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RESUMEN.
INTRODUCCIÓN. La gastritis por su alta prevalencia es un problema de salud
pública, el cual se presenta en un 30% de la población adulta, incrementándose en
las grandes ciudades debido al ritmo de vida, tipo de alimentación y al estrés
constante.
MATERIALES Y METODOS. Se buscó disminuir el dolor epigástrico por gastritis
utilizando terapia acupuntural en 10 pacientes dentro de un rango de 20 a 70 años
de edad, ambos sexos, los cuales presentaban en los últimos 15 días dolor
epigástrico de 4 a 9 puntos de intensidad en la escala de EVA, excluyendo a los
que cursen con enfermedad crónica degenerativa descompensada, o la ingesta
en los últimos 5 días de AINES, corticoesteroides o antiácidos.
El estudio se realizó en el período comprendido del mes de junio a diciembre
del año 2001 en la Clínica de Acupuntura de la ENMyH, del IPN, México, DF. A los
pacientes se les aplicaron agujas filiformes de 1.5 cun en los puntos Zusanli (E36)
bilaterales, con técnica de tonificación manual durante 15 min, Weishu (V21) y
Pishu (V20) bilaterales, con técnica de tonificación sin retención de aguja, cada
tercer día hasta completar 10 sesiones.
RESULTADOS. Se encontró que al término de las sesiones el dolor epigástrico
disminuyó en promedio al 50% del valor inicial del dolor que presentaban los
pacientes, concluyendo que la terapéutica acupuntural tiene efecto analgésico en
el dolor epigástrico por gastritis.
Se encontró significancia estadística por medio del estadígrafo no paramétrico
para variables cualitativas ordinales dependientes T. De Wilcoxon, obteniendo una
p<0.007.
SUMMARY
INTRODUCTION. The gastritis for its high prevalency is a problem of public health,
which are presented in the mature population's 30%, being increased in the big
cities due to the rhythm of life, feeding type and to the constant stress.
MATERIALS AND METHODS. It was looked for to diminish the epigastric pain for
gastritis using acupuncture therapy in 10 patients inside a range from 20 to 70
years of age, both sexes, which presented in the last 15 days epigastric pain from
4 to 9 points of intensity in EVA'S scale, excluding those that study with illness
chronic degenerative descompensed, or the eating in the last 5 days of AINES,
corticoesteroids or antacid.
The study was carried out in the understood period from the month of June to
December of the year 2001 in the Clinic of Acupuncture of the ENMyH, of the IPN,
Mexico, DF. To the patients they were applied filiform needles of 1.5 cun in the
points Zusanli (E36) bilateral, with technique of manual tonification during 15 min,
Weishu (V21) and Pishu (V20) bilateral, with tonification technique without needle
retention, every third day until completing 10 sessions.
RESULTS. It was found that at the end of the sessions the epigastric pain
diminished on the average to 50% of the initial value of the pain that the patients
presented, concluding that the acupuncture therapeutic has analgesic effect in the
epigastric pain for gastritis.
He was statistical significancy by means of the non parametric statistician for
variable qualitative dependent ordinal ace T. Of Wilcoxon, obtaining a p <0.007.
2.- ESTUDIO COMPARATIVO DEL EFECTO ANALGÉSICO ENTRE
AURICULOTERAPIA Y BROMURO DE PINAVERIO EN EL SINDROME DE
INTESTINO IRRITABLE
ARMANDO GONZALEZ MARTINEZ
ASESORES: MONICA LUZ GOMEZ ESQUIVEL
ALBINO VILLEGAS BASTIDA
RESUMEN
Context. The Irritable Bowel Syndrome (IBS) is the most frequent disease in
functional digestive disorders. It is the first one in gastroenterologists’
consultations (28%). It is a chronic and recurrent disease featuring abdominal pain
related to alteration in evacuation as constipation, diarrhea or alternation of both.
The diagnosis is basically based on clinical criteria and exclusion of warning
symptoms that lead to suspect of another organic-based disease.
RESUMEN
ABSTRACT
Allergic rhinitis is a condition that is observed worldwide and every day large
numbers of patients, it can be seasonal or perennial, but there is also vasoactive
rhinitis for this work is not included. Allergic rhinitis is an inflammatory process of
the nasal mucosa caused by exposure to different allergens and irritants and
mediated by immunoglobulin E (IgE), is an antibody involved in allergic diseases
and immune response. The recognition of an antigen by IgE triggers complex
immunological reactions among which we highlight for example, the degranulation
of mast cells which release vasoactive substances such as histamine, as well as
the involvement of eosinophils in the inflammatory responses. When a person is
allergic to a specific substace, the immune system erroneously believes than is
under an antigenic invasion. This way, starts a chain of events that cause the
symptoms of allergy, producing the symptoms of allergic rhinitis: hyaline runny
nose, sneezing, tearing, nasal itching, pharyngeal, ocular, otic, chronic cough, and
so on.
The study was multicentric, and included male and female patients ranging in age
from 2 to 65 years, been captated in the study 38 patients, of whom 4 were
excluded for failing to meet criteria for inclusion, with a total final of 34 patients, of
whom 19 were male and 15 female already diagnosed with allergic rhinitis by
medical otolaryngologist, relying on clinical valued by the American college of
Allergies questionnaire. Getting 3 groups according to age A intervals of 2 to 19
years, B 20 to 39 years, C 40 to 65 years old, with a total of 24, 5 and 5 patients in
groups A, B and C respectively. The methodology consisted in the stimulation at
points FEISHU (V13), YINXIANG (IG20), YINTANG (extra), through low-powered
laser, 30 seconds 3Khz for every point, conducting 10 sessions2 per week .
Making a questionnaire for assessing the severity of symptoms of the American
College of Alergies, To the first and tenth meeting, and the results were compared
with each other, obtaining a P<(0.5)for the 13 symptomatic variables at the
questionnarie. It also decreased the symptoms, mood and quality of life,
concluding so the laser stimulation of the points mentioned is an effective therapy
for the treatment of symptoms of allergic rhinitis.
4.-“EVALUACIÓN DE LA EFICACIA TERAPEÚTICA DE LA
FARMACOACUPUNTURA Y MOXIBUSTIÓN EN EL TRATAMIENTO DE LA
DISFUNCIÓN ERÉCTIL”
ELVIRA ARRIAGA MORALES
ASESOR: DR. GABRIEL CARLIN VARGAS
RESUMEN
La disfunción eréctil es un trastorno que se manifiesta por la incapacidad para
lograr y mantener una erección suficiente que permita un coito satisfactorio (4),
debido a su alta prevalencia (5) y al gran impacto que tiene en la autoestima y la
calidad de vida de los pacientes afectados por este padecimiento se considera
muy importante ofrecer al paciente un tratamiento que ofrezca eficacia, seguridad
y libre de efectos adversos. Dentro de la etiología occidental podemos clasificar a
la disfunción eréctil en dos tipos. La de origen psicógeno y la de origen orgánico.
En la Medicina China las etiologías son muy diversas, pero se considera que la
disfunción eréctil de origen psicógeno es más frecuentemente dada por trastornos
en corazón (ansiedad) y vesícula biliar (inseguridad y temor a fallar), mientras que
la de origen psicógeno encuentra sus causas más comúnmente en deficiencia de
sangre (erección), disminución del yang de riñón (deseo, erección), disminución
del yin de riñón (tiempo de la eyaculación). (26,34) Los diversos tratamientos que
se han manejado a lo largo de la historia incluyen la administración de diversos
fármacos los cuales tienen sus contraindicaciones y sus efectos adversos(3).
Motivo por el cual esta tesina plantea el uso de dos terapeúticas que forman parte
de la Medicina Tradicional China y del cual la hipótesis planteada para este
estudio es: La aplicación de farmacoacupuntura con hidroxicobalamina (axofor) en
los puntos Guanyuan (RM4), Zhongji (RM3), Zusanli (E36), Sanyinjiao (B6),
Taichung (H3), Shenshu (V23) bilateral y moxa en Mingmen (DM4) mejora la
función eréctil en pacientes con disfunción eréctil.
Se realizó un ensayo clínico controlado en el cual la metodología utilizada en este
estudio incluyó dos grupos de estudio a los cuales se les aplicó el cuestionario del
Índice Internacional de Función Eréctil abreviado para diagnosticar el grado de
disfunción eréctil en ambos grupos de pacientes para evaluar el efecto posterior al
tratamiento: el grupo A o grupo control que consta de 10 pacientes a los cuales se
les aplicó 2 ml de axofor intramuscular en glúteo en un no punto acupuntural y
que corresponde al sitio convencional de inyección intramuscular y moxa en el
glúteo contrario en un no punto acupuntural localizado 2 cun debajo de Huantiao
durante 10 minutos.
El grupo B o grupo casos consta de 10 pacientes a loa cuales se les aplicó 2 ml de
axofor distribuido en Guan yuan (RM4) , Zhong ji (RM3), Zusanli (E36), Sanyinjiao
(B6), Taichong (H3), Shenshu (V23) bilateral y la aplicación de moxa en Mingmen
(DM4) durante 10 minutos. A ambos grupos se les aplicaron 2 sesiones
semanales hasta completar 12 sesiones. Obteniendo los siguientes resultados
través de las pruebas T de student para evaluar la diferencia entre los grupos
antes y después del estudio la cual nos dio una P de 0.391 lo que indica que no
hay significancia estadísticamente significativamente diferente entre ambos grupos
y la prueba T Pareada se utilizó para observar la diferencia en cada uno de los
grupos antes y después del tratamiento dando como resultado una P de 0.026 que
nos indica que la diferencia de la media del valor de los dos grupos elegidos al
azar por lo tanto es estadísticamente significativa la diferencia entre ambos
grupos. Con respecto a la significancia estadística el resultado de P en el grupo
control antes después fue de 0.443 y el de casos antes después de 0.0001, lo que
traduce que en el grupo control no hubo una diferencia significativa y en el grupo
casos si hubo una diferencia significativa. Lo que demuestra que la
Farmacoacupuntura y Moxibustión en el tratamiento de la disfunción Eréctil
presentó valores significativos. Lo que demuestra que estas terapeúticas son
efectivas en el tratamiento de la disfunción eréctil.
ABSTRACT
The erectile dysfunction is an inconvenience that is declared for the
incapacity to achieve and to maintain a sufficient erection that permit a satisfactory
intercourse, (4) due to its high prevalence (5) and al great impact that has in the
self-esteem and the quality of life of the patients affected by this suffering is
considered very important to offer al patient a processing that offer efficacy,
security and free of adverse effects. Inside the etiology western we can classify to
the erectile dysfunction in two types. That of origin psicogen and that of organic
origin. In the Chinese Medicine the etiology are very diverse, but is considered that
the erectile dysfunction of origin psicogen more frequently is given for
inconveniences in heart (anxiety) and gall bladder (insecurity and fear to fail), while
that of origin psicogen finds its causes more commonly in deficiency of blood
(erection), decrease of the yang of kidney (desire, erection), decrease of the yin of
kidney (time of the ejaculation). (26,34) The diverse processing that have been
handled along the history they include the administration of diverse medicines
which have their contraindicacions and their adverse effects (3). Motive by which
the present study presents the evaluation therapy of two techniques of the Chinese
Traditional Medicine. The farmacoacupuntura in which applies an injectable
medicine in the points of acupuncture is a therapy that forms part of the Chinese
Traditional Medicine and that gives a very important synergy al medicine that
appliest this case applie axofor that is hidroxicobalamina in the pionts Guanyuan
(REN4), ZhongJi (REN3), Zusanli (ST36), Taichong (LV3), Sanyinjiao (SP6),
Shenshu (UB23) and moxa in Mingmen (DU4), compaired with axofor and moxa in
gluteus which can be (allopathic, like vitamins and other medicines allopsthics and
homeopathic medicines), offers al patient a new processing for the erectile
dysfunction.
A clinical trial was carried out controlled in which the methodology utilized in this
study
included two groups of study to which applied the questionnaire of the International
Index of Erectile Function shortened to diagnose the degree of erectile dysfunction
in both groups of patients for evaluate the subsequent effect al processing: the
group A or group control that is comprised of 10 patients to which itself them 2 ml
of axofor intramuscular in gluteus in a not point acupuntural and that al
corresponds conventional place of injection intramuscular and moxa in the contrary
gluteus in a not point acupuntural located 2 cun under Huantiao for 10 minutes.
The group B or group cases is comprised of 10 patients to praises which applied
them itself 2 ml of axofor distributed in Guanyuan (REN4), Zhongji (REN3), Zusanli
(ST36), Sanyinjiao (SP6), Taichong (LV3), Shenshu (UB23) and the application of
moxa in Mingmen (DU4) for 10 minutes. To both groups 2 weekly sessions they
applied them themselves until completing 12 sessions. Obtaining the following
results bias of the tests T of student to evaluate the difference among the groups
before and after the study which a P of 0.391 gave us what indicates that there is
not statistically significantly different between both groups and the test T Matched
was utilized for observe the difference in each one of the groups before and after
the processing giving as a result Of 0.026 that indicates us that the difference of
the average of the value of the two chosen groups al chance therefore is
statistically significant the difference among both groups. With regard to the
statistical significantly the result of P in the group control before later was of 0.443
and that of cases before after 0.0001, what translates that in the group control do
not there was a significant difference and in the group cases if there was a
significant difference . What shows that the Medicine acupuncture and
Moxibustión in the processing of the Erectile dysfunction presented significant
values. What shows that these therapy are cash in the processing of the erectile
dysfunction.
5.-“ TRATAMIENTO CONJUNTO DE ACUPUNTURA Y SANGRÍA EN
PACIENTES CON INSUFICIENCIA VENOSA CRÓNICA: EFECTO CLÍNICO Y
SU REPERCUSIÓN EN LA CALIDAD DE VIDA”
OSCAR RANGEL LÓPEZ
ASESOR: DR. FRANCISCO LOZANO RODRÍGUEZ
RESÚMEN
ABSTRACT
BACKGROUND: The chronic peripheral vein insufficiency. (CPVI) consists in a
functional alteration of the vein return flow as a consequence of the incompetence of the
heart valves with or without the presence of obstruction. This can affect the superficial
vein system, the deep vein system or both, hence generating distal vein hypertension.
Extended exposure to this vein hypertension leads to the manifestation of the
characteristic signs and symptoms of this pathology: tightness in the legs /heavy legs,
pain, edema, telangiectasia, varicose veins, trophic changes in the skin and venous ulcer
(23,24). World literature does not present enough research to support the effectiveness of
acupuncture as a treatment for CPVI; however, the quality of life in a patient affected by
CPVI, including less severe forms, can be seriously reduced, thus making it interesting to
evaluate how the quality of life in treated patients evolves.
OBJECTIVE: To evaluate the efficacy of acupuncture along with bloodletting as a
suitable treatment for patients suffering from CPVI and the recognizable impact on their
quality of life.
METHODOLOGY: This work presents a clinical, controlled,
comparative, prospective and longitudinal study. A sample of 30 patients was taken and
randomly divided into two different groups: 1. Control Group: 15 patients were treated with
real acupuncture and general measures. 2. Study Group: 15 patients were treated with
real acupuncture along with bloodletting and general measures. The following acupuncture
points were selected bilateral: Taichong (H3), Shangqui (B5), Taixi (R3), Yinlingquan (B9),
Zusanli (E36), Xuehai (B10), Weizhong (V40), Cheng Shang (V57) and Taiyuan (P9).
Therapy was applied once a week for twelve weeks. Evaluation sessions were carried out
every four weeks, where -additionally- patients answered the VEINES QoL/Sym
questionnaire on quality of life.
RESULTS: When comparing the two groups with a T de Student Test, only a
significant difference was obtained, with a p< 0.05 in the area of social and/or family
interference, in favor of the acupuncture-bloodletting treatment. When T paired tests were
applied, significant differences were obtained in all the items on the quality of life
questionnaire and clinic evaluations with a p< 0.05.
CONCLUSION: The acupuncture and bloodletting group showed a faster evolution
on the following areas: Heavy legs/tightness in the legs from 8th session, Patient’s
perception of swelling by the last session. Burning of the legs in the bloodletting group
showed significant improvement from the 4th session. Patients reported a favorable
evolution when contrasting their current situation against their situation in the previous
year, from the 4th session, in the bloodletting group; this was reported until the 12th
session in the acupuncture group. In the interference with their social life, only the
bloodletting group had a significant improvement from the 12th session; being able to
integrate in a more effective manner to their social activities. In the same way this group
referred lesser concern about the appearance of their legs from the 4th session. Therefore
we believe both acupuncture and bloodletting where useful to improve the quality of life in
the patients treated. Showing a faster effect in the combinated therapy group.
6.-“EFECTO ANALGESICO DE HIDROXOCOBALAMINA (VITAMINA B12) Y
PROCAINA EN EL PUNTO CHANGQIAN (DM1) EN EL TRATAMIENTO DE
HEMORROIDES”
JESUS HERNANDEZ MORALES
ASESOR DR. CRISOFORO ORDOÑES LOPEZ
RESUMEN
Las hemorroides es un padecimiento frecuente ya que se calcula que puede afectar hasta
a un 75% de la población en algún momento de la vida, estas son consecuencia de la
herencia, bipedestación, hábitos alimenticios y hábitos de vida anormales, aunque es un
padecimiento que no conduce a la muerte, es molesto y preocupante, para las personas
que las padecen. En el presente trabajo se valora la acción terapéutica de
Hidroxicobalamina (vitamina B12) 0.7 ml. más procaína 0.3 ml. inyectado en el punto de
acupuntura Changqian (DM1)5. Se realizó el estudio con los pacientes captados del mes
de septiembre a diciembre del 2004, en la Clínica de Acupuntura Instituto Politécnico
Nacional y que cumplían con los criterios de inclusión una vez aceptada y firmada la carta
de consentimiento informado el grupo fue de catorce pacientes a los que se les aplicó diez
sesiones de la terapia con el uso de jeringa de insulina de 100 UI que equivale a 1 ml. se
aplicó 0.7 ml. de vitamina B12 y en la misma jeringa se agregó 0.3 ml de procaína,
indicándole a los pacientes la posición adecuada en decúbito lateral izquierda y llevando
las rodillas al pecho, esta terapia se aplicó una vez por semana y se evaluó el dolor
según la escala visual análoga y sangrado al inicio y al final del estudio. Se obtuvo
mejoría en 12 pacientes al final de las diez sesiones que representa el 85.7 % del total de
pacientes, una paciente se agravo mientras otra paciente no reporto mejoría al final del
tratamiento. Se utilizó para la valoración estadística una escala dicotómica nominal por lo
que se utilizó un valor basal y un valor postratamiento obteniéndose un valor de P=
0.005 utilizando la aprueba de X2 con correlación dicotómica nominal la cual indica que
hubo un cambio que en este caso fue positivo7, 8.
