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Effect of grain-shaped moxibustion on the expression of IL-12 in peripheral blood in malignant tumor patients with both qi and blood deficiency undergoing chemotherapy被引量:5
2015年
Objective To observe the clinical efficacy of grain-shaped moxibustion in reinforcing healthy qi and dispelling pathogen and to explore the possible mechanisms of grain-shaped moxibustion in improving immune function of patients through determining the expression level of IL-12 in peripheral blood of patients. Methods Seventy patients undergoing chemotherapy due to deficiency of both qi and blood type of malignant tumor in the departments of traditional Chinese medicine and oncology in Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School from January 2014 to January 2015 were randomly divided into a chemotherapy group(group A) and a chemotherapy combined with grain-shaped moxibustion group(group B) by sortition, 35 cases in each one. Patients in both groups received chemotherapy, while patients in group B also received grain-shaped moxibustionat on bilateral Zúsānl(足三里 ST 36), which was performed once daily, 7 cones every time, for a total of continuous 20 days. Before and after treatment, the expression level of IL-12 in peripheral blood of patients was determined using ELISA method. Results After chemotherapy, the expression level of IL-12 in patients was significantly lower than that before treatment. After two courses of adjuvant therapy of grain-shaped moxibustion, the expression level of IL-12 in chemotherapy patients slightly increased and the difference was statistically significant(P〈0.05). Conclusion Grain-shaped moxibustion can increase the expression of IL-12 in peripheral blood of patients, promote the T cellmediated immune response and achieve immunoregulation and anti-tumor effects.
许林玲徐天舒
关键词:CHEMOTHERAPYIL-12
针刺颈夹脊结合推拿治疗神经根型颈椎病临床观察
2014年
目的探讨针刺颈夹脊结合推拿治疗神经根型颈椎病的临床疗效及其初步的作用机制。方法将131例神经根型颈椎病患者随机分为两组,治疗组接受针刺颈夹脊结合推拿治疗,对照组接受推拿治疗,观察两组病例治疗前后临床症状、特殊功能检查、影像学检查指标的变化。结果两组临床疗效在观察期内差异有显著性,治疗组临床控制率为43.76%(28/64),对照组为36.67%(22/60),治疗组的临床控制率高于对照组,差异具有显著性(<0.05)。结论针刺颈夹脊结合推拿治疗神经根型颈椎病的疗效优于单纯推拿疗法。
李明徐天舒阮建国
关键词:神经根型颈椎病推拿针刺夹脊穴
术后膀胱痉挛合并肠梗阻案
2022年
患者,男,64岁。就诊日期:2021年6月22日。主诉:腹痛、未排便5 d,伴恶心呕吐1 d。现病史:5 d前因“膀胱高级别乳头状尿路上皮癌”于外院行经尿道膀胱肿瘤电切术,术后间断小腹部疼痛、食欲欠佳、腹胀。1 d前出现恶心呕吐,腹部X线片提示肠梗阻(见图1a)。刻下症:恶心呕吐,腹部胀满不适,小腹部间断疼痛(2~3 h疼痛1次),无排便、排气,食欲、睡眠差,留置导尿,尿色黄;舌暗红、苔薄白,脉细弦。西医诊断:肠梗阻,膀胱高级别乳头状尿路上皮癌(经尿路膀胱肿瘤电切术后膀胱痉挛);中医诊断:肠结(气滞血瘀证)。治则:理气通腑,通络止痛。治法:①基础治疗:入院当日予留置鼻胃管胃肠减压、抗感染、抑酸护胃、补液纠正电解质紊乱等治疗,同时嘱患者进行适量排尿训练。
王玉娟汪洋汪洋徐天舒
关键词:膀胱痉挛肠梗阻穴位贴敷
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