a variety of inflammatory cells around airways, as well as bronchial smooth muscle spasm and confined lumen in the model group;in the acupuncture group and blocker group the inflammatory cells were less and confined lumen was relieved.Compared with the blank group, the protein expression of AKT was higher in the model group (P0.05).Conclusion Acupuncture could reduce the protein expression of AKT in lung tissue in asthma rats, leading to relieved inflammation reaction and airway remodeling.%目的:探讨针刺对哮喘大鼠肺组织中蛋白激酶B(protein kinase B,PKB/AKT)蛋白表达的影响.方法:将40只SPF级雄性SD大鼠随机分为空白组、模型组、针刺组和雾化阻断剂组,每组10只.模型组、针刺组、雾化阻断剂组分别用卵蛋白激发制备大鼠哮喘模型.自造模之日起,针刺组每次雾化激发前先进行针刺干预,穴取"大椎""肺俞""风门";雾化阻断剂组给予雾化阻断剂LY294002干预,均隔日1次,共7次.空白组和模型组不干预.采用HE染色观察各组大鼠肺组织形态学改变,免疫组织化学法检测各组大鼠肺组织AKT蛋白的表达.结果:HE染色显示模型组大鼠气道周围有多种炎性细胞的浸润和聚集,支气管平滑肌痉挛,管腔狭窄;针刺组和阻断剂组有少量炎性细胞,管腔狭窄、管壁增厚程度较模型组轻.模型组AKT蛋白表达较空白组高(P0.05).结论:针刺可降低哮喘大鼠肺组织中AKT蛋白表达以减轻炎性反应和改善气道重塑.

摘要： 'Three-acupoint and Five-needle Method' is a summary of Prof. Shao Jing-ming's clinical experience in the treatment of asthma for years. It is used to alleviate asthma during seizure and to improve the pulmonary functions, strengthen the body constitution and prevent recurrence in the remission stage. This article introduces the theoretic source and basic principle, and concrete operating method, i.e. puncturing bilateral Feishu (BL 13), Dazhui (GV 14) and bilateral Fengmen (BL 12), and adding acupoints based upon pattern identification, in combination of moxibustion and cupping therapy for promoting the clinical application of this method.%"三穴五针法"是邵经明教授多年治疗哮喘的临床经验总结,在哮喘发作时应用可迅速平喘;在哮喘缓解期应用可改善肺功能,增强体质,预防复发.文章介绍"三穴五针法"的理论渊源与基本原理,以及具体的操作方法,即针刺双侧肺俞、大椎及双侧风门,并辨证配穴,结合灸法或拔罐疗法,以促进该方法的临床应用.

