自拟题实习报告模板

脊柱关节病住院患者,采用随机、对照、单盲的方法分为两组各30例,在应用非甾体抗炎药物基础上,分别给予骨痹汤及柳氮磺胺嘧啶治疗,疗程26周.结果:两组患者的临床症状、体征和检验指标在治疗后均有改善,较治疗前有显著性差异(P＜0.05).治疗组总有效率为86.7%,对照组总有效率为82.1%,两组比较无显著性差异(P＞0.05).治疗组在第3月BASFI指数、关节肿积分、附着点痛积分明显改善.优于对照组,有显著性差异(P＜0.05).治疗组CD3+、CD4+数值较治疗前明显上升,与对照组相比有显著性差异(P＜0.05).治疗组治疗前后骶髂CT影像学改变明显优于对照组(P＜0.05).两组均未见明显不良反应.结论:骨痹汤治疗幼年脊柱关节病肾虚湿热证,临床疗效显著,可改善症状、体征和检验指标,安全性好,无明显不良反应.

[3]张乾军.神经根型颈椎病的中医认识及其治疗进展[J].中医药临床杂志,2006,18(2)

神经根型颈椎病是由于颈椎间盘退变,颈椎骨质增生,颈椎关节、韧带的松动、错位,刺激或压迫了颈神经根等组织而发生的一种临床综合征候群.它是颈椎病发病率最高的一种类型,占颈椎病发病的60%,多好发于中老年人,以40～60岁的人群为多见,随着年龄的增长,发病率有平行上升的趋势.其临床症状多以颈、肩、臂、手的疼痛与麻木为主.专家们预测,在未来几年内,该病将成为与现代社会相伴随的一种现代病,在整个脊柱病的临床与实验研究方面,将取代以体力劳动为主要诱因的腰腿痛而上升为骨伤科临床的重要研究方向.近年来,随着人们对此病重视程度的不断提高,有关本病的研究也取得了一些重要的进展.本文就中医学在这方面的认识,以及近几年来的治疗表述如下.

[4]孟庆良,杜旭召,周子朋.益肾蠲痹汤联合柳氮磺胺吡啶治疗强直性脊柱炎34例[J].中医研究,2008,21(8)

强直性脊柱炎(AS)是一种原因不明的以中轴关节慢性炎症为主的全身性疾病。主要累及脊柱、骶髂关节、髋关节，目前尚缺乏根治办法[1]。在临床上治疗AS的药物主要有非甾体抗炎药、柳氮磺胺吡啶、甲氨喋呤、雷公藤多甙及生物制剂(益赛普) 等，但毒副作用大且价格昂贵，很多患者难以坚持长期服用。

[5]董毅,唐德志.施杞应用补肾法治疗颈椎病经验初探[J].上海中医药杂志,2006,40(10)

介绍施杞教授治疗颈椎病的经验,注重肾与颈椎病密切相关的理论,治疗颈椎病强调分初期、中期、末期而采取不同的方法,自始至终贯穿补肾之法.

4、检索工具名称：中文生物医学期刊文献库

检索年限 ：1994-2010

检索式：关键词=（脊柱病 or 侧隐窝综合征 or 侧隐窝狭窄）AND中医药

检出文献篇数：少于40篇 列出前5条最相关文献的题名、作者、出处、摘要 NO.1

题名：强筋壮骨丸治疗原发性骨质疏松性腰背痛疗效观察 作者：范广峰, 祁兆建, 陈如秀, 董松林, 王富贵, 周从俊 出处：中医正骨 2008V20N2 13-14 摘要：目的:观察强筋壮骨丸治疗原发性骨质疏松性腰背痛的临床疗效,给临床合理应用提供依据。方法:选择原发性骨质疏松性腰背痛患者248例,随机分为治疗组和对照组各124例,分别口服强筋壮骨丸6g和盖天力片100mg,每天3次,均服2个疗程。结果:两组总有效率比较,有显著性差异(P<0.05)。表明:强筋壮骨丸具有治疗原发性骨质疏松性腰背痛、延缓身高缩短、预防脊柱病理性骨折发生的作用,疗效明显优于盖天力。 NO.2

