最新刊期
期 8 ， 2018
- 摘要：<正>中医护理是在中医理论指导下,应用整体观、辨证施护方法、传统的护理技术,指导临床护理、预防、养生、保健和康复的一门学科[1]。近年来,中医药事业步入全面提升的重要时期,国家制订了一系列大力扶植中医药事业和中医护理发展的政策,尤其是中医护理重点学科、重点专科的建设,对中医护理学科的全面发展既是机遇也是挑战。本文对近年来中医护理专科、中医护理技术、中医护理人才培养、中医护理科研发展概况进行关键词：中医护理;方案;技术;人才;科研
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发布时间：2023-04-10 - 摘要：Objective To explore the training mode for clinical application on traditional Chinese medicine nursing core member. Methods According to the inclusion and exclusion criteria,the subjects of the first session of TCM nursing core member training in Beijing were selected to conduct training from May 2016 to June 2018. The training system included course content,base screening,professor selection and other content. Results The scores of basic Chinese medicine theoretical tests,before and after training,were 56. 67 ± 17. 03,81. 14 ± 12. 27,which had the significant difference（ P < 0. 01）. The number of papers published with the first author in core journals was increased by 46. 15% than those for the corresponding period; the number of scientific research projects in charge was increased by 100. 00% over the same period; the number of TCM nursing technology projects in the departments where the subjects conducted was increased by 19. 38%. Conclusion A perfect training project system could promote the overall professional quality and service capacity of the Chinese medicine nursing team in Beijing.关键词：nursing（TCM）;nursing talents training;training mode
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发布时间：2023-04-10 - 摘要：Objective To systematically evaluate the efficacy and safety of pestle needle therapy for lumbocrural pain,and to provide the reference of evidence-based medicine for its clinical expansion. Methods A computer-based retrieval was performed in foreign databases as Pub Med,EMbase,Cochrane Library,Web of Science and Chinese ones as CBM,CNKI,VIP and Wan Fang,and supplementary retrieval was also performed with other sources. All relevant randomized controlled trials（ RCTs） were collected to systematically research pestle needle therapy for lumbocrural pain. After literature screening,data extraction and methodologic quality evaluation of the included studies were carried out. Finally,qualitative or quantitative analyses were performed according to actual circumstances. Results A total of 5 RCTs were included,comprising 388 patients.（1） The Results of qualitative analysis confirmed the superior effectiveness of pestle needle therapy in the treatment of lumbocrural pain,with good clinical efficacy and safety.（2） The results of quantitative analysis showed that pestle needle therapy could significantly improve the recovery rate and total effective rate of clinical symptoms in patients with lumbocrural pain. It was equivalent to traditional acupuncture,and there was no significant difference（ P > 0. 05）. Conclusions The pestle needle therapy is secure and effective in the treatment of lumbocrural pain,which is beneficial to relieve the clinical symptoms of patients with lumbocrural pain and should be widely promoted in clinical practice.关键词：pestle needle;lumbocrural pain;therapeutic effect;systematic review;meta-analysis