De los doce pacientes que presentaron mejoría el sangrado desapareció entre la segunda
y quinta sesión de tratamiento, el dolor fue mejorando hasta desaparecer entre la tercera
y octava sesión del tratamiento. Con el presente trabajo de investigación se llega a la
conclusión de que la aplicación de acupuntura en su modalidad de fármaco acupuntura
puede brindar un beneficio a los pacientes con hemorroides.
ABSTRACT
The hemorrhoids are a frequent suffering since it is calculated that it can affect until to
75% of the population in some moment of the life, these are consequence of the
inheritance, biped stance, nutritious an wrong life habits , although it is a suffering that
doesn't goes to death, it is annoying and worries, to the people that suffer them. Presently
work is valued the therapeutic action of Hydroxicobalamine (Vitamin B12) 0.7 cc. and
procaine 0.3 cc. injection in the acupuncture point Changqian (DU1)5.
This study was carried out with the invited patients of Instituto Politécnico Nacional Clinic
of Acupuncture between September to December 2004, if they are agree and fulfilled the
inclusion approaches once accepted and signed the letter of informed consent the group
went from fourteen patients to those that were applied ten sessions of therapy with the use
of syringe of insulin of 100 UI that is equal to 1 cc. so 0.7 cc. of vitamin B12 was applied
and in the same syringe 0.3 cc. of procaine was added, indicating the patients adapted
position laying down on left side and the knees near the chest, this therapy was applied
once per week and were valued pain to the beginning and the end of the study to value
effects. Was obtained an improvement in 12 patients to the end of the ten sessions, only
one patient doesn't report improvement at the end of the ten sessions and another patient
was worse in her diseases. It was used for the statistical a nominal valuation the scale it
was used a basal value and value after treatment being obtained a value of P = 0.005 us
using it values of X2 with nominal correlation shown a positive reaction.
Of the fourteen patients the bleed disappeared between the second and fifth treatment
session, the pain was improving until disappearing between the third and eighth session of
the treatment7, 8. With the present investigation work reaches the conclusion that the
acupuncture application in its modality of point injection acupuncture can offer a positive
reaction on pain to the patients with hemorrhoids.
7.-“EFECTO INMEDIATO DE LA ESTIMULACIÓN DE YANGBAI (VB14) Y
TONGZILIAO (VB1) CON FARMACOACUPUNTURA EN PACIENTES CON
DEFECTOS DE REFRACCIÓN OCULAR”
OMAR DAVID GONZÁLEZ BENITEZ
ASESOR: DRA. FLAVIA BECERRIL CHAVEZ
RESUMEN
ABSTRACT
BACKGROUND: Ocular refractive errors are a worldwide health issue, since its
prevalence is very important in some countries like United States of America where the
incidence is about 70%.
OBJECTIVE: With this study, we pretend to demonstrate the immediate effect out of the
stimulation of Yangbai and Tongziliao with pharmaco/acupuncture, in patients with ocular
refractive errors.
RESULTS: The results of this study demonstrated that there was no significative effect in
the measurements before and after the treatment so it is suggested that further studies be
made to evaluate the effect with more session and or different acupuncture points.
RESUMEN
Antecedentes: Actualmente el tabaquismo es un fenómeno social y sus patologías
como el CA, EPOC y IAM son una de las primeras causas de muerte en nuestro
país siendo estas enfermedades de lenta evolución.
A los sujetos se les aplicaron los siguientes puntos acupunturales Taiyuan (P9)
Sanyinjiao (B6), Shanzhong (RM17), Chize (P5) con impulso regulares continuos
(tonificación) y Yuji (P10) con un impulso denso disperso con una mezcla
alternada de alta con baja frecuencia (dispersión), en un total de 12 sesiones dos
veces a la semana; al concluir el tratamiento se realizó de nueva cuenta la
espirometría y se evaluó de nuevo la función pulmonar.
Resultados: La mayor parte de los sujetos del estudio al concluir el tratamiento
obtuvieron cambios significativos de la función pulmonar (mejoría del 10%), de los
cuales sobresalen dos sujetos que quedaron dentro de parámetros normales de
acuerdo a su edad.
SUMMARY
Main Objective: For the present study, we decided to experiment with electro-
acupuncture on previously diagnosed patients with COPD; such diagnoses were
done through spirometry, also called Pulmonary Function Test. The following
points were used on such patients: Taiyuan (Lu9), Sanyinjiao (Sp6), Shangzhong
(RM17), Chize (Lu5) for toning, and Yuji (Lu10) for dispersion, in each and all
patients, after which a new Pulmonary Function Test (PFT) was performed to
evaluate again their pulmonary function.
Methodology Used: A study was made on smokers who suffer from COPD,
regardless of the classification they belong to. They were properly trained for the
PFT. Three such tests were performed on each of the patients, and only one was
recorded, which was the best performance. Special attention was placed on FVC
(Forced Vital Capacity) and FEV¹ (Forced Expiratory Volume in 1 second), which
were the subjected variables of the study.
Results: Most of the patients that comprise this study, reached remarkable
changes in their pulmonary function, an over-all improvement of 10%, of which two
individuals obtained normal range values for their age.
9.-“EVALUACIÓN DEL EFECTO TERAPÈÚTICO DE LA
FÁRMACOACUPUNTURA CON HIDROXICOBALAMINA EN PACIENTES CON
SÍNDROME DOLOROSO LUMBAR”
BRUNO CEOLÍN AMARO
ASESOR: ALBINO VILLEGAS BASTIDA.
Marco teórico: Se estima que 90% de las personas adultas presenta episodio de
Síndrome Doloroso Lumbar a lo largo de su vida. El Síndrome Doloroso Lumbar
es la principal causa de limitación física en sujetos menores de 45 años, con la
consiguiente pérdida de días laborales que implica. El tratamiento convencional
consiste únicamente en suministro de antiinflamatorios, relajantes musculares y
analgésicos quedando como último recurso, si los anteriores medicamentos fallan,
la cirugía de columna.
Objetivo: Con el objeto de encontrar una forma de tratamiento que mejore la
calidad de vida, disminuya el costo en horas/trabajo perdidas y gastos por
atención médica a la población económicamente activa, realizamos el presente
estudio.
Diseño del estudio: El presente estudio es ensayo clínico, prospectivo,
longitudinal, quasi-experimental. En este trabajo presentamos un estudio de la
eficacia de un recurso perteneciente a medicinas complementarias, en este caso
la medicina tradicional china: La fármacoacupuntura.
Muestra: Veinte (20) pacientes fueron reclutados en la Clínica de Acupuntura de la
Escuela Nacional de Medicina y Homeopatía del Instituto Politécnico Nacional.
Intervenciones: Utilizamos la fármacoacupuntura con hidroxicobalamina distribuida
en Shenshu (V23), Dachangshu (V25), Weichong(V40) bilaterales y Yaoyangguan
(DM3) para tratar a pacientes con Síndrome Doloroso Lumbar.
El curso de tratamiento duró un mes y una semana con dos sesiones semanales
(10 sesiones en total). Los efectos terapéuticos de ambos tratamientos fueron
valorados comparando los resultados numéricos obtenidos por medio de
Cuestionario Oswestry de Escala Visual Análoga y evaluación de limitación física,
aplicado al principio y al final del tratamiento.
Resultados y conclusiones: Los resultados fueron analizados por la prueba de “T”
Pareada para evaluar la diferencia entre los resultados antes y después del
estudio. Obtuvimos una mejoría general de 55% en dolor lumbar (P< 0.005), 55%
en dolor de ciático (P< 0.005) y 70% en limitación física (P< 0.005). Concluimos
que la fármacoacupuntura con hidroxicobalamina es eficaz para tratar a pacientes
con Síndrome Doloroso Lumbar.
ABSTRACT
Background: About 90% of the adult population present low back pain episode
once during their lives. Low Back Pain Syndrome is the main cause of physical
limitation in individuals under 45, occasioning several working hours loss.
Conventional treatment consisting of non steroid anti inflammatory drugs, relaxing
muscle drugs, analgesics, and surgery remaining as a last resource, in case all
others fail.
Objective: The objective of our study is to find a treatment to improve life quality,
lessen the lost working hours and medical attention expenses in the working
population with lower back syndrome.
Herein is presented a study of resources for treating low back pain, those of
complementary medicine, which in this case is the Traditional Chinese Medicine:
Pharmacoacupuncture.
Study design: This is a clinical trial, prospective, longitudinal, quasi experimental
study.
Sample: Twenty (20) patients were recluted from the “Clínica de Acupuntura de la
Escuela Nacional de Medicina y Homeopatía del Instituto Politécnico Nacional”.
Interventions: They were treated with pharmacacupuncture using 2ml
Hidroxicobalamina distributed among the Shenshu (UB23), Dachangshu (UB25),
Weichong(UB40) bilaterally and Yaoyangguan (DU3) acupuncture points.
The treatment course lasted one month and one week, with two weekly sessions
(ten sessions in total). The therapeutic effects of the treatment were evaluated
comparing the numerical results obtained via Oswestry Questionnaire for visual
pain evaluation and limitation measurement, which were applied at the beginning
and latter on at the end of the treatment.
Results, discussion and Conclusion.
The deriving results were analysed with Paired “T” method to evaluate the
difference between results before and after treatment.
We obtained a general improvement in patients consisting in 55% for low back pain
(p<0.005), 55% for sciatic pain (p< 0.005) and 70% for physical limitation (p<
0.005). We conclude that pharmacoacupuncture with hidroxicobalamine is effective
for treating patients with Low Back Pain Syndrome.
10.-“ESTUDIO COMPARATIVO DEL EFECTO DE CRANEO-ACUPUNTURA VS
ACUPUNTURA CORPORAL, EN PACIENTES CON SECUELAS DE
ENFERMEDAD VASCULAR CEREBRAL EN EL HOSPITAL REGIONAL DEL
INSTITUTO DE SEGURIDAD
SOCIAL AL SERVICIO DE LOS TRABAJADORES DEL ESTADO DE PUEBLA”
NAZARIO CELSO MENDEZ MENDEZ
ASESOR: DR CRISOFORO ORDOÑEZ LOPEZ
RESUMEN
RESUMEN
La cefalea es el nombre técnico para designar el dolor de cabeza, este es un síntoma
común ya que entre el 21 al 48 % de la población ha sufrido este padecimiento en algún
momento de su vida, incluso obligándole a ser evaluado por un médico especialista; en
especial las variedades conocidas como migraña y la cefalea tensional.
Este estudio sobre el tratamiento de las cefaleas primarias con acupuntura, fue hecho
considerando la importancia de reducir el daño de esta manifestación clínica en la vida
laboral, familiar y personal de los pacientes; en conocimiento de la trascendencia que
tiene para nuestro país en sus aspectos económico y social.
Se incluyeron 120 historias clínicas para el presente estudio, obtenidas del servicio de
consulta externa del Hospital Universitario de Puebla. De todos estos casos solo 68 se
pudieron diagnosticar como portadores de cefalea primaria. De estos pacientes solo 30
firmaron su hoja de consentimiento informado por lo cual el resto fueron eliminados.
Los diagnósticos de acuerdo a la diferenciación Sindromática de la Medicina Tradicional
China Fueron: Asenso de Yang de hígado, estancamiento de Qi de Hígado.
Los puntos seleccionados para su aplicación fueron: Taichong (H3) en sedación, Ququan
(H8) en tonificación, Sanyinjiao (B6) en tonificación, Waiguan (SJ5) en sedación, Fengchi
(VB20) en sedación y Hegu (IG4) en sedación.
SUMMARY
Migraine is the technical name to refer to a headache; this is a very common symptom
since among the 21 to the 28% of the population has ever once suffered this illness
throughout their lives. The seriousness of this sickness is so, that a great amount of the
people affected by it has been required to be checked by a specialized physician; mainly in
the varieties known as migraine and stress migraine.
In Mexico, migraine has become the first cause to give neurological consult to ambulatory
patients. Specially those ones affected by migraine, stress and post-trauma migraine, as
well as the one provoked by drug abuse or even psycho migraine which are considered
primary migraines. On the other hand, the ones that are due to a structural injury, which
are also known as secondary migraines, make one firstly think of infecting parasitic
illnesses: neurocisticercosis, tumor injuries and vascular pathology mainly hemorrhagic
varieties, etc.
This study, which is about treating primary migraines with acupuncture, was held bearing
in mind the importance of lessening the damage of this clinical manifestation into work,
family and personal life of the patients. Because of the importance it has in the economical
and social aspects of the country.
120 clinical histories were included within this study. They were obtained from the external
consult service given by the HUP (Puebla University Hospital). Only 68 of cases could be
diagnosed with primary migraine. Since only 30 of them signed the acknowledged consent
sheet, the other ones were discarded.
The selected areas to be applied were: Taichong (H3) sedation, Ququan (H8) invigoration,
Sanyinjiao (B6) invigoration, Waiguan (SJ5) sedation, fengchi (VB20) sedation and Hegu
(IG14) sedation.
The needles were applied until the acupunctural feeling of Qi, and they were handle in
sedation or dispersion. The needles were applied during 20 min; meanwhile invigoration or
dispersion therapy (according to what it was required) was applied; technique was
repeated three times throughout the 20 min. Henceforth, the previous description is
considered as a treatment session, as it can be observed from the results, no patient stop
the treatment; and even though it had been planned to give ten sessions in order to
evaluate the results, they were unnecessary since, after the 5th session using acupuncture
to eliminate migraine, the outcome exceeded our expectations. As a very result, no patient
required the 10 sessions that were planned in advance.
12.-“ESTUDIO DEL EFECTO DE LA CRANEOACUPUNTURA EN PACIENTES CON
ENFERMEDAD VASCULAR CEREBRAL (EVC).
MIGUEL PEREZ BRAVO
ASESOR: DR. CRISOFORO ORDOÑEZ LOPEZ
RESUMEN
ABSTRACT.
The cerebral vascular illness (CVI) in Mexico it is an important problem of
public health, it is the third cause of death and the second in producing
neurological inability. The objective of this study was to evaluate the effect of the
scalp-acupuncture in patients with cerebral vascular illness (Zhong feng).
It was carried out an experimental, prospective, longitudinal study at the ISSSTE
hospital of Puebla city, both sexes with computerized axial tomography and
clinical diagnostic of cerebral vascular illness in which acupuncture needles were
applied it gauges 28. 30, in the skull’s motor area, half opposite side of the
affected body, in the speech region in case of aphasia and the auditory vestibule
region in case of vertigo, with rotation manipulation for a minute, to frequency of
200 times per minute was performed. Needles 2 hours were remained. Three
sessions were given per week during six months of treatment to group of eleven
patients.
The results showed, the patients with illness vascular cerebral treated with
scalpacupuncture
obtained an excellent answer, improving the thoracic limb’s
neurological inability and the pelvic limb affected 82 % and 64 % respectively.
54 % was improved the verbal answer. As it can be appreciated in the square 8-B
when applying the t paired as a statistic test, the securities average of the verbal
answer they suffered modifications statistically significant (p>0.017) after the
scalp-acupuncture application.
Conclusion: it was made a mensuration in the beginning and the end of the
treatment with the scales of Brunnstrom and Glasgow, in patients with cerebral
vascular illness, it was observed that the scalp-acupuncture is an effective
therapeutic method that accelerates the recovery of the neurological inability and
improves the quality life of patients.
13.-“COMPARACION DEL EFECTO ANTIEMETICO DEL ONDANSETRON
ADMINISTRADO EN EL ACUPUNTO NEIGUAN PC 6 VS ESTOMAGO
SHENMEN DEL MICROSISTEMA DE OIDO”
DRA. MARIA CONCEPCION SERRATOS VAZQUEZ
ASESOR: DR. ALBINO VILLEGAS BASTIDA
ABSTRACT
They exist a great number of medicines with antiemétic functions, employees in the
treatment of feels nauseous it and vomit postoperatory but either by his cost or by its
undesirable collateral effects, it feels nauseous it and vomit during the postoperatory
period continue being a problem, one calculates that between 20 and 30% of the patients
who are put under balanced general anesthesia they can present/display this type of
complication which is referred by the patients along with the pain like the experiences that
they would like to avoid in later surgical events. When they appear they constitute a
headache for the personnel who works in the field of the health and increases the risks of
morbymortality for the patients. By such reason (Pc 6) studies the effect of acupuncture or
the farmacoacupunture in the Neiguan point or the auriculoterapy used in acute or
hyperacute sufferings, in the points applied Stomach, Shenmen and vegetative nervous
System in the preanesthesia period. In the present work 40 adult patients studied, of I
generate masculine and feminine with an age average of 36 years with a standard
deviation 16,36 with I diagnose of valued with a physical state according to the
classification of ASA 1 or 2 and programmed burns of 2 and 3 degree for elective surgery,
surgical debridament and some times takes and application of cutaneous graft, was
divided in two groups according to the location of the injuries: group 1 burns in face (n=20)
received application of farmacoacupunture 20 mcgs. of ondansetrón in the Neiguan point
(Pc 6) previously to the anesthetic induction, and group 2 (n=20) with burns in superior
extremities received a session of 30 auriculoterapy of min. previous to the anesthetic
induction. The patients with burns in inferior extremities and abdomen divided themselves
in random form. Parameters were monitorizaron during transoperatory such as F.C. T.A.
and Saturation of I oxygenate in which it was observed that in the oximetry of pulse and
the T.A. significant changes did not appear but in the frequency cardiac was observed that
this diminished until 9,40% (p<0.001)la basal frequency in relation to completes taking of
the frequency when farmacoacupunture in the Neiguan point was used (Pc6) and when it
was used no single auriculoterapy I am observed that this did not diminish but that shows
an increase of the 2,4% (p=.307) and as far as the presence of it feels nauseous and I
vomit presented/displayed in both 24 groups to hrs. of postoperatory we have in the
prevention of feels nauseous in the prevention of feels nauseous it we obtained a Ji2 3,584
with one (p=0.05) and for vomit later to 24 hrs. we found a Ji2 2,500 with one (p=0.10)
when comparing both groups. Reason why we can conclude that the use of
fármacoacupunture in the Neiguan point (Pc6) is of greater utility in the prevention of feels
nauseous that the auriculoterapy but does not stop to come up vomit postoperating in
where we have no significant results statistically.