摘要： 目的:基于蛋白芯片技术探讨针刺对大脑中动脉缺血模型(MCAO)大鼠脑组织相关磷酸化蛋白数量的影响.方法:参照线拴法并加以改良复制MCAO模型,将40只Sprague-Dawley(SD)健康大鼠按抽签法随机分为4组,即假手术组、模型组、对照点组和穴位组,每组10只.假手术组与模型组大鼠只捆绑不针刺,穴位组大鼠针刺大椎、百会、水沟,对照点组大鼠针刺非穴对照点,针后每穴捻转1 min,中间捻转1次,留针30 min,每12 h针刺1次,连续6次.实验结束后进行神经功能缺损评分,提取缺血脑组织细胞,采用720磷酸化抗体蛋白芯片技术观察各组大鼠脑组织损伤修复相关信号蛋白磷酸化的变化,筛选出各组差异性表达的蛋白.结果:治疗72 h后,神经功能缺损评分:与假手术组比较,模型组、对照点组和穴位组评分显著增高(P<0.01);与模型组比较,穴位组与对照点组评分降低(P<0.01,P<0.05);穴位组评分优于对照点组(P<0.05).蛋白芯片显示:与假手术组比较,模型组磷酸化水平表达上调(≥1.5倍)的蛋白数量为48种,下调的有28种;与模型组比较,对照点组上调的蛋白数量为35种,下调的有24种;穴位组上调蛋白数量为29种,下调的有51种;且在功能归属与信号转导途径的归属上蛋白数量也不一致.结论:针刺大椎、百会和水沟能有效修复脑损伤;脑组织的缺血性损伤可能由多种数量蛋白失调而联合致病,而针刺则可以多功能、多途径地调整失调蛋白而促进脑组织修复.%Objective: To investigate the effects of acupuncture on the number of associated phosphorylated proteins in brain tissues of middle cerebral artery occlusion (MCAO) rats, based on the protein microarray technique. Methods: The MCAO model was prepared according to the modified occlusion method using occlusion lines. Forty healthy Sprague-Dawley (SD) rats were randomly divided into 4 groups using the lottery method: a sham operation group, a model group, a control point group and an acupoint group, with 10 rats in each group. Rats in the sham operation group and the model group only received binding without acupuncture. Rats in the acupoint group received acupuncture at Dazhui (GV 14), Baihui (GV 20) and Shuigou (GV 25); rats in the control point group received acupuncture at non-acupoint control points. The needle was twisted once for 1 min after insertion and another time in the middle of the 30 min needle retaining. Acupuncture was conducted once every 12 h for 6 consecutive times. At the end of the experiment, the neurological impairment score was collected, and cells of the ischemic brain tissues were extracted. The protein phosphorylation of the related signaling was detected using the 720 phosphorylated antibody microarray technique, and the differentially expressed proteins between groups were screened. Results: The neurological impairment scores after 72 h of treatment: compared with the sham operation group, the scores of the model group, the control point group and the acupoint group were significantly increased (P<0.01); compared with the model group, the scores of the acupoint group and the control point group were significantly decreased (P<0.01,P<0.05); the score of the acupoint group was better than that of the control point group (P<0.05). The results of the protein microarray: compared with the sham operation group, 48 proteins showed up-regulated phosphorylation (≥1.5 times) in the model group and the down-regulated was 28; compared with the model group, 35 proteins showed up-regulated phosphorylation in the control point group, and the down-regulated was 24. There were 29 proteins showing up-regulated phosphorylation in the acupoint group and the down-regulated was 51. The numbers of proteins involved in the function and signal transduction pathways were also different. Conclusion: Acupuncture at Dazhui (GV 14), Baihui (GV 20) and Shuigou (GV 25) can effectively repair brain injury. The ischemic injury of brain tissue may be caused by imbalance of a variety of proteins, and acupuncture can promote brain tissue repair by multi-functional and multi-channel regulation of the protein disorders.

摘要： 目的:总结高玉瑃教授针灸治疗项痹的临床经验.方法:高玉瑃教授治疗项痹重视督脉和脾胃的调理,临证时选取大椎、后溪振奋阳气,通阳御邪蠲痹;配伍中脘、足三里补益脾胃,运化痰湿,以除着痹;兼用绝骨、阳陵调补肝肾,壮骨柔筋益髓;对于项痹发有急症时,采用劳宫、人中,通经活络,缓急止痛.结论:从选穴组方、下针顺序、巨刺缪刺、脏腑辨证等关键因素入手阐述治疗项痹的临证经验,体现燕赵高氏针法治疗项痹重视调畅气血 、柔养筋骨的学术思想.

摘要： 目的:观察穴位刺激联合吸入疗法治疗小儿哮喘的临床效果.方法:将就诊于我院的94例哮喘患儿随机分为对照组和治疗组各47例.对照组患儿给予沙丁胺醇雾化吸入治疗;治疗组患儿则在吸入疗法基础上联合穴位刺激法治之,连续治疗2周.观察症状缓解时间及肺功能的影响.结果:治疗组的总有效率为91.5％,明显高于对照组的总有效率72.3％,喘憋改善时间及哮鸣音消失时间较对照组患儿明显缩短,肺功能改善更突出,患儿的住院日、发作次数较对照组明显少,家庭的生活质量则明显高于对照组患儿,差异有统计学意义(P＜0.05).结论:穴位刺激联合吸入疗法治疗小儿哮喘能明显改善患儿症状,提高肺功能,缩短病程,减少患儿复发的次数,提高家庭的生活质量,疗效确切,值得临床深入研究运用.