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发布时间：2023-04-10 - 摘要：便秘是消化系统常见的临床症状,其患病率逐年上升,已严重影响患者健康。中医药治疗便秘经验丰富,优势显著。中医护理作为中医药的重要组成部分,在辨证论治理念的指导下开展的饮食、中医护理技术干预及健康指导内容也独具特色。将便秘中医辨证施护现状进行综述,旨在为临床提供借鉴。关键词：便秘;辨证施膳;健康指导;灸法;耳穴埋豆;贴敷
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发布时间：2023-04-10 - 摘要：目的探讨中药冷敷技术预防艾迪注射液所致静脉炎的临床护理效果。方法采用便利抽样法,选取2016年1月—2017年1月在笔者所在医院肿瘤科经外周静脉输注艾迪注射液的患者为研究对象,按照信封随机分组法分为试验组和对照组,每组50例,试验组在对照组的基础上给予中药冷敷技术;对照组给予常规静脉炎预防护理措施,比较2组护理效果。结果干预第14天观察发现,试验组患者静脉炎的发生率低于对照组,差异具有统计学意义（P <0. 05）。结论中药冷敷技术能有效预防经外周静脉输注艾迪注射液所致静脉炎或降低静脉炎发生的程度。关键词：艾迪注射液;中药冷敷技术;静脉炎
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发布时间：2023-04-10 - 摘要：Objective To identify and administrate swallowing disorder in stroke based on the evidence-based practice model,and to promote improvement on the quality of nursing and ensure the safety of patients. Methods This study was guided by KTA evidencebased practice model,to find the issues of recognition and management in swallowing disorder stroke,to build evidence-based practice based on the guide. Combined with the actual clinical situation,stakeholder analysis,and assessment scheme,it was schemed to promote and eliminate the hindering factors,,guide clinical implementation,monitor effect and evaluate outcomes,and analyze the influence factor with continuous improvement. Results By transforming knowledge into evidence-based practice,Patients,nurses could be beneficial. Through the continuous application of evidence-based practice,the closed-loop of the evidence-based practice operation could be accomplished. Conclusion The practice model of KTA evidence-based nursing could be applied to solve practical clinical problems,improve the quality of nursing,and provide references for the formulation and implementation of evidence-based nursing schemes.关键词：stroke;swallowing disorder;KTA
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发布时间：2023-04-10 - 摘要：Objective To explore the effect of constitution differentiation nursing on bronchial asthma patients in remission stage by traditional Chinese medicine health cultivation theory. Methods A total of 108 bronchial asthma patients in remission stage were randomly divided into the experimented group（ n = 94） and the control group（ n = 94）. The control group was given routine nursing care,and the experimental group was given the constitution differentiation nursing intervention based on the TCM health