中医院校教学质量提升路径研究——以湖南中医药大学课堂教学督导评价体系及结果分析为范例
作者：
张丹;贺又舜;常小荣;刘塔斯;黄巧玲;...
期刊：
教育现代化 ,2020年(38):38-41 ISSN：2095-8420
作者机构：
湖南中医药大学
关键词：
教学督导评价;教学态度;教学内容;教学方法;教学质量提升路径
摘要：
中医药院校中,课堂教学督导评价体系的建设与完善,不仅有助于教学监管,更需要延伸探索教学质量提升路径。湖南中医药大学自2019年进行教学督导评价体系全面改革升级:督导规模化、督导形式多样化、督导对象覆盖化,以达成督导评价体系的规范化、细致化。本文将结合教学督导评价体系改革升级前后的数据,从教学态度、教学内容、教学方法三个方面,对比分析教学效果提升。由此,可将教学督导工作延伸,探究出"由督到导"的路径,将教学督导的价值真正落实到教学指导和教学质量提升。
语种：
中文
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湖湘五经配伍针推学术流派运用“针五经、调五脏”治疗慢性胰腺炎经验
作者：
肖山峰;黎铭玉;周巍;刘祎;胡小珍;...
期刊：
湖南中医杂志 ,2020年36(02):26-29 ISSN：1003-7705
作者机构：
湖南中医药大学,湖南长沙,410208;浏阳市中医医院,湖南浏阳,410300;湖南中医药大学第一附属医院,湖南长沙,410007;[常小荣; 肖山峰; 周巍; 胡小珍; 刘密; 黎铭玉; 刘祎] 湖南中医药大学;[黄洁] 中医药大学第一附属医院
关键词：
慢性胰腺炎;五经配伍;针经治脏;湖湘针推流派
摘要：
湖湘五经配伍针推学术流派的核心思想为\"五经配伍\",即强调经脉经穴与脏腑间五行配伍、生克制化的关系,主张以五经腧穴为核心,通过\"针经治脏\"有针对性地刺激相应经络和穴位,从而达到治疗疾病的目的。本文通过运用\"针五经、调五脏\"来调节脏腑阴阳平衡以论治慢性胰腺炎,着重从脾论治,对早期湿热蕴结证者宜以泻子、抑强为主,对中晚期脾胃虚寒证者宜以补母、扶弱为主;其次从肝论治,治以疏肝抑木,宜以泻子、抑强为主。可为中医针灸临床提供新的研究思路。
语种：
中文
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温针灸对Hp阳性A型慢性萎缩性胃炎患者血清Gas水平及临床疗效的影响
作者：
李丹;常小荣
期刊：
中医药临床杂志 ,2020年32(11):2133-2136 ISSN：1672-7134
作者机构：
湖南省浏阳市中医医院 湖南浏阳410300;[常小荣; 李丹] 浏阳市中医医院
关键词：
温针灸;A型慢性萎缩性胃炎;血清胃泌素;疗效机制
摘要：
目的 探讨温针灸对幽门螺杆菌(Hp)阳性A型慢性萎缩性胃炎(CAG)患者血清胃泌素(Gas)水平及临床疗效的影响.方法 选择90例Hp阳性A型CAG患者为研究对象,按随机数字表分为对照组( 45例,常规药物治疗)、研究组( 45例,常规药物治疗+温针灸治疗).比较两组治疗前后内源性活性物质Gas水平、临床症状及生存质量的变化,评估临床疗效及安全性.结果 两组治疗后临床症状评分及Gas水平均低于同组治疗前,组内差异(P<0.01 );治疗后研究组临床症状评分及Gas水平低于同期对照组,组间差异(P<0.01 ).两组治疗后躯体疼痛(BP )、生命活力(VT)、生理功能(PF )、健康总体自评(GH)评分较同组治疗前增加,组内差异(P<0.01 );两组治疗前后生理角色(RP )、心理健康(MH )、社会功能(SF )、情感角色(RE)评分无明显改变,组内差异(P>0.05 );研究组治疗后BP、PF、VT、GH评分高于同期对照组,组间差异(P<0.05 ).治疗后对照组Hp根除率88.9％( 40/45 ),研究组93.3％( 42/45 ),组间差异(P>0.05 ).整个治疗过程中,研究组无不良事件发生;对照组出现1例恶心,余未见明显不适;组间间差异(P>0.05 ).结论 温针灸治疗Hp阳性A型CAG患者安全可靠,可进一步改善患者临床症状及部分生活质量;其机制可能与调节Gas水平及提高根除Hp相关.
语种：
中文
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灸热在人体穴位组织中传导机理研究
作者：
丁家峰;楚鑫;常小荣;李新梅;曾尧;...
