腰部夹脊穴加用温针灸治疗腰椎间盘突出症临床观察及对疼痛的效果

目的:观察腰部夹脊穴加用温针灸治疗腰椎间盘突出症的临床疗效及其对疼痛的改善效果。方法:86例患者入院后均行腰背肌锻炼,采用随机数字表法分为2组各43例。观察组行病变节段双侧夹脊穴温针灸治疗;对照组行病变节段双侧夹脊穴常规针刺治疗,比较2组临床疗效、疼痛改善情况,发放视觉模拟评分法(VAS)评分、Oswestry功能障碍指数问卷表(ODI)、中医症状评分。结果:总有效率观察组95.35%,对照组79.07%,2组比较,差异有统计学意义(P0.05);观察组治疗后有效镇痛时间、疼痛消失时间分别与对照组比较,差异均有统计学意义(P0.05)。治疗后,观察组中医症状评分、VAS评分和ODI评分分别与本组治疗前及对照组治疗后比较,差异均有统计学意义(P0.05)。结论:腰部夹脊穴加用温针灸能够有效缓解腰椎间盘突出症患者疼痛症状,提高临床疗效。     

针刺推拿治疗腰椎间盘突出症临床观察

目的:观察针刺推拿治疗腰椎间盘突出症临床疗效。方法:将160例腰椎间盘突出症患者随机分为2组。观察组80例采用针刺联合推拿治疗,对照组80例仅采用针刺治疗。2组以针刺10次为1疗程。观察2组临床疗效及疼痛视觉模拟(VAS)评分和M-JOA评分。结果:总有效率观察组86.25%,对照组67.50%,2组比较,差异有统计学意义(P0.05)。治疗后,2组患者疼痛VAS评分均有降低,分别与治疗前比较,差异均有统计学意义(P0.01);治疗后,2组比较,差异有统计学意义(P0.01)。治疗后,2组患者M-JOA评分均有降低,分别与治疗前比较,差异均有统计学意义(P0.01);治疗后2组比较,差异亦有统计学意义(P0.01)。结论:针刺联合推拿治疗腰椎间盘突出症疗效优于单纯针刺治疗。     

董氏奇穴治疗腰椎间盘突出症46例临床观察

目的:观察董氏奇穴治疗腰椎间盘突出症的临床疗效。方法:将92例腰椎间盘突出症患者随机分为治疗组和对照组,每组各46例。治疗组采用董氏奇穴针刺治疗,对照组采用普通针刺治疗,疗程均为2周。观察2组视觉模拟评分量表(VAS)评分、Oswestry功能障碍指数(ODI)评分以及综合疗效。结果:总有效率治疗组为91.3%(42/46),对照组为76.1%(35/46),2组比较,差异有统计学意义(P 0.05)。2组VAS评分、ODI评分治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P 0.05)。结论:董氏奇穴治疗腰椎间盘突出症取穴少,疗效优,值得临床推广应用。     

腰夹脊穴温针斜刺治疗腰椎间盘突出症29例疗效观察

目的:探讨腰夹脊穴温针斜刺治疗腰椎间盘突出症的临床疗效。方法:将59例腰椎间盘突出症患者随机分为治疗组29例和对照组30例,治疗组予以腰夹脊穴温针斜刺治疗。对照组采用腰夹脊穴常规针刺治疗,观察两组治疗前后视觉模拟评分(VAS评分)的变化及治疗后的临床疗效。结果:总有效率治疗组为96.6%,对照组为80.0%。组间比较,差异有统计学意义(P0.05)。两组VAS评分治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P0.01)。结论:腰夹脊穴温针斜刺治疗腰椎间盘突出症安全有效,在综合疗效和缓解疼痛方面较常规针刺效果更加显著。     

