A Combined Treatment of Scalp Acupuncture and Traction in 108 Cases of Prolapse of the Lumbar In
梅花针扣刺联合拔罐治疗1例肺癌患者化疗后并发带状疱疹的护理
中西医结合护理Chinese Journal of Integrative Nursing2023 年第 9 卷第 11 期Vol.9， No.11， 2023OPEN ACCESShttp ：/ / 梅花针扣刺联合拔罐治疗1例肺癌患者化疗后并发带状疱疹的护理李浩东， 刘书红， 赵燕（北京中医药大学东方医院 肿瘤科， 北京， 100078）摘要： 本文总结梅花针扣刺联合拔罐治疗1例肺癌患者化疗后并发带状疱疹的护理体会。
基于辨证分型，采用梅花针扣刺疱疹及病变范围，再行拔罐，拔除瘀血，泄毒排邪，有效减轻患者疼痛，缓解不适症状，有助于提高肿瘤患者的生存质量。
关键词： 肺癌； 化疗； 带状疱疹； 梅花针； 拔罐； 中医外治中图分类号： R 473.73 文献标志码： A 文章编号： 2709-1961（2023）11-0098-03Acupuncture with plum -blossom needling andcupping therapy for a patient with herpes zoster after chemotherapy for lung cancerLI Haodong ，LIU Shuhong ，ZHAO Yan（Department of Oncology ， Dongfang Hospital Beijing University of Chinese Medicine ， Beijing ， 100078）ABSTRACT ： This paper investigated the effect of Aupuncture with plum -blossom needling andcupping therapy in treating a case of herpes zoster after chemotherapy for lung cancer ， and summa⁃rized related nursing measures. Based on the syndrome differentiation ， the acupuncture with plum -blossom needling was applied to the area of herpes and the lesion ， followed by the cupping therapy. The combined treatment of green nursing techniques can not only relieve the pain and dis⁃comfort symptoms caused by herpes zoster ， but also improve the quality of life of the patient.KEY WORDS ： lung cancer ； chemotherapy ； herpes zoster ； plum -blossom needling ； cupping therapy ； Traditional Chinese Medicine external application 带状疱疹是由水痘-带状疱疹病毒感染引起的皮肤病。
一例老年犬腰椎间盘突出的诊断与治疗
临床金鉴202310263一例老年犬腰椎间盘突出的诊断与治疗李方杰，张有翠，王 宵，李美荃，董翠莲（昆明学院农学与生命科学学院，昆明云南 650214）摘要：综合分析一例14岁中华田园犬临床检查、血常规检查、生化检查、C 反应蛋白检查、X 线影像学和核磁共振检查结果，患犬确诊为汉森Ⅱ型第13胸椎～第3腰椎椎间盘突出，并已引起后驱麻痹且无力，导致犬瘫痪。
经偏侧椎板切除术和针灸辅助治疗1个月后，该犬预后良好。
关键词：犬；腰椎间盘突出；偏侧椎板切除术；诊断针灸中图分类号：S858.292 文献标志码：B 文章编号：1003-8655（2023）10-0022-03犬椎间盘突出症是临床上最多见的脊椎疾病，据报道，超过85%的椎间盘突出患犬发病部位在T11～L3，其次在T12～13与T13～L1，其余病例发生于颈椎。
椎间盘突出的发病类型主要包括：汉森I 型，呈急性型，椎间盘纤维软骨环破坏，髓核脱出，进入椎管压迫脊髓，脊髓可能伴有水肿或出血；汉森Ⅱ型，呈慢性、渐进性型，椎间盘逐渐老化，最后破裂，此过程对脊髓压迫；汉森Ⅲ型，急性，非压缩性髓核挤压。
临床比较常见的是汉森I 型和汉森Ⅱ型。
临床主要以疼痛、共济失调、麻木，运动障碍，感觉运动麻痹为特征。
一般通过临床症状、血常规、血液生化、核磁共振（MRI）检查、X 线检查、CT 检查等综合确诊。
其中MRI 检查可清晰显示椎管内外组织成分的相互位置关系，比较全面地提供诊断依据，为手术提供精确参考。
1 病例诊断情况1.1 病例介绍2022年8月，昆明某动物医院接诊患犬果果，公，14岁，中华田园犬，7.1 kg。
该犬发病1个半月，后肢无力，后驱麻痹，不能站立，疼痛，做过一段时间的激素及止痛药治疗，用药期间有效，停药后即反复该情况。
1.2 诊断1.2.1 临床诊断体温38.4 ℃，呼吸频率36次/min，心率110次/min，运动拘谨，发抖，情绪紧张，弓背，牙结石严重，后驱无力，双后肢肌肉有轻度萎缩，不能站立，后肢强直，强行驱赶只能前肢行走，膀胱充盈。
刮灸疗法治疗1例宫颈癌患者肝郁气滞致胸胁胀痛的护理体会
中西医结合护理Chinese Journal of Integrative Nursing2023 年第 9 卷第 11 期Vol.9， No.11， 2023OPEN ACCESShttp ：/ / 刮灸疗法治疗1例宫颈癌患者肝郁气滞致胸胁胀痛的护理体会赵保亚， 刘书红（北京中医药大学东方医院 肿瘤科， 北京， 100078）摘要： 本文总结1例刮灸疗法治疗肝郁气滞致胸胁胀痛的宫颈癌患者的护理体会。
基于中医辨证，采用刮痧疗法在足少阳胆经上刮拭，梳理肝气、化瘀、散结，并艾灸太冲穴以化郁疏肝，有效缓解患者胸胁胀痛、胀满等症状，有助于提高其生活质量。