14.-“EFECTO DE LA MOXIBUSTION DIRECTA SOBRE LA FORMULA BLANCA EN
RATONES INFECTADOS CON Plasmodium yoelii yoelii”
JUDITH DEL ROSARIO VAZQUEZ GOMEZ
ASESOR: ROBERTO GONZALEZ GONZALEZ
RESUMEN
SUMMARY
There are several publications about the effectiveness of the acupuncture on malaria
treatment, however application of moxibustiòn for malaria treatment has been
neglected. To fill the gap an experimental model was design to evaluate the moxibustion
antimalaria treatment. This experimental model was conformed by CDI mice and the
rodent malaria parasite by Plamodium yoelii yoelii.
Our experiment consisted in forming three groups of 10 mice each one. One control group
was infected with 25000 parasitized erythrocytes by intraperitoneal route; other group
received moxibustion by scarification, and finally, a third group was treated with
moxibustion by scarification, and was infected with parasites at the stated doses and
route. We evaluated the leucocyte counts of mice at different days. The results were
analyzed by the variance analysis (ANOVA) procedure.
RESUMEN
La depresión es una enfermedad mental que causa notable deterioro del funcionalismo
físico, social y laboral; es un trastorno común, extenuante y con grandes posibilidades de
tratamiento. Entre los jóvenes, la depresión incrementa el uso de drogas y el suicidio. En
los últimos 10 años el uso de cocaína se ha colocado en los primeros lugares de
preferencia entre los jóvenes que consumen drogas en la Ciudad de México, de 3.1% que
existían en 1987 a 74.2% en 1998. Por otro lado se ha reportado una comorbilidad de
hasta 61% entre depresión y abuso de cocaína. Se ha visto que la presencia de depresión
agrava más la severidad del cuadro de adicción, disminuye la percepción de riesgo y
aumenta el índice de deserción al tratamiento por adicción. Varios estudios han probado
la efectividad de la acupuntura en el tratamiento de la depresión. El objetivo de este
estudio fue probar que con acupuntura se puede mejorar el síndrome depresivo que
coexiste con el abuso en el consumo de cocaína. El estudio se realiz ó de manera
coordinada, con pacientes del Centro de Integración Juvenil de Vallejo, el Anexo
“Despertares Dr. Berumen” y la Clínica de Acupuntura del Instituto Politécnico Nacional. El
tratamiento se aplicó a 15 pacientes, todos con diagnóstico de depresión mediante la
Escala de Hamilton para la Depresión y con el antecedente de haber consumido cocaína
por lo menos durante el último año. El tratamiento consistió en aplicar seis sesiones de
acupuntura, durante dos semanas, con la siguiente fórmula de puntos corporales:
Shenshu(V23), Geshu(V17), Ganshu (V23), Xinshu(V15), Pishu(V20), Feishu(V13),
Taichong(H3), Hegu(IG4), Neiguan(PC6), Yintang(EXT) y Baihui(DU20). Los resultados
mostraron que al terminar el tratamiento, en el 100% de los pacientes había disminuido en
algún grado la severidad del síndrome depresivo. El análisis estadístico realizado con una
prueba “t pareada” nos arrojó una p<0.05. Concluyendo que la acupuntura es efectiva
para tratar la depresión que coexiste con el abuso en el consumo de cocaína.
ABSTRACT
The depression is a mental disease that causes remarkable deterioration of the physical,
social and labor functionalism; is a common, debilitating upheaval and with great
possibilities of treatment. Between the young people, the depression increases the drug
use and the suicide. In the last 10 years the cocaine use has been placed in the first
places of preference between the young people who consume drugs in the City of Mexico,
of 3.1% that existed in 1987 to 74.2% in 1998. On the other hand one has reported a
comorbidity of up to 61% between depression and cocaine abuse. One has seen that the
depression presence aggravates plus the severity of the addiction picture, diminishes the
risk perception and increases the index of desertion to the treatment by addiction. Several
studies have proven the effectiveness of acupuncture in the treatment of the depression.
The objective of this study was to prove that with acupuncture the depressive syndrome
that coexists with the abuse in the cocaine consumption, can be improved. The study was
made of way coordinated, with patients from the ”Centro de Integración Juvenil de
Vallejo”, the Annex "Despertares Dr Berumen" and the Clinic of Acupuncture of the
“Instituto Politécnico Nacional”. The treatment consisted of applying six sessions of
acupuncture, during two weeks, with the following formula of corporal points:
Shenshu(V23), Geshu(V17), Ganshu (V23), Xinshu(V15), Pishu(V20), Feishu(V13),
Taichong(H3), Hegu(IG4), Neiguan(PC6), Yintang(EXT) and Baihui(DU20). The results
showed that when finishing the treatment, in the 100% of the patients had diminished in
some degree the severity of the depression syndrome. The made statistical analysis with a
“t pareada” test, threw one to us p<0.05. Concluding that acupuncture is effective to treat
the depression that coexists with the abuse in the cocaine consumption.
16.- “ESTUDIO DEL EFECTO DE LA AURICULOTERAPIA SOBRE LA
ANSIEDAD EN PACIENTES COCAINÓMANOS”
EDUARDO RODRIGUEZ GUERRERO
ASESOR: DR. CRISOFORO ORDOÑES LÓPEZ
RESUMEN
Los diversos tratamientos que se han manejado para los trastornos adictivos que cursan
con ansiedad y depresión incluyen la administración de diversos fármacos los cuales
tienen sus contraindicaciones y efectos adversos.
En el presente trabajo se plantea el uso de la auriculoterapia ya que forma parte de la
medicina tradicional china y de la cual se propone la siguiente Hipótesis: La
auriculoterapia es efectiva para controlar la ansiedad en pacientes adictos a la cocaína.
Se realizó un estudio clínico prospectivo cuasiexperimental en 13 pacientes
cocainómanos en el cual la metodología utilizada consistió en la aplicación de una Historia
Clínica y la Prueba de Hamilton para Ansiedad a pacientes adictos a la cocaína.
Posteriormente se realizó la aplicación de la fórmula de auriculoterapia, en el pabellón
auricular izquierdo que consistió en la aplicación de agujas de 0.5 cun en los puntos:
Shenmen, Riñón, Hígado, Sistema Nervioso Vegetativo y Pulmón. El número total de
sesiones consistió de 14 con una duración de 25 minutos cada una. La técnica se aplicó
los días lunes, miércoles y viernes.
Se les realizó la Prueba de Hamilton al inicio del estudio e inmediatamente después de
cada sesión tomando una encuesta basal y 14 encuestas posteriores después de cada
sesión, obteniendo los siguientes resultados de la Prueba de Hamilton: De un total de 13
pacientes 10 están dentro del rango de 21 a 30 años y 3 pacientes dentro del rango de 11
a 20 años, se realizó una prueba T de Wilconxon para evaluar la diferencia entre la basal
y la final. Al inicio del trabajo en promedio los pacientes mostraron un valor de 28.3846
que muestra que los pacientes tenían un alto grado de ansiedad, sin embargo, después
de aplicar auriculoterapia el nivel de ansiedad de los pacientes disminuyó en promedio de
8.615 de acuerdo con la escala de Hamilton y una P<0.05 lo que indica que hay una
estadística significativa entre la basal y la final. Lo que demuestra que la auriculoterapia
en el tratamiento de la ansiedad es útil como apoyo para los pacientes que sufren estos
trastornos.
ABSTRACT
Some of the treatments, which are used to treat some addictions to cocaine that cause
anxiety and depression, could include the administration of drugs that have
contraindications and secondary effects.
In this work we plant the use of auriculotherapy, which is part of the chinese traditional
medicine, can control the anxiety in cocaine-addicted patients.
The results obtained are; Total number of patients: 13, 10 patients was between 11 and 20
years old. We tested to those 10 patients with a T-Wilconxon test to evaluate the
difference between both begin and final results. We started this work with a mean value for
anxiety test of 24.3846, this value indicates that patients have a very high level of anxiety,
after the application of auriculotherapy we observed, with the same test, a decrease
significant of the mean value to 8.615, in agreement with the Hamilton test, we used a p <
0.05.
RESUMEN
ABSTRACT
This is a study of clinical character, prospective, longitudinal and comparative of the
analgesic effect of Acupuncture in the Myofascial Cervical Painful Syndrome in 41 patients
who reunited inclusion criteria and were divided randomly in two groups, first of 20 people
dealt with filiform needle and moxa, and the second of 21 people dealt with subdermic
needle type cane in the Clinic of Acupuncture of the Medicine and Homeopathic National
School of the National Polytechnic Institute (IPN) and Hospital 20 of November of the
Institute of Social Security and Services for the Workers of Estate (ISSSTE). This study
made of June to December of the 2003. To the patients of both groups it was evaluated to
them pain according to the analogous visual scale (EVA) with values from the 1 to the 10.
Thus same, in each session the evaluation in pain to the movement was made, points
painful and points trigger and the average of the EVA for final valuation was considered.
To group 1 filiform needles of 1.5 cun were applied to him, on painful points or ashi, later
was placed moxa on the needle, igniting it and leaving it up to 15 min., each session once
per week, with maximum of 5 sessions. In group 2 selected one to the most painful zone
(points ashi) of the cervical region the subdermics needles were placed and they were
covered with micropore, letting them by one week later to change them by new ones
during 5 sessions. The results they demonstrated that in both groups, the patients showed
improvement with respect to the number of treatment or session. In the group 1 half of the
patients obtained improvement in the pain to the movement arrives of 50% and from these
25% obtained 100% of effectiveness. In group 2 the 80.9% of the patients that
corresponds a 17 patients obtained above from 50% of improvement and from this 80.9%
the 45% obtained the 100% of effectiveness; with respect to the points trigger in group 1
45% from the patients it obtained above from 50% of improvement and from these 35%
obtained 100% of effectiveness. In the group 2 the 80.9% of the patients obtained above
from 50% of improvement and these 57% obtained the 100% of effectiveness. According
to EVA scale 30% of the group obtained above from 50% of improvement and in group 2
the 76.1% obtained above from 50% of improvement. In both groups there was
improvement in whatever to painful points, pain referred to the movement and points
trigger. results of this analysis demostrated that the treatment of group 2 was more
effective, with numbers of up to 57% of the patients with total treatment against 35% of
the patients of the group the 1 and rate of evolution or diminution of pain, was greater in
the patients than they were dealt with subdermic needle (group 2).
18.- “ESTUDIO DEL EFECTO DE LA ACUPUNTURA VERSUS MOXIBUSTIÓN
EN PACIENTES CON DISMENORREA PRIMARIA”
JOSE OSCAR MENDOZA PERALES
ASESOR: DR. CRISOFORO ORDOÑEZ LOPEZ
RESUMEN
Resultados.
intensidad del dolor menstrual, después de tres ciclos de tratamiento, éste disminuyó a
1.22 según la EVA, con una reducción de 6.08, en el grupo general de pacientes. P<
0.001.
SUMMARY
Results.
The 83.0% of the patients had a satisfactory relief of period pain, measurement of pain
with visual analog scale (VAS).
Initial from 7.30 intensity pain, after three cycles of treatment, the period pain decreased to
1.22 of the VAS, with 6.08 reduction in general.
Of twenty patients with acupuncture needle stimulation in tonification before initial study
with 7.25 VAS after three cycles and three sessions, the pain decreased to 2.07 with
average pain relief of 71.4%. Comparing with the other 20 patients group with moxibustion,
stimulation in tonification in the same two acupoints, in three cycles, and sessions, we
found that the pain decreased from 7.36 initial to 0.38 in VAS scale, at the end of this
study, with 6.98 points, the range of relief of menstrual pain was 94.8%.
The conclusion is, in this study, the moxibustion is more effective than the use of
acupuncture needle in the acupoints Zhong Ji (RM 3) and Taichong (Liv 3) in the primary
dysmenorrhea treatment and apparently only with the use of these two acupoints, we can
get relief in the menstrual pain, like in other studies, with stimulations in more acupoints.
The study has statistical significance in accordance the prevalence and severity of
dysmenorrhea syntoms, were relief with moxibustion, with a P< 0.001.
19.- “TRATAMIENTO DE LA INSUFICIENCIA RENAL CRÓNICA CON LÁSER-
PUNTURA”
RESUMEN
La Insuficiencia Renal Crónica (IRC), es una enfermedad que en los últimos tiempos se
ha presentado con mayor frecuencia, originando gastos muy altos para la economía de
las familias, y para las instituciones de salud. En Estados Unidos en 1995 se presentaron
59.000 casos nuevos de IRC, para una incidencia de 214 casos por millón de habitantes.
Con terapia de reemplazo renal (en diálisis o con trasplante renal) y con una prevalencia
de 824 pacientes en diálisis por millón de habitantes. Este trabajo tiene como objetivo
valorar la utilidad de la Láser-puntura, en el tratamiento de la Insuficiencia Renal Crónica,
y ver la posibilidad de utilizar un método menos agresivo, y de menor costo, con una
mejor calidad de vida para el paciente. En éste estudio, se analizaron 15 pacientes con
Insuficiencia Renal Crónica (IRC), que acudieron al consultorio particular del Dr. Antonio
Jiménez Serrano ubicado en 1º de mayo No. 774-10 de Acámbaro Guanajuato durante los
años 2001-2005, y quienes cumplieron con los criterios de inclusión previamente
establecidos se aplico un ciclo de 15 sesiones, con láser-puntura, y se realizaron y
entregaron exámenes de laboratorio antes y al final del tratamiento. Los puntos de
Acupuntura utilizados, fueron de acuerdo al diagnóstico sindromático en cada paciente, y
a todos se les aplicó una fórmula de puntos para tonificar Riñón: Se aplicaron: Taixi (R 3),
punto yuan del canal de Riñón, Fuliu (R 7) punto madre de R. Shenshu (V 23), punto shu
(comando) del canal de R. Sanyinjiao (B 6), punto de influencia de los 3 canales yin del
pie, Zusanli (E 36), punto mar del canal de Estómago, Pishu (V 20), para estimular la
energía adquirida (Bazo) y Neiguan (PC 6) para armonizar la energía de los órganos
internos y tranquilizar el espíritu. En éste estudio se obtuvieron los siguientes resultados,
en un total de 15 pacientes, en el tratamiento de la l.R.C, vemos cómo se logró en el
paciente # 4 no diabético, reducirse la urea de 131mg/dl a 51.5mg/dl con las primeras 15
terapias, bajando a 33.7mg/dl con las siguientes 15 terapias lográndose normalizar. La
creatinina sérica en éste caso, se logró reducir de 3.4mg/dl a 1.1mg/dl con las primeras 15
terapias, y con las otras 15 terapias, se redujo a 1.0mg/dl, lográndose cifras normales. La
hemoglobina, mejoró de 8.8g/dl a 12.4g/dl con las primeras 15 terapias, y con las otras 15
terapias, mejoró a 14.1g/dl, lográndose dar de alta, con cifras normales de urea, creatinina
y hemoglobina. Pudimos ver además, cómo los pacientes no diabéticos, reaccionan mejor
a las terapias, observándose los casos # 4, y # 10 , quienes tenían únicamente
Hipertensión, y el paciente # 3 quien tenía Riñones Poliquísticos. La paciente # 1
Diabética, e hipertensa, y de 78 años de edad, al iniciar sus terapias, tenía creatinina de
5.7mg/dl, después de las primeras 15 terapias, bajó a 3.7mg/dl, y con las otras 15
terapias, no se obtuvo resultado, pues la paciente ya no regresó a las terapias, pero
como es paciente del I.M.S.S aún se observa buena respuesta del tratamiento, pues a 3
años de habérsele practicado sus terapias, la creatinina se mantiene en 4.3mg/dl,
manteniéndose estable. Otro caso que es de llamar la atención, es el caso # 8. Femenino
de 68 años de edad, Diabética, e hipertensa, con una creatinina sérica al inicio, de
5.8mg/dl, con las primeras 15 terapias, subió a 7.2mg/dl, y con las siguientes 15 terapias,
subió a 11mg/dl, y con la 3er. Serie de 15 terapias, bajó a 10.1mg/dl, y con una
Hb=10.4g/dl. Esta paciente, que inició en Enero del 2003, persiste estable al momento
del estudio, sin tener qué dializarse, y en cambio, como ella dice, todos y todas las
pacientes que acudían a las pláticas de prediálisis cuando ella inició su problema, ya
fallecieron, aunque algunas se hayan dializado, y en cambio, ella persiste sin diálisis, y
haciendo su vida normal. Como se puede observar en las gráficas, las variaciones de
hemoglobina, urea y creatinina, fueron más satisfactorias en pacientes no diabéticos.
Palabras Clave: láser puntura, insuficiencia renal crónica.
SUMARY
The Chronic Renal Failure (CRF), is an illness that in the last times it was presented with
more frequency originating very high expenses for the economy of the families and very
high expenses for the Institutions of health. In the United States of America, in 1995 was
presented 59,000 new cases of (CRF), for an incident of 214 cases for habitant´s million.
With renal replace therapy (Dyalisis and renal transplant) and with a prevail of 824 patients
on peritoneal dyalisis for million of habitants.
This work, has how objective To apreciate the utility of de Laser-puncture therapy, in the
treatment of the (CRF), and to see the possibility of to use one method less aggressive,
and less expensive, with one better live quality for the patient.
In this study, were analized 15 patients with CRF, that arrived to the doctor´s office from
the Dr. Antonio Jiménez Serrano, on 1st. of May Number 774-10 from Acámbaro, Gto. City.