针刺常规穴位配合董氏奇穴治疗腰椎间盘突出症的临床研究

目的观察针刺常规穴位配合董氏奇穴治疗腰椎间盘突出症的临床疗效并探讨其机制。方法腰椎间盘突出症患者60例随机分为两组,治疗组采用常规穴位配合董氏奇穴针刺治疗,对照组单用常规穴位针刺治疗。两组均连续治疗3周。结果经过治疗后,两组患者日本骨科协会评估表(JOA)评分均较治疗前提高(P0.05);治疗前、治疗1周后组间比较,两组患者JOA评分差异无统计学意义(均P0.05);治疗2周及治疗3周后组间比较,治疗组评分均明显高于对照组(P0.05);治疗组显效率为86.67%,显著高于对照组的66.67%(P0.05)。结论针刺常规穴位治疗腰椎间盘突出症有效,在此基础上配合董氏奇穴治疗,则疗效更佳显著。     

针刺加电针与针刺加穴注治疗腰椎间盘突出症的疗效观察

目的:客观地研究针刺加电针法与针刺加穴位注射法两种不同治疗方法对腰椎间盘突出症的临床疗效,比较出较佳治疗方法。方法:将60例腰椎间盘突出症患者随机分为两组,其中针加电组30例,采用针刺加电针法;针加穴组30例,采用针刺加穴位注射法。每天治疗1次,6次为1个疗程,临床观察2个疗程。结果:①治疗后两组疼痛评分与腰椎功能评分都有变化,两组内比较差异有统计意义(P<0.01),两组间比较,疼痛疗效方面针加电组与针加穴组无显著差异,腰椎功能疗效方面针加电组优于针加穴组(P<0.05);②临床疗效方面针加电组优良率高于针加穴组,差异具有统计学意义(P<0.05)。结论:针刺加电针法治疗腰椎间盘突出症较针刺加穴位注射法疗效更确切。     

“外承山”穴在治疗单侧腰椎间盘突出症增效作用的临床观察

目的:观察加用"外承山"穴对针刺结合理疗治疗单侧腰椎间盘突出症的增效作用。方法:将60例单侧腰椎间盘突出症门诊及住院病人随机分为两组,治疗组30例,对照组30例。对照组采用腰椎间盘突出症常规针刺并结合理疗治疗,治疗组在对照组治疗的基础上加针刺"外承山"穴,观察治疗前及治疗5天后腰腿痛评分(VAS,JOA)变化。结果:治疗5天后,治疗组和对照组腰腿痛评分、腰椎活动度与治疗前比较有所改善,治疗组与对照组比较差异无显著性,两组总有效率比较差异无显著性(P>0.05),但两组疼痛评分差值比较有统计学意义(P<0.05)。结论:"外承山"穴治疗单侧腰椎间盘突出症有一定的增效作用。     

针刺配合艾灸脐周四边穴治疗腰椎间盘突出症46例临床观察

目的:观察针刺加艾灸脐周四边穴治疗腰椎间盘突出症的临床疗效.方法:将92例腰椎间盘突出症患者随机分为治疗组和对照组各46例.治疗组采用针刺加艾灸脐周四边穴治疗,对照组采用常规针刺治疗,对2组进行疗效对照观察.结果:治疗组总有效率为95.6%,对照组总有效率为69.6%.2组总有效率比较差异具有统计学意义(P<0.05).结论:采用针刺加艾灸脐周四边穴治疗方法,优于常规针刺方法治疗腰椎间盘突出症.     

针刺董氏奇穴治疗腰椎间盘突出症35例

目的:观察针刺董氏奇穴治疗腰椎间盘突出症的临床疗效.方法:选择70例确诊为腰椎间盘突出症的患者,随机分为治疗组和对照组各35例,治疗组采用针刺董氏奇穴治疗,对照组采用针刺穴位常规治疗.比较治疗前、治疗后和治疗结束1个月后视觉模拟量表(VAS)、疼痛评定指数(PRI)和下腰痛评价表JOA评分,比较两组临床疗效.结果:对照组在第1个疗程中脱落1例,治疗组在第2个疗程中脱落1例.两组治疗后腰椎功能改善率治疗组为85.29％,对照组为70.59％,差异有统计学意义(P＜0.05);治疗结束后及治疗结束1个月后VAS、PRI量表评分治疗组均优于对照组,差异均有统计学意义(P＜0.05,P＜0.01).结论:针刺董氏奇穴治疗腰椎间盘突出症有明显临床疗效.     

