腓总神经损伤,严重影响病人生活质量。而中医疗法中的针灸则显示出独特的优越性。以中西医结合理论为基础,深入探讨了不同针刺法治疗腓总神经损伤的原理与方法。通过对温针电针纵横针等不同针刺法的介绍与案例剖析,揭示了不同针刺法对...腓总神经损伤,严重影响病人生活质量。而中医疗法中的针灸则显示出独特的优越性。以中西医结合理论为基础,深入探讨了不同针刺法治疗腓总神经损伤的原理与方法。通过对温针电针纵横针等不同针刺法的介绍与案例剖析,揭示了不同针刺法对促进神经再生改善神经传导的作用机理。近年来有关针灸治疗腓总神经损伤的临床与试验研究取得长足进展。该成果的临床应用有望得到进一步的开展与推广。但尽管如此,目前针刺治疗腓总神经损伤仍存在着诊断标准不统一、治疗方法不规范、作用机制不明确等诸多问题,给治疗带来一定困扰。今后的研究要加大基础研究力度,使临床操作更加规范合理,使疗效得到提高,给更多病人带来康复的可能,为神经损伤的修复尽一份绵薄之力,共同为改善患者的生活质量而努力。Background: Common peroneal nerve injury seriously affects people’s quality of life, and acupuncture in traditional Chinese medicine therapy shows unique advantages. Based on the theory of integrated traditional Chinese and Western medicine, this paper discusses the principles and methods of different acupuncture treatments of common peroneal nerve injury. Through the introduction of different acupuncture methods such as warm acupuncture, electric acupuncture and horizontal acupuncture, the mechanism of different acupuncture methods on promoting nerve regeneration and improving nerve conduction was revealed. In recent years, great progress has been made in clinical and experimental studies on acupuncture treatment of common peroneal nerve injury. The clinical application of this result is expected to be further developed and popularized. Future research should strengthen basic research, make clinical operation more standardized and reasonable, improve the efficacy, bring more patients the possibility of rehabilitation, make a modest contribution to the repair of nerve damage, and work together to improve the quality of life of patients.展开更多
针刺运动法通过刺激穴位和促进肌肉活动相结合的方法,将中医的针刺疗法与现代康复医学的运动疗法相结合,达到止痛和提高机能的目的。本研究对针刺运动法的理论基础和机制进行了综述,并对其在急性腰扭伤治疗中的临床应用进行了详细的阐述...针刺运动法通过刺激穴位和促进肌肉活动相结合的方法,将中医的针刺疗法与现代康复医学的运动疗法相结合,达到止痛和提高机能的目的。本研究对针刺运动法的理论基础和机制进行了综述,并对其在急性腰扭伤治疗中的临床应用进行了详细的阐述,包括操作方法、典型病例和与其他治疗方法的对比等内容。同时,对国内外研究进展进行了针刺运动治疗急性腰扭伤的研究,包括其疗效评估、作用机制和影响因素在缓解疼痛、改善功能方面的研究,以及适应症和禁忌症的研究。另外,针刺运动法的安全性和有效性也得到了探讨,并提供了重要的临床应用参考资料。综上,对于急性腰扭伤的治疗,针刺运动法显示了很好的应用前景和效果。Acupuncture exercise combines traditional Chinese acupuncture therapy with modern rehabilitation medicine’s exercise therapy by stimulating acupoints and promoting muscle activity, achieving the goal of pain relief and improving function. This study provides a comprehensive review of the theoretical basis and mechanism of acupuncture exercise, and elaborates in detail on its clinical application in the treatment of acute lumbar sprain, including operational methods, typical cases, and comparisons with other treatment methods. At the same time, research on acupuncture exercise therapy for acute lumbar sprain has been conducted both domestically and internationally, including its efficacy evaluation, mechanism of action, and influencing factors in pain relief and functional improvement, as well as indications and contraindications. In addition, the safety and effectiveness of needle movements have also been explored, and important clinical reference materials have been provided. In summary, acupuncture has shown great potential and effectiveness in the treatment of acute lumbar sprains.展开更多