期刊：
针灸推拿医学：英文版 ,2019年17(1):24-30 ISSN：1672-3597
通讯作者：
Jia-feng Ding
作者机构：
[Jia-feng Ding; Xin Chu; Xin-mei Li; Yao Zeng; Jian Liang; Xue-mei Xu; Guo-bin Dai] Central South University, Changsha, China;[Xiao-rong Chang; Ding-yan Bi; Mi Liu] Hunan University of Chinese Medicine, Changsha, China
通讯机构：
[Jia-feng Ding] C;Central South University, Changsha, China
关键词：
Moxibustion Therapy;Moxa Stick Moxibustion;Point, Zusanli (ST 36);Finite Element Analysis;Temperature;Thermal Conductivity;Temperature Field;Healthy Volunteers
摘要：
Objective: To discuss the topical action characteristics of the biological transmission of moxibustion heat via temperature collection and numerical modeling. Methods: Temperature of moxibustion was measured at multiple points at a distance of 3 cm to obtain the moxibustion temperature field nephograms by the high-accuracy temperature measure array. Finite element analysis was used to imitate the three-dimensional dynamic distribution of temperature in acupoint tissues. Results: Through numerical analysis, the one-dimensional, two-dimensional and three-dimensional distributions of temperature in human acupoint tissues at 5 min of moxibustion were established. The result showed that moxibustion heat mainly transmitted from the surface of the tissue to the internal, and the influence of moxibustion heat decreased with the depth of the tissue. The analysis of the nephograms of acupoint tissue temperature at 5, 10, 15 and 20 min of moxibustion showed that with the increase of the moxibustion time, the temperature in acupoint tissues constantly rose, and the transmission depth of moxibustion heat also further expanded inside acupoint. Conclusion: By establishing the three-dimensional dynamic model of heat transmission inside acupoint tissues with the biological parameters of human tissues and the temperature values obtained, this study used finite element analysis software ANSYS 14.0 and discovered the rules in the transmission of heat in body tissues during moxibustion, and the features in moxibustion heat transmission (from the proximal to the distant) and heat penetration (from the surface to the internal). This study provides theoretical and experimental support for the application of moxibustion in clinical practice. © 2019, Shanghai Research Institute of Acupuncture and Meridian.
语种：
英文
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艾灸干预胃溃疡大鼠胃黏膜脑肠肽的动态表达
作者：
何其达;刘密;连林宇;张媛;沈佳成;...
期刊：
中华中医药杂志 ,2019年34(3):943-946 ISSN：1673-1727
作者机构：
厦门大学深圳研究院,深圳518000;厦门大学医学院,厦门361102;福建中医药大学针灸学院,福州350000;湖南中医药大学针灸推拿学院,长沙,410000;福建中医药大学针灸学院,福州,350000
关键词：
艾灸;胃溃疡;胃经;时效关系;脑肠肽
摘要：
目的:观察艾灸干预胃溃疡大鼠胃黏膜相关脑肠肽的动态表达,探讨艾灸干预胃溃疡的时效关系.方法:SD大鼠72只随机分为3批,各批分为正常组、模型组、胃经穴位组和非经穴位组(n=6).采用70％乙醇灌胃复制胃溃疡大鼠模型.胃(非)经穴位组的大鼠进行艾灸1、4、7d(30min/d).干预结束后于光镜下观察胃黏膜形态,RT-PCR测定胃黏膜增殖细胞核抗原(PCNA)及P物质(SP)表达.结果:与正常组比较,模型组大鼠胃黏膜溃疡灶明显,胃黏膜PCNA表达降低(P＜0.05),SP表达升高(P＜0.05);与模型组比较,干预1d后胃经穴位组大鼠胃黏膜PCNA表达升高(P＜0.05),干预4d后胃经穴位组PCNA表达升高(P＜0.05),SP降低(P.＜0.05);干预7d后各组大鼠胃黏膜PCNA及SP表达无显著差异.结论:艾灸胃经穴位能有效调节相关脑肠肽指标,促进胃黏膜损伤修复,并具有一定的时效关系.