Méx., on 2001 to 2005, and they complete one cycle of 15 therapies minimum, with laser-
puncture, and they gived laboratories examinations, before an after therapies. Were
utilized Acupoints, in according to Syndrome´s Diagnostics in each patients, and all used
one points´ formula to fortify de Kidney: Were used: Taixi (K 3), yuan point of The
Kidney´s channel. Fuliu (K 7), mother´s point of the Kidney. Shenshu (V 23), shu point
(command point) of the Kidney´s channel. Sanyinjiao (Sp 6), influencie´s point to the three
yin foot´s chanels, Zusanli (St 36), sea point to the Stomach´s channel, Pishu (BL20) for to
stimulate the acqired energy (Spleen) And Neiguan (PC 6) for to harmonize the internal
organs´ energy and to calm the spirit.
Results: In this Study, we see the utility with the use to the laser-puncture, in the treatment
of the C.R.F, because we see that get in the patient number four (# 4) , non diabetic, to
reduce the urea from 131mg/dl to 51.5mg/dl with the first 15 therapies, and to reduce to
33.7mg/dl with the following 15 therapies, get to normalize. The serum creatinine in this
case, it did get to reduce from 3.4mg/dl to 1.1mg/dl with the first 15 therapies, and with the
other 15 therapies, it did reduce to 1.0mg/dl, getting normal quantity. The hemoglobine, it
did better from 8.8g/dl to 12.4g/dl with the first 15 therapies, and with the other 15
therapies, it did better to 14.1g/dl, getting to give high, with normal quantities of uraemia,
creatinine and hemoglobine. We could to see besides, that the patients non diabetics,
react better to the therapies , looking the cases number 4, and number 10, who they had
only high blood pressure, and the patient number 3 who had Poliquistics Kidneys. The
female patient number 1, was Diabetic and high blood pressure, and 78 years old,
beginning the therapies, she had creatinine 5.7mg/dl. After the first 15 therapies, lowered
to 3.7mg/dl, and with the other 15 therapies, dont have result, because the patient don´t
arrived to the therapies, but how she is patient in the I.M.S.S. (Mexican Institute of Social
Security), even I see good answer to treatment, because to 3 years to practice the
therapies, the creatinine is on 4.3mg/dl, supporting stable. Other case, that is from call the
attention, is the case number 8. Female 68 years old, with Diabetic, and high blood
pressure, with a serum creatinine to the beginning, from 5.8mg/dl, with the first 15
therapies, gone up to 7.2mg/dl, and with the following 15 therapies, gone up to 11mg/dl,
and with the third series from 15 therapies, it lowered to 10.4mg/dl. This patient, that did
beginning in January of 2003, she persist stable at the moment of this study, without to
have that go to dialysis. And in change, how she say, all the patients female and male, that
they did coming to the chats about dialysis when she did beginning her problem, all died,
although somebody were dialysed, and in change, she persist without dialysis, and making
normal life. How it can see on the charts the variations of haemoglobine, uraemie and
creatinine, were more satisfactory in patients non diabetics.
Key word: LÁSER PUNCTURE, CHRONIC RENAL FAILURE.
20.- “TRATAMIENTO CON LÁSER EN LOS PUNTOS CHENGSHAN (V 57), WEI
ZHONG (V 40), PISHU (V 20), YANGLINGQUAN (VB 34) y ZUSANLI (E36) EN
PACIENTES CON INSUFICIENCIA VENOSA PERIFÉRICA DE EXTREMIDADES
INFERIORES”
MARIA TERESA SANTES RIVERA
ASESORA: DRA. FLAVIA BECERRIL CHÁVEZ
RESUMEN
Antecedentes: La insuficiencia venosa crónica (várices) es una patología muy frecuente,
el dolor que provoca altera la calidad de vida de los pacientes, tiene complicaciones
importantes que al presentarse pueden causar la muerte. Es un problema de salud
pública a nivel mundial, tiene un costo económico elevado tanto para el paciente, como
para las instituciones públicas de atención a la salud. La Medicina Tradicional China hace
responsable al bazo de las dilataciones de las venas, la acupuntura es un método
alternativo que puede tratar esta patología.
Objetivo: Observar el efecto analgésico de la aplicación del rayo Láser en los puntos
acupunturales: CHENGSHAN (V 57), WEI ZHONG (V 40), PISHU (V 20),
YANGLINGQUAN (VB 34) y ZUSANLI (E 36), en pacientes con insuficiencia venosa
periférica de extremidades inferiores.
Metodología: Se realizó un estudio longitudinal, prospectivo, observacional y analítico, en
un grupo de 10 pacientes de sexo femenino con edades entre 20 y 57 años, que
padecían várices de miembros inferiores. Se dieron 10 sesiones con una duración de 10
minutos cada una, se aplicó rayo Láser durante 1 minuto por punto previamente
seleccionado en una frecuencia de una sesión por semana y se evaluó el dolor de
acuerdo a la Escala Visual Análoga (EVA), en la primera, quinta y décima sesión antes y
después del tratamiento, además se aplicó la escala de mejoría.
SUMMARY
Antecedents: The inadequacy veined chronicle (varicose veins) is a very frequent
pathology, the pain that causes alter the quality of life of the patients, it has important
complications that upon coming could cause the death. It is a problem of public health to
world level, it has an economic high cost so much for the patient, like for the public
institutions of attention to the health. The Medicine Traditional China makes responsible to
the spleen of the dilations of the veins, the acupuncture is an alternative method that this
pathology could try.
Objective: Observing the analgesic effect of the application of the ray Laser in the points
acupuncture: CHENGSHAN (V 57), WEI ZHONG (V 40), PISHU (V 20), YANGLINGQUAN
(VB 34) and ZUSANLI (And 36), in patients with veined outlying inadequacy of inferior
extremities.
Methodology: it was carried out a longitudinal study, prospective, observation and analytic,
in 10 patients' of feminine sex with ages between 20 group and 57 years, that suffered
varicose veins of inferior members. They occurred 10 sessions with a duration of 10
minutes each a, ray was applied Laser for 1 minute for point previous selected in a
frequency of a session per week and it was evaluated the agreement ache to the Visual
Similar Scale (EVA), in the first, fifth tenth session before and after the treatment, the scale
of improvement was also applied.
Results: Comparing between the first and the fifth session of treatment, an improvement of
the [sintomatología] of a was obtained 71.42%, with a P< of 0.05. Comparing between the
first and the tenth session of treatment, an improvement of the symptomatology of a was
obtained 87.86%, with a P< of 0.05. a difference Exists significant statistics. According to
the scale of improvement, it is considered that between the first and the fifth session was
obtained a good result to very good with 71.42% of improvement and between the first and
the tenth session was obtained an excellent result, with 87.86% of improvement of the
painful symptomatology.
Determining it that the analgesic effect of the laser therapy applied in points of
acupuncture, it is effective in the treatment of patients with varicose veins in inferior
members.
Conclusion: The present study demonstrates that a difference exists significant statistic
after the treatment with laser therapy applied in points of acupuncture, since between the
first and the fifth session of the treatment, an improvement of the symptomatology in a was
obtained 71.42% with a P< of 0.05. Between the first and the tenth session of the
treatment was obtained an improvement of the symptomatology in a 87.86% with a P< of
0.05.
The effect of the application of Laser in points of CHENGSHAN acupuncture (V 57), WEI
ZHONG (V 40), PISHU (V 20), YANGLINGQUAN (VB 34) and ZUSANLI (And 36) in
patients with veined outlying inadequacy of inferior extremities (varicose veins), it
determine that the analgesic effect of the same is effective, since he/she/it/you in
accordance with the scale of improvement was obtained a 87.86% of improvement of the
symptomatology in the last session.
21.- “EFECTOS INMEDIATOS DE LOS PUNTOS NEIGUAN (PC6) Y
SHENMEN (C7) SOBRE LA RESISTENCIA FISICA EVALUADA CON
PRUEBA DE ESFUERZO EN SUJETOS NO ENTRENADOS
APARENTEMENTE SANOS”
SUMMARY
Most of the people considered physicaly healthy, are on a poor physical condition as
well, which limits the practice of physical exercise and this leads to worsening of the
cardiovascular condition. Health is strongly determined by the proper function of the heart,
hence the practice of aerobic exercise is highly recommended.
There are trials about acupuncture on heart conditions, on athletes and on animals
(pharmacological stress), but we didn’t find studies on healthy individuals. Based on
knowledge of acupuncture effects over cardiac activity, it is proposed that the application
of acupoints Neiguan (HC6) and Shenmen (HT7) will produce a beneficial effect of better
exercise tolerance on healthy untrained individuals.
A study was carried out on a group of apparently healthy volunteers,
men and women, between the ages of 30 and 50 years, untrained and under no
medication. The subjects were randomly assigned into 2 groups, group A (Acupuncture)
and group B (No-Acupoints), each group consisted of 13 volunteers, the subjects and the
physician performing the stress tests were unaware of the group they were assigned.
Individuals on both groups were subjected initially to a stress test measuring the time it
took for every person to achieve the 85% of the maximal predicted heart rate according to
age and this being recorded as stress time 1(tesf1) and also evaluated the recovery time,
in this case it was defined as the time it took to recover a heart rate of 99 beats per min. or
less (trec1). After this acupuncture was applied on acupoints Neiguan (HC6) and
Shenmen (HT7) on subjects of group A for 20 minutes with a dispersion technique, and on
group B needles without stimulation over No-Acupoints were applied for the same amount
of time, after that all individuals underwent a second stress test and the same times were
measured and recorded as stress time 2 (tesf2) and recovery time 2 (trec2). The results
that were obtained were added and averaged for each group and statistical analysis was
performed with a Chi square test and a p: < 0.05 was regarded as significative. It was
found that subjects on group A needed more time to achieve the desired heart rate on the
second stress test compared to the first one(tesf1: 8.26 min., tesf2: 8.54 min.) and
individuals on group B tolerated less time in order to achieve the desired heart rate on the
second test (tesf1: 8.93 min., tesf2: 8.66 min.). The recovery time was shorter on the
second stress test on both groups, but the time to recovery was significantly shorter on
group A (trec1: 4.35 min., trec2: 3.76 min.) than on group B (trec1: 6.02 min., trec2: 5.72
min). The difference between groups was statistically significant for stress time and
recovery time for group A over group B (stress time p< 0.001 and recovery time: p<
0.0185.
This investigation showed that there are immediate beneficial physiological effects after
the application of acupuncture on acupoints Neiguan (HC6) and Shenmen (HT7) by
increasing the exercise time and decreasing the recovery time on apparently healthy
untrained adult subjects.
22.- “EFECTO ANALGÉSICO DE TIANSHU (E25) Y SHANGJUXU (E37) EN EL
SÍNDROME DE INTESTINO IRRITABLE.
SERGIO ROMERO BAÑOS.
ASESOR: JORGE ARTURO SANTANA PORTILLO
RESUMEN
El síndrome de Intestino Irritable (SII) es un padecimiento con alto índice de consulta en la
práctica médica cotidiana; tiene una prevalecía de 10 % a 20 % de la población, un 50% a
70% de la consulta de gastroenterología y es la segunda molestia del ser humano,
después de la cefalea, es la segunda causa de ausentismo laboral, después del resfriado
común, sin tomar en cuenta a las personas que recurren a la automedicación. La
acupuntura brinda una opción terapéutica para este tipo de pacientes; en el presente
estudio se utilizaron los puntos Tianshu (E25) y Shangjuxu (E37), valorando su efecto
analgésico. El presente trabajo se realizó en la clínica de Acupuntura de la Escuela
Nacional de Medicina y Homeopatía del Instituto Politécnico Nacional a 6 pacientes con
SII, de 21 a 45 años de edad, 5 mujeres y 1 solo hombre, se aplicaron agujas de 1.5 cun
previamente esterilizadas. Los puntos de Acupuntura en el estudio fueron estimulados con
electroestimulación mediante el equipo WQ-10DI, en denso/dispersa (frecuencias bajas e
intensidades a tolerancia) durante 15 minutos, se realizó en 5 sesiones con un intervalo
de una semana entre cada una. Los resultados fueron evaluados con la escala visual
análoga para intensidad del dolor (EVA), se considero un éxito la disminución de 4
puntos de esta escala, se realizó la prueba estadística de t. De Wilcoxon para variables no
parametricas con una p= 0.026.
ABSTRACT
The irritable bowel syndrome (SII) has a high prevalence in the general medical
consultation (10-20 %), in gastroenterology daily practice is about 50-70% of the total
consultation is the second reason of job absentism after cold .
Acupunture treatment is a good option for this kind of patients, in the present study we
used Tianshu (E25) and Shangjuxu (E37) to evaluated the analgesic effect of this
points we realized this study at the National Medicine and Homeopaty School of the
National Politecnic Institute . We had 6 patients with (SII) between 21 to 45 years old ,5
women and 1 man , each point were stimulated with sterilized 1.5 cun acupunture
needles by denso/disperse electroestimulation (low frecuency and intensity at tolerance
) with WQ –10DI equipment for 15 minutes during 5 sessions, one per week. The
results were evaluated with visual analoge scale for the intensity of pain (EVA), we
consider a success the disminution of 4 points on this scale, for the statistic evaluation
we used t of Wilcoxon for no parametrics variables with a p = 0.026 that means only
026% of azar.
23.- EFECTO ANALGESICO DE LA ACUPUNTURA Y MOXIBUSTIÓN EN EL
TRATAMIENTO DE LA CIATICA
RESUMEN
OBJETIVO La ciática se define como un síndrome álgido que se irradia a lo largo del
territorio del nervio ciático. La ciática es un problema de salud que se ha incrementado en
los últimos años (1,2, 3). El objetivo fue determinar el efecto analgésico de la acupuntura y
moxibustión en los puntos Huantiao (VB30), Yanglingquan (VB34), Weizhong (V40) en
pacientes con ciática. Entre los objetivos particulares se encontraban el establecer la
intensidad del dolor mediante la escala visual análoga (EVA) y evaluar el efecto
analgésico posterior al uso de la acupuntura y moxibustión para determinar si el método
era efectivo para disminuir el dolor del nervio ciático, comparando el valor de la EVA
inicial y EVA final, en pacientes que acudieron a la Clínica de Acupuntura de la Escuela
Nacional de Medicina y Homeopatía del Instituto Politécnico Nacional, así como en un
consultorio médico particular. MATERIAL Y METODOS Experimental, longitudinal,
bicéntrico, descriptivo, ensayo clínico, cerrado y directo. Periodo de estudio del 21 de
marzo al 10 de octubre del 2007. Los criterios de inclusión fueron pacientes que
presentaran dolor ciático menor a 3 meses de evolución, edades de 40 a 80 años y
ambos géneros. A los cuales se les aplicó acupuntura y moxibustión en los puntos
Huantiao (VB30), Yanglingquan (VB34) y Weizhong (V40). Se le aplicó a cada paciente 6
sesiones, tres veces por semana con un tiempo de permanencia de las agujas de 15
minutos después de que se consumía la moxa. RESULTADOS Se estudiaron a 25
pacientes de los cuales tres fueron eliminados del estudio. Se encontró que el género
femenino resulto afectado en el 52%, el rango de edad predominante fue de 51 a 60 años
con un 44 %, la mayoría se dedicaba a las labores del hogar con un 32 %, el miembro
pélvico más afectado fue el izquierdo con 56% con referencia del dolor hacia la región
posterior del miembro pélvico en 40%. El mecanismo al cual dio el inicio de la Ciática fue
la caída con un 40% y el tiempo de evolución del dolor más encontrado fue de 1 mes en
48%. La mayoría de los pacientes se encontraban con obesidad en un 68% de los casos.
La EVA al inicio del tratamiento en el 36% de los pacientes se encontraba en 7, a la
tercera sesión el 40% se encontraban con una EVA de 4 y en la sexta sesión el 36% se
encontraba con una EVA de 3 y el 27% con una EVA de 1. CONCLUSIÓN La EVA
determinó que la aplicación de la acupuntura y moxibustión en el tratamiento de la Ciática
es un método que ayuda a disminuir el nivel del dolor.
ABSTRACT
OBJECTIVE the pain by sciatic is defined as all algid syndrome that is radiated throughout
the territory of the sciatic nerve. Sciatic the acute one is a health problem that has been
increased years in the last (1.2, 3). The objective was to determine the analgesic effect of
acupuncture and moxibustión in the Huantiao (GB30), Yanglingquan (GB34), Weizhong
(UB40) points in patients with sciatic. Between the particular objectives they were
establishing the intensity of the pain by means of the analogous visual scale and to
evaluate the analgesic effect subsequent to the use of acupuncture and moxibustión to
determine if the method were effective to diminish the pain the sciatic nerve, comparing
the value of the analogous visual scale initial and the visual scale analogous last, in
patients who went to the Clinic of Acupuncture of the National School of Medicina and
Homeopaty of the National Polytechnical Institute, as well as in particular a medical
doctor's office.
METHOD Experimental, longitudinal, bicentric, descriptive, clinical, closed and direct test.
The period of study was of the March 21th - October 10th 2007. The inclusion criteria were
patients who displayed sciatic pain smaller to 3 months of evolution, ages of 40 to 80
years and both sex. To which it was applied to acupuncture and moxibustión to them in the
Huantiao (GB30), Yanglingquan (GB34) and Weizhong (UB40) points. Applied to each
patient 6 sessions to him, three times per week with a dwell time of the needles of 15
minutes after moxa was consumed. RESULTS studied 25 patients. One was that the
femenine affected in 52%, the rank of predominant age went of 51 to 60 years with 44 %,
the majority was dedicated to the workings of the home with 32 %, the affected pelvic
member more was the left one with 56% with reference of the pain towards the later region
the pelvic member in 40%. The mechanism to which they attributed to the patients the
beginning to him of the Sciatic one was the fall with a 40% of the cases and the time of
evolution of the found pain more was of 1 month in 48% of the patients. One also
determined that most of the patients they were with obesity in a 68% of the cases. By
means AVS to the beginning of the treatment 40% of the patients were that 36% of the
patients were with AVS of 7, to the third session were with a AVS of 4 and in the sixth
session 36% were with a AVS of 3 and 27% with a AVS of 1. Reason why there was a
diminution of the pain the sciatic nerve applying to acupuncture and moxibustión in the
indicated points. CONCLUTION The application of acupuncture and moxibustión in the
treatment of the sciatic is a method that helps to diminish the level of the pain.