不同时间间隔针刺治疗腰椎间盘突出症的疗效对比

目的:观察不同时间间隔针刺治疗腰椎间盘突出症的疗效。方法:将180例腰椎间盘突出症患者随机分为观察1组、观察2组、观察3组,各60例,各组均取L3～L5夹脊穴、环跳、委中等进行针刺治疗,并接KWD-808电针仪,针刺间隔时间分别为每日1次、隔日1次、每3天1次,疗程为3周。观察各组治疗1、2、3周后疼痛视觉模拟评分(VAS)、日本骨科学会下腰痛评定量表(JOA)评分,并进行疗效评价。结果:观察1组与观察2组有效率分别为96.7%(58/60)、95.0%(57/60),差异无统计学意义(P0.05),均优于观察3组的88.3%(53/60,均P0.01);各组治疗1、2、3周后VAS评分与治疗前比较均有不同程度的降低(均P0.01),观察1组与观察2组治疗1、2、3周后VAS评分比较差异无统计学意义(均P0.05),但较观察3组降低更明显(均P0.05);各组治疗1、2、3周后JOA评分与治疗前比较均有不同程度的增加(均P0.01),观察1组与观察2组治疗1、2、3周后JOA评分比较差异无统计学意义(均P0.05),但在治疗3周后JOA评分高于观察3组(均P0.05)。结论:每日针刺和隔日针刺在腰椎间盘突出症治疗中疗效相当,优于每3天1次。     

头针体针并用治疗围绝经期失眠症81例

目的:观察头针体针并用治疗围绝经期失眠症的临床疗效。方法:将162例患者随机分为观察组、对照组各81例,观察组采用头针体针针刺治疗,对照组采用艾司唑仑片治疗,2组均连续治疗3个月经周期。观察2组临床疗效及治疗前后雌二醇(E_2)、促卵泡生成素(FSH)、促黄体生成素(LH)和匹兹堡睡眠质量指数(PSQI)等指标的变化情况。结果:总有效率观察组为91.36%,对照组为76.54%,2组比较差异有统计学意义(P0.05)。FSH、LH、E_2及PSQI等指标治疗前后2组组内比较,差异有统计学意义(P0.05);治疗后组间比较,差异也有统计学意义(P0.05)。结论:头针和体针并用治疗围绝经期失眠症临床疗效显著。     

矩阵针灸联合电温针治疗骶髂关节致密性骨炎42例

目的:观察矩阵针刺联合电温针治疗骶髂关节致密性骨炎(OCI)的临床疗效。方法:将84例患者随机分为观察组44例、对照组40例,对照组口服双氯芬酸钠缓释胶囊治疗,观察组采用矩阵针刺联合电温针治疗。2组均连续治疗2周,观察2组治疗前后视觉模拟评分(VAS)、日本骨科协会评估治疗分数(JOA评分)的变化情况及临床疗效。结果:VAS及JOA评分治疗前后2组组内比较差异有统计学意义(P0.05);治疗后组间比较差异也有统计学意义(P0.05)。优良率观察组为63.64%,对照组为40.00%,2组比较差异有统计学意义(P0.05)。结论:矩阵针刺联合电温针治疗OCI临床疗效显著,并可改善体征及功能活动。     

何天有教授“靶向针刺法”治疗中风后吞咽障碍的临床研究

目的:研究何天有教授"靶向针刺法"治疗中风后吞咽障碍的临床疗效。方法:将70例患者按照住院顺序随机分为2组,每组35例。观察组采用何天有教授"靶向针刺法"配合康复训练治疗,对照组给予吞咽障碍治疗仪配合康复训练治疗。分别于治疗前、治疗20次后利用电视透视吞咽功能检查(VFSS)进行吞咽功能评估及比较临床疗效。结果:VFSS评分2组治疗后与同组治疗前比较,差异均有统计学意义(P0.05),治疗后2组比较,差异有统计学意义(P0.05)。有效率观察组为91.43%,对照组为80.00%,2组比较差异有统计学意义(P0.05)。结论:何天有教授"靶向针刺法"配合康复训练是治疗中风后吞咽障碍的一种有效方法。     

