中医诊断实训考试模式的构建
期刊：
中国中医药现代远程教育 ,2018年16(1):45-46 ISSN：1672-2779
作者机构：
湖南中医药大学中医学院,湖南长沙41020;[胡志希; 李琳; 杜佳; 曾逸笛; 简维雄; 王建国; 梁昊; 凌智; 刘旺华] 湖南中医药大学
关键词：
中医诊断实训;考试模式;教学改革
摘要：
在“中医诊断实训”规范标准的教学模式基础之上,本教研室形成并逐渐完善了“中医诊断实训”考核机制.形成了以问题回答、问题讨论,实训操作,图片辨识,临证思维为多点测试.平时成绩、实训报告、网络考试、笔试分站式考试模式.通过对近3年1161名学生的成绩分析,发现图片辨识、四诊综合能力测试符合考试要求,而技能操作部分仍然有待进一步加强.
语种：
中文
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中西医结合诊疗方案的探讨
期刊：
中国中西医结合杂志 ,2016年36(5):517-521 ISSN：1003-5370
作者机构：
湖南中医药大学, 中医诊断学湖南省重点实验室;[杜佳; 曾逸笛; 周小青; 陶竞杰] 湖南中医药大学数字中医药协同创新中心, 长沙, 410208;湖南中医药大学, 中医诊断学湖南省重点实验室, 长沙, 410208;[杜佳; 曾逸笛; 周小青; 陶竞杰] 湖南中医药大学, 中医诊断学湖南省重点实验室;[曹泽标] 湖南中医药大学, 中医诊断学湖南省重点实验室, 长沙, 410208
关键词：
中西医结合;诊疗方案;临床路径
摘要：
结合目前中西医结合现状,提出中西医结合诊疗方案可以从诊疗路径、病机及治法理论、诊疗理念等方面进行,但在结合程度上可有差异。同时具体方案的制定应根据疾病确定基本方向,并因人、因时、因地进行调整。对于制定好的结合方案,可从两者是否形成了互补、协同、激发、减毒的作用,在疗效、安全性、实用性、经济性等方面是否较既往单一的模式多解决问题,多避免不足来进行评价。
语种：
中文
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电针对单纯性肥胖大鼠胰岛素抵抗及下丘脑胰岛素信号分子的影响
作者：
刘霞;何军锋
（ ;屈娅婷;刘志君;胡岳山;...
期刊：
中国针灸 ,2016年36(9):957-961 ISSN：0255-2930
作者机构：
[刘霞] College of Acupuncture-Moxibustion and Tuina, Hunan University of CM, Changsha 410208, China;[杜佳; 何军锋; 刘志君; 蒋鹏飞; 屈娅婷; 郭胜童] Institute of Diagnostic, Hunan University of CM, Changsha 410208, China;[何军锋] Liuyang TCM Hospital, Liuyang 410300, Hunan Province, China;[何军锋; 胡岳山] Evidence-Based Oriental Medicine, Sioux Falls 57108, USA
关键词：
单纯性肥胖;电针;体质量;胰岛素抵抗
摘要：
目的:观察电针对饮食诱导的单纯性肥胖(diet induced obesity, DIO)大鼠的体质量、胰岛素抵抗(insulin resistance, IR)及下丘脑胰岛素信号分子等的影响,探讨电针治疗肥胖症的机制。方法:50只SD雄性大鼠随机分为低脂组(10只)和高脂组(40只),分别以低脂饲料、高脂饲料喂养,高脂饲料组制造DIO大鼠模型。造模成功的30只大鼠,随机分为模型组、电针组、西药组,每组10只。电针组电针"后三里"和"曲池",每次20 min,每日1次,连续治疗28 d;西药组予以奥利司他灌胃,每日1次,共28 d;低脂组和模型组不做治疗。治疗结束后,HE染色观察肝脏组织形态学改变,采用生化和放射免疫法分别检测空腹血糖(fasting plasma glucose, FPG)和空腹胰岛素(fasting insulin, FINS),Western Blot法检测磷脂酰肌醇3激酶之亚基p85(phosphatidylinositol-3 kinase p85 subunit, PI3K-p85)和胰岛素受体底物2(insulin receptor substrate 2, IRS2)蛋白表达水平。结果:光镜下电针组和西药组较模型组脂变细胞在1/2以下,胞浆内脂滴变小,轻度水肿,无炎细胞浸润。电针组大鼠体质量、FPG、FINS、胰岛素抵抗指数(homeostasis model assessment-insulin resistance index, HOMA-IR)和PI3K-p85蛋白表达均低于模型组(P<0.01,P<0.05),IRS2蛋白表达与模型组比较差异无统计学意义(P>0.05);西药组大鼠体质量、HOMA-IR和PI3K-p85蛋白均低于模型组(P<0.01,P<0.05),IRS2蛋白表达高于模型组(P<0.05);电针组和西药组各指标比较差异均无统计学意义(均P>0.05)。西药组大鼠大便溏稀不成形,活动减少,精神萎靡,毛色枯黄,电针组大鼠大便正常,毛色有光泽。结论:电针可通过降低下丘脑PI3K-p85蛋白的表达,改善DIO大鼠的IR情况,抑制大鼠体质量的增长,同时改善肝脏脂变情况,这可能是电针减肥的作用机制之一。且可避免西药组大鼠表现出来的不良反应。
语种：
中文
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Electroacupuncture Improves Insulin Resistance by Reducing Neuroprotein Y/Agouti-Related Protein Levels and Inhibiting Expression of Protein Tyrosine Phosphatase 1B in Diet-induced Obese Rats
作者：
Xia Liu;Jun-Feng He
* （ ;Ya-Ting Qu
（ ;Zhi-Jun Liu;Qing-Yang Pu;...
期刊：
Journal of Acupuncture and Meridian Studies ,2016年9(2):58-64 ISSN：2005-2901
作者机构：