cultivation theory,and the symptoms control,the quality of life and the lung function of the two groups were compared. Results There was no significant difference in ACT score,AQLQ score and lung function of FEV1% between the two groups before nursing. The ACT score,AQLQ score and FEV1% of the experimental group after intervention were significantly higher than those of the control group and the difference was statistically significant（ P < 0. 05）. Conclusion The constitution differentiation nursing based on TCM health cultivation theory could effectively improve the clinical symptoms of bronchial asthma patients in remission stage,and improve their quality of life and lung function.关键词：traditional Chinese medicine constitution;traditional Chinese medicine health cultivation;constitution differentiation nursing;bronchial asthma;remission stage
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发布时间：2023-04-10 - 摘要：Objective To observe the validity and reliability of Chinese medical symptom rating evaluation forms for breast cancer. Methods Totally 112 breast cancer patients from galactophore department of first affiliated hospital of Zhejiang Chinese Medical University were selected and the Cronbach’ s α and split-half reliability were used to evaluate reliability. The content validity index（ CVI） of the scale item was evaluated by expert evaluation method. The validity was tested by comparing the Medical Outcomes Study36-item Short Form Health Survey（ F-36）. The t-test was performed on the TCM symptom integral before and after the intervention of TCM nursing program,and the reaction degree of the scale was investigated. Results The Cronbach’ s α and split-half reliability were0. 79 and 0. 74. The range of the content validity index was 0. 80-1. 00,and the Scale-level was 0. 95. The scores of TCM symptoms were negatively correlated with SF-36,the symptom score of TCM was significantly decreased and the difference was statistically significant（ P < 0. 01）. Conclusion The Chinese Medical Symptom Rating evaluation forms for breast Cancer has good reliability,validity and reactivity,which could be applied to evaluate the symptoms of breast cancer.关键词：breast cancer;Chinese Medical Symptom Rating evaluation forms;validity;reactivity
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发布时间：2023-04-10 - 摘要：目的观察中药蜡疗温度变化规律,探究有效安全的中药蜡疗温度区间,为临床实践提供可行性依据。方法选取2017年10月—2018年2月骨痹患者112例,监测中药蜡疗过程中蜡药温度及治疗部位局部皮肤温度变化,观察治疗峰值温度及用时,调查患者对峰值温度的热舒适感受。结果中药蜡疗的起始温度为（41. 42±1. 81）℃,峰值温度为（44. 67±1. 26）℃,达到峰值用时（503. 72±191. 85） s,在42℃46℃（不含）峰值温度区间患者多感暖舒适。结论本研究把控治疗的起始温度、峰值温度以及患者热舒适评价等关键点,从而得出中药蜡疗温度变化规律,为临床实践提供参考。关键词：中药蜡疗;温度变化;安全
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发布时间：2023-04-10 - 摘要：<正>中医药在降低糖尿病危险度、综合调控糖尿病引发的多代谢紊乱以及系统治疗糖尿病并发症方面具有一定的优势,有大量的古代文献、现代研究为中医药治疗糖尿病提供临床证据。《国际中医药糖尿病诊疗指南》（简称《指南》）由世界中医药学会联合会内分泌专业委员会承担,国内外学术团体共同参与制定的首部国际中医药专病诊疗指南,是中医药专病国际标准化建设的先行者。该《指南》的制定为我国在关键词：糖尿病;中医药;诊疗指南;解读