摘要： 目的:观察针刺加电针治疗颈椎病的疗效。方法:采用针刺、电针取颈夹脊3-7、风池、风府、大椎等穴用平补平泻手法。结果:治疗颈椎病42例,总有效率95.2％。提示:针刺加电针具有舒筋活络、通经活血的功效。

摘要： 目的:观察针刺加电针治疗颈椎病的疗效。方法:采用针刺、电针取颈夹脊3-7、风池、风府、大椎等穴用平补平泻手法。结果:治疗颈椎病42例,总有效率95.2％。提示:针刺加电针具有舒筋活络、通经活血的功效。

摘要： 目的:观察针刺加电针治疗颈椎病的疗效。方法:采用针刺、电针取颈夹脊3-7、风池、风府、大椎等穴用平补平泻手法。结果:治疗颈椎病42例,总有效率95.2％。提示:针刺加电针具有舒筋活络、通经活血的功效。

摘要： 目的:观察针刺加电针治疗颈椎病的疗效。方法:采用针刺、电针取颈夹脊3-7、风池、风府、大椎等穴用平补平泻手法。结果:治疗颈椎病42例,总有效率95.2％。提示:针刺加电针具有舒筋活络、通经活血的功效。

摘要： 目的:观察针刺加电针治疗颈椎病的疗效。方法:采用针刺、电针取颈夹脊3-7、风池、风府、大椎等穴用平补平泻手法。结果:治疗颈椎病42例,总有效率95.2％。提示:针刺加电针具有舒筋活络、通经活血的功效。

摘要： 一种分穴系统，用于将多个待分穴的元件进行分穴。该分穴系统包括一主输送装置、一辨识装置以及一分穴装置，该主输送装置具有一输入端、以及与该输入端相对的输出端，该主输送装置用于输送待分穴的元件至分穴装置；该辨识装置用于辨识该该待分穴的元件，并产生一辨识信息；该分穴装置用于根据该辨识装置产生的辨识信息将该待分穴的元件输送至预定位置。另外，本发明还提供一种利用上述分穴系统的分穴方法。

摘要： 一种分穴系统，用于将多个待分穴的元件进行分穴。该分穴系统包括一主输送装置、一辨识装置以及一分穴装置，该主输送装置具有一输入端、以及与该输入端相对的输出端，该主输送装置用于输送待分穴的元件至分穴装置；该辨识装置用于辨识该该待分穴的元件，并产生一辨识信息；该分穴装置用于根据该辨识装置产生的辨识信息将该待分穴的元件输送至预定位置。另外，本发明还提供一种利用上述分穴系统的分穴方法。

摘要： 本发明实施例公开一种筒仓内高大椎体施工方法，按照如下工序依次施工：椎体底部模板安装，椎体底模一次成型；椎体施工缝划分；椎体环梁施工；椎体第一施工段钢筋绑扎；椎体第一施工段安装内顶撑；第一施工段安装上部模板；混凝土浇筑；第二施工段、第三施工段施工，具体步骤为重复步骤四至步骤七；本发明实施例确保了椎体混凝土里实外光，保证了施工人员的安全，并缩短了施工工期，降低了施工成本。

摘要： 本实用新型提供的大椎穴暖熨带，敷带的一侧表面固定有接触电极板和PTC热敏陶瓷电阻片，正、负接触电极板分别连接于脉冲电路的正、负输出电极上，PTC热敏陶瓷电阻片固定于正、负两接触电极板之间的中央。本技术方案通过PTC热敏陶瓷电阻片和脉冲输出接触电极板的脉冲信号双重方法共同作用于大椎穴区域，双效工作方式能够更好的消除感冒症状和不适。