语种：
中文
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论针灸理论中的“天人合一”观
作者：
阮见;黄洁;常小荣
期刊：
国医论坛 ,2019年34(02):15-18 ISSN：1002-1078
作者机构：
湖南中医药大学,湖南长沙,410208;湖南中医药大学第一附属医院,湖南长沙,410007;[常小荣; 阮见] 湖南中医药大学;[黄洁] 中医药大学第一附属医院
关键词：
“天人合一”观;《黄帝内经》;针灸理论;理论探讨
摘要：
"天人合一"观是中国古代哲学的核心思想之一,深刻影响着中医理论的形成与发展。中医经典著作《黄帝内经》对古代哲学中的"天人合一"观进行了进一步诠释和发挥,形成中医学的"天人合一"观。针灸是中医的重要组成部分,《黄帝内经》在针灸理论体系构建中,充分体现了"天人合一"的思想内涵。本文介绍了中国古代哲学和《黄帝内经》中的"天人合一"观,并主要探讨《黄帝内经》中"天人合一"观在经络腧穴理论体系、针灸治则和治法中的体现和应用。
语种：
中文
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针刺在围手术期的应用
作者：
刘惠娟;王晶;欧阳里知;胡舒宁;常小荣
作者机构：
[刘惠娟; 王晶; 欧阳里知; 胡舒宁; 常小荣] 湖南中医药大学针灸推拿学院
会议名称：
新时代 新思维 新跨越 新发展——2019中国针灸学会年会暨40周年回顾
会议时间：
2019-08-17
会议地点：
中国湖北武汉
关键词：
针刺;围术期;应用
摘要：
为了探讨针刺在围手术期的应用特点,从术前准备、术中辅助麻醉、术后康复等方面入手,探讨针刺在围手术期的临床应用及其选穴方案。一方面肯定针灸治疗围手术期相关病症的实效性,另一方面也为今后针灸在围手术期方向的发展提供一定的指导和思路。
语种：
中文
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艾灸治疗桥本甲状腺炎的系统评价和荟萃分析
作者：
刘雅楠;赵继梦;朱美玲;吴焕淦;纪军;...
期刊：
世界科学技术-中医药现代化 ,2019年21(8):1573-1582 ISSN：1674-3849
作者机构：
上海中医药大学附属岳阳中西医结合医院 上海 200437;深圳市宝安区中医院 深圳 518133;湖南中医药大学针灸推拿学院 长沙 410208;安徽中医药大学针灸推拿学院 合肥 230038;北京中医药大学针灸推拿学院 北京 100029
关键词：
艾灸;桥本甲状腺炎;系统评价;荟萃分析
摘要：
目的 系统评价艾灸治疗桥本甲状腺炎的疗效.方法 分别在CNKI、VIP、万方、CBM、PubMed、Medline、Embase、Cochrane Library数据库检索以艾灸为主要干预措施治疗桥本甲状腺炎的随机对照试验.检索结束后,由2位研究者独立进行文献筛选、资料提取,数据整合,并根据Cochrane手册对纳入文献进行偏倚风险评估,然后采用RevMan5.3软件进行Meta分析.结果 对文献筛选后最终纳入7个RCTs,共537名患者,艾灸治疗方法主要为隔药饼灸.分析结果显示,隔药饼灸在改善抗甲状腺球蛋白抗体(Thyroglobulin antibody,TGA)和抗甲状腺微粒抗体(Microsomal antibody,MCA)水平上优于西药治疗(P<0.01).在总有效率上,隔药饼灸加西药治疗的疗效并不优于单纯西药治疗;甲状腺激素水平的改善上,隔药饼灸结合西药对FT3、FT4的改善也不优于单纯西药治疗,但对于TSH水平的改善优于单纯西药治疗(P<0.01).结论 隔药饼灸在改善桥本甲状腺炎自身抗体水平方面较常规西药治疗有一定的优势;隔药饼灸结合西药还可明显改善TSH水平,但在总有效率及FT3、FT4的改善上与单纯西药比无优势.由于纳入文献质量的限制,现有的研究还不足以有充分的证据来证实隔药饼灸的疗效,可能还需设计严谨的大样本、高质量临床试验研究进行验证.
语种：
中文
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针灸调控肠道菌群的研究进展与思考
作者：
刘霞;胡舒宁;刘密;常小荣
期刊：
世界中医药 ,2019年14(3):527-530 ISSN：1673-7202
作者机构：
湖南中医药大学针灸推拿学院;[刘密] 浏阳市中医医院;[常小荣; 胡舒宁; 刘霞] 湖南中医药大学
关键词：
针灸;肠道菌群;胃肠道疾病;代谢性疾病;调控;进展
摘要：
肠道菌群作为人体庞大的微生态系统,与许多疾病的发生发展密切相关。针灸是治疗疾病的重要方法之一,对肠道菌群的调节作用也越来越受到关注。临床及动物实验都已证实针灸治疗可以调节肠道菌群趋于平衡。该文整理了近年来肠道菌群研究方法的发展、针灸对胃肠道疾病和代谢性疾病的肠道菌群调控作用,并对针灸干预肠道菌群研究中的问题和发展方向进行了一定的展望。
语种：
中文
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基于代谢组学的针灸作用机制研究进展
作者：
钟欢;邵湘宁;胡舒宁;佘畅;刘霞;...