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发布时间：2023-04-10 - 摘要：<正>中医学是饱含我国文化底蕴的医学科学,作为理论基石的辨证论治观念是个体化治疗的有力武器。随着科技的进步,在现代医学背景下中医的发展受到了挑战。在治疗糖尿病等一系列慢性病时,由于缺乏群体化的研究,中医传统理论体系难以与现代医学接轨,临床疗效的可重复性受到质疑。究其原因在于缺乏一套标准化的诊疗规范。1糖尿病中医标准化的难点1. 1理论不完善糖尿病病程较长,其不同阶段的临床表现具关键词：糖尿病;中医药;标准化;指南
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发布时间：2023-04-10 - 摘要：<正>骨质疏松症（osteoporosis,OP）是一种以骨量降低和骨组织微结构破坏为特征,导致骨脆性增加和易于骨折的代谢性骨病,是机体自然衰退和老化过程的表现,被称为静悄悄的流行病[1-2]。按病因可分为原发性和继发性2类:原发性OP分为Ⅰ型原发性OP（绝经后骨OP）和Ⅱ型原发性OP（老年性OP）;继发性OP常由内分泌代谢疾病或全身性疾病引起。骨折是OP最严重的并发症,尤关键词：骨质疏松症;中医;西医;康复;综述
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发布时间：2023-04-10 - 摘要：<正>最新报告[1-2]显示,1994年中国糖尿病患病率仅2. 5%,截至2008年,中国人群糖尿病患病率达9. 7%,糖尿病前期患病率为15. 5%;如果按照ADA的诊断,将糖化血红蛋白作为诊断标准之一,至2010年,中国人群糖尿病发病率高达11. 6%,糖尿病前期发病率高达50. 1%。积极有效地防控糖尿病已成为当前乃至今后较长一段时间内卫生工作的重点之一。1理论创新1. 1发展糖尿病中医药诊疗体系以三消理论为基础,依据现代糖尿病发病特点,重新将糖尿病中医病名命为"糖络病",将疾关键词：糖尿病;中医药研究;创新技术;降糖;防治并发症
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发布时间：2023-04-10 - 摘要：<正>糖尿病微血管病变（Diabetic microangiopathy,DM）是以微血管障碍、微血管瘤形成、微血管基底膜改变为病理特征的慢性并发症,主要发生在微小动脉和微小静脉之间的毛细血管网,也是糖尿病致死、致残的主要原因之一[1]。病变部位广泛,常累及全身不同器官,涉及不同的生理病理系统,临床治疗属于不同临床分科,有各自的专科特点,如典型的视网膜微血管病变因其发病隐匿,多数患者在确诊糖尿病时就已存在微血管并关键词：异病同治;糖尿病微血管病变;中医学
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发布时间：2023-04-10 - 摘要：中医合理借鉴现代药理学研究成果以及西医病因病理知识,辨证运用具有降糖作用的中药,可以提高中医治疗糖尿病整体水平。临床中将调节血糖的中药按功能靶向分为4类:"疾病靶向"类:在诊断的前提下,通过靶向主方、靶向主药以达到调整疾病状态的目的。"症状靶向"类:通过靶向药物迅速改善患者的主症状、次症状及体征。"临床指标靶向类":在处方中加入可以有效改善异常指标的中药,使之恢复正常。"病因靶向类:通过审"因"论治,截断糖尿病或并发症的发病与血糖难控的源头。关键词：糖尿病;单纯中药疗法;中药调节血糖;中药靶向给药
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发布时间：2023-04-10 - 摘要：目的总结仝小林教授诊治低血糖型脆性糖尿病规律。方法回顾性分析就诊于仝小林教授门诊的低血糖型脆性糖尿病患者的临床资料,并建立数据库,对数据进行描述性统计分析及多元统计分析,探讨低血糖型脆性糖尿病的一般特征及证候分布特点,挖掘治疗本病的核心药物。结果证候分布由高到低为脾虚胃热、中气亏虚、气阴两虚、中焦气滞证、肠道湿热证、胃脘痞满、肝胃郁热、肝肾亏虚;脾虚胃热型核心药物为黄连、黄芩、生姜、知母,中气亏虚型核心药物为黄连、黄芪、枳实、白术。结论仝小林教授辨证低血糖型脆性糖尿病为脾虚胃热与中气亏虚2个典型证型,并给予黄连作为降糖靶药。关键词：脆性糖尿病;证候;核心药物;仝小林
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发布时间：2023-04-10 - 摘要：<正>肥胖症（Obesity）指体内脂肪堆积过多和（或）分布异常、体重增加,是遗传因素与环境因素共同作用的结果。1948年国际疾病分类体系就将"肥胖"定义为一种疾病。1999年世界卫生组织（WHO）正式宣布将"肥胖"定义成一种多种因素引起的慢性代谢性疾病。肥胖症的诊断常用体重指数（BMI）来确定。WHO规定以BMI≥25 kg/m2为超重,≥30 kg/m2为肥胖;我国以BMI≥24 kg/m2关键词：肥胖症;康复;进展
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发布时间：2023-04-10 - 摘要：<正>甲状腺功能亢进症（简称"甲亢"）是常见的内分泌疾病之一,其病理基础为甲状腺腺体本身产生过多的甲状腺激素,引起的甲状腺毒症,临床以怕热、多汗、心悸、食欲亢进、消瘦、体重下降、疲乏无力、性情急躁等为主要表现。甲亢属中医学"瘿病"之"瘿瘤""瘿气"范畴[1],根据不同的临床表现也可归属于"汗证""心悸""泄泻""虚劳"等范畴。1病因病机甲亢的病因常与情志失调相关,现代社会生关键词：甲状腺功能亢进症;瘿病;中医药治疗;述评
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发布时间：2023-04-10 - 摘要：<正>甲状腺功能亢进症（Hyperthyroidism,简称"甲亢"）,是指甲状腺呈现高功能状态,产生和释放过多的甲状腺激素所致的一组疾病,其共同特征为甲状腺激素分泌增加而导致的高代谢和交感神经系统的兴奋性增加。临床表现为累及包括甲状腺在内的多系统的综合症群,包括高代谢症群、弥漫性甲状腺肿、突眼征、特征性皮损、甲状腺肢端病,患者可有其中一种以上的临床表现。近关键词：甲状腺功能亢进症;康复;治疗;中医药疗法