目的:通过网状meta分析系统评价多种非药物疗法在脊髓损伤后神经源性膀胱患者中的应用效果。方法:计算机检索PubMed、EMbase、Web of Science、Cochrane Library、中国知网(CNKI)、万方数据库(WangFang Date)、维普数据库(VIP)中有关脊...目的:通过网状meta分析系统评价多种非药物疗法在脊髓损伤后神经源性膀胱患者中的应用效果。方法:计算机检索PubMed、EMbase、Web of Science、Cochrane Library、中国知网(CNKI)、万方数据库(WangFang Date)、维普数据库(VIP)中有关脊髓损伤后神经源性膀胱患者非药物疗法的随机对照试验,检索时间为2013年至2023年3月20日,由2名研究人员独立进行文献检索、筛选、资料提取、质量评价,并交叉核对结果,对最终纳入的文献使用RevMan 5.4和Stata17软件进行数据分析。结果:最终纳入31篇临床随机对照试验(RCT),涉及2383例患者,共涵盖13种不同的非药物疗法,网状meta分析显示:在总有效率方面,累积排序曲线下面积(SUCRA)排名第一的治疗方法为中频脉冲电治疗结合常规膀胱功能训练(68.4%);在残余尿量方面,排名第一为电针合体表神经电刺激联合常规膀胱功能训练(87.5%);在最大尿流率方面,排名第一为盆底肌电刺激合盆底肌训练联合常规膀胱功能训练(99.8%);在日平均单次尿量方面,排名第一为盆底肌电刺激联合常规膀胱功能训练(99.9%)。结论:中频脉冲电治疗联合常规膀胱功能训练在总有效率方面疗效最佳,电针合体表神经电刺激联合常规膀胱功能训练在改善残余尿量方面疗效更佳,盆底肌电刺激合盆底肌运动训练在改善最大尿流率方面疗效最佳,盆底肌电刺激联合常规膀胱功能训练在改善日平均单次尿量方面疗效最佳。但不同干预措施文献量太少,纳入文献质量不算很高,存在发表偏倚,故此结论需要开展高质量的研究后进一步验证。展开更多
文摘腓总神经损伤,严重影响病人生活质量。而中医疗法中的针灸则显示出独特的优越性。以中西医结合理论为基础,深入探讨了不同针刺法治疗腓总神经损伤的原理与方法。通过对温针电针纵横针等不同针刺法的介绍与案例剖析,揭示了不同针刺法对促进神经再生改善神经传导的作用机理。近年来有关针灸治疗腓总神经损伤的临床与试验研究取得长足进展。该成果的临床应用有望得到进一步的开展与推广。但尽管如此,目前针刺治疗腓总神经损伤仍存在着诊断标准不统一、治疗方法不规范、作用机制不明确等诸多问题,给治疗带来一定困扰。今后的研究要加大基础研究力度,使临床操作更加规范合理,使疗效得到提高,给更多病人带来康复的可能,为神经损伤的修复尽一份绵薄之力,共同为改善患者的生活质量而努力。Background: Common peroneal nerve injury seriously affects people’s quality of life, and acupuncture in traditional Chinese medicine therapy shows unique advantages. Based on the theory of integrated traditional Chinese and Western medicine, this paper discusses the principles and methods of different acupuncture treatments of common peroneal nerve injury. Through the introduction of different acupuncture methods such as warm acupuncture, electric acupuncture and horizontal acupuncture, the mechanism of different acupuncture methods on promoting nerve regeneration and improving nerve conduction was revealed. In recent years, great progress has been made in clinical and experimental studies on acupuncture treatment of common peroneal nerve injury. The clinical application of this result is expected to be further developed and popularized. Future research should strengthen basic research, make clinical operation more standardized and reasonable, improve the efficacy, bring more patients the possibility of rehabilitation, make a modest contribution to the repair of nerve damage, and work together to improve the quality of life of patients.
文摘针刺运动法通过刺激穴位和促进肌肉活动相结合的方法,将中医的针刺疗法与现代康复医学的运动疗法相结合,达到止痛和提高机能的目的。本研究对针刺运动法的理论基础和机制进行了综述,并对其在急性腰扭伤治疗中的临床应用进行了详细的阐述,包括操作方法、典型病例和与其他治疗方法的对比等内容。同时,对国内外研究进展进行了针刺运动治疗急性腰扭伤的研究,包括其疗效评估、作用机制和影响因素在缓解疼痛、改善功能方面的研究,以及适应症和禁忌症的研究。另外,针刺运动法的安全性和有效性也得到了探讨,并提供了重要的临床应用参考资料。综上,对于急性腰扭伤的治疗,针刺运动法显示了很好的应用前景和效果。Acupuncture exercise combines traditional Chinese acupuncture therapy with modern rehabilitation medicine’s exercise therapy by stimulating acupoints and promoting muscle activity, achieving the goal of pain relief and improving function. This study provides a comprehensive review of the theoretical basis and mechanism of acupuncture exercise, and elaborates in detail on its clinical application in the treatment of acute lumbar sprain, including operational methods, typical cases, and comparisons with other treatment methods. At the same time, research on acupuncture exercise therapy for acute lumbar sprain has been conducted both domestically and internationally, including its efficacy evaluation, mechanism of action, and influencing factors in pain relief and functional improvement, as well as indications and contraindications. In addition, the safety and effectiveness of needle movements have also been explored, and important clinical reference materials have been provided. In summary, acupuncture has shown great potential and effectiveness in the treatment of acute lumbar sprains.