期刊：
世界中医药 ,2019年14(3):542-547 ISSN：1673-7202
作者机构：
湖南中医药大学针灸推拿学院;湘西土家族苗族自治州民族中医院;[刘密] 浏阳市中医医院;[邵湘宁; 常小荣; 胡舒宁; 钟欢; 刘迈兰; 佘畅; 刘霞] 湖南中医药大学;[谭晓文] 湘西自治州民族中医院
关键词：
针灸;代谢组学;作用机制;神经递质;能量代谢;氨基酸;综述
摘要：
代谢组学是新近兴起的一种系统生物学研究手段,具有整体性、动态性反应生物体接受刺激时所作出的代谢物层面的变化,与中医整体观十分吻合,因此广泛用于中医中药学的研究中,在针灸学机制的研究中早已将代谢组学作为一种有效的研究手段,近年来针灸代谢组学的研究日趋增多,在揭示针灸作用机制方面也取得了一定的成果,故对现今的研究做一综述,以愿能为代谢组学广泛应用于针灸的现代化研究提供新思路。
语种：
中文
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隔药饼灸对高脂血症兔调脂通路Leptin/JAK2/STAT3的影响
作者：
廖宗力;谭静;朱重政;孙璐;黄文韬;...
期刊：
针灸推拿医学：英文版 ,2019年17(6):371-382 ISSN：1672-3597
通讯作者：
Xiao-rong Chang
作者机构：
[Zong-li Liao; Jing Tan; Lu Sun; Ren-da Yang; Xiao-rong Chang] Hunan University of Chinese Medicine, Changsha, China;[Chong-zheng Zhu] Huizhou Hospital of Traditional Chinese Medicine, Guangdong, China;[Wen-tao Huang] The Second Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, China
通讯机构：
[Xiao-rong Chang] H;Hunan University of Chinese Medicine, Changsha, China
关键词：
Moxibustion Therapy;Indirect Moxibustion;Herbal Cake-partitioned Moxibustion;Hyperlipidemias;Laurocapram;Janus Kinase 2/Signal Transducer and Activator of Transcription 3 (JAK2/STAT 3) Pathway;Leptin;Rabbits
摘要：
Objective: To observe the lipid-lowering effect of different transdermal absorption enhancers applied to the herbal cake-partitioned moxibustion in hyperlipidemia model rabbits, and to explore the possible mechanism. Methods: Forty New-Zealand rabbits were randomly divided into 5 groups using the random number table method, with 8 rats in each group. Rabbits in the blank group were fed routinely with normal diet; rabbits in the other groups were fed with high-fat diet for 12 weeks to establish the hyperlipidemia model. Rabbits in the blank and the model groups were not treated. After the model was prepared, rabbits in the non-transdermal absorption enhancer group received herbal cake-partitioned moxibustion without transdermal absorption enhancer; rabbits in the laurocapram group and the borneol group received herbal cake-partitioned moxibustion with laurocapram or borneol respectively. After 4 weeks of treatment, serum was collected for enzyme-linked immunosorbent assay (ELISA), and the liver tissues were isolated for immunohistochemistry, quantitative polymerase chain reaction (qPCR) and Western-blotting (WB) detection. Results: Serum ELISA results showed that leptin was significantly decreased in the model group compared with the blank group (P<0.05); compared with the model group, leptin was significantly increased in the non-transdermal absorption enhancer, the laurocapram and the borneol groups (all P<0.05); compared with the non-transdermal absorption enhancer group, leptin was significantly increased in the laurocapram group and the borneol group (both P<0.05); there was no significant difference in leptin between the laurocapram and the borneol groups (P>0.05). The qPCR results of rabbit liver tissues showed that the mRNA expressions of leptin, Janus kinase 2 (JAK2) and signal transducer and activator of transcription 3 (STAT3) in the model group were significantly lower than those in the blank group (all P<0.05); compared with the model group, the mRNA expressions of leptin, leptin receptor (LR), JAK2 and STAT3 in the non-transdermal absorption enhancer, the laurocapram and the borneol groups were significantly increased (all P<0.05); compared with the non-transdermal absorption enhancer group, the mRNA expressions of leptin, LR, JAK2 and STAT3 in the laurocapram and the borneol groups were significantly increased (all P<0.05); compared with the laurocapram group, the mRNA expressions of leptin, LR, JAK2 and STAT3 in the borneol group were significantly increased (P<0.05). The trend of immunohistochemistry and WB detection results was basically consistent with the qPCR assay results. The immunohistochemistry and WB detection results of phosphorylated JAK2 (phospho-JAK2) and phosphorylated STAT3 (phospho-STAT3) were basically consistent with those of JAK2 and STAT3. Conclusion: The molecular expression of Leptin/JAK2/STAT3 pathway in the hyperlipidemia model rabbits was decreased. The molecular expression of Leptin/JAK2/STAT3 pathway was significantly increased after the herbal cake-partitioned moxibustion. The application of laurocapram and borneol, as transdermal absorption enhancers, in the herbal cake-partitioned moxibustion could more obviously up-regulate the factors of the Leptin/JAK2/STAT3 lipid-regulating pathway than the herbal cake-partitioned moxibustion alone. © 2019, Shanghai Research Institute of Acupuncture and Meridian.