题名：针刀、埋线、正脊疗法在治疗脊柱病中的应用体会 作者：郭六雷, 耿初伟

出处：中医研究 2010V23N7 79-80 NO.3

题名：腰椎滑脱的中医药治疗进展 作者：孟林, 黄婕

出处：山东中医杂志 2006V25N12 852-854 摘要：腰椎滑脱系椎弓峡部骨质缺损引起椎体前移,导致脊柱失稳,相邻椎骨的关节突关节结构异常伴随一系列脊柱退行性改变,为常见的脊柱病变.分为真性及假性腰椎滑脱,前者椎体滑脱伴有椎弓峡部裂,而后者仅有椎体滑脱而椎弓完整.治疗腰椎滑脱的方法很多,简单的可分为手术治疗和非手术治疗两类,目前中医药治疗腰椎滑脱的临床研究报道较多,本文就近年来中医药治疗的进展作一综述.参考文献19篇. NO.4

题名：六味地黄丸治疗脊柱病一得

作者：王仁灿, 胡龙均, 黄炎洪, 潘伟江

出处：浙江中医药大学学报 2007V31N2 196-197 NO.5

题名：腰椎间盘突出合并侧隐窝狭窄的诊断及中医治疗近况 作者：彭京

出处：广西中医药 1996V19N6 49-51

5、检索工具名称：PUBMED

检索年限 ：1950-2010 检索式：\AND \Chinese

Traditional\检出文献篇数：7篇 列出前5条最相关文献的题名、作者、出处、摘要

1. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2008 Oct;28(10):928-31.

[Clinical analysis of 47 patients with psoriasis arthropathy treated by traditional Chinese medicine syndrome differentiation and integrative medicine]

[Article in Chinese]

Li WF, Wang P.

Department of Dermatology, Traditional Chinese Medicine Hospital of Beijing,

Capital Medical University, Beijing. xicleftt@yahoo.com.cn

OBJECTIVE: To analyze the clinical characteristics of psoriasis arthropathy (PA)

and to explore the effect of treatment by traditional Chinese medicine (TCM)

syndrome differentiation and integrative medicine. METHODS: The initiating

characteristics, clinical manifestations, related laboratory and X-ray data as well as the therapeutic efficacy of syndrome dependent TCM and integrative medicine on 47 PA patients were analyzed. RESULTS: Among all the 47 patients, 38

(80.6%) had the skin lesion revealed earlier to joint symptoms, the average time

between the appearance of skin lesion and joint symptoms was 9.2 years; joint

X-ray abnormality was found in 32 cases (68.1%); and psoriasis nail involvement

was found in 33 cases (70.2%). Seventeen patients were treated with TCM alone and

obtained satisfactory results, while the other 30 patients, were treated by

integrative medicine with the dosage of medicine reduced immediately after

symptoms were relieved, and finally cured or improved. CONCLUSION: TCM and

integrative medicine are effective in treating PA, with lesser side effects.

PMID: 19123334 [PubMed - indexed for MEDLINE]

2. Zhongguo Zhen Jiu. 2008 Mar;28(3):163-6.

[Controlled study on needle-pricking therapy combined with spinal massage for

treatment of ankylosing spondylitis]

[Article in Chinese]

Chen D, Luo LP, Hong YB, Chen DD, Cai MX, Guo FL.

Department of New Medicine and Needle Pricking, The First Affiliated Hospital,

Jinan University, Guangzhou 510630, China. drchendong@yahoo.com.cn

OBJECTIVE: To observe the therapeutic effect of needle-pricking therapy combined

with spinal massage on ankylosing spondylitis and to probe into the mechanism.

METHODS: Ninety-three cases who were definitely diagnosed as having ankylosing

spondylitis at active stage were randomly divided into a medication group (n=46)

and an observation group (n=47). The observation group were treated by needle-pricking the main points, Neck No. 2 nerve, Neck No. 5 nerve point, etc.,

combined with spinal rotation massage, and the medication group were treated with

Azulfidine. Changes of cumulative score of arthralgia and arthroncus, function of

joint, Keitel test, and ESR and CRP before and after treatment were observed.

RESULTS: The effective rate and the markedly effective rate were 95.8%0 and 68.1%

in the observation group and 78.3% and 23.9% in the medication group, respectively, the former being significantly better than the latter (P