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发布时间：2023-04-10 - 摘要：Objective To research the effect of Tiaohe Ganpi Decoction on treating insomnia. Methods To observe the effects of Tiaohe Ganpi Decoction on the sleep of mice induced by pentobarbital with threshold and subthreshold doses by recording the time of sleep and the rate of falling asleep; The rat models of insomnia were induced by injecting PCPA,,which were observed on the content of 5-HT after. Results Tiaohe Ganpi Decoction could significantly prolong the sleep time of mice within threshold dose（ P < 0. 01）,and the sleep duration（ P < 0. 01）; the rate of falling asleep on mice could be significantly increased within subthreshold dose; and the content of 5-HT in the insomnia rat brain could be also increased（ P < 0. 05）. Conclusion Tiaohe Ganpi Decoction has some certain effect on treating insomnia.关键词：Tiaohe Ganpi Decoction;Insomnia;Pentobarbital sodium;PCPA;5-HT
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发布时间：2023-04-10 - 摘要：Objective To research on the effect of Yu Chan Wei Fei Pill on the pathological morphology and Ig E content of nasal mucosa in allergic rhinitis rats,and to explore the immune mechanism of the allergic rhinitis treatment. Methods 36 healthy rats were randomly divided into 6 groups. Ovalbumin sensitized rats were used to produce allergic rhinitis rat models for 21 days. The behavior of rats in each group was observed,the blood of abdominal aorta was taken and the content of serum Ig E was detected by ELISA method. The HE staining of nasal mucosa was used to observe the pathological morphology and the expression of Ig E factor by immunohistochemistry. Results（1）The serum Ig E level in the model group was higher than that in the normal control group,and the difference was statistically significant（ P < 0. 05）. The serum Ig E level in the middle dose group of Yu Chan Wei Fei pill was most significantly reduced.（2）Pathological morphology of nasal mucosa: in the model control group,the nasal mucosa was with hyperemia and edema,and more plasmacyte was infiltrated.（3） Immunohistochemical detection of nasal mucosa,the normal group Ig E showed with low expression state,Ig E in the model control group was strongly expressed,and the Ig E in each treatment group was moderately expressed. Conclusion Yu Chan Wei Fei pill could reduce the content of Ig E in nasal mucosa and serum of allergic rhinitis rats and achieve the effect of treating allergic rhinitis.关键词：Yu Chan Wei Fei Pill;Allergic rhinitis;IgE
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发布时间：2023-04-10 - 摘要：郁证是指疾病的发展过程中,出现脏腑气血紊乱、抑遏不出的一系列症状,多由于情志因素引起。国家名老中医王鸿谟教授擅长察色诊病,通过气色诊法结合四诊合参辨证治疗郁证疗效显著。王鸿谟教授基于气色诊法提出"凡病无不起于郁,郁可致病,病也可致郁"的病因、提出要明辨脏腑,详辨虚实的辨证理论,通过气色诊法,四诊合参进行诊断,从解郁化痰入手治疗郁证。关键词：王鸿谟;气色诊法;郁证;诊治