语种：
英文
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Acupuncture for patients with mild hypertension: A randomized controlled trial
作者：
Zheng, Hui;Li, Juan;Li, Ying;Zhao, Ling;Wu, Xi;...
期刊：
JOURNAL OF CLINICAL HYPERTENSION ,2019年21(3):412-420 ISSN：1524-6175
通讯作者：
Liang, Fan-Rong
作者机构：
[Zhao, Ling; Liang, Fan-Rong; Chen, Jie; Li, Ying; Zheng, Hui; Wu, Xi; Li, Xiang] Chengdu Univ Tradit Chinese Med, Teaching Hosp 3, Acupuncture & Tuina Sch, Chengdu, Sichuan, Peoples R China.;[Li, Juan] Chengdu Univ Tradit Chinese Med, Coll Hlth Preservat & Rehabil, Chengdu, Sichuan, Peoples R China.;[Huang, Yin-Lan] Ningxia Med Univ, Gen Hosp, Tradit Chinese Med Dept, Ningxia, Peoples R China.;[Liu, Mi; Chang, Xiao-Rong] Hunan Univ Tradit Chinese Med, Acupuncture & Tuina Sch, Changsha, Hunan, Peoples R China.;[Cui, Jin] Guiyang Univ Chinese Med, Acupuncture & Tuina Sch, Guiyang, Guizhou, Peoples R China.
通讯机构：
[Liang, Fan-Rong] C;Chengdu Univ Tradit Chinese Med TCM, Chengdu, Sichuan, Peoples R China.
关键词：
acupuncture;blood pressure variability;mild hypertension;randomized controlled trial
摘要：
Acupuncture may be beneficial for patients with mild hypertension, but the evidence is not convincing. We aimed to examine the effect of acupuncture on blood pressure (BP) reduction in patients with mild hypertension. We conducted a multicenter, single-blind, sham-controlled, randomized trial in eleven hospitals in China. The trial included 428 patients with systolic blood pressure (SBP) from 140 to 159 mm Hg and/or with diastolic blood pressure (DBP) from 90 to 99 mm Hg. The patients were randomly assigned to receive 18 sessions of affected meridian acupuncture (n = 107) or non-affected meridian acupuncture (n = 107) or sham acupuncture (n = 107) during 6 weeks, or to stay in a waiting-list control (n = 107). All patients received 24-hour ambulatory blood pressure monitoring at weeks 6, 9, and 12. We included 415 participants in the intention-to-treat analysis. The two acupuncture groups were pooled in the analysis, since they had no difference in all outcomes. SBP decreased at week 6 in acupuncture group vs sham acupuncture vs waiting-list group (7.2 +/- 11.0 mm Hg vs 4.1 +/- 11.5 mm Hg vs 4.1 +/- 13.2 mm Hg); acupuncture was not superior to sham acupuncture (mean difference 2.7 mm Hg, 95% CI 0.4 to 5.9, adjusted P = 0.103) or waiting-list control (2.9 mm Hg, 95% CI -0.2 to 6.0, adjusted P = 0.078). However, acupuncture was superior to sham acupuncture (3.3 mm Hg, 95% CI 0.2 to 6.3, adjusted P = 0.035) and waiting-list control (4.8 mm Hg, 95% CI 1.8 to 7.8, P < 0.001) at week 9. Acupuncture had a small effect size on the reduction of BP in patients with mild hypertension.
语种：
英文
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隔药饼灸对动脉粥样硬化兔血管内皮修复与基质细胞衍生因子1的影响
作者：
沈菁;刘涛;刘霞;葛君芸;汪厚莲;...