关键词： 宫颈癌； 刮痧； 艾灸； 中医护理中图分类号： R 473.73 文献标志码： A 文章编号： 2709-1961（2023）11-0038-03Scraping and moxibustion therapy in thetreatment of chest pain caused by liver depression and Qi stagnationin a patient with cervical cancerZHAO Baoya ，LIU Shuhong（Department of Oncology ， Dongfang Hospital Beijing University of Chinese Medicine ， Beijing ， 100078）ABSTRACT ： This paper investigated the effect of scraping and moxibustion therapy in the treat⁃ment of chest pain caused by liver depression and Qi stagnation in a patient with cervical cancer ， and summarized related nursing measures. Based on the Traditional Chinese Medicine syndrome differentiation ， the scraping theray on Zushaoyang Danjin acupoint was carried out to regulating the liver Qi and removing blood stasis. The moxibustion therapy on Taichong acupoint was ap⁃plied for soothing liver and invigorating spleen. The combined treatment of scraping and moxibus⁃tion therapy is effective to relieve the symptoms of chest pain and improve the patient ’s quality of life.KEY WORDS ： cervical cancer ； scraping therapy ； moxibustion ； Traditional Chinese Medicine nursing宫颈癌是困扰女性健康的常见恶性肿瘤，其发病率越来越高，且呈年轻化趋势［1］。
电针联合药物治疗周围性面瘫效果分析及其护理方法研究
中外医疗China &Foreign Medical Treatment周围性面瘫是临床上常见的疾病,这种疾病机制复杂,诱因也比较多,主要是由于面神经核以及核以下的面神经产生非特异性炎症引起的,这种疾病发病急,能够在数日内达到高峰,且患者发病后临床上主要表现表现为:痉挛、肌肉麻痹等,给患者带来很大痛苦[1]。
常规方法虽然能够改善患者症状,但是长期效果不理想,治疗依从性较差。
近年来,电针联合药物在周围性面瘫患者中使用较多,并取得理想效果[2]。
为了探讨电针联合药物在周围性面瘫患者中的临床治疗效果及其护理方法。
对2013年4月—2014年4月来该院诊治的80例患者入院资料进行分析,现报道如下。
1资料与方法1.1一般资料对来该院诊治的80例患者入院资料进行分析,将其随机分为两组,实验组有40例,其中男27例,女13例,年龄为28~61电针联合药物治疗周围性面瘫效果分析及其护理方法研究李哲琳广西梧州市中医医院针灸科,广西梧州543002[摘要]目的探讨电针联合药物在周围性面瘫患者中的临床治疗效果及其护理方法。
方法对2013年4月—2014年4月来该院诊治的80例患者入院资料进行分析,将其随机分为两组。
对照组采用药物治疗,实验组联合电针治疗,两组均行综合护理,比较两组治疗效果。
结果实验组95%治疗效果理想,高于对照组(85%),差异有统计学意义(P <0.05);实验组95%对该院治疗总体满意,高于对照组,差异有统计学意义(P <0.05);实验组3例出现不良反应,不良反应发生率为7.5%,低于对照组(7例出现不良反应,不良反应发生率为17.5%),差异有统计学意义(χ2=4.58,P <0.05)。
结论周围性面瘫发病率较高,临床上采用电针联合药物治疗效果理想,患者治疗过程中加强患者护理能够提高临床治疗效果,值得推广使用。
[关键词]电针;药物;周围性面瘫;治疗效果;护理方法[中图分类号]R248[文献标识码]A[文章编号]1674-0742(2015)01(c )-0128-03Analysis of the Effect of Electroacupuncture Combined with Medicine on Peripheral Facial Paralysis and Study on the Corresponding Nursing MethodLI ZhelinDepartment of Acupuncture and Moxibustion,Guangxi Wuzhou Hospital of Traditional Chinese Medicine,Wuzhou,Guangxi Zhuang Autonomous Region,543002,China[Abstract]Objective To investigate the clinical therapeutic effect of electroacupuncture combined with drugs on patients with pe ⁃ripheral facial paralysis and the corresponding nursing method.Methods The admission information of 80cases visited and treated in our hospital from April 2013to April 2014was analyzed.And the patients were randomly divided into two groups.The control group were treated by drugs,and the experimental group were treated by drugs combined with electroacupuncture,and