1.Clinical Research of 200 Cases with Spondylosis Deformans treated by Acupuncture and Qigong.
Kampo Medicine 1994;44(3):415-419
We treated 200 cases with Spondylosis deformans using acupuncture and Qigong and achieved reasonably good effect.
Results: Clinical cure were 144 cases (72%), while 52 cases (26%) were rated effective. Four cases (2%) were invalid. The total rate of effectiveness was 98%. Twenty seven cases were cured in two courses of treatment, 110 in four courses and 7 in six courses.
Discussion: This disease belongs to the category krown as “Bi zheng” (arthralgiasyndrome) in tradional Chinese medicine. The disease results from “damage to the Governor Vessel” and “stagnancy of Qi and Blood”. The patients practised Shadow Qigong and Huanghai Qigong during the acupuncture treatment. The patients felt “De qi” (needling sensation by acupuncture) and “Qi gan” (Qi sensation of Qigong). The function of Qigong is to improve the circulation of Qi and Blood and to promote health.
2.Analysis of the Analgesic Effects of Acupuncture and Moxibustion Treatment on Herpes Zoster.
Kampo Medicine 1995;45(4):893-898
Fifty-two cases of herpes zoster were treated with acupuncture and moxibustion and a control group of 49 cases was treated with traditional Chinese medicine (Kampo). The Visual Analogue scale (VAS) was used as an index of the analgesic effects. The acupuncture and moxibustion groups were treated according to the differentiation of symptoms and signs of traditional Chinese medicine. Acupuncture was also applied around the area of affected skin, followed by 30 minutes of moxibustion. Cases in the Kampo group were given the following formulas: Ryutan-shakan-to (containing Gentianae) was administered for Damp-Heat in the Liver and Gall Bladder, Shoyosan (Pulvis ambulatorius) for Stagnation of Liver Qi and Irei-to (Formula hoelen stomachi) for Damp-Heat in the Spleen meridian. It took an average of 3.8 treatments for the pain to disappear in the 52 cases of the acupuncture group, and an average of five days for the Kampo group. Kampo was ineffective in three cases. There was a significantly higher rate of appearance of analgesic effects in the acupuncture group. Acupuncture is thought to control pain by improving the circulation of the Qi and blood. It also enhances immune function, thereby suppressing virus activity and helping reduce pain. Acupuncture and moxibustion significantly reduced pain in herpes zoster patients, and can be said to have analgesic effects.
3.Correlation between T help lymphocyte and autonomic nervous system in patients with congestive heart failure
Xiuqing TIAN ; Jiangjiu LIANG ; Jianhua LIU ; Yuling DONG ; Bingyu WU
Clinical Medicine of China 2010;26(10):1023-1025
Objective To investigate the association of T help (Th) lymphocyte and heart rate variability (HRV) in congestive heart failure (CHF) patients. Methods Ninety-six patients with CHF and thirty healthy persons were enrolled in the study. Time-domain HRV analysis was performed based on 24 hour Holter Electrocardiogram (ECG) monitoring. Interferon-γ (IFN-γ) was used as markers for the differentiation of Th1 subsets and interleukin-10 (IL-10) for the Th2 subsets. IFN-γand IL-10 in CD4 + T lymphocytes were quantified by 3-color flow cytometry. Results The frequency of IL-10-Producing T Cells in the CHF group was significantly lower than those in the healthy control ( ( 16.4 ± 5.8 ) % vs. ( 26.8 ± 3.7 ) %, t = 9. 243, P < 0. 001 ). The frequency of IFN-γ in the CHF group ( ( 18.4 ± 7.3 )% ) was significantly lower than that in the healthy controls ( (7.3 ±4.6) % ,t =7. 917, P < 0. 001 ). The following index of HRV in the CHF groups were all significantly lower than those in the healthy controls: (98. 6 ± 21.3) ms vs. ( 145. 1 ± 42. 6) ms for SDNN, (83. 9 ± 22.4) ms vs.(136.5 ±39.6)ms for SDANN, (40.6 ± 14.5) ms vs. (55.8 ± 17.9) ms for SDNNI, (20. 7 ± 12.9) ms vs.(29.1 ± 12.6) ms for RMSSD, (5.6 ± 3.7 ) % vs. ( 11.8 ± 4.4) % for PNN50 ( Ps < 0.05 ). In CHF patients, the frequency of IL-10 were positively associated with SDNN, SDANN, SDNNI, RMSSD and PNN50 ( r = 0. 49,0. 57,0. 58,0.47 and 0. 52 ,respectively,Ps < 0.01 ). In the CHF patients, the frequency of IFN-γand IFN-γ/IL-10 ratio were negatively associated with SDNN ,SDANN ,SDNNI, RMSSD and PNN50 ( r = - 0. 49, - 0. 54, - 0. 57, - 0.52,- 0.53, - 0. 52, - 0.64, - 0.57, - 0. 58, - 0. 67, Ps < 0. 01 ). Conclusions Autonomic nervous system is involved in the regulation of the balance of Th1/Th2 in patients with CHF. Sympathetic nerve system enhances the effect of Th1 ,whereas parasympathetic nervous system enhances the effect of Th2.