期刊：
中国针灸 ,2019年39(2):173-8 ISSN：0255-2930
作者机构：
[葛君芸; 刘迈兰; 沈菁; 刘涛; 刘霞; 常小荣] College of Acupuncture-Moxibustion and Tuina, Hunan University of CM, Changsha 410208, China;[汪厚莲] Hunan Junior College of TCM;[Guo, An-Lin] Changsha Civil Vocational Technical School
关键词：
动脉粥样硬化;隔药饼灸;总胆固醇;三酰甘油;低密度脂蛋白胆固醇;高密度脂蛋白胆固醇;基质细胞衍生因子1
摘要：
目的:观察隔药饼灸对动脉粥样硬化兔受损血管内皮结构的修复以及基质细胞衍生因子1(stromal cells derived factor 1,SDF-1)含量的影响。方法:将75只兔随机分为正常组、模型组、直接灸组、阿托伐他汀钙组与隔药饼灸组,每组15只,正常组采用普通饲料喂养,其余各组采用高胆固醇饲养法喂养12周制备动脉粥样硬化兔模型。隔药饼灸组与直接灸组选取两组穴位:“巨阙”“天枢”“丰隆”穴;“心俞”“肝俞”“脾俞”穴。每组穴隔日交替施灸,每穴灸30 min,每日1次,连续4周。阿托伐他汀钙组每天将阿托伐他汀钙片(1.96 mg·kg~(-1)·d~(-1))碾成粉末后拌入第1餐饲料中喂食,造模后正常组、模型组不予上述干预处理,此3组同灸法时固定。以酶法测定总胆固醇(TC)、三酰甘油(TG)的含量;比色法测定低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)的含量;光学显微镜下观察兔主动脉血管壁形态结构;酶联免疫吸附法测定血清SDF-1的含量。结果:干预后,与正常组比较,模型组TC、TG、LDL-C明显升高(均P<0.01),HDL-C明显降低(P<0.01);与模型组比较,直接灸组、阿托伐他汀钙组、隔药饼灸组TC、TG、LDL-C均明显降低(均P <0.01),HDL-C升高(P<0.01, P<0.05)。与正常组相比,模型组主动脉壁结构受损明显;与模型组相比,阿托伐他汀钙组、隔药饼灸组内皮结构有显著好转,直接灸组的主动脉内皮病理变化也有减轻。干预后,与模型组相比,直接灸组、阿托伐他汀钙组、隔药饼灸组血清中SDF-1水平有不同程度的升高(P<0.05,P<0.01),隔药饼灸组血清中SDF-1水平高于直接灸组(P <0.05)。结论:隔药饼灸能促进血清SDF-1的表达,修复受损血管内皮结构。
语种：
中文
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“6S”模式实训教学对针灸推拿专业学生职业素养与技能影响的可行性初探
作者：
刘鑫烨;李成文;李强;刘密;陈美仁;...
期刊：
教育教学论坛 ,2019年(42):222-223 ISSN：1674-9324
作者机构：
[常小荣; 刘密; 刘鑫烨] 湖南中医药大学;[陈美仁; 李强] 湖南中医药高等专科学校;[李成文] 湖南中医药高等专科学校附属第一医院;浏阳市中医医院
关键词：
“6S”模式;实训教学;针法;灸法
摘要：
《针法灸法》实训课程是一门实践性很强的学科,是针推专业学生的一门必修课,也是临床学科的基础课。但是,由于大专生源的文化基础和行为习惯相对较差,加之学校实训场地不够标准和学生实训人数多等原因,在实训教学过程中未重视规范管理,也会出现学生操作道具随意摆放、教师考核无标准、教学任务随意性较大等问题。文章通过对“6S”管理模式的研究,探讨其在《针法灸法》实训教学过程中的可行性。
语种：
中文
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《实验针灸学》精品微课的设计方法和制作步骤——以“针刺镇痛”微课程为例
作者：
谭静;罗明;彭艳;林亚平;常小荣;...
期刊：
教育教学论坛 ,2019年(42):187-188 ISSN：1674-9324
作者机构：
湖南中医药大学,湖南 长沙,410208
关键词：
实验针灸学;微课设计;微课制作
摘要：
微课是信息时代教育改革大背景下催生的一个新型教学方法,其较传统的授课方式具有鲜明优势。文章以《实验针灸学》中针刺镇痛的章节为例,阐述微课的设计方法和制作步骤,以期抛砖引玉,推广微课。
语种：
中文
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基于心脑相关理论探讨电针心经、心包经穴对大脑中动脉梗阻大鼠心、脑细胞凋亡的影响
作者：
石文英;严洁;常小荣;娄必丹;李金香;...