24.- “EFECTO DEL PUNTO FENGLONG (E40) SOBRE LOS TRIGLICÉRIDOS
EN PACIENTES CON HIPERTRIGLICERIDEMIA MEDIANTE
ELECTROESTIMULACIÓN”
ULISES SIGIFREDO ESTRADA ARGÜELLO
ASESOR: DR. FRANCISCO LOZANO RODRÍGUEZ
RESUMEN.
SUMMARY
Considering hyperlipidemia as one of the most important factors in the development of
arteriosclerosis, we have brought about several studies on prevention whose main goal
consists of achieving a decrease in the concentration of lipids.
Hypertriglyceridemia is an abnormality which is being observed more frequently in the
Mexican population. (60)
The economic boom during the second half of the twentieth century was accompanied by
a significant change in eating habits.
Documents have proven that Mexican nutrition tends to become more similar to that of the
U.S.A., with greater consumption of animal products, especially in the cities. Trough
surveys in some Mexico´s neighborhoods. With the increase in animal consumption
products there was a decrease on vegetables and tortillas consumption. So the calorie
intake did not raise.
The National Institute of Nutrition documented a 43% increase in the consumption of total
fats; 73% of the calories coming from saturated fats, and 420% from soft drinks, between
1960 and 1978. The consumption of vegetables and tortillas decreased.
The educational message of nutrition at that time was to increase the consumption of milk,
meat and eggs, which resulted in artery-clogging effects from the diet.
Another consequence of the dietary change has been the increase in the prevalence of
obesity and diabetes in recent times.
The present epidemiological data point toward a rising tendency in the incidence and
mortality rate caused by arteriosclerotic disease.
The application of resources for establishing well-structured and well-organized primary
and secondary prevention programs is therefore necessary.
Through this investigation in which we used electroacupuncture, we have observed that
the therapeutic effect has had statistical significance.
The objective of the present study was to evaluate the efficiency of electroacupuncture in
modifying the levels of triglycerides by applying bilateral electroacupuncture on the
FENGLONG (E 40) point, at 4-6 c/sec., during a twenty-minute weekly session for ten
weeks. A sericious lipid test was taken at the beginning and at the end of the study. Sterile
1.5 cun acupuncture needles were used.
We looked for the Chi. The brand WQ, model 10 electrostimulator was used.
Results: Thirty- five patients were chosen, of which only thirty-one finished the study, the
statistical method which was used was the “t de Student” for paired data, there were
eighteen women and thirteen men, between the ages of 23 and 78, with an average of 56
years of age. The values averages in the basal capture of triglycerides were 276.14 and
the final one was 214.48 mg/dl, with a standard deviation of average 142.648 and
standard error of 25.620.
FINAL 94.013 16.885
The value of “t” = 4.236 and “p” < 0.001 95% Reliability
As discovery during the study in blood pressure and heart rate of our patients we observed
favorable changes similar to those of the lipids.
The results obtained in this research are statistically significant, the general health of the
patients improved, as well as their symptomatology. The results were satisfactory.
Therefore, we consider acupuncture as an alternative for preventing and diminishing artery
diseases that cause high mortality rates and health complications which, besides affecting
the quality of life, they also represent economic, social and family problems. So all
preventive activities should take precedence regarding therapeutics and rehabilitation.
We hope that this work will serve in order to support further investigations.
25.- EFECTOS DE LA ESTIMULACION DEL PUNTO DE ACUPUNTURA
FENGLONG (E40) SOBRE EL NIVEL DE COLESTEROL PLASMATICO.
RESUMEN:
ABSTRACT:
Method: 30 patients were studied, divided in two groups in random form, of 15 patients
each one, experimental group and control group. To the first group they applied the
bilateral acupuncture point Fenglong (St40). To the group control they applied to Non point
or fictitious acupuncture, too bilateral. It carried out ten sessions, two per week. To all the
patients they performed measurement of the serum cholesterol before and at the end of
the treatment.
Results: in the experimental group 73.33% of the patients diminished their levels of serum
cholesterol. The stocking and the standard deviation before the treatment were of: 261.066
and 24.004 respectively. After the treatment both measures were of: 228.733 and 25.126
respectively. The statistical analysis showed to p = 0.003. In the group control, 53.33% of
the patients diminished their levels of serum cholesterol. The stocking and the standard
deviation before the treatment were of: 255.533 and 21.497 respectively. After the
treatment, both measures were of: 250.933 and 19.583 respectively. The statistical
analysis showed to p = 0.502.
RESUMEN
La acupuntura es una práctica milenaria en la cual se han utilizado hasta la actualidad,
agujas que se introducen en la piel en puntos que tienen un efecto sobre las diferentes
funciones orgánicas, se puede decir que algunos de los efectos son similares a los
fármacos; se seleccionaron puntos que tienen un efecto diurético, como el grupo de
fármacos que favorecen la producción de orina y son utilizados para lograr un balance
negativo en los líquidos corporales, en aquéllos padecimientos en los que hay retención
de los mismos, o falta de movilización de los líquidos como en el caso de la insuficiencia
vascular periférica, edema pulmonar o insuficiencia cardíaca, así como en problemas de
insuficiencia renal y en la hipertensión arterial.
No se tiene en la literatura accesible referencia de los cambios que produce en la orina la
estimulación de un único punto de acupuntura de los considerados con efecto diurético y,
el probable mecanismo que utilizan en la nefrona para lograrlo. En algunos textos se
menciona el efecto que tienen algunos puntos de acupuntura sobre la función renal, pero
no se describe en la mayoría, la técnica que se ha utilizado y si diferente técnica como lo
es la simple colocación de la aguja, el uso de electroacupuntura, de moxa o aplicación de
productos de herbolaria en los puntos de acupuntura producen el mismo efecto. No
sabemos si los puntos elegidos, en forma individual y no combinada producen el efecto.
Se pretende aportar a la literatura accesible a nuestro medio un conocimiento
sustentable acerca del efecto de los puntos Shuifen (RM 9) y Yinlingquan (B 9) en el
volumen y densidad urinaria de forma inmediata, y que puede ser demostrado por
cambios en volumen y densidad urinaria. Además valorar si ambos puntos tienen un
efecto similar.
En el presente estudio se seleccionaron 18 jóvenes aparentemente sanos, que
desayunaron de manera habitual, a los que se les dio a tomar 350 ml de agua para forzar
diuresis y considerar dicha micción como basal de referencia. Posteriormente se aplico
acupuntura a un solo punto por paciente, de manera aleatoria, con técnica de tonificación
por rotación y se cuantifico la micción en volumen y densidad urinaria, se registro además
el tiempo transcurrido para presentarse la micción de manera natural sin forzarla
verbalmente.
Se obtuvieron registros de lectura numérica y gráfica del volumen y densidad urinaria,
antes y después de acupuntura, que se compararon estadísticamente. De acuerdo con el
uso de uno de los puntos elegidos se dividió al grupo en A para el punto Shuifen (RM 9) y
B para Yinlingquan (B 9) para comparar el efecto entre ambos. RESULTADOS: Se
encontraron cambios en volumen y densidad urinaria entre el grupo basal y post
acupuntura, mostrando para volumen urinario una menor cantidad en general para el
grupo de acupuntura, registros que se compararon estadísticamente, la diferencia
pareada de las medias, entre ambos grupos, mostró una media de 62.77778, con una
desviación estándar de 105.5270, un error estándar de la media de 24.87295 y t pareada
de 2.524 y una P = 0.022, ≤ 0.05 que muestra una significancia estadística. En cuanto a la
densidad urinaria, los cambios fueron mas evidentes, con una menor densidad urinaria
en el grupo de acupuntura que estadísticamente muestran una máxima densidad en el
registro en las cifras básales con 1.025 y en acupuntura de 1.020, en lo referente a las
cifras mínimas, los registros básales fueron de 1.005 y las de acupuntura de 1.000,
acercándose las cifras en general de éste grupo hacia las inferiores. La prueba t no
pareada dio un valor de 0.884, con una P = 0.002 ≤ 0.05.
Al comparar los grupos de acupuntura de acuerdo a los puntos utilizados, Shuifen (RM 9)
y Yinlingquan (B 9), sobre el volumen urinario, se registró un mayor volumen para el
primero y menor para el segundo grupo. Sin embargo, al estudiarlos estadísticamente, se
obtuvo una desviación estándar de 0.43813. Respecto a la densidad urinaria, las
diferencias entre los dos grupos de acupuntura, muestran una moda de 1.010 para el
grupo A, y de 1.000 para el B, con una mediana de igual valor para ambos grupos de
1.005, lo mismo para la media y la desviación estándar que fueron de 1.008 y 0.003,
SUMMARY
Acupuncture is a millennial practice which used until the present time, needles that insert
in the skin on acupuncture points which has an effect over several organic functions, it can
be said that effect is similar to drugs.
Points that have a diuretic effect, like the drug group were selected that favours the
production of urine and are used to obtain a negative balance in the corporal liquids, in
those illness in which there is retention of such, or lack of mobilization of the liquids as in
the case of the peripheral vascular insufficiency, pulmonary Edema or cardiac
insufficiency, as well as in problems of renal insufficiency and the arterial hypertension.
Reference in literature of the changes is not had in accessible about the changes in urine
because of the stimulation of a unique point of acupuncture of the considered ones with
diuretic effect and, the probable mechanism that uses in nefrona to obtain it. In some texts
the effect that have some points of acupuncture on the renal function is mentioned, but it is
not described in the majority the technique that has been used and if different technique as
it is it the simple positioning of the needle, the electro-acupuncture use, moxa or
application of products of herbolary in the acupuncture points if they produce the same
effect. We do not know if the chosen points, in individual or combined form produce the
effect.
It is tried to contribute to accessible Literature to our means a sustainable knowledge
about the effect of the points Shuifen (VC 9) and Yinlingquan (SP 9) in the volume and
urinary density of an immediate form, and that can be demonstrated by changes in volume
and urinary density. In addition to value if both points have a similar effect.
In the present study 18 young people apparently healthy were selected, whom had
breakfast in habitual way, which drink 350mililiter of water to force diuresis and to consider
this uresis like basal of reference. Later acupuncture were applied to a single point per
patient, in a random way, with technique of notification by rotation and the micron were
quantified in volume and urinary density, besides it were registered in passed time to
appear the uresis in a natural way without forcing it verbally.
The registries of numerical and graphical reading of volume and urinary density were
obtained before and after acupuncture, that were compared statistically. In agreement with
the use of one of the chosen points it was divided to the group in A for the point Shuifen
(VC 9) and B for Yinlingquan (SP 9) to compare the effect between both.
RESULTS: Changes in volume and urinary density between the basal group and post
acupuncture were found, showing for urinary volume a smaller amount in general for the
acupuncture group, registries that were compared statistically, the twin difference of the
averages, between both groups, showed an average of 62.77778, with a standard
deviation of 105.5270, a standard error of the average of 24.87295 and twin t of 2.524 and
one P=0.022, ≤ 0.05 that shows a statistical significance. As far as the urinary density, the
changes were but evident, with a smaller urinary density in the acupuncture group that
statistically show to a Maxima density in the registry in the basal numbers with 1.025 and
in acupuncture of 1.020, with respect to the minimum numbers, the basal registries were of
1.005 and those of acupuncture of 1.000, approaching the numbers in general of this one
group towards the inferior ones. No twin test t gave a value of 0.884, with a P= 0.002 ≤
0.05.
When comparing the groups of acupuncture according to the used points, Shuifen (VC 9)
and Yinlingquan (SP 9), on the urinary volume, one registered a bigger volume for the first
and smaller for the second group. Nonetheless, when studying them statistically, a
standard deviation of 0.43813 was obtained. With respect to the urinary density, the
differences between both acupuncture groups, they show a modal of 1.010 for the group
A, and of 1.000 for the B, with a medium one of equal value for both groups of 1.005, the
same for the average and the standard deviation that were of 1.008 and 0.003.
27.- “PAPEL DE LOS ESTRÓGENOS EN LA ANALGESIA PRODUCIDA POR
ELECTROACUPUNTURA EN LA RATA”
RESUMEN
Se ha establecido que la electroacupuntura aplicada en puntos específicos, reportados en
la Medicina Tradicional China, produce fenómenos homeostáticos en el cuerpo humano
que van mas allá de la analgesia inducida por estrés, en la que participan sistemas del
tipo de opiáceos, endorfinas y encefalinas.
En este trabajo se demuestra la participación de sistemas hormonales como el de los
estrógenos en la producción de analgesia con electroacupuntura.
Empezamos por corroborar los hallazgos de Hong Zhao y colaboradores (1), que
estudiaron la aromatización extragonadal de estrógenos a partir de tejido adiposo y
glándulas suprarrenales utilizando electroacupuntura en ratas ovariectomizadas.
Utilizamos el mismo tren de estimulación eléctrica en los siguientes acupuntos:
Guanyuan (RM4), Zhongji (RM 3), Zigongxue (Extra. 22) Sanyinjiao (B6).
Después de tres sesiones de electro estimulación en los acupuntos ya referidos tomamos
frotis vaginal de esas ratas y los observamos en el microscopio encontrando que, en
efecto, la electroacupuntura estimuló la producción de estrógenos en ratas
ovariectomizadas encontrando aumentos significativos en los conteos de células
cornificadas epiteliales por campo en comparación con conteos muy bajos en las
muestras de las ratas a las que no se les aplicó estrógenos ni electroacupuntura.
Después medimos la analgesia utilizando la latencia al Tail Flick en tres grupos de ratas:
un grupo de ratas ovariectomizadas a las que se les aplicó estradiol (E2), otro grupo de
ratas también ovariectomizadas a las que se les aplicó electroacupuntura (EA), y
buscando restablecer sus niveles de estrógenos y otro grupo de ratas ovariectomizadas a
las que no se les restablecieron sus niveles estrogénicos de ninguna forma.
El primer grupo de ratas tuvo un umbral alto al dolor, el segundo grupo que es el que fue
estimulado con EA tuvo el nivel más alto al dolor, pero no el tercero, que no estuvo
protegido por los estrógenos. Fue el grupo con el umbral al dolor más bajo.
Estos datos son consistentes con la hipótesis de que los estrógenos participan en la
antinocicepción y que la acupuntura puede, en caso de utilizarse los puntos adecuados,
restablecer los niveles de los estrógenos y producir, de esta manera, analgesia.
SUMMARY
RESUMEN
En nuestro país existe un alto índice de atención de partos, de acuerdo a las cifras
sociodemográficas del INEGI se reportaron 2,798,339 nacimientos en el año 2000, los
cuales son atendidos principalmente en hospitales de segundo nivel en donde en la gran
mayoría se utiliza la oxcitocina como coadyuvante en el trabajo de parto ya que aumenta
el número, frecuencia e intensidad de las contracciones uterinas por lo que en algunos
casos reduce la duración del trabajo de parto. Sin embargo, no es un medicamento
totalmente inocuo ya que puede presentar efectos secundarios como aceleraciones y
desaceleraciones en la frecuencia cardiaca fetal, hiperestimulación, ruptura uterina,
insuficiencia uteroplacentaria e hipoxia fetal, y en dosis altas puede tener un efecto
antidiurético.i ii
El presente estudio se llevó a cabo en la sala tocoquirúrgica del Hospital General Dr.
Manuel Gea González donde se captó un grupo de 36 pacientes que acudieron para
atención de parto y que cumplieron con los criterios de inclusión, por medio de una tabla
de números aleatorios se asignaron a las pacientes al grupo control o al grupo
tratamiento.
Al ingreso de la paciente se realizó un expediente donde fueron reportados los cambios
en el partograma desde el inicio y posterior a la aplicación de la electroacupuntura y se
asignó a uno de los dos grupos:
En el primer grupo ( Grupo tratamiento) se insertaron las agujas en los puntos señalados,
aplicando una corriente eléctrica con un electroestimulador modelo KWD 808 Multi
Purpose Health Device, con una frecuencia de 4-100 Hz y una intensidad a tolerancia del
paciente retirando las agujas en el momento que el obstetra decide pasar a la paciente a
la sala de expulsión.
En el segundo grupo (Grupo control) se insertaron las agujas en “no puntos”, conectadas
al electroestimulador con una frecuencia de 4-100 Hz con intensidad a cero.
ABSTRACT
In our country esxist a high index of attention of childbirths, according to the estimated
sociodemography quantity performed by INEGI 2,798,339 births were reported in the year
2000, which were assisted, mainly, in second level hospitals, where the great majority
uses oxytocin for helping the labor, increases the number of uterine contractions,
frequency and intensity, and it is used to reduce the labor time. However, it is not
completely innocuous medication, it can present side effects as heart frequency
accelerations and decelerations, hiperestimulation and uterine rupture can also occur.
Oxytocin administration when the resting uterin tone remains above 20 mm Hg
uteroplacental insufficiency and fetal hypoxia can result, and in high dosages it can have
an antidiuretic effect.
The objective of my work is to demonstrate that the application of electroacupunture in the
points Sanyinjiao (B-6), Hehu (Ig-4), and back points of Danshu (V 19) to Sanjiaoshu (V
22) positively contributes in the labor conduction in women with pregnancy of term,
favoring the cervical ripening, reducing time, maternal or fetals complications and pain.
The present study was carried out in the labor room of the General Hospital Dr. Manuel
Gea González where a group of 36 patients who went for childbirth attention and which
fulfil with the inclution judgment, by means of a random table of numbers they assigned to
the patients to the control group or to the treatment group .
At the patient’s arrival a file was made where a partogram was made before and after the
application of the electroacupuncture.
In the first group (treatment group) needles were inserted in the indicated points, applying
an electrical current with a electrostimulator 808 model KWD Muilti Purpose Health Device
with frequency of 4-100 Hz and up to the patient tolerance, retiring the needles when the
gynecologist decides to move the patient to the delivery room.
In the second group (control group) needles were inserted in “no points”, connected to the
electrostimulator with frequency of 4-100hz with zero intensity.
According to the obtained results we concluded that the acupuncture reduces the
childbirth labor time obtaining a P = 0.036 in the primiparas and a P = 0.13 in the
multiparas, observing also decrease the time in the expulsive period.