both groups were given the comprehensive nursing.The treatment effects were compared between the two groups.Results In the experimental group,95%of the patients had ideal treatment effect,higher than that in the control group (85%),and the difference was statisti ⁃cally significant (P <0.05);95%of the patients in the experimental group were satisfied with the overall treatment in our hospital,higher than that in the control group ,and the difference was statistically significant (P <0.05);3cases in the experimental grouphad adverse reactions,7cases in the control group had adverse reactions,the incidence of adverse reactions of the experimentalgroup was 7.5%,lower than 17.5%of the control group (χ2=4.58,P <0.05).Conclusion The incidence of peripheral facial paralysisis high.Electroacupuncture combined with medicine has ideal treatment effect on the disease clinically,and strengthening the nursing during treatment can improve the clinical treatment effect,therefore it is worthy of application and popularization.[Key words]Electroacupuncture;Medicine;Peripheral facial paralysis;Treatment effect;Nursing method [作者简介]李哲琳(1970.6-),女,广西梧州人,本科,护理,研究方向:周围性面瘫的综合治疗。
针刺联合血塞通治疗肱骨髁上骨折的临床价值分析
针刺联合血塞通治疗肱骨髁上骨折的临床价值分析刘广林付经栋王燕（安义县中医院，江西安义330500）肱骨髁上骨折多发生于青少年，临床主要以伸直型为主，约占90%，骨折原因多为外力打击，例如交通意外、跌倒、坠落等。
由于肱骨髁骨质薄，强度低于前关节囊及侧副韧带，加之其前倾角为30°~50°，载荷能力较差，若骨折后治疗不当，极易出现肘部畸形、关节活动障碍、骨化性肌炎等并发症[1]，严重者可导致管神经损伤，影响患者生活质量。
本研究探讨针刺联合血塞通治疗肱骨髁上骨折的临床疗效，旨在为其治疗提供新思路和方法，现报告如下。
1资料与方法1.1一般资料选取我院2016年3月—2017年3月收治的肱骨髁上骨折患者64例为研究对象，随机分为治疗组和对照组各32例。
治疗组中男21例，女11例，年龄6岁~14岁，平均年龄（8.17±2.04）岁；病位分布：左侧13例，右侧19例；骨折类型：伸直型29例，屈曲型3例；致伤原因：交通事故9例，坠落伤17例，生活伤6例。
对照组中男24例，女8例，年龄5岁~14岁，平均年龄（8.23±1.99）岁；病位分布：左侧15例，右侧17例；骨折类型：伸直型30例，屈曲型2例；致伤原因：交通事故10例，坠落伤15例，生活伤7例。
2组患者性别、年龄、病位分布、骨折类型以及致伤原因等基线资料差异无统计学意义（P >0.05），具有可比性。
本研究通过医院伦理委员会审核。
1.2纳入与排除标准纳入标准：符合肱骨髁上骨折诊断标准[2]；经X 线检查明确诊断；年龄5岁~14岁；单侧骨折；按Gartland 分型标准为Ⅲ型；新鲜骨折，病程<1周；患者及家属均知情同意。
排除标准：开放性或病理性骨折；心、肝、肾、神经系统等合并严重原发性疾病；伴有软组织大面积挫裂伤；伴有神经、血管损伤。
1.3方法所有患儿均根据骨折旋转角度和移位方向，选择相应的治疗方式，主要包括手法复位、夹板或石膏外固定、切开复位克氏针交叉内固定术。
经皮椎弓根钉棒微创内固定系统结合伤椎植骨治疗胸腰椎骨折的临床效果
第28卷 第22期 中国现代医学杂志 Vol. 28 No.22 2018年8月 China Journal of Modern Medicine Aug. 2018收稿日期：2018-02-22*基金项目：安徽省科技攻关计划项目（No ：1704a0802158）[通信作者] 申才良，E-mial ：shencailiang1616@DOI: 10.3969/j.issn.1005-8982.2018.22.014文章编号： 1005-8982（2018）22-0074-06经皮椎弓根钉棒微创内固定系统结合伤椎植骨治疗胸腰椎骨折的临床效果*曹杰1，申才良1，于海洋2，梁成民2，焦伟1（1.安徽医科大学第一附属医院 骨科，安徽 合肥 230022；2.安徽医科大学阜阳临床学院 骨科，安徽 阜阳 236003）摘要：目的 探讨经皮椎弓根钉棒微创内固定系统结合经椎弓根伤椎椎体内植骨治疗胸腰椎骨折的临床疗效。
方法 2015年2月-2016年1月安徽医科大学第一附属医院骨科无需减压的胸腰椎骨折患者40例，随机分为两组，观察组20例在“C”型臂透视引导下应用微创内固定系统结合伤椎椎体内植骨治疗；对照组20例切开复位椎弓根内固定取髂骨植骨治疗，比较两组患者的临床参数和影像学指标。
结果 两组患者均顺利完成手术，获得随访13～24个月，观察组和对照组术后伤椎Cobb's 角低于术前（P <0.05）；观察组和对照组术后椎体前缘高度高于术前（P <0.05）。
观察组术中出血量优于对照组（P <0.05）；观察组的手术时间优于开放组（P <0.05）；观察组术后引流量优于对照组（P <0.05）；观察组的术后胸腰段Cobb's 角（过屈位/过伸位）优于对照组（P <0.05），且观察组术后伤椎均未出现“蛋壳”效应。