丁螺环酮与醒脑开窍针刺法治疗强迫症的疗效对比

目的:对比丁螺环酮与醒脑开窍针刺法治疗强迫症的临床疗效。方法:将120例患者随机分为观察组、对照组各60例。观察组采用醒脑开窍针刺法进行治疗,对照组口服丁螺环酮,观察2组治疗前后汉密顿焦虑量表(HAMA)和耶鲁布朗强迫量表(Y-BOCS)评分,以及临床疗效及不良反应发生情况。结果:HAMA及Y-BOCS评分2治疗后均明显降低(P0.05),治疗后2组比较差异无统计学意义(P0.05)。总有效率观察组为85.00%,对照组为81.67%,2组比较差异无统计学意义(P0.05)。观察组未见不良反应发生,对照组不良反应发生率15.00%,2组比较差异有统计学意义(P0.05)。结论:醒脑开窍针刺法治疗强迫症临床疗效显著,且未见不良反应。     

三伏贴结合针灸治疗过敏性鼻炎的疗效观察

目的:观察三伏天穴位贴敷联合针刺治疗过敏性鼻炎的临床疗效。方法:将117例患者随机分为对照组58例、观察组59例。2组均采用三伏天针刺治疗,观察组同时施以三伏天穴位贴敷。2组均连续治疗3年。观察2组治疗前后鼻症状总积分及生活质量积分的变化情况。结果:总有效率观察组为96.61%,对照组为79.31%,2组比较差异有统计学意义(P0.05)。鼻症状总积分、生活质量积分2组治疗前后组内比较,差异有统计学意义(P0.05),治疗后组间比较,差异也有统计学意义(P0.05)。结论:三伏天穴位贴敷联合针刺治疗过敏性鼻炎临床疗效显著,可改善临床症状及生活质量。     

刺络放血法治疗慢性阻塞性肺疾病急性加重期48例

目的:观察膻中及天突穴针刺放血治疗慢性阻塞性肺疾病急性加重期(AECOPD)患者的临床疗效。方法:将94例患者随机分为观察组48例、对照组46例。2组均给予常规西医治疗,观察组同时给予膻中、天突针刺放血治疗,2组均连续治疗14天。观察临床疗效及治疗前后肺功能变化情况。结果:总有效率观察组为91.7%,对照组为78.3%,2组比较差异有统计学意义(P0.05)。第1秒用力呼气容积占预计值百分比(FEV1%)、第1秒用力呼气容积与用力肺活量比值(FEV1/FVC)治疗前后2组组内比较,差异均有统计学意义(P0.05),治疗后组间比较差异也有统计学意义(P0.05)。结论:常规西医治疗基础上给予膻中、天突针刺放血能显著改善AECOPD患者肺功能,并能提高临床疗效。     

中药内服联合针刺治疗神经根型颈椎病60例

目的:观察中药内服联合针刺治疗神经根型颈椎病的临床疗效。方法:将120例患者按就诊顺序分为观察组和对照组各60例。对照组仅给予针刺疗法,观察组在对照组治疗的基础上加服中药汤剂,2组均连续治疗3周。观察2组临床疗效及治疗前后视觉模拟评分(VAS评分)、颈椎病症状量表积分、血清白细胞介素6(IL-6)和肿瘤坏死因子(TNF-α)水平的变化情况和治疗安全性。结果:总有效率观察组为91.67%,对照组为73.33%,2组比较差异有统计学意义(P0.05)。VAS颈椎病症状量表积分治疗前2组比较,差异无统计学意义(P0.05);治疗前后2组组内比较,差异有统计学意义(P0.05);治疗后组间比较,差异也有统计学意义(P0.05)。血清IL-6和TNF-α水平治疗前2组比较,差异无统计学意义(P0.05);治疗后2组组内比较,差异有统计学意义(P0.05);治疗后组间比较,差异也有统计学意义(P0.05)。2组在治疗期间均未出现与用药相关的不良反应。结论:中药汤剂内服联合针刺治疗神经根型颈椎病安全有效,可显著改善临床症状,其机制可能与调节机体IL-6和TNF-α的表达有关。     

Regular acupuncture at combined with join valley needling at ashi point for scapulohumeral periarthritis: A randomized controlled trial