摘要： 本实用新型提供一种穴盘座及含有该穴盘座的穴盘育苗装置，穴盘座包括基体、粗沙层、无纺布、疏松基质层及钢丝网，所述基体包括地布层及护壁体，所述护壁体环设于所述地布层的顶部，以围成一放置槽，所述粗沙层铺设于所述放置槽的底部，所述无纺布铺设于所述粗沙层的顶部，并可拆卸的固设于所述护壁体上，所述疏松基质层铺设于所述无纺布的顶部，所述钢丝网铺设于所述疏松基质层的顶部，并可拆卸的固设于所述护壁体上。本实用新型中的穴盘座及穴盘育苗装置，能够满足穴盘育苗需要的冬春育苗保温和夏秋育苗通风透气的要求，并能够使穴盘培育出壮苗。

摘要： 本实用新型涉及一种可调节压穴深度的穴盘育苗开穴装置，由压穴器和调节装置组成；所述压穴器由把手、金属板、螺杆和螺帽组成；所述的调节装置由调节装置金属板、两个较粗螺杆、两个较细螺杆和两个螺母组成；根据不同作物播种深度需要，通过调整固定较细螺杆和较粗螺杆的相对位置可调节压穴器金属板上螺杆和螺帽伸出调节装置的长度。本实用新型有利于开穴深度一致，且可根据作物播种深度调节开穴深度，出苗整齐一致，利于培育壮苗；且操作方便，提高劳动效率，适用于多种作物的小面积穴盘育苗的开穴装置。

摘要： 本实用新型公开了CWC型大椎中走丝电火花线切割机床，包括机床本体、工作台、两组提升组件、防护组件以及辅助清理组件，所述工作台对应装配在机床本体上，两组所述提升组件对称嵌设在机床本体靠近工作台两侧，所述防护组件匹配安装在两组提升组件顶端，且防护组件底端与工作台下表面对应锁合固定。本实用新型通过电控旋转电机，收卷轴进行转动，实现对透明防护帘的展开工作，利用透明防护帘即可对工作台进行延伸保护，可对加工中飞溅的废屑阻挡，避免废屑大范围飞溅对工作人员造成损伤的不足，且在提升组件的配合下，对螺纹杆与提升腔总长的快速调整，可对防护框高度进行适配调整，提升了整体防护范围，可供工作人员根据具体防护需求进行升降。

摘要： 本实用新型揭示了一种颈部大椎贴，所述颈部大椎贴包括：大椎贴本体及连接件，所述大椎贴本体及所述连接件连接；所述连接件能将所述大椎贴本体固定于人体设定部位；所述大椎贴本体设有药材包，在设定贴敷状态下所述药材包能贴敷至人体大椎穴。本实用新型提出的颈部大椎贴，可有效覆盖至人体大椎穴，提高贴敷效果。

摘要： 本实用新型公开了一种颈椎后路椎管扩大椎管成形术3D模型演示设备，包括设备箱体，所述设备箱体内设有安装腔，所述安装腔内固定连接有伺服电机，所述伺服电机的输出端固定连接有固定杆，所述固定杆的输出端与安装腔内顶部转动连接，所述固定杆的外侧固定连接有第一滚筒，所述安装腔内设有回收机构，所述回收机构与第一滚筒之间设有演示布，所述安装腔的内顶部设有两个照明灯，所述安装腔的底部设有蓄电池，所述设备箱体上贯穿设有观察窗。本实用新型结构合理，可以将展示布上转动展示且面积较大，便于学生观看，通过设置照明灯，可以提供亮度，便于学生观看学习，且结构简单轻巧，便于老师携带。

摘要： 本实用新型公开了一种大椎药疗热疗枕头，包括枕套及设置在枕套中的枕芯体，所述枕芯体两侧分别设置有侧卧支撑部，所述侧卧支撑部前部设置有向前凸的托颈凸起，所述托颈凸起上设置有红外线发热模块，所述侧卧支撑部之间设置有脖颈托起部，所述脖颈托起部前部设置有大椎托起部，所述大椎托起部下部设置有储药室，所述脖颈托起部下部设置有拉伸棒室，所述拉伸棒室内设置有拉伸棒，所述枕芯体后侧设置有手垫，所述手垫与脖颈托起部之间设置有头支撑槽，所述侧卧支撑部后侧设置有放臂槽。本实用新型能够使枕头能够根据需要调节高度，通过药物提高睡眠质量，同时能够承托人的颈部，具有拉伸和治疗作用。