[Liu X.; Liu Z.-J.; Guo S.-T.; Du J.; Jiang P.-F.] Institute of TCM Diagnostic, Hunan University of Chinese Medicine, Changsha, China;Liuyang Hospital of Traditional Chinese Medicine, Liuyang, China. Electronic address: 59421149@qq.com;[Qu Y.-T.; Pu Q.-Y.] Xiangxing College of Hunan University of Chinese Medicine, Changsha, China;[He J.-F.] Institute of TCM Diagnostic, Hunan University of Chinese Medicine, Changsha, China<&wdkj&>Liuyang Hospital of Traditional Chinese Medicine, Liuyang, China
通讯机构：
[Jun-Feng He] I;Institute of TCM Diagnostic, Hunan University of Chinese Medicine, Changsha, China<&wdkj&>Liuyang Hospital of Traditional Chinese Medicine, Liuyang, China
关键词：
agouti related protein;insulin;protein tyrosine phosphatase 1B;tetrahydrolipstatin;agouti related protein;glucose blood level;insulin;neuropeptide Y;protein tyrosine phosphatase 1B;adipocyte;alternative medicine;animal cell;animal experiment;animal model;animal tissue;Article;body weight;controlled study;diet induced obesity;electroacupuncture;feces;hair;homeostasis;insulin resistance;insulin sensitivity;lipid diet;low fat diet;male;metabolic disorder;nonhuman;priority journal;protein expression;rat;weight reduction;adverse effects;animal;enzymology;female;genetics;glucose blood level;human;metabolism;obesity;Sprague Dawley rat;Agouti-Related Protein;Animals;Blood Glucose;Diet, High-Fat;Electroacupuncture;Female;Humans;Insulin;Insulin Resistance;Male;Neuropeptide Y;Obesity;Protein Tyrosine Phosphatase, Non-Receptor Type 1;Rats;Rats, Sprague-Dawley
摘要：
Electroacupuncture (EA) has been shown to exert beneficial effects on obesity, but the mechanism is unclear. This study investigated the effects of EA on diet-induced obese (DIO) rats. Fifty male Sprague-Dawley rats were randomly divided into low-fat diet (LFD, 10 rats) and high-fat diet (HFD, 40 rats) groups. After the DIO models had been established, successful model rats were randomly divided into HFD, EA, and orlistat (OLST) groups. The EA group received EA at Zusanli (ST36) and Quchi (LI11) for 20 minutes once per day for 28 days. The OLST group was treated with orlistat by gavage. The body weight, homeostasis model assessment-insulin resistance index, adipocyte diameters, and neuroprotein Y/agouti-related protein and protein tyrosine phosphatase 1B levels were significantly lower in the EA group than in the HFD group. The rats of the OLST group showed watery stools and yellow hairs whereas those of the EA group had regular stools and sleek coats. The effect of EA on weight loss may be related to improved insulin resistance caused by changes in the adipocyte size and by reductions in the expressions of neuroprotein Y/agouti-related protein and protein tyrosine phosphatase 1B. This study indicates that EA may be a better method of alternative therapy for treating obesity and other metabolic diseases. © 2015.