期刊：
针刺研究 ,2019年44(2):107-112 ISSN：1000-0607
作者机构：
[章薇; 林华; 李金香; 黄洁; 娄必丹; 石文英] The First Hospital of Hunan University of Traditional Chinese Medicine, Changsha 410007, China;[王超; 严洁; 常小荣] College of Acupuncture-moxibustion and Tuina, Hunan University of Traditional Chinese Medicine, Changsha 410007
关键词：
心脑相关;脑缺血;电针;内关;神门;心/脑细胞凋亡
摘要：
目的:比较电针手厥阴心包经“内关”、手少阴心经“神门”、督脉“水沟”以及足少阴肾经“照海”对大脑中动脉梗阻(MCAO)大鼠的干预效应及对心脑细胞凋亡相关因子的影响,初步探讨电针心包经、心经与心脑的相关性。方法:SD大鼠随机分为内关组、神门组、水沟组、照海组、模型组及正常组,每组8只,采用颈外动脉插入线栓法建立MCAO大鼠模型,各穴位组分别在造模后每12h电针治疗1次,共治疗5次。采用免疫组化染色法检测各组心肌及脑组织细胞凋亡百分比及Bax、Bcl-2表达的变化。结果:与正常组比较,模型组心、脑组织细胞凋亡百分比、促凋亡因子Bax的表达均增多(P<0.01)。与模型组比较,内关组、神门组心、脑细胞凋亡百分比均不同程度减少(P<0.01,P<0.05),水沟组脑细胞凋亡百分比减少(P<0.05);内关组、神门组、水沟组脑组织Bax的表达减少(P<0.05),Bcl-2的表达增高(P<0.01,P<0.05);内关组心肌Bax的表达减少(P<0.05),内关组、神门组心肌Bcl-2表达增多(P<0.01,P<0.05)。与照海组比较,内关组心、脑细胞凋亡指数、Bax表达均减少(P<0.01,P<0.05),神门组心肌细胞凋亡的指数减少(P< 0.05);内关组、水沟组脑组织Bcl-2表达高于照海组(P<0.05),内关组、神门组心肌Bcl-2表达高于照海组(P<0.01,P<0.05)。结论:脑缺血损伤继发心肌损害提示脑病及心,脑心二者之间具有密切的病理相关性。而针刺心包经、心经可较好地抑制脑心细胞凋亡。
语种：
中文
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Acupuncture as Adjunctive Therapy for Chronic Stable Angina: A Randomized Clinical Trial
作者：
Zhao, Ling* ;Li, Dehua;Zheng, Hui;Chang, Xiaorong;Cui, Jin;...
期刊：
JAMA INTERNAL MEDICINE ,2019年179(10):1388-1397 ISSN：2168-6106
通讯作者：
Zhao, Ling;Liang, Fanrong
作者机构：
[Liang, Fanrong; Zhao, Ling; Zhao, L; Li, Ying; Fan, Hailong; Zheng, Hui; Wu, Xi] Chengdu Univ Tradit Chinese Med, Acupuncture & Tuina Sch, 37 Shier Qiao Rd, Chengdu 610075, Sichuan, Peoples R China.;[Li, Dehua] Hosp Chengdu Univ Tradit Chinese Med, Dept Acupuncture, Chengdu, Sichuan, Peoples R China.;[Chang, Xiaorong] Hunan Univ Tradit Chinese Med, Acupuncture & Tuina Sch, Changsha, Hunan, Peoples R China.;[Cui, Jin] Guiyang Univ Tradit Chinese Med, Acupuncture & Tuina Sch, Guiyang, Guizhou, Peoples R China.;[Wang, Ruihui] Shaanxi Univ Chinese Med, Acupuncture & Tuina Sch, Xianyang, Shaanxi, Peoples R China.
通讯机构：
[Zhao, L; Liang, FR] C;Chengdu Univ Tradit Chinese Med, Acupuncture & Tuina Sch, 37 Shier Qiao Rd, Chengdu 610075, Sichuan, Peoples R China.
关键词：
angina pectoris;angina, stable;acupuncture therapy discipline;antianginal therapy;adjunctive therapy;acupuncture procedure;acupuncture points;meridians
摘要：
Importance: The effects of acupuncture as adjunctive treatment to antianginal therapies for patients with chronic stable angina are uncertain. Objective: To investigate the efficacy and safety of acupuncture as adjunctive therapy to antianginal therapies in reducing frequency of angina attacks in patients with chronic stable angina. Design, Setting, and Participants: In this 20-week randomized clinical trial conducted in outpatient and inpatient settings at 5 clinical centers in China from October 10, 2012, to September 19, 2015, 404 participants were randomly assigned to receive acupuncture on the acupoints on the disease-affected meridian (DAM), receive acupuncture on the acupoints on the nonaffected meridian (NAM), receive sham acupuncture (SA), and receive no acupuncture (wait list [WL] group). Participants were 35 to 80 years of age with chronic stable angina based on the criteria of the American College of Cardiology and the American Heart Association, with angina occurring at least twice weekly. Statistical analysis was conducted from December 1, 2015, to July 30, 2016. Interventions: All participants in the 4 groups received antianginal therapies as recommended by the guidelines. Participants in the DAM, NAM, and SA groups received acupuncture treatment 3 times weekly for 4 weeks for a total of 12 sessions. Participants in the WL group did not receive acupuncture during the 16-week study period. Main Outcomes and Measures: Participants used diaries to record angina attacks. The primary outcome was the change in frequency of angina attacks every 4 weeks from baseline to week 16. Results: A total of 398 participants (253 women and 145 men; mean [SD] age, 62.6 [9.7] years) were included in the intention-to-treat analyses. Baseline characteristics were comparable across the 4 groups. Mean changes in frequency of angina attacks differed significantly among the 4 groups at 16 weeks: a greater reduction of angina attacks was observed in the DAM group vs the NAM group (difference, 4.07; 95% CI, 2.43-5.71; P <.001), in the DAM group vs the SA group (difference, 5.18; 95% CI, 3.54-6.81; P <.001), and in the DAM group vs the WL group (difference, 5.63 attacks; 95% CI, 3.99-7.27; P <.001). Conclusions and Relevance: Compared with acupuncture on the NAM, SA, or no acupuncture (WL), acupuncture on the DAM as adjunctive treatment to antianginal therapy showed superior benefits in alleviating angina. © 2019 American Medical Association. All rights reserved.