结论 经皮椎弓根钉棒微创系统结合伤椎植骨治疗胸腰椎骨折手术创伤小、出血少、安全可靠、矫正效果满意、术后恢复快、保留胸腰段活动度，并有效防止伤椎出现“蛋壳”效应，能够即刻增加伤椎椎体的骨容量及前柱的抗压稳定性，值得临床推广。
scalp conditionsCommon, dry, scaly - Diomed …
Common, dry, scalyscalp conditionsThe skin is a complex organ made up of several layersof different types of cells which are continuously being renewed. The renewal process normally takes 3 to 4 weeks, but in some scaly scalp conditions it can be as little as 3 days.DandruffWhen the renewal cycle operates too quickly, cells on the outer layers do not separate properly but remain together and are then shed as visible flakes. Dandruff is a scalp problem which is not related to hair type and is characterised by the shedding of dry skin flakes from an otherwise apparently normal scalp. Dandruff is a common scalp condition and affects up to 50% of the adult population at some time in their life. Seborrhoeic eczema and cradle capEczema on the scalp can result in a dry, scaly scalp. It commonly occurs as seborrhoeic eczema/dermatitis, a condition which is distinguished by pink and itchy areas of the scalp in addition to the presence of scales or flakes of skin. Cradle cap, which occurs in babies, is similar but here thick, greasy, yellowish scales remain attached to the scalp.Scalp psoriasisPsoriasis is also common, affecting 2-3% of the population and can involve the scalp. Unlike other scaly scalp conditions, psoriasis is rarely itchy. It appears as red patches of skin covered with silvery scales, and is often thick with dense scale, particularly at the hairline.The appearance of dryand scaly scalpThese different forms of dry scaly scalp conditions canbe recognised from diagnostic signs such as flakes of skinin the hair, pink and itchy areas of the scalp or densescaling on the scalp. However, the causes of dandruff,eczema, and psoriasis are still unknown.There may be an alteration in the normal functioning ofthe skin which, while usually not serious, can give rise tosome of these unpleasant symptoms.Malassezia furfur(also known as Pityrosporum ovale orP. ovale)is a type of yeast, which is naturally present onthe scalp. In dandruff and seborrhoeic scalp conditions,the yeast can significantly increase in number, whichcan make the condition worse. Your doctor, nurse orpharmacist might recommend a shampoo active againstthis microorganism.Self help tips for dealingwith a dry scaly scalp• Use a special shampoo regularly• Massage your scalp when shampooing and try notto scratch it• Avoid using (or keep to a minimum) cosmeticpreparations such as hair mousse, tints or colourings• Don’t hesitate to ask your doctor, nurse or pharmacistfor adviceUseful contactsIf you suffer from seborrhoeic eczema or scalp psoriasis,the addresses