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发布时间：2023-04-10 - 摘要：六病愈症为微汗、脉静微缓和发烦目瞑衄血为太阳病"愈症",得利、转失气和濈然汗出等为阳明病"愈症",能食不呕、少阳脉小为少阳病"愈症",脉有中气和脾家实下利为太阴病"愈症",手足温、寸微尺浮为少阴病"愈症",脉微浮、欲饮和脉还手足温是厥阴病"愈症"。杂病"愈症"为身痹、如冒状、微汗和汗出为水湿邪等津液代谢失常的"愈症",得利和得下是邪得以出的"愈症"。以证候虚实为基础,辨识"愈症"可指导临证守法、守方,实证时出现"愈症"一般为邪气所致的过性邪气症状,虚证为原有症状缓解。关键词：坏病;愈症;伤寒杂病论;虚实
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发布时间：2023-04-10 - 摘要：通过检索数据库,整理、分析、总结历代医家对帕金森病的认识、学术思想以及临床经验,探索补帕金森病的病因病机、治则治法。帕金森病是临床上仅次于阿尔滋海默的常见神经退行性疾病,一般认为帕金森病属于本虚标实证,以肝肾不足为本,痰、火、瘀、毒为标,治疗强调标本兼治,以补益肝肾为主,佐以补益气血,兼以祛邪解毒,达到改善症状,提高患者生活质量的目的。关键词：帕金森病;颤振;病因病机;治则治法
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发布时间：2023-04-10 - 摘要：目的观察早期综合治疗干预季节性过敏性鼻炎（SAR）临床疗效。方法将84例在首都医科大学附属北京同仁医院和北京天坛医院针灸科就诊的15岁以上秋季发病的SAR患者,以外周血的Ig G检测及临床症状明确诊断,在立夏随机分组早期空白组21例、早期针刺干预组20例、早期中药干预组21例、早期联合干预组22例,其中有9名患者中途退出临床治疗。所有病例均给予健康教育,针刺组针刺"新吾穴",每周1次,连续治疗6次;中药组口服酸枣仁汤加味,联合组以针刺联合中药治疗,比较观察SAR患者前一年与本年经过治疗后的立秋发病时期第一周的鼻部症状评分、日常生活质量影响。结果本年各干预组与空白组相比,SAR的发病症状均有效改善;干预后立秋发病时期第一周7例（12. 7%）未发病,且症状均有所减轻;空白组有效率10. 0%,针刺组为70. 6%,中药组为84. 2%,联合组为89. 5%。结论在立夏进行针灸、中药及健康早期联合干预能更有效地干预立秋季节性过敏性鼻炎患者的发病症状。关键词：早期干预;季节性过敏性鼻炎;联合治疗;鼻部症状;日常生活质量
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发布时间：2023-04-10 - 摘要：目的观察十子育春丸治疗迟发性性腺功能减退症疗效。方法将96患者按照2:1比例随机分为观察组64例,对照组32例,观察组予十子育春丸治疗,对照组予十一酸睾酮交丸治疗,2组疗程均为3个月。观察2组患者治疗前后中医证候、AMS评分及TT变化,并做统计学分析。结果 2组治疗后中医证候、AMS评分及TT值均较各自治疗前有明显改善,差异有统计学意义（P <0. 05）;观察组中医证候评分、AMS积分值、TT值均较对照组更高,差异有统计学意义（P <0. 05）。治疗期间2组均未发生不良反应。结论十子育春丸治疗男性迟发性性腺功能减退症安全有效。关键词：十子育春丸;迟发性性腺功能减退症;中医药疗法
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发布时间：2023-04-10 - 摘要：目的讨论降糖通络片对气虚血瘀证糖尿病周围神经病变的临床疗效。方法选取2015—2017年收治的87例DPN患者为研究对象,随机分为对照组44例,观察组43例。对照组患者在基础治疗上予以甲钴胺片治疗;观察组在对照组基础上加降糖通络片治疗,观察2组临床症状、体征、神经传导速度的变化及对白细胞介素-6（IL-6）、肿瘤坏死因子α（TNF-α）表达的影响。结果 2组DPN患者临床症状及体征均有不同程度的改善,试验组总有效率占93. 0%;对照组总有效率占72. 7%。治疗后2组MNCV、SNCV较治疗前均有显著提高（P <0. 01）,且试验组MNCV、SNCV提高的幅度高于对照组（P <0. 05）。2组均可改善症状症状积分（P <0. 05）,且试验组优于对照组（P <0. 05）。2组均可降低IL-6、TNF-α的表达,且试验组优于对照组（P <0. 05）。结论降糖通络片能够改善局部的血液循环,改善临床症状,提高神经传导速度,并具有一定的抑制炎症因子的作用,初步揭示其有效作用机制。关键词：糖尿病周围神经病变;降糖通络片;白细胞介素-6;肿瘤坏死因子α
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发布时间：2023-04-10 - 摘要：目的探讨参甲三石汤加减治疗坠积性肺炎的临床疗效。方法选取62例坠积性肺炎患者,随机分为观察组和对照组,各31例。对照组采用单纯西药治疗,观察组给予参甲三石汤加减结合西药治疗,观察2组治疗前后体温与临床症状改善情况,并做统计学分析。结果观察组总有效率93. 54%,对照组为83. 87%,2组间差异有统计学意义（P <0. 05）;观察组治疗7日后的症状体征评分较对照组改善明显,差异亦有统计学意义（P <0. 01）。结论参甲三石汤加减配合西药治疗坠积性肺炎疗效明确,针对发热症状起效快,退热持久。关键词：参甲三石汤;坠积性肺炎;发热;疗效观察
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发布时间：2023-04-10 - 摘要：目的调查北京地区化橘红市场供应品种与临床使用情况。方法文献梳理确定化橘红分类,实地调研北京地区在售、在用化橘红品规情况。结果北京地区化橘红来源多为柚及柚的栽培变种光橘红,毛橘红基本没有生产及使用。结论正品化州毛橘红因受地域性限制,北京地区使用较少,但应推广使用。关键词：化橘红;北京地区;市场调查
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发布时间：2023-04-10
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