简介：Aim:Toexaminethetherapeuticeffectofacupunctureinthetreatmentofwithpseudobularparalysispatients.Methods:PseudobularparalysiswasconfirmedbyCTscanningexamination.Relevanttreatmentswereadministeredaftersyndromedifferentiation.Acupoints:Fengchi(GB20),Fengfu(GV16)andTaichong(LR3)werepuncturedandstimulatedwithuniformreinforcing-reducingmethodforsubduingtheliver-yangandeliminatingwind.UpperLianquan(RN23)andFenglong(ST40)werepuncturedandstimulatedbyreducingmethodforresolvingphlegmtoclearawayobstructioninthechannels.AcupointZusanli(ST36)wasadministeredwithreinforcingmethodtotonifyqi.Atreatmentcoursecomprisedof10sessions,with1to2days'internalbetweentwocourses.Eachcasereceivedatotalof20treatmentsessions.AcupointonthenechsuchasFengchi(GB20)wasadministeredwithretainingtheneedleinthesittingpositionfor10minutes.Results:Atotalof14caseswereobserved.After2coursesoftreatment,12cases(86%)werecured,onecase(7%)hadimprovementandtherestonehadnoapparentchanges.13cases(93%)hadtheirnagogastricfeedingtubesremoved.Conclusions:Ourexperienceshowedthatacupuncturetreatmentforpseudobularparalysistypeapoplexywassatisfactoryinthetherapeuticeffect.

简介：目的：观察不同针刺法对脑卒中患者腕手功能重建的影响。方法：选择符合纳入标准的脑卒中患者40例，随机分为4组，每组10例。A组给予伸肌运动点针刺，B组给予仲-屈肌交替运动点针刺，C组针刺肩髑、臂膈、手三里、外关，D组针刺肩髑、臂膈、手三里、外关、尺泽、内关。以上肢表面肌电信号（SurfaceElectromyography，SEMG）特征值、Fugl—Meyer功能评定表及Barthel日常生活活动能力（ActivitiesofDailyLiving，ADL）指数评价各组治疗前后的患侧上肢运动功能。结果：伸-屈肌交替运动点针刺可以使上肢SEMG的峰值（MAX）、积分肌电值（IntegratedElectromyogram，IEMG）、Fugl—Meyer运动功能分值、BarthelADL指数明显提高。结论：不同针刺部位治疗脑卒中后腕手运动功能疗效的影响不同。仲．屈肌交替运动点针刺在临床治疗中疗效确切。

简介：Pinealapoplexyisarareclinicalpresentationofpinealparenchymaltumors.Wereportthecurativetreatmentofacaseofpinealparenchymaltumorofintermediatedifferentiationwithspontaneousapoplectichemorrhage.Thiscaseisshownthroughcomputedtomographyandmagneticresonanceimagingofthebrain,andisconfirmedviahistopathologicalstudies.Recurrentupwardgazeparesiswasobservedafterthestereotacticbiopsy.Theparesisrequiredanexpeditioustumorresection.Themechanismofthepinealapoplectichemorrhageremainsunclearalthoughithasbeenobservedindifferentpinealregionlesions.Clinicalandradiologicalevidenceofthecure5yearspost-surgeryisavailable.

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简介：Objective:Tostudythetreatmentmethodofapoplecticjointcontracture.Method:Fifty-twocasesweretreatedwithacupuncturepluscuppingandthirtycasesweretreatedwithacupuncturealoneasthecontrolgroup.Resultandconclusion:Theeffectiverateoftheformerandlaterwere100%and93.3%respectively,combinedtreatmentofacupunctureandcuppingwassuperiortoacupuncturealone(P＜0.05).

简介：AbstractBackground:Although the incidence and clinical manifestations of pituitary apoplexy were reported by a few researches, the results are not consistent. This study aimed to explore the risk factors associated with an incidence of apoplexy in pituitary adenomas.Methods:The clinical information of 843 patients with pituitary adenoma from the Department of Neurological Surgery, 1st Affiliated Hospital of Kunming Medical University, was reviewed. The incidence, clinical manifestation, and potential risk factors for pituitary apoplexy were analyzed by a case-control study.Results:In total, 121 patients (14.4%) with macroadenoma were suffered from pituitary apoplexy. Headache, vomiting, and visual impairment are the top 3 symptoms for the pituitary apoplexy. Logistic regression results showed that the hypertension(hypertension vs non-hypertension OR = 2.765, 95%CI: 1.41~5.416), tumor type (negative staining vs. positive staining, OR = 1.501, 95%CI:1.248~5.235), and tumor size (diameter > 2 cm vs. diameter ≤ 2 cm, OR = 3.952, 95%CI:2.211~7.053) are independent factors associated with pituitary apoplexy.Conclusion:Our results indicate that the risk factors for the incidence of pituitary apoplexy depend mainly on properties of the tumor itself (tumor size and pathologic type) and the blood pressure of patients.