29.- EVALUACIÓN DEL DOLOR TRATADO CON ACUPUNTURA CLÁSICA EN PACIENTES CON
MIGRAÑ A.
Resumen.
Este es un estudio clínico, el cual tiene como objetivo el determinar la utilidad o eficacia
de la acupuntura corporal para el tratamiento de la Migraña Clásica.
Se estudió a todos los pacientes con signos y síntomas de Migraña Clásica que
acudieron a consulta a la Clínica de Acupuntura de la Escuela Nacional de Medicina y
Homeopatía del IPN en México D. F. Durante el período del 1 de julio al 15 de Diciembre
de 1977 y que cumplieron con los criterios de inclusión de este estudió. Se incluyó a
pacientes de género indistinto, de 10 a 50 años de edad, que no presentaran ninguna otra
patología, y que no tomaran medicamentos antimigrañosos y que aceptaran participar en
el estudio y que se presentaran con regularidad con previa autorización por escrito.
Se excluyó a los pacientes que no reunieron los criterios de inclusión, y aquellos que
abandonaron el tratamiento, así como aquellos que faltaron a dos o más sesiones
acupunturales.
Los resultados obtenidos fueron recopilados de la manera siguiente:
1) Cada uno de los pacientes fue valorado por medio de inerrogatorio e historia
clínica y de un diagnóstico sindromático desde el punto de vista de la Medicina
Tradicional China.
2) Acudieron 39 pacientes con edades entre los 10 y 50 años en donde la media fue
de 36 años predominó el sexo femenino .
3) De acuerdo con los síndromes de la Medicina Tradicional China, el Síndrome que
predominó fue el de ASCENSO DE YANG de Hígado .
La técnica acupuntural para la inserción de las agujas fue la siguiente: previa asepsia de
la piel, se localizaron los puntos acupunturales y se puncionó dejando la aguja por 30
minutos en cada sesión, el tratamiento fue de 10 sesiones máximo dependiendo de la
presencia o ausencia de crisis migrañosa, y de la intensidad del dolor. Las sesiones se
dieron una vez por semana, y al término de las 10 sesiones se evaluó dicho
tratamiento,excepto en algunos pacientes en los cuales el control de las crisis migranosas
inicio antes de las 10 sesiones.
El método de manipulación fue por tonificación o dispersión de acuerdo con el Síndrome
que presentó; Los resultados del estudió se midieron por medio de la Escala Visual
Análoga de Eva.
Los resultados finales fueron:
El 61.5384% de los pacientes obtuvo mejoría (control en la presentación de crisis
migranosa y disminución de dolor durante las mismas).
El 33.333% obtuvo curación (no presentó ninguna crisis migrañosa durante el
tratamiento).
El 5.1282% no obtuvo ningún cambio favorable (fracaso).
En conclusión tenemos que se demostró con este estudio que la Acupuntura corporal es
efectiva para el control de las crisis migrañosas por lo que sería de gran utilidad hacer un
seguimiento de pacientes para verificar si las crisis no las presentan más durante su vida.
Summary.
This is clinical study which has the objetive of determine the acupuncture is profit and
effectiveness in megrim treatment.
In this investigation were studied all the patients whit signs and symptoms of Classic
migraine that went to the Escuela Nacional de Medicina y Homeopatía del Instituto
Polítecnico Nacional in México City. In a period from July 1 st to December 15 of 1977,
patients had acoomplished with the inclusion criteria of this study. There were patients
from different kinds, ranking from 10 at 50 years old whom didn´ t have any other
pathology and weren’ t medicated whit any antimegrim medication. They agreed to
participate in this study and they should have a regular attendance with a previous
authorization in writing.
We excluded all the patients that didn ‘ t have all the inclusion ccriteria, the ones that gave
up the treatment and the ones that have missing 2 or more acupuncture sessions.
The results obtained were compiled like this:
1) Each one of the patients was evaluated using interrogatory, clinical history and
syndromatic diagnosis from the Traditional Chinese Medicin’s point of view.
2) 39 patiens, ranking between 10 to 50 years old where the mean proportional was
36 years old and females predominated, assisted to the sessions.
3) According to the syndromes of the Traditional Chinesse Medicine,the
predominated syndrome was the ASCENSO DE YANG DE HIGADO.
The acupunctural technique in needle insertion was the follwing:
Previos skin asepsis, it should localize the acupunctural part then the needle was
punctured during 30 minutes in each session maximun, depending on the presence or
absence of megrim crisis and on pain intensity.
Sessions were given once a week and by the end of these 10 sessions we evaluated the
treatment, excepting some patients whom megrim crisis control began before the
sessions.
The manipulation method was by tonificacion and dispersion according to the syndrome
already presented.
The study results were measured on behalf of analogical visual escale of Eva.
The final results were:
The 61.5384 % of the patients obtained an improvement (a control when megrim crisis
appears and pain diminution during the sessions).
The 33.3333% obtained cured (didn’t present any megrim crisis during the treatment.
The 5,128% didn´t obtain any favorable change (failure).
In conclusion, we demostrated in this study that acupuncture is effective to megrim crisis
control So, it would be useful to continue an endeavor to patients in order to check if they
don ‘ t present further crisis.
30.- ESTUDIO NEUROFISIOLÓGICO DEL EFECTO DE LA
ACUPUNTURA EN LA NEUROCONDUCCIÓN MOTORA Y
SENSITIVA DEL NERVIO MEDIANO A TRAVÉS DEL TÚNEL
CARPIANO
Resumen
Summary:
Medium nerve motor and sensitive conduction (motor and sensitive latencies)
registry was made throw the carpal tunnel with the use of the electromyography
(EMG) brand Cadwell – Sierra II of 4 channels in 10 healthy persons with and
without acupuncture (before and after it) in the points used for the treatment of the
Carpal Tunnel Syndrome in Traditional Chinese Medicine.
The research was made in order to value the effects of the acupuncture in the
neuron – conduction of the Medium Nerve throw the Carpal Tunnel and to correlate
them with its therapeutically effects.
As it has been said, 10 healthy persons were chosen and the study was made in
these stages:
1) Registry of the medium‘s neuron – conduction before the acupuncture used
in the points for the treatment of the Carpal Tunnel Syndrome in the
Traditional Chinese Medicine.
2) Registry of the medium’s neuron – conduction along with acupuncture in the
points which have been mentioned.
3) Registry of the medium’s neuron – conduction after the acupuncture was
applied.
The data was analyzed with the Significance T Test. They weren’t found important
differences in the results obtained for the medium nerve sensitive and motor
latencies before the acupuncture, along with the acupuncture and after the
acupuncture was applied.
The conclusion is that more research most be done in order to determine the
mechanism of action of the acupuncture in the Carpal Tunnel Syndrome. It is also
necessarily the use of new technology resources in the study of the obtained
effects with the acupuncture treatment.
Key words: acupuncture, motor and sensitive latencies, carpal tunnel syndrome
31.- APLICACIÓN DE ELECTROACUPUNTURA EN EL PUNTO ZUSANLI
(E36), ACUPUNTURA FICTICIA, Y VALORACION DE LOS NIVELES
SANGUÍNEOS DE CORTICOSTERONA EN RATAS SOMETIDAS A ESTRÉS
PATRICIA LUJAN GONZALEZ
ASESOR: FRANCISCO JAVIER AEDO SANTOS
RESUMEN
Se ha relacionado el estrés a diversos padecimientos físicos y psicológicos.
El estrés abarca el área cognitiva, emocional y conductual así como el área
fisiológica. En el área fisiológica los efectos del estrés se pueden encontrar datos
en dos vías neurofisiológicas principales: la del factor liberador de corticotropina
(FLC)- eje hipotálamo hipófisis adrenal- y la del locus cereleus-norepinefrina.
Estas vías tienen efectos diversos sobre el sistema inmune, el sistema endocrino y
el sistema nervioso central (SNC). Estos efectos podrían explicar las
enfermedades que se han visto relacionadas con el estrés. Las investigaciones
con electroacupuntura han estudiado principalmente el dolor, sin embargo, los
hallazgos permiten observar que existen efectos potenciales sobre sistemas
fisiológicos del estrés.
Se utilizaron 20 ratones de raza Wistar. Se dividieron en 4 grupos. Grupo A:
Acupuntura Real (se utilizo Punto Zusanli {E36} con electroacupuntura a 4 Hertz
por 20 minutos e inmovilización). Grupo B: Acupuntura Ficticia (se utilizo no-punto
e inmovilización). Grupo C Inmovilización. Grupo D Control. Se aplicaron 12
sesiones diarias de acupuntura durante 14 días y se midieron las concentraciones
plasmáticas de corticosterona por medio de la técnica de ELISA. Se encontró que
después de tres sesiones de tratamiento hubo un aumento de las concentraciones
plasmáticas de corticosterona estadísticamente significativa (p < 0.05) para los
cuatro grupos. Después de 7 sesiones se observó una mayor disminución en los
niveles plasmáticos de corticosterona en el grupo A en comparación con los otros
grupos. A las doce sesiones de tratamiento, (14 días de iniciado el estudio),
continuo la disminución de las concentraciones de corticosterona en el grupo A,
sin embargo, no se encontró una diferencia estadísticamente significativa entre los
grupos. En este estudio se encontró un efecto biológico de la electroacupuntura de
baja frecuencia sobre los niveles plasmáticos de corticosterona. Todos los grupos
presentaron una elevación de las concentraciones plasmáticas de corticosterona
a las tres sesiones de tratamiento y este efecto perduró durante las doce sesiones
de tratamiento. En este estudio se observó un aumento significativo en la
concentración plasmática de corticosterona en el grupo tratado con
electroacupuntura. También se observó que existió una disminución de la
corticosterona la cual puede deberse a los mecanismos de adaptación o a la
regulación por cambios en los receptores del hipotálamo
ABSTRACT
The stress has been related with emotional, cognitive and behavioral areas
and psychological conditions. The stress embraces the cognitive, as well as the
physiologic areas. In the physiologic area the effects of the stress akin in two main
ways in neurophysiology: the corticotrophin liberated factor (CRF) – hypothalamic-
hypophyseal adrenal axis - and the locus cereleus –norepinephrine. These
pathways have diverse effects on the immune system, the endocrine system and
the central nervous system (CNS). Those effects could explain illnesses that have
been related with stress. Investigations with electroacupunture have focused
mainly in the pain. However, other findings allows to point out that potential effects
may exist on physiologic systems producing stress.
For experiments in this study 20 Wistar rats were used. They were divided in
4 groups with different treatment. Group A: electroacupunture (Point Zusanli {E36}
4 Hertz for 20 minutes and immobilization). Group B: fictitious acupuncture (non-
point and immobilization). Group C: Immobilization alone. Group: D untreated not
immobilized rats. Twelve sessions of acupuncture, once a day were applied during
14 days and the plasmatic concentrations of corticosterone were measured by
ELISA tests. We have found that after three sessions of treatment, a statistically
significant increase (p < 0.05) of the plasmatic concentrations of corticosterone
was observed in the four groups. After 7 sessions a decrease of the plasmatic
levels of corticosterone was observed in the group A (electro-acupuncture) in
comparison with the other groups. At twelve treatment sessions, (14 days after
initiation of the study), decrease of the corticosterone concentrations continued in
the group A. However, there was not statistically significant difference among the
groups. In this study there was a biologic effect elicited by low frequency
electroacupuncture modifying plasmatic levels of corticosterone. All the groups
showed elevation from the basal plasmatic concentrations of corticosterone
manifested by the third treatment session, and this effect lasted during the twelve
sessions. In this study the increase in the plasmatic concentration of
corticosterone was higher in the group A treated with electroacupuncture. The
decrease of corticosterone observed in other cases, could be attributed to the
mechanisms of adaptation or by regulatory changes in the receptors of the
hypothalamic system.
32.- TRATAMIENTO DE LA DEPRESION CON ACUPUNTURA
ROXANA DANET VAZQUEZ JURADO
ASESOR: FRANCISCO JAVIER AEDO SANTOS
RESUMEN
Los desordenes afectivos son enfermedades comúnmente vistas en la atención primaria.
La depresión es una de las enfermedades que más se han relacionado al estrés, existen
datos que indican que el estrés puede exacerbar la sintomatología de la enfermedad
depresiva.
Existe evidencia clínica sobre el efecto de la acupuntura en la enfermedad depresiva.
Se ha relacionado el estrés a diversos padecimientos físicos y psicológicos. Aunque el
estrés abarca tanto el área cognitiva, emocional y conductual así como el área fisiológica,
no siempre se encuentran alteraciones al mismo tiempo en las cuatro áreas. En el área
fisiológica se han encontrado datos que permiten separar los efectos del estrés en dos
vías neurofisiológicas principales: la del factor liberador de corticotropina (FCL) – eje
hipotálamo –hipófisis-adrenal, y la del locus coeruleos – norepinefrina. Estas vías parecen
tener efectos sobre diversos sistemas de la economía corporal, como es el caso del
sistema inmune, el sistema endocrino, y el propio SNC. Estos efectos podrían explicar las
enfermedades que se han visto relacionadas al estrés, tal como la depresión.
La investigación sobre electro acupuntura a estudiado principalmente al dolor, sin
embargo, los hallazgos permiten observar que existen efectos potenciales sobre los
sistemas fisiológicos del estrés-depresión.
El objetivo de este protocolo fue corroborar el efecto terapéutico de la electro acupuntura
de baja frecuencia en la mejoría clínica de pacientes deprimidos y su relación con el
cortisol salivario.
Se realizó un estudio longitudinal, prospectivo, descriptivo, experimental en pacientes
mayores de 18 años con diagnóstico clínico y psicométrico(ITC, SCL-90,Hamilton y
Carroll) de depresión mayor. Se distribuyeron de forma aleatoria en dos (acupuntura
ficticia y electro acupuntura 15 min.), Se tomo muestra de cortisol salivario al inicio y final
del tratamiento. Las evaluaciones psicológicas se realizaron en las sesiones 0 - 4 - 8- 10.
Los puntos ocupados en los grupos de electro acupuntura de 15min fueron: Baihui
(DM20), Taiyang (Extra), Neiguan (PC 6), Shenmen (C7), Xinshu (V15), Shenshu (V23),
Sanyinjiao (B6) con estimulación de 4 Hertz a tolerancia del paciente.
En el caso del grupo de acupuntura ficticia se insertan las agujas con aplicador en no
Puntos de cabeza, manos y pies; sin buscar la sensación acupuntural, manejando un
tiempo de 15 min. por sesión.
La formula utilizada en este estudio mostró un efecto terapéutico, reduciendo la
sintomatología depresiva en los pacientes estudiados en comparación con el grupo
control.
Concluyendo que la electroacupuntura es efectiva en el tratamiento para la depresión
Con el tratamiento de electroacupuntura los niveles de ansiedad y depresión disminuyen
desde la primera sesión hasta en un 30%
Estadísticamente no existió diferencia entre Grupo control y caso
Sin embargo en el grupo caso los niveles de ansiedad y depresión disminuyen por debajo
del horizonte clínico y en el grupo control disminuyen los niveles pero no sobrepasan el
horizonte clínico.
SUMMARY
Affective disorders are illnesses commonly seen in primary attention.
Depression is one of the illnesses more related to stress, there is data which indicates that
stress can exacerbate the symptoms of depression. There is clinical evidence of the effect
of acupuncture on depression. Stress has been connected to various physical and
psychological sufferings. Although stress covers up the cognitive, emotional and
behavioral areas besides the physiological area, alterations aren’t always found on the
four areas at the same time.
In the physiological area there has been found information that have made possible to
divide the effect of stress in two main neurophysiological lines: the one of the factor that
releases corticotropina (FCL) – Hypothalamus axis-hipófisis-adrenal, and the one of the
locus coeruleus-nor epinephrine. These lines seen to have effect over various systems of
the body, such as the immune system, the endocrine system and the central nervous
system itself. These effects could explain the illnesses that have been related to stress,
such as depression.
Electrical Acupuncture research has focused mainly on pain, however, findings allow us to
observe potential effects over the physiological systems of stress-depression.
The objective of this protocol was to corroborate the therapeutic effect of low frequency
electrical acupuncture on the clinical improvement of depressed patients and its relation
with salivary cortisol.
A longitudinal, experimental, prospective, descriptive study was carried out on patients
over 18 years old with clinical and psychometric diagnosis (FTC, SCL-90 Hamilton and
Carroll) of major depression. The patients were separated randomly in two groups
(fictitious acupuncture and electrical acupuncture (15 min). A sample of salivary cortisol
was taken at the beginning and at the end of treatment. The psychological evaluations
were performed during sessions 0-4-8-10.
The points used on the electrical acupuncture 15 min.-group were: Baihui (DMZO),
Taiyang (Extra), Neiguan (PC6), Shenmen (C7), Xinshu (V15), Shenshu (V23) Sanyinjiao
(B6) with 4 hertz waves stimulation according with patient tolerance.
In the fictitious acupuncture group, needles are inserted with conductor in no points of
head, hands and feet, without looking for the acupuntural sensation, using a 15 min., time
per session.
The formula used in this study showed a therapeutic effect, lowering the symptoms of the
press ion on studied patients compared with the control group. Concluding that electrical
acupuncture is effective in the treatment for depression.
With electrical acupuncture treatment the levels of anxiety and depression decrease since
the first session up to a 30%.
Statistically there was boo difference between control group and case group. However, in
the case group the levels of anxiety and depression decrease below the clinical horizon
and in the control group the levels also decrease, but not below the clinical horizon.
33.- EFECTO ANALGÉSICO DE LOS ACUPUNTOS TAICHONG (H3),
YANGLINGQUAN (VB34), NEIGUAN (PC6) ZUSANLI (E36), ZHONGWAN
(RM12) Y TIANSHU (E25) EN EL SINDROME DE INTESTINO IRRITABLE
RESUMEN
RESUMEN.
ABSTRACT.