4.Agreement between Two Kinds of Neurological Assessment in Preterm Infants during Early Infantile Period
Bingyu XI ; Weihong WU ; Liping ZOU ; Jingmei YI
Chinese Journal of Rehabilitation Theory and Practice 2010;16(7):605-607
Objective To study the agreement of the two kinds of assessment for neurological development, the Qualitative Assessment of General Movements (GMs) and the 52 Items Neurological Assessment from Birth to 1 Year, in preterm infants during the early infantile period. Methods16 preterm infants with or without risk factors for brain injury were assessed with GMs and the 52 Items Neurological Assessment from Birth to 1 Year within 3 months after birth. ResultsFor the GMs, 11 infants were assessed as normal, 4 as poor repertoire (PR) and 1 as cramped synchronized (CS). For the 52 Items Neurological Assessment from Birth to 1 Year, 12 infants were normal, 4 were moderate abnormal. Kappa=0.709.ConclusionThe result of GMs agrees with that of 52 Items Neurological Assessment from Birth to 1 Year for preterm infants during the early infantile period.
5.Distance Training for Medical Staff of Children's Rehabilitation
Jianjun LIU ; Weihong WU ; Yan ZHANG ; Fanyong ZENG ; Nanling LI ; Bingyu XI ; Jie DONG ; Dongqing PANG
Chinese Journal of Rehabilitation Theory and Practice 2016;22(2):237-240
Objective To discuss the distance training for medical staff of children's rehabilitation. Methods 15 lessions were carried out using computer software from April, 2013 to November, 2014 in our centre. 7 cooperative hospitals participated the trainings. The implemen-tation effect was surveyed after training. Results 2693 person-times attended the trainings, including 2109 person-times with living distance training and 584 person-times with video distance training. In the following sampling survey, 92.8%staff thought that the distance training was helpful to their work. 98.6%staff thought that the living distance training was better than the video distance training and 88.6%staff thought their rehabilitation level improved after the distance training. Conclusion The distance training of children's rehabilitation has the advantages of economy, convenience and celerity. It has a wide developmental prospect.
6.A randomized controlled multicenter trial of actovegin against acute oral mucositis induced by chemo-radiotherapy for nasopharyngeal carcinoma
Tiantian CUI ; Chong ZHAO ; Shaoxiong WU ; Jianji PAN ; Bingyu XU ; Ye TIAN ; Nianji CUI
Chinese Journal of Radiation Oncology 2008;17(6):422-426
Objective To evaluate the efficacy and safety of actovegin against acute oral mucositis through a randomized controlled multicenter trial for nasopharyngeal carcinoma(NPC) patients treated by chemo-radiotherapy. Methods From February 2006 to May 2007,a total of 161 patients with newly diagnosed stage Ⅱ-ⅣA(1992 Fuzhou Stage) NPC were randomly assigned to the prevention group,the treatment group and the control group. All patients received current chemo-radiotherapy ± neoadjuvant chemotherapy. Radiation technique and dose were similar among the three groups. Intravenous infusion of aeovegin was started when radiation started in the prevention group and when grade 2 mueositis occurred in the treatment group,which was given 30 ml daily ,5 times per week until the end of radiotherapy. Criteria of NCI CTC 2.0 and VRS were used to evaluate acute oral mueositis and pain degree,respectively. Results 154 patients were eligible for the efficacy analysis,including 49 in the prevention group,53 in the treatment group and 52 in the control group. In the prevention group and the control group, the incidence was 31% and 56% (P=0.011) for grade 3-4 mucositis,59% and 83% (P=0.009) for grade 2-3 pain. In the treatment group and the control group,the corresponding number was 38% and 60% (P=0.023) ,70% and 90%, (P=0.014). The prevention group had a lower incidence(P=0.021) and longer average interval(P=0.009) of grade 2 mucositis when comparing with the control group. No drug-related adverse event was observed. Conclusions Prophylactic or therapeutic use of actovegin by intravenous infusion can significantly reduce the severity of ehemo-radiotherapy induced oral mucositis and pain. The prophylactic use may also postpone and decrease the incidence of grade 2 mucositis,which deserves clinic application.