of the following self help groups may beof interest.National Eczema SocietyHill House, Highgate HillLondon N19 5NA, UK.Helpline: (8am-8pm Mon-Fri)0870 241 3604The Psoriasis AssociationMilton House, 7 Milton StreetNorthampton NN2 7JG, UK.Telephone: 0845 676 0076How to get the best results from your shampooTo get the best results from your shampoo follow these guidelines:•Wet hair thoroughly with warm water•Apply the shampoo then massage shampoo into hair and scalp •Remove excess lather from hair with hands. Removing as much lather as possible is important as the lather holds the dirt and dead scale. If you rinse without removing the foam, the dead scale falls back onto the scalp and white debris will be visible once the hair is dry.•Rinse with warm water •Repeat application•Remove as much lather as possible •Finally rinse thoroughly, preferably under warm running waterPatient Guide to a good hair-washing technique1. Wet the hair and scalp with water.2. Apply shampoo -3. -to the hair and scalp and massage thoroughly with the fingertips.4. Remove the excess lather from the hair with your hands, -5. - and then rinse with warm water.6. Repeat the application-7. - and massage to produce a rich lather.8. Remove as much lather as possible with the hands.9. Finally rinse thoroughly, preferably under warm running water.。
中药塌渍联合蜡疗治疗1例项痹病患者的护理体会
2024 年第 10 卷第 1 期Vol.10， No.1， 2024中西医结合护理Chinese Journal of Integrative Nursinghttp ：/ / OPEN ACCESS 中药塌渍联合蜡疗治疗1例项痹病患者的护理体会李莹莹， 刘佳环， 金春伶， 于婉君， 王丽莎（北京中医药大学东直门医院通州院区 针灸科二区， 北京， 101121）摘要： 本文总结中药塌渍联合蜡疗治疗1例项痹病患者的护理经验。
护理人员在护理评估、饮食干预等常规护理基础上，通过辨证分析，采用中药塌渍结合蜡疗干预，有效缓解项痹病患者的疼痛症状，提高患者的生活质量。
关键词： 项痹病； 中药塌渍； 蜡疗； 中医护理； 疼痛中图分类号： R 473.5 文献标志码： A 文章编号： 2709-1961（2024）01-0105-03Nursing of a patient with cervical spondylopathy treated byTraditional Chinese Medicine collapsecombined with wax therapyLI Yingying ，LIU Jiahuan ，JIN Chunling ，YU Wanjun ，WANG Lisha（Second Department of Acupuncture ， Tongzhou Branch Dongzhimen Hospital BeijingUniversity of Chinese Medicine ， Beijing ， 101121）ABSTRACT ： This paper summarizes the nursing experience of a patient with cervical spondylop⁃athy treated by Traditional Chinese Medicine collapse combined with electric wax therapy. Nurses had conducted a comprehensive nursing assessment ， followed by dietary guidance and other rou⁃tine nursing interventions. Based on the syndrome differentiation ， the Traditional Chinese Medi⁃cine collapse combined with wax therapy was carried out to relieve the pain caused by cervical spondylopathy and improve the patient ’s quality of life.KEY WORDS ： cervical spondylopathy ； Traditional Chinese Medicine collapse ； wax therapy ， traditional Chinese medicine nursing ； pain 项痹病又称颈椎病，是因椎间盘退行性病变及颈部损伤、增生等导致的压迫交感神经、椎动脉、脊髓等组织，造成的一种临床综合征［1］。