Objective: To observe clinical efficacy differences of regular acupuncture at empirical acupoints combined with join valley needling at ashi point compared with simple join valley needling at ashi point for scapulohumeral periarthritis.Methods: Sixty-four patients of scapulohumeral periarthritis were randomly divided into an observation group and a control group, 32 cases in each one. Both groups underwent basic rehabilitation training.Patients in the observation group were treated with acupuncture at empirical acupoints combined with join valley needling at ashi point, while the patients of the control group were treated with simple join valley needling at ashi point. Both groups were all treated once a day, 6 times a week. Patients were treated for one course which lasted for 4 weeks. The visual analog scale(VAS) score, the Constant-Murley score and the Hamilton Anxiety Scale(HAMA) are compared between the two groups before and after the treatment, and the efficacy was evaluated after the treatment. Telephone investigation was applied as the followed-up after one month of the treatment.Results: The total effective rate in the observation group was 87.5%(28/32), and that in the control group was 71.9%(23/32), and there was statistically significant difference between the two groups(P 0.05).The VAS scores, Constant-Murley scores, and HAMA scores in the patients of the observation group were lower than those of the corresponding indicators in the patients of the control group respectively, and there were statistically significant differences(all P0.05).Conclusions: Compared with simple join valley needling at ashi point, regular acupuncture at empirical acupoints combined with join valley needling at ashi point can relieve the clinical symptoms of patients with scapulohumeral periarthritis, attenuate pains, ease anxiety and improve daily life activities better.     

经筋刺法针刺治疗顽固性面瘫疗效观察

ObjectiveTo observe the differences in the therapeutic effect on refractory facial paralysis between meridian sinew needling therapy and routine penetrating needling therapy.MethodsA total of 46 patients with refractory facial paralysis were randomly divided into a meridian sinew needling group and a routine penetrating needling group, 23 cases in each one. The same acupoints were selected in the two groups. Besides using routine acupuncture technique, a part of acupoints were stimulated with the meridian sinew needling technique in the meridian sinew needling group. In the routine penetrating needling group, a part of acupoints were stimulated with the routine penetrating needling technique. In both of the groups, the needles were retained for 30 min and the treatment was given once every two days, 10 treatments made one course. A total of 3 courses of treatment were required at the interval of 2 days. The score and grade of facial nerve function were recorded before and after treatment in the patients of the two groups. The clinical therapeutic effect was evaluated.ResultsAfter treatment, the scores of facial nerve function were significantly improved compared with that before treatment in the patients of the two groups (both P < 0.05). The difference value of the score of facial nerve function before and after treatment in the meridian sinew needling group was higher than that in the routine penetrating needling group, indicating a statistical significance (P < 0.05). The grades of facial nerve function after treatment were different significantly as compared with those before treatment in the patients of the two groups (both P < 0.05). However, the difference was not significant between the two groups after treatment (P > 0.05). After treatment, the total effective rate in the meridian sinew needling group was 100%, which was higher than 91.3% in the routine penetrating needling group, while without statistical significant difference (P > 0.05).ConclusionMeridian sinew needling therapy of acupuncture greatly improves facial nerve function as compared with routine penetrating needling therapy. It would be an potential effective acupuncture technique for refractory facial paralysis.     

超微针刀网点状松解法对腰椎间盘突出症患者VAS评分和JOA腰椎疾患评分的影响

目的:比较常规针刺与超微针刀网点状松解法对腰椎间盘突出症(LDH)患者视觉模拟评分法(VAS)和日本骨科学会(JOA)腰椎疾患评分的影响。方法:选取90例LDH患者,随机分为对照组给予传统针刺治疗和观察组给予超微针刀网点状松解法治疗,两组各45例。比较两组患者治疗效果、治疗前和治疗后1个月VAS及JOA腰椎疾患评分的差异。结果:观察组治疗总有效率较对照明显升高(P<0.05)。两组治疗后VAS评分均下降,且观察组的降低幅度较为显著(P<0.05)。JOA腰椎疾患评分上,两组治疗后均显著提高,且观察组的提高幅度较为显著(P<0.05)。结论:相比常规针刺治疗,超微针刀网点状松解法治疗可明显减轻LDH患者疼痛感,改善临床症状及体征,同时可有效改善腰椎功能活动状况,最终有助于提高患者生活质量。