7.Effects of Forearm Crutches on Motor Function in Children with Cerebral Palsy
Nanling LI ; Yan ZHANG ; Weihong WU ; Guiyun SONG ; Jianjun LIU ; Bingyu XI ; Fanyong ZENG
Chinese Journal of Rehabilitation Theory and Practice 2016;22(3):320-322
Objective To observe the effect of forearm crutches on motor function of children with spastic cerebral palsy. Methods 60 children with spastic cerebral palsy were divided into observation group (n=30) and control group (n=30). The control group accepted rou-tine rehabilitation, while the observation group were also trained to use forearm crutches. They were assessed with Gross Motor Function Measure-88 (GMFM-88) and Balancer. The way of item 70 of GMFM-88 was used to assess the mobile capability. Results The scores of GMFM-88 significantly improved in both groups after treatment (t>6.002, P<0.001), and improved more in the observation group than in the control group (t=2.317, P<0.05). The whole path length and the circumference area reduced in both groups after treatment (P<0.05), and reduced more in the observation group with the assist of the forearm crutches (P<0.01). The incidence of walking was more in the observa-tion group with the assistant of the forearm crutches (χ2=25.87, P<0.01). Conclusion Forearm crutches assistant can improve the recovery of motor function, balance and walking ability in children with spastic cerebral palsy.
8.Effect of Botulinum Toxin Type A on Spastic Cerebral Palsy:Two Years Follow-up
Jianjun LIU ; Jing QI ; Yan ZHANG ; Fanyong ZENG ; Nanling LI ; Bingyu XI ; Weihong WU
Chinese Journal of Rehabilitation Theory and Practice 2017;23(7):816-819
Objective To investigate the long-term effect of Botulinum toxin type A (BTX-A) block on spasticity in cerebral palsy. Methods From June, 2005 to December, 2013, 51 children with spastic cerebral palsy accepted routine rehabilitation with (trial group, n=24) or without (control group, n=27) BTX-A block. They were assessed with modified Ashworth Scale (MAS), Physician Rating Scale (PRS) and Gross Motor Function Measure (GMFM) before treatment, and with PRS and GMFM two years after treatment. Results There was no significant difference between two groups in ages, body mass, and scores of MAS, PRS and GMFM before treatment (t<1.207,χ2=0.076, P>0.05). The scores of PRS and GMFM improved in both groups two years after treatment (t>2.217, P<0.05), and improved more in the trial group than in the control group (t>2.095, P<0.05). Conclusion The long-term effect of BTX-A block is positive. The rehabilitation training after block can promote their motor function recovery.
9.Energy Consumption of Assisted Walking in Children with Cerebral Palsy
Nanling LI ; Yan ZHANG ; Weihong WU ; Jianjun LIU ; Fanyong ZENG ; Bingyu XI
Chinese Journal of Rehabilitation Theory and Practice 2016;22(6):693-695
Objective To observe the energy consumption of children with cerebral palsy before and after assisted walking. Methods From January, 2014 to October, 2015, 21 children in primary school of Grades 1~5 (control group) and 22 children with cerebral palsy in our hospital (observation group) were enrolled. They were required to walk in the 50 meters trail for six minutes. The resting heart rate, the walking distance and the heart rate after walking were measured, and the walking speed and the physical consumption index (PCI) were cal-culated. The observation group was tested with and without forearm crutches. Results Compared with the control group, the walking dis-tance and speed significantly decreased (t>10.653, P<0.001), and the PCI significantly increased (t>4.207, P<0.001) in the observation group. For the observation group without forearm crutches, the heart rate after walking, and the difference of the heart rate significantly de-creased (t=8.389, P<0.001), and the walking distance, walking speed and PCI decreased (t>2.382, P<0.05) when they walked with forearm crutches. Conclusion Assisted walking can decrease the energy consumption of children with cerebral palsy.
10.Screening of Urinary Organic Acid in Children with High Risk of Inherited Metabolic Diseases
Fanyong ZENG ; Weihong WU ; Jianjun LIU ; Yan ZHANG ; Nanling LI ; Bingyu XI
Chinese Journal of Rehabilitation Theory and Practice 2016;22(8):947-951
Objective To explore the application of gas chromatography mass spectrometry (GC/MS) in children with high risk of inher-ited metabolic disease. Methods From March, 2010 to November, 2015, 119 children suspected with inherited metabolic disease were in-cluded. The urinary organic acid was detected with GC/MS, and related diseases were screened. Results Seventeen children (14.29%) were positive with inherited metabolic disease, in which 16 cases (94.12%) manifested with development retardation. 20 children (16.81%) were probable positive. Conclusion GC/MS is effective in screening children with high risk of inherited metabolic disease, which can provide ba-sis for further diagnosis.