语种：
英文
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《针灸学》精品在线开放课程建设思路探究
作者：
许沁;刘迈兰;常小荣;钟欢;欧阳里知;...
期刊：
教育现代化 ,2019年(43):97-98 ISSN：2095-8420
作者机构：
1. 广州中医药大学针灸康复临床医学院;2. 湖南中医药大学针灸推拿学院
关键词：
针灸学;精品在线开放课程;课程建设
摘要：
《针灸学》是中医、中西结合等本科专业学生的必修课程。《针灸学》精品在线开放课程建设,能够提高学生综合素质,也有助于实现高校优质教学资源的共享和教学质量的提高。本文从《针灸学》精品在线开放课程建设的目的、内容和课程特色等方面进行探讨,希望能为精品在线课程的开展提供一定的帮助。
语种：
中文
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Metabolomics analysis of herb-partitioned moxibustion treatment on rats with diarrhea-predominant irritable bowel syndrome
作者：
Lin, Xianwei;Liu, Xia;Xu, Jingjing* ;Cheng, Kian-Kai;Cao, Jianan;...
期刊：
Chinese Medicine ,2019年14(1):1-10 ISSN：1749-8546
通讯作者：
Xu, Jingjing;Chang, Xiaorong
作者机构：
[Lin, Xianwei; Xu, Jingjing; Dong, Jiyang; Shen, Guiping] Xiamen Univ, Dept Elect Sci, Fujian Prov Key Lab Plasma & Magnet Resonance, Xiamen 361005, Peoples R China.;[Chang, Xiaorong; Liu, Qiong; Liu, Tao; Liu, Xia; Zhong, Huan; Cao, Jianan] Hunan Univ Chinese Med, Coll Acupuncture & Moxibust, Changsha 410208, Hunan, Peoples R China.;[Cheng, Kian-Kai] Univ Teknol Malaysia, Innovat Ctr Agritechnol, Muar 84600, Johor, Malaysia.
通讯机构：
[Xu, Jingjing] X;[Chang, Xiaorong] H;Xiamen Univ, Dept Elect Sci, Fujian Prov Key Lab Plasma & Magnet Resonance, Xiamen 361005, Peoples R China.;Hunan Univ Chinese Med, Coll Acupuncture & Moxibust, Changsha 410208, Hunan, Peoples R China.
关键词：
Irritable bowel syndrome;Herb-partitioned moxibustion;Metabolomics;Nuclear magnetic resonance
摘要：
Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder, which is commonly treated with antidiarrhoeal, antispasmodics, serotonergic agents or laxative agents. These treatments provide relief for IBS symptoms but may also lead to undesired side effects. Previously, herb-partitioned moxibustion (HPM) treatment has been demonstrated to be effective in ameliorating symptoms of IBS. However, the underlying mechanism of this beneficial treatment is yet to be established. The aim of the current study was to systematically assess the metabolic alterations in response to diarrhea-predominant IBS (IBS-D) and therapeutic effect of HPM. Proton nuclear magnetic resonance spectroscopy (1H NMR)-based metabolomics approach was used to investigate fecal and serum metabolome of rat model of IBS-D with and without HPM treatment. The current results showed that IBS-induced metabolic alterations in fecal and serum sample include higher level of threonine and UDP-glucose together with lower levels of aspartate, ornithine, leucine, isoleucine, proline, 2-hydroxy butyrate, valine, lactate, ethanol, arginine, 2-oxoisovalerate and bile acids. These altered metabolites potentially involve in impaired gut secretory immune system and intestinal inflammation, malabsorption of nutrients, and disordered metabolism of bile acids. Notably, the HPM treatment was found able to normalize the Bristol stool forms scale scores, fecal water content, plasma endotoxin level, and a number of IBS-induced metabolic changes. These findings may provide useful insight into the molecular basis of IBS and mechanism of the HPM intervention.
语种：
英文
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