电针联合骨质疏松治疗仪对脊髓损伤患者骨代谢指标的影响

ObjectiveTo observe the effect of electroacupuncture combined with low-frequency pulsed electromagnetic field on bone metabolism in patients with spinal cord injury (SCI).MethodsThe 60 SCI patients who met the inclusion criteria were randomly divided into 2 groups by means of a random number table. In the control group, 30 patients were treated with osteoporosis treatment apparatus. In the observation group, 30 patients were treated with osteoporosis treatment apparatus and electroacupuncture at the foot-shaoyangacupoints [Yánglíngquán (阳陵泉GB 34) and Xuánzhōng (悬钟GB 39) of both sides].The treatment was applied once a day, 5 days a week, for 8 weeks.Before and after treatment, the changes of indexes in the two groups, including the bone mineral density (BMD), bone gla-containing protein (BGP), serum alkaline phosphatase (ALP), procollagen type I C-peptide (PICP), and 25‑hydroxy-vitamin D [25(OH)D], were observed for comparison.ResultsAfter treatment, in the two groups, the BMD and 25(OH)D indexes of the femoral neck, greater trochanter, and Ward's triangle region were not significantly changed in comparing with those before treatment (P>0.05), while the BGP, ALP, and PICP indexes were significantly higher than those before treatment (P<0.05). After treatment, in the observation group, the BGP and ALP indexes were significantly increased in comparing with those of the control group, and the difference was statistically significant (P<0.05), whilst the BMD, PICP, and 25(OH)D indexes of the femoral neck, greater trochanter, and wards triangle region, were not significantly different in comparing with the control group (P>0.05).ConclusionThe osteoporosis treatment apparatus can improve bone metabolism in SCI patients, and the curative effect can be enhanced when combined with electroacupuncture at foot-shaoyangacupoints.     

Effect of warm needling plus oral medication on blood lipids in cerebral infarction patients

Objective

To observe the effect of warm needling plus oral administration of rosuvastatin calcium tablets on blood lipids in cerebral infarction patients.

Methods

A total of 125 eligible cases were randomly allocated into group A (n=42), group B (n=40) and group C (n=43). Cases in group A received warm needling plus oral administration of rosuvastatin calcium tablets, cases in group B received warm needling, whereas cases in group C received oral administration of rosuvastatin calcium tablets.

Results

After treatment, the total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C) all dropped obviously in the three groups, with significant differences (all P<0.05), modified Barthel index (BI) scores all significantly rise (all P<0.05), and high-density lipoprotein cholesterol (HDL-C) remained unchanged (all P>0.05). After treatment, the changes of TC, TG and LDL-C in group A were significantly different from those in group B and group C (all P<0.05), while the changes showed no statistical significance between group B and group C (P>0.05). There were no between-group differences in HDL-C among the three groups (all P>0.05); the modified BI scores in group A and group B were significantly higher than that in group C (both P<0.05), while there was no significant difference between group A and group B (P>0.05). After treatment, the total effective rate was significantly higher in group A than that in group B and group C (both P<0.05), there was no significant difference between group B and group C (P>0.05).

Conclusion

Warm needling and oral administration of rosuvastatin calcium tablets both can adjust blood lipids effectively in cerebral infarction patients with a similar therapeutic efficacy, while the effect gets better based upon combining both methods; acupuncture-moxibustion plays an important role in the recovery of nerve functions in cerebral infarction patients.

     

电针足少阳胆经穴对脊髓损伤患者骨密度及骨代谢指标的影响

目的观察电针足少阳胆经穴对脊髓损伤(SCI)患者骨代谢的影响。方法将40例SCI患者按照随机数字表法分为2组。治疗组20例采用电针足少阳胆经穴治疗;对照组20例采用低频脉冲电磁场治疗。2组均每周治疗5次,共治疗8周。2组治疗前后比较股骨颈、大转子、Wards三角区的骨密度及骨钙素(BGP)、血清碱性磷酸酶(ALP)、Ⅰ型胶原羧基端前肽(PⅠCP)、25-羟基维生素D[25-(OH)D]水平。结果治疗后2组股骨颈、大转子、Wards三角区骨密度值有上升趋势,但比较差异无统计学意义(P0.05),组间治疗后比较差异均无统计学意义(P0.05)。治疗后2组BGP、ALP、PⅠCP均升高(P0.05),对照组BGP、ALP、PⅠCP均高于治疗组(P0.05)。2组治疗前后25-(OH)D比较差异无统计学意义(P0.05)。结论电针足少阳胆经穴可改善SCI患者骨代谢,但疗效没有低频脉冲电磁场确切。     

体表