语种：
英文
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Effect of Combined Manual Acupuncture and Massage on Body Weight and Body Mass Index Reduction in Obese and Overweight Women: A Randomized, Short-term Clinical Trial
作者：
He, Junfeng
（ ;Zhang, Xing;Qu, Yating;Huang, Huiyong
（ ;Liu, Xia;...
期刊：
Journal of Acupuncture and Meridian Studies ,2015年8(2):61-65 ISSN：2005-2901
通讯作者：
Huiyong Huang
作者机构：
[He, Junfeng; Zhang, Xing] Affiliated Hosp Hunan Univ Chinese Med, Liuyang Hosp Tradit Chinese Med, Liuyang City, Peoples R China.;[Du, Jia; Huang, Huiyong; Qu, Yating; Liu, Xia; Guo, Shengtong] Hunan Univ Chinese Med, Inst TCM Diagnost, 1 Xiangzui Rd, Changsha 410208, Hunan, Peoples R China.
通讯机构：
[Huang, HY ] ;Institute of TCM Diagnostic, Hunan University of Chinese Medicine, Hanpu Science and Education District, Number 1 Xiangzui Road, Changsha, Hunan Province, China
关键词：
acupuncture;adult;alternative medicine;Article;body mass;body weight;caloric restriction;controlled study;female;follow up;health hazard;human;long term care;massage;obesity;priority journal;randomized controlled trial;weight reduction;acupuncture;body mass;body weight;China;massage;obesity;Overweight;pathophysiology;physiology;procedures;Acupuncture Therapy;Body Mass Index;Body Weight;China;Female;Humans;Massage;Obesity;Overweight
摘要：
Obesity is one of the leading health risk factors worldwide and is associated with several other risk factors and health problems. Acupuncture is utilized to treat a variety of health problems, one of which is obesity. Fifty-six obese women with body mass index (BMI) ≥25kg/m2 were recruited for this trial and were randomly divided into two groups, one with combined manual acupuncture and massage therapy (MAMT), and the other with only manual acupuncture therapy (MAT). In addition, 40 overweight women with BMI 23-25kg/m2 were randomly divided into two groups, one with MAMT and the other with MAT. Therapy was carried out once per day for 21 days, and the body weights and the BMIs were recorded every day. The results showed that both MAMT and MAT could reduce body weight and BMI significantly, compared with the pretreatment values, for all the participants (p<0.001); however, the differences in body weight and BMI reductions between pre- and posttreatment for the MAMT and the MAT groups were not statistically significant. The optimal periods for reductions in both body weight and in BMI were the first 4 days. Accounting for the economic strategy (time and money) in alternative therapy, MAT alone may present a reasonable option in the treatment of overweight and obesity in adults. © 2015 .
语种：
英文
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中西医结合诊疗方案的探讨
作者机构：
[杜佳; 曾逸笛; 周小青; 曹泽标; 陶竞杰] 湖南中医药大学数字中医药协同创新中心;[杜佳; 曾逸笛; 周小青; 曹泽标; 陶竞杰] 湖南中医药大学中医诊断学湖南省重点实验室;[杜佳; 曾逸笛; 周小青; 曹泽标; 陶竞杰] 湖南中医药大学研究生院
会议名称：
第九次全国中西医结合诊断学术研讨会
会议时间：
2015-07-19
会议地点：
中国湖南衡阳
关键词：
combination of Chinese traditional and Western medicine;scheme;path;level;gist;evaluation
摘要：
面对当前中西医结合现状,提出中西医结合诊疗方案可从诊疗路径、病机及治法理论、诊疗理念等方面进行,但在结合程度上可有差异;同时具体方案的制定应根据疾病定基本方向并因人、因时、因地进行调整;对于制定好的结合方案,可从二者是否形成了互补、协同、激发、减毒的作用,在疗效、安全性、实用性、经济性等方面有没有比原来单一的模式多解决一些问题,多避免一些不足来进行评价。
语种：
中文
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