The upheavals of the cervical column occupy the second place of affectation of
damage in the joints after the lumbalgias. It has as main symptom the pain and
functional incapacity reason why in many occasions requires prolonged
conventional treatment with indirect effect of greater importance than the own
disease. The chronic cervical pain has been increased as reason for external
consultation due to the increase of on use of the cervical vertebrae in the different
occupations, and to automobile accidents that leave sequels reason why has
turned a problem of public health. This project was made in a period of six months
that was divided in two stages: first of three months for the bibliographical
compilation and structural elaboration of the same one. The second stage
consisted of the pick up of patients, the application of acupunturales points, as well
as the compilation and analysis of the results. The group of patients for this study
the south No.6104 of the City of Puebla was selected of the external consultation in
the doctor's office of acupuncture deprived in boulevard of the 14 and who fulfilled
the established criteria of inclusion being applied the following points with the
objective to evaluate the analgesic effect of acupuncture in the points: Houxi (ID
3), Waiguan (SJ 5), Xuanzhong (VB 39), Kunlun (V 60), Dazhui (DM 14), giving
two sessions per week in a total of ten sessions and with the technique of strong
stimulation with I peck and rotation during a minute by each point, leaving the
needle put by space of 30 minutes; in the course of this time, one indicated each
patient to him, it will make movements of the region of the neck in external rotation
and commits, as well as flexion and extension of the same one with the put
needles. The diminution of the pain was evaluated through the Analogous Visual
Scale, before the treatment, in 5ª and 10ª session. Of the universe of 10 treated
patients, 5 of them are of masculine sex and 5 of feminine sex. 60% showed a
diminution of the pain total way with 0 in the Analogous Visual Scale. 40% showed
a diminution of the pain considerable way with result of 1-3 in the EVA. No of the
patients who participated in the study referred to have remained with the same
intensity of pain that at the beginning of the treatment; nor either there were no
patients who left the treatment; therefore we can say that acupuncture in the
points Houxi (ID 3), Waiguan (SJ 5), Xuanzhong (VB 39), Kunlun (V 60), Dazhui
(DM14), has an analgesic effect in the treatment of the chronic cervical pain.
35.- “EFECTO ANALGÉSICO DE LA MOXIBUSTIÓN EN PACIENTES
GERIÁTRICOS CON GONOARTROSIS, EVALUANDO EL DOLOR
CON LA ESCALA VISUAL ANÁLOGA”
LILIA RUTH TRUEBA OLMOS
ASESORA: DRA. FLAVIA BECERRIL CHÁVEZ
RESUMEN
Gonoartrosis es el padecimiento más frecuente en la práctica clínica
reumatológica, la cual forma parte de una pandemia de enfermedades crónico
degenerativas que repercuten indudablemente en aspectos laborales, sociales,
familiares y económicos. Durante el año 2004, fué motivo de mayor demanda en el
sistema de consulta externa tanto de medicina familiar como de la consulta de
especialidades del Instituto Mexicano del Seguro Social (IMSS), su elevada
morbilidad es altamente incapacitante y causa frecuente de invalidez en los
adultos ya que los cambios degenerativos tienden a ser irreversibles y
progresivos.
SUMMARY
This is an ailment that affects people 30 or more years old and more women
than men. Etiologically, its genetic factors play a relevant role. Within its
symtomatology, pain, inflammation, crepitation and movement limitation are
predominant. The conventional pharmacological treatment consist of the
prescription of analgesics and non-steroid antinflammatories.
RESUMEN
ABSTRACT
RESUMEN
En general, se dispone de poca información acerca de la cronobiología y en
menor medida de la importancia en la cardiología combinada con
acupuntura. En la actualidad no existe información sobre las interacciones
del día y la noche los cuales pueden estar relacionados con los eventos
cardiovasculares en nuestro país. Existen algunos estudios de
experimentación realizados en la Escuela Nacional de Medicina y
Homeopatía (ENMyH) del Instituto Politécnico Nacional (IPN), en el
laboratorio de cronobiología se estudiaron a pacientes normotensos e
hipertensos se redujo la tensión arterial.
De los cuales parto para la realización de esta tesina. Así poder hacer una
interrelación con el manejo de electroacupuntura y evaluar si existen
cambios cronobiológicos en el cuerpo humano al ser aplicada y verificar si
existen modificaciones en la frecuencia cardiaca humana.
El objetivo del presente trabajo es evaluar los cambios biológicos de la
frecuencia cardiaca, al ser estimulando el punto Taichong (H3), en
diferentes horarios, a sujetos aparentemente sanos con electroacupuntura
en diferentes horarios. Con una frecuencia es de 4 Hz con una duración de
15 min.
El estudio se realizó durante 5 semanas, se realizó en 4 sujetos
clínicamente sanos con frecuencias cardiacas normales. En la primer
semana se capturaron la frecuencia cardiaca basal por 5 días, capturado
por un holter pressure TM 2421. en las cuatro siguientes semanas se les
aplico 4 estímulos con electroacupuntura en diferentes días y diferentes
horarios, cada estimulo con una duración de 30 min. y una monitorización
de la frecuencia cardiaca por un holter pressure modelo 2421, durante 5
días. Se llevó un registro monitorizando la frecuencia por el holter que
estaba programado para la toma de frecuencia cardiaca cada 30 min. de
las 6 de la mañana a las 10 de la noche y de las 11 de la noche a las 7 de
las mañana cada 60 min. en la primer semana se registro la frecuencia
cardiaca basal de cada sujeto y se les dio un descanso por 72 hr, antes de
comenzar con la electroestimulación en el punto Taichong (H3). En la
segunda semana se inicio con la primera electroestimulación a las 8 de la
6
mañana, en la tercer semana fue la segunda estimulación a las 12 de la
tarde, la tercer semana se estimulo el punto Taichong (H3) a las 4 de la
tarde, en la quinta y ultima semana a las 8 de la noche con respectiva
monitorización en la frecuencia cardiaca. La información obtenida de cada
sujeto en estudio de la frecuencia cardiaca fueron capturados por un
software ubicado en el laboratorio de cronobiología de la ENMyH-IPN.
Los resultados de la aplicación con electroacupuntura en el punto Taichong
(H3) indujo modulación de frecuencia cardiaca en los 4 sujetos de
experimentación. Con una disminución de 3 latidos por minuto en cada uno
de los horarios, en 3 de los sujetos en los cuales se realizó el estudio de
manera estadísticamente significativa p <0.001. Uno de los sujetos se
observó aumento de 3 latidos por minuto con un valor estadístico de p
<0.167.
Se describe un cambio de la frecuencia cardiaca al aplicar
electroestimulación en el punto Taichong (H3) en una pequeña muestra de
población, con efecto en la variabilidad de frecuencia cardiaca ya sea
aumentando o disminuyendo los latidos por minuto.
SUMMARY
In general, there is not too much information about the cronobiology and
the importance in the cardiology combined with acupuncture. At the present
time it does not exist information regarding the interactions between the
moment of day and night which can be related to the cardiovascular events
in our country. Experimental studies made by the National Medical School
and Homeopathy (ENMyH) of Instituto Politecnico Nacional (IPN) by
Doctors Ordoñes and Oropeza, on which I start for the accomplishment of
my essay. Thus to be able to make an interrelation with the handling of
electroacupuncture and to evaluate if cronobiological changes in the human
body exist when it´s applied and to verify if modifications in the human
frequency cardiac exist.
The objective of the present work has the purpose of evaluating the
biological changes of the cardiac frequency, stimulating the Taichong (Li3),
in differents schedules, applied to apparently healthy patients with
electroacupuncture in different schedules. With a frequency min. of 4 Hertz
with a duration of 15 min.
The study was made in 4 clinically healthy patients with normal cardiac
frequencies of which 4 sessions of electroacupuncture with a duration of 5
weeks were applied. It is taken a registry by watching the basal cardiac
frequency, of the 6 hr to 22 hrs each 30 min. And of the 23 hrs to 7 hrs each
60 min. After the basal sample occurred a period of resting of 72 hrs
consecutively and after that begun an electrostimulation of the Taichong
(Li3). The application of electroacupuncture in the schedules of 08:00,
12:00, 14:00, 16:00 hrs. with a respective survelliance in the cardiac
frequency. The information obtained by each patient in the cardiac
frequency survelliance was captured by a software located in the laboratory
of cronobiology of the ENMyH-IPN.
The results of the electroacupuncture application on the Taichong (Li3) have
induced a cardiac frequency modulation in the 4 experimental patients
with a decrease of 3 beats per minute in the schedules of 3 patients in
which we made, in a very significant way, a statistic study (p <0.001) and
39.-“EFECTO ANALGÉSICO DE LA ELECTROACUPUNTURA APLICADA EN
LOS PUNTOS: WIHAISHU, (V24), ZHONGLUSHU (V29) Y CHENGFU (V36), EN
PACIENTES CON CIATALGIA AGUDA”
RESUMEN
Actualmente el dolor ciático agudo es considerado por la Secretaría de Salud
como un problema de salud pública muy importante pues se ha visto un
incremento notable en su morbilidad en los últimos años. Diversos estudios
señalan que un 80 % de la población, presentan dolor ciático por lo menos una
vez en su vida, en donde un 49.9% son hombres y un 50.1% son mujeres,
señalando además que dicha patología es causa de un 65% de ausentismo
laboral, originando con ello grandes repercusiones socio económicas y laborales
para quienes la padecen. Esto ha motivado la búsqueda de nuevos tratamientos
que brinden una calidad de vida digna al paciente. El objetivo del presente estudio
fue comprobar el efecto analgésico de la electroacupuntura aplicada en los puntos
Qihaishu (V24), Zhonglushu (V29) y Chengfu (V36) en el dolor ciático agudo en
pacientes que acudían a la clínica de acupuntura de la Escuela Nacional de
Medicina y Homeopatía. Material y método: se captaron un total de 20 pacientes
que cumplieron con los criterios de inclusión; previa asepsia y antisepsia de la
zona, se realiza la aplicación de agujas acupunturales de 1.5 cun, en los puntos
seleccionados, se obtiene el Deqi, se conectaron al electroestimulador en
frecuencia denso-dispersa por 30 min. En total de 6 sesiones, se realizaron 3
evaluaciones del dolor con la Escala Visual Análoga (antes, durante y después del
TX). Resultados se estudiaron a 20 pacientes de los cuales el 85 % correspondió
al género femenino y un 15 % al masculino, el rango de edad de mayor afectación
fue entre los 51 a 60 años de edad. En el reporte final por la Escala Visual
Análoga para la medición del dolor se obtuvo un promedio de 8.5 para la 1ª sesión
(antes del tratamiento) cifra que se considero como basal, de 5.4 para la 3ª sesión
y 2.4 para la 6ª sesión. Al momento de realizar la parte estadística se empleo la
prueba de Regresión Lineal simple o conocida también como análisis bivariado,
encontrando una p<0.05 (p=0.003); la fuerza del estudio fue importante ya que
correspondió al 44%. Conclusiones: En el presente estudio encontraron que en la
mayor parte de los pacientes el umbral de dolor disminuyó hasta cero, es decir, de
forma notable, obteniéndose una media por cada medición realizada por lo cual
se concluyó que este tratamiento fue efectivo para la disminución del dolor ciático
agudo, al menos en esta población. Sugerencias: Haciendo énfasis que en los
pacientes diabéticos el umbral de dolor no disminuyó en su totalidad con respecto
a los pacientes sin enfermedad crónica degenerativa, valdría la pena realizar otro
estudio de investigación para este tipo de pacientes utilizando la misma
terapéutica pero con los mas número de sesiones.
ABSTRACT
At the moment the acute sciatic pain is considered by the health secretary as a
health problem publishes very important because it has seen a remarkable
increase in his morbillity in the last years. Diverse studies indicate that 80 % of the
population, at least once present/display sciatic pain in their life, in where 49,9%
they are men and 50,1% are women, indicating in addition that this pathology is
cause of a 65% of labor absenteeism, originating with it great economic and labor
repercussions partner for those who suffers this it has motivated the search of new
treatments that offer a quality of worthy life to the patient. The objective of the
present study was to verify the analgesic effect of the electroacupuntura on the
points Qihaishu (V24), Zhonglushu (V29) and Chengfu (V36) in the acute sciatic
pain in patients who went to the clinic of acupuncture of the Escuela Nacional de
Medicina y Homeopatia. Material and method: captarón a total of 20 patients who
fulfilled the inclusion criteria, previous asepsis and antisepsis of the zone, the
application of 1,5 is made acupunturales needles of cun, in the selected points,
obtains the Deqi, were connected to the electroestimulador in frequency dense-
disperses by 30 min. Altogether of 6 sessions, 3 evaluations of the pain with the
Analogous Visual Scale were made (before, during and after the TX). Results: they
studied 20 patients of who 85 % corresponded to the femenine and 15 % to the
masculine one, the rank of age of greater affectation went between the 51 to 60
years of age. In the final report by the Analogous Scale Visual for the
measurement of the pain an average of 8,5 for 1ª was obtained session (before the
treatment) number which I consider myself like basal, of 5,4 for 3ª session and 2,4
for 6ª session. At the time of making the statistical part use the test of simple or
well-known Regression Linear like analysis also bivaried, finding one p<0.05
(p=0.003); the force of the study was important since it corresponded to
44%.Conclusions: In the present study they found that in most of the patients the
pain threshold diminished up to zero, that is to say, of remarkable form, obtaining
an average by each measurement made thus can concluded at least that this
treatment was effective for the diminution of the acute sciatic pain, in this
population. Suggestions: Making emphasis that in the diabetic patients the pain
threshold did not diminish in its totality with respect to the patients without
degenerative chronic disease, it would be worth the trouble to make another study
of investigation for this type of patients being used same the therapeutic one but
with but the number of sessions.
40.- “ ESTUDIO DEL EFECTO DEL CAPTOPRIL MAS ACUPUNTURA SOBRE
LAS CIFRAS TENSIONALES EN PACIENTES HIPERTENSOS”
SONIA HERNANDEZ PAZ
ASESOR: GABRIEL CARLÍN VARGAS
RESUMEN
La Hipertensión arterial es la elevación crónica de la presión arterial sistólica
(PAS) mayor de 140 mm Hg o una presión arterial diastólica (PAD) mayor de 90
mm de Hg, según la Organización Mundial de la Salud (1,2).
Dicha enfermedad está distribuida en todas las regiones del mundo, atendiendo a
múltiples factores de índole económico, social, cultural, ambiental y étnicos. La
prevalencia ha estado en aumento, asociada a patrones alimentarios inadecuados,
disminución de la actividad física y otros aspectos conductuales relacionados con
hábitos tóxicos. La Encuesta Nacional de Salud 2000 encontró que 30.05% de la
población en México entre las edades de 20 y 69 años es hipertensa, Por tal
motivo es importante investigar y encontrar otras alternativas de tratamiento para
proporcionar al enfermo una mejor calidad de vida.
Objetivo general fue evaluar el efecto de la terapia combinada del Captopril y
Acupuntura en la disminución de la tensión arterial en pacientes hipertensos.
Hipótesis: La Acupuntura tiene un efecto hipotensor en combinación con
Captopril en pacientes hipertensos.
Material y Método: Se captaron un total de 31 pacientes, Al llegar a la clínica
descansaron por 20 minutos y se realizó la toma de la presión arterial al paciente
antes de cada sesión, se procedió a aplicar las agujas en los puntos
Taichong(H3), Zusanli(E36), Fenglong(E40) y Hegu(IG4) , realizando dispersión
con giros amplios y baja frecuencia y en el punto Sanyinjiao(B6) realizando
tonificación por raspado del mango de la aguja de arriba hacia abajo; se dejaron
las agujas durante 20 minutos; y finalmente se retiraron; por ultimo solicitó al
paciente continuar con el Captopril de 25 mg con las mismas indicaciones.
Resultados: Se observo disminución de ambas cifras tensiónales desde la etapa
inicial del tratamiento, con mayor efectividad al avanzar con el número de
sesiones, observable al realizar la prueba estadística de T Pareada ( < 0.05) la
cual reporto una disminución de PAS comparando el inicio del tratamiento a la
cuarta sesión de un 9.4% y al final de un 16.2%, también cabe mencionar que en
la PAD durante la cuarta valoración disminuyo un 7.7% y como reporte final
14.3%.
Conclusiones: Por los resultados obtenidos, se concluyo que el tratamiento para
pacientes con Hipertensión Arterial es efectivo realizando la terapia combinada
del Captopril y Acupuntura utilizando los puntos planteados y la manipulación
realizada, cabe mencionar que por lo datos analizados es el estudio es
considerado como estadísticamente significativa.
ABSTRACT
The arterial Hypertension is the chronic elevation of the systolic arterial pressure
(PAS) greater of 140 mm Hg or one diastólica arterial pressure (PAD) greater of 90
mm of Hg, according to the World-wide Organization of the Health (1,2).
This disease is distributed in all the regions del world, taking care of to multiple
factors of economic, social, cultural, environmental nature and ethnic. The
prevalence has been in increase, associate in inadequate nourishing patterns,
diminution of the physical activity and other conductuales aspects related to toxic
habits. The National Survey of Health 2000 found that 30,05% of the population in
Mexico between the ages of 20 and 69 years are hypertense, By such reason is
important to investigate and to find other alternatives of treatment to provide to the
patient one better quality of life.
General objective was to evaluate the effect of the combined therapy of the
Captopril and Acupuntura in the diminution of the arterial tension in hypertense
patients. Hypothesis: Acupuncture has a hypotensile effect in combination with
Captopril in hypertense patients.
Material and Method: A total of 31 patients attracted, When arriving at the clinic
rested by 20 minutes and the taking of the arterial pressure to the patient was
made before each session, was come to apply the needles in the points
Taichong(L3), Zusanli(ST36), Fenglong(ST40), and Hegu(GI4), making dispersion
with ample turns and LF and in the Sanyinjiao point(SP6) making scraped
tonificación by of the handle of the needle of above downwards; the needles were
left during 20 minutes; and finally they retired; by I complete asked for the patient
to continue with the Captopril of 25 mg with the same indications.
Results: I am observed diminution of both tensiónales numbers from the initial
stage of the treatment, with greater effectiveness when advancing with the number
of sessions, observable when making the statistical test of Twin T (< 0.05) which I
report a diminution of PAS comparing the beginning of the treatment to the fourth
session of 9,4% and at the end of 16,2%, also it is possible to mention that in the
PAD during the fourth valuation I diminish 7,7% and as reports end 14.3%.
Conclusions: By the obtained results, I conclude that the treatment for patients with
Arterial Hypertension is effective making the combined therapy of the Captopril and
Acupuntura using the raised points and the made manipulation, is possible to
mention that by the analyzed data it is the study is considered like statistically
significant.
41.- EFECTO DE LA ELECTROACUPUNTURA A CORTO PLAZO EN LAS
HIPOACUSIAS NEUROSENSORIALES MEDIAS, SEVERAS Y PROFUNDAS
CON ESTIMULACIÓN DE LOS PUNTOS: TAIXI (R3), TINGGONG (ID19), WAI
GUAN (SJ5), YIFENG (SJ17), QIMAI (SJ18) Y LUXI (SJ19).
SUMMARY
Antecedentes:
Dada la continua elevación de la incidencia de depresión en la población
mundial, desde hace varios años se ha optado por ver en la Medicina Tradicional
China una opción viable para su tratamiento, buscando darle bases científicas al
realizar protocolos de investigación siguiendo los estándares de la medicina
occidental. El propósito de este estudio fue determinar si la terapia con
Electroacupuntura (modalidad de la Acupuntura rama de la Medicina Tradicional
China) es eficiente en pacientes que sufren depresión.
Objetivo:
Observar el efecto sobre los resultados obtenidos en el test de Hamilton
después de la estimulación con Electroacupuntura aplicada en los puntos Yintang
(extra) y Baihui (DM 20) en el tratamiento de pacientes con Depresión.
Método:
Cuarenta pacientes captados en la Clínica de Acupuntura de la E.N.M y H del
I.P.N. y en una clínica particular, quienes obtuvieron más de diez puntos en el Test
de Hamilton fueron asignados aleatoriamente a un grupo experimental o a un
grupo control. El grupo experimental recibió tratamiento estandarizado con
electroacupuntura en modalidad denso-dispersa en los puntos Baihui (DM20) y
Yintang (Extra). El grupo control recibió tratamiento con acupuntura aplicada en
no-puntos además de no haber sido conectados a electro estimulador. Todos los
pacientes recibieron tratamiento acupuntural una vez por semana en diez
ocasiones durante veinte minutos. La aplicación del Test de Hamilton se hizo al
principio y al término del tratamiento de diez sesiones.
Resultados:
En comparación con los pacientes del grupo control, los pacientes del grupo
experimental mostraron una disminución significativa en la puntuación obtenida en
el Test de Hamilton después del tratamiento. La disminución en la puntuación fue
de 65%(P= 0.0005) en los participantes del grupo experimental en comparación al
0% (P=0.920) del grupo control. Se observó que aunque algunos de los
participantes del grupo control mostraron mejoría, ésta no fue lo suficientemente
notoria como para modificar el porcentaje final además de que otros participantes
de este mismo grupo obtuvieron mayor puntuación en el test al finalizar el estudio.
Conclusión:
Los resultados de este estudio sugieren que la terapia con electroacupuntura
es una opción de tratamiento eficiente para los pacientes con depresión.
ABSTRACT
Antecedents:
Given the continuous elevation of the incidence of depression in the world-wide
population, since many years ago it has been chosen to see the Traditional
Chinese Medicine as a viable option for its treatment, wanting to give scientific
bases to it by making investigation protocols following the standards of the western
medicine. The intention of this study was to determine if the therapy with
Electroacupuncture branch of the Traditional Chinese Medicine is efficient in
patients who undergo depression.
Objective:
To observe the effect on the results obtained by the Hamilton’s test after the
stimulation with Electro acupuncture applied in the points Yintang (extra) and
Baihui (DM 20) in the treatment of patients with Depression.
Method:
Forty patients caught at the Clinic of Acupuncture of E.N.M.H of the I.P.N. and
in a particular doctor's clinic, the ones who obtained more than ten points in the
Hamilton’s Test were assigned randomly to an experimental group or to a group of
control. The experimental group received standardized treatment with electro
acupuncture in dense-disperse modality in the points Baihui (DM20) and Yintang
(Extra). The group of control received treatment with acupuncture applied in no-
points in addition to not have been connected to an electro stimulator. All the
patients received acupuntural treatment once per week for ten occasions during
twenty minutes per time. The application of the Hamilton’s test was made at the
beginning and at the end of the treatment of ten sessions.
Results:
In comparison with the patients of the control group, the patients of the
experimental group showed a significant diminution of the score obtained in the
Hamilton’s test after the treatment. The diminution in the score was of 65% (P=
0,0005) in the participants of the experimental group in comparison to 0%
(P=0.920) of the control group. It was observed that although some of the
participants of the control group showed an improvement, this one was not the
sufficiently important to modify the final percentage in addition that some
participants of this same group obtained a greater score in the test when the study
finalized.
Conclusion:
The results of this study suggest that the electro acupuncture therapy is an
efficient option of treatment for the patients with depression.
43.-“ESTUDIO COMPARATIVO DEL TRATAMIENTO DE LA ANSIEDAD
PREOPERATORIA CON ACUPUNTURA VS MIDAZOLAM”
ANGELA DAVILA OLVERA
ASESOR: GABRIEL CARLÍN VARGAS.
RESUMEN
SUMMARY
RESUMEN
El insomnio, según el Manual Diagnóstico y Estadístico de Trastornos Mentales,
es la dificultad para iniciar o mantener el sueño, o no tener un sueño reparador
durante al menos 1 mes.
Es un síntoma que se presenta entre el 20 y 40% de la población, afectando con
mayor frecuencia a mujeres y ancianos. Este porcentaje es mayor entre la
población de mujeres con Síndrome Climatérico. El Servicio de Climaterio del
Instituto Nacional de Perinatología de la Cd. de México, reportó en julio del 2003,
que hasta el 70% de las pacientes con síndrome climatérico, registran cambios
neuropsíquicos como depresión e insomnio.
Estas pacientes generalmente reciben tratamiento de reemplazo hormonal, y se
administran hipnóticos benzodiacepínicos cuando no se controla el insomnio. Por
lo que consideramos necesario buscar tratamientos alternativos, como el que nos
ofrece la acupuntura para tratar este padecimiento. El objetivo de este estudio es
disminuir o curar el insomnio en las pacientes con climaterio (postmenopáusico)
con los puntos shenmen (C7), sanyinjiao (B6) y taixi (R3).
El estudio consistió en captar a las pacientes que acudieron al consultorio ubicado
en Cinco de Mayo Sur No. 2 en San Martín Texmelucan, Puebla, con diagnóstico
de insomnio y que además se encontraran en la etapa del Síndrome Climatérico
(postmenopáusico), a quienes se les informó en qué consistía el tratamiento, y
previa firma de la hoja de consentimiento se les aplicó el Cuestionario de Calidad
del Sueño de Pittsburgh antes de iniciar el tratamiento.
Las pacientes asistieron a un total de 10 sesiones, llevándose a cabo 3 sesiones
por semana con duración de 30 minutos, en donde se aplicaron agujas filiformes
desechables, de 0.28 mm de diámetro y 1.5 cun de longitud, previa asepsia de las
zonas a puncionar. Los puntos que se utilizaron fueron: Shenmen (C7), Sanyinjiao
(B6) y Taixi (R3), bilaterales, con técnica de manipulación de dispersión en
shenmen (C7) y tonificación en sanyinjiao (B6) y taixi (R3). El resultado se evaluó
aplicando nuevamente el Cuestionario de Calidad del Sueño de Pittsburgh al
finalizar el tratamiento.
Los resultados de este trabajo son los siguientes: Se atendieron 31 pacientes en
total, 28 completaron el tratamiento y 3 lo abandonaron. El rango de edades osciló
entre los 39 y 58 años, los síndromes de Medicina Tradicional China que se
encontraron en estas pacientes fueron: Incoordinación Riñón-Corazón (57%),
doble deficiencia de Corazón y Bazo (36%) y deficiencia de qi de Corazón y
Vesícula Biliar (7%). La media de la calificación inicial del Cuestionario de Calidad
del Sueño de Pittsburgh fue de 6.6750 puntos. La media de la calificación final del
Cuestionario de Calidad del Sueño de Pittsburgh fue de 2.9107 puntos.
Estos resultados muestran la disminución en la presentación del insomnio en el
Síndrome Climatérico (postmenopáusico), de una manera significativa (p<0.05) en
las pacientes de este estudio.
SUMMARY
ABSTRACT.
When an alcoholic patient has lost communication and finds himself in alcohol for
the right contact, behaves in a manner that harms relations with his family, cut their
labor relations and loses capacity to interface with the whole society. If that patient
asks support to manage alcoholic consumption, which is generally expressed as
an acute anxiety, acupuncture is an excellent aid why drive through a peripheral
stimulation with needles; with this action activates the complex Tálamo, and
Hypothalamic, Pituitary gland enabling an improvement in the management of
anxiety and better handling of alcohol.
This method was tested support in the city of Puebla, with twenty alcoholic
individuals, some of whom came from a town nearby semi rural (Cholula), aged
between 14 and 60 years; multiple socioeconomic strata and different states
civilians with withdrawal syndrome manifested as high anxiety.
The auriculopuntura was implemented in weekly sessions over 4 weeks.
Each session lasted 45 minutes. IDC and diagnostics were used to estimate CAGE
level of alcoholism and Hamilton Scale to measure anxiety. Patients answer a
questionnaire before and after treatment, and assesses anxiety before and after
treatment.
As a result it was found that the evidence of auriculoacupuntura not work
with all criteria for assessing the scale of Hamilton. In fact, only proved significant
variables: Humor anxious, tension; scarce; Insomnia; gastrointestinal symptoms;
genitourinary symptoms, however there was a reduction in anxiety for patients after
taking the treatment auriculoacupuntura. Before treatment, the majority of patients
were in critical condition and after the method they could improve their ability to
manage anxiety. Women showed more resistance to manage anxiety, even after
treatment.
47.- EFICIENCIA DE LA ACUPUNTURA Y DIETA VS DIETA EN LA
REDUCCIÓN
DE ÍNDICE DE MASA CORPORAL GRADO III
RUBEN GARCIA MIRANDA
ASESORA: DRA. ALEJANDRA D. GUTIERREZ VALADEZ.
Antecedentes: La obesidad y el sobrepeso son términos que se utilizan para
definir el aumento de tejido adiposo en el organismo, la obesidad tiene múltiples
causalidades en las cuales encontramos factores genéticos, ambientales,
dietéticas, físicos, farmacológicos entre otros.
Su prevalencia se ha incrementado de forma alarmante durante los últimos años
cuyos riesgos son de suma importancia y donde su terapia tiene que ser tanto
modificación de hábitos alimenticios, control de enfermedades adyacentes,
incremento de actividad física y tratamiento psicológico.
La obesidad según la medicina tradicional china consiste en sintomatología de
exceso y fondo de deficiencia principalmente de la energía de bazo y riñón.
Objetivo: Reducir el índice de masa corporal en pacientes con obesidad grado III
combinado el tratamiento con acupuntura y dieta en comparación con solo dieta.
Metodología: En 40 pacientes con obesidad grado III se les obtuvo su peso
corporal, índice de masa corporal así como perímetros de cintura y cadera. El
tratamiento consistio de 8 sesiones cada 10 días. A 20 pacientes se les trató con
acupuntura en puntos Sanyinjiao (B6), Zusanli (E36), Neiguan (Pc6), Zhongwan
(RM12) y Qihai (RM6), con una duración de 20 minutos sin manipulación y dieta
de 1800 Kcal. Al otro grupo de 20 pacientes se les trató con solo dieta de 1800
Kcal.
Resultados: Los 20 pacientes tratados con acupuntura y dieta demostraron una
reducción de peso de 7.69 Kg al cabo de las 8 sesiones (668 gr de reducción en
promedio por semana), con una mejoría del 7.88%; así como una reducción del
índice de masa corporal (IMC) del 3.25 al termino del tratamiento; representando
una mejoría de 7.78%.
Los 20 pacientes tratados con solo dieta demostraron una reducción de peso de
6.48 Kg, a las 8 sesiones (560 gr de reducción en promedio por semana). Con una
mejoría de 6.63%.
Así como una reducción del índice de masa corporal (IMC) de 2.93 con una
mejoría de 6.96%.
Conclusión: Con los anteriores resultados se demostró que ambos grupos
reducieron su IMC, sin embargo fue mayor en el grupo que además del
tratamiento dietético se empleo acupuntura (108 gr más de reducción en promedio
por semana).
ABSTRACT
Antecedents: The obesity and overweight are terms used to define the increase of
fatty weave in the organism; the obesity has manifold causalities between which
we found genetic, environmental, dietetic, physical, pharmacologic factors among
others.
The prevalence has been alarmingly increased during the last years and the risks
that entail are of extreme importance. The treatment of a patient with overweight or
obesity must include medical and psychological treatment, in addition to
modification of nutritional habits, control of adjacent diseases and increase of
physical activity.
The obesity, according to the chinese traditional medicine, mainly consists in a
simptomatology of excess with a background of deficiency mainly of the energy of
spleen and kidney.
Objective: To reduce the corporal mass index in patients with obesity III degree
combining the treatment with acupuncture and diet in comparison with solely diet.
Methodology: In 40 patients with obesity degree III to whom was obtained their
corporal weight, corporal mass index as well as perimeters of waist and hip. The
treatment consisted of 8 sessions every 10 days with duration of 20 minutes. The
first group of 20 patients was treated with acupuncture in the following points
without manipulation: Sanyinjiao (B6) bilateral, Zusanli (E36) bilateral, Neiguan
(Pc6) bilateral, Zhongwan (RM12) and Qihai (RM6), later they were retired and
was combined with a 1800 Kcal diet. To the other group of 20 patients with obesity
III degree were treated solely with diet of 1800 Kcal.
Results: The 20 patients treated with acupuncture and diet showed a reduction of
weight of 7,69 kg. in the 8 sessions (668 g of average reduction per week) what is
equivalent to a
48.- MODIFICACIÓN DE LA ANSIEDAD Y EL CORTISOL SALIVAL
UTILIZANDO ELECTROACUPUNTURA DE BAJA FRECUENCIA EN LOS
PUNTOS HEGU (IG4) Y TAICHONG (H3)
In Mexico City, the stress is a common situation. Currently, the students are a
vulnerable group, They are used to stressful situations, and the physiologic
response to any additional agent, will be faster, because those stimulus are
constantly applied to them is just a defense mechanism. The cortisol is known as
the hormone of the stress, and is responsible of the physiologically answer in the
body, however, if the answer is not effective, the damage of the body can be
important. There are a many mental stress test: arithmetic test, stroot, etc. The
caffeine is, quimicaly, a stressor. The acupuncture is a effective method to reduce
the stress, because decrease the cortisol levels in the blood and prevent
conductual changes.
METHODOLOGY: 29 students participated in this protocol, they were placed in 2
groups: study group and control group.
Initially we took a saliva sample and use the excitability test. In 15 students was
used the electroacupuncture in Hegu (IG4) y Taichong (H3), for 15 minutes. The
rest of the students (14) were the control group and did not get the acupuncture
treatment don't use de acupuncture. After treatment they took 300 mg of caffeine in
2 capsules, and watch a movie. Finally, we take a salivary sample and they answer
questions from the test again.
RESULTS: When we take a results of saliva cortisol and the results of de test in its
3 parts: motriz, vegetative and congnoscitive, we obtain the media (M) and
estándar error (EE) , and the P value, in each group before and after of the
stressor. The results of the cortisol in control group before of the stressor is: (M:
1.3147, EE: 0.31466) and after (M:1.9926, EE: 0.74293) and 0.432. In the study
group we found before of the stressor: (M:1.3460, EE: 0.31593) and after: (M
3.6113, EE: 1.5419) and P: 0.154.
In the response of the individual excitability test, in its motriz part, in the control
group is: before of the stressor. (M:55.8571, EE: 11.20316) and after (M: 54.l7619,
EE: 10.90083) and P: 0.890. In the study group before of the stressor is: (M: 47.51,
EE 7.1251) and after (M: 50.11, EE: 7.6229) and P 0.690. The vegetative
response in the control group before of the stressor is: (M: 55.8090, EE: 7.45386)
and after (M: 56.2857, EE: 7.29486) and P: 0.915. In the study case, we found
before: (M: 51.1852, EE: 5.2027) and after (M: 54.4074, EE 7.47822). and P:
0.588. The last, the cognoscitive response in the control group before of the
stressor is: (M: 77.4762, EE 10.8477), and after (M: 62.6190, EE: 11.55040). and
P: 0.053. In the study group, we found before of the stressor: (M: 58.4074, EE
6.61933) and after (M: 46.7037, EE: 8.06611) and P: 0.052.
CONCLUSION: The results of the saliva cortisol were not significante. Both
groups showed elevation of the cortisol levels, both minimal. In the cognoscitive
part of the test, we found decrement of the amount in both groups. The vegetative
and motriz part of test did not show significant results. The electroacupuncture
therapy in He Gu (IG4) y Taichong (H3) points, do not prevent the cortisol levels
and do not prevent conductual changes when it is used as a caffeine like stressor.
However, slow down the caffeine effects in the body.
DISCUSION: It would be necessary to find a mental stressor test siutable to used
in medical students in order to detect elevation of the cortisol levels and
conductual changes that help demostrate the possible preventive effects of the
acupuncture up on stress symphtoms. It would be probably necessary to study the
metabolism of caffeine in the body, and compare with de acupuncture patway, and
found a relation.
49.- “EFECTO DE LA ACUPUNTURA Y ELECTROACUPUNTURA SOBRE LA
DISTIMIA”
ROSARIO EUGENIA FLORES GARCÍA
ASESOR: FRANCISCO LOZANO
Sumary
ABSTRACT
Chronic Vein Insufficiency (CVI) affects approximately 50% of the general
population. The vast majority of the people affected by CVI remain untreated.
Nevertheless, CVI is a chronic and progressive illness. This is why Chronic Vein
Insufficiency must be treated as soon as it has been diagnosed.
For many years, there was no proof/evidence of the chronic progression of the
illness. However, nowadays, with the new explanations of molecular mechanisms
such as the leucocytos-endotelia interaction, and epidemyologic studies,
(Framingham, Bochum, Basle, amongst others) many questions about this
pathology are being answered, especially why there is a progression from the
symptoms to the varicose veins, and eventually to the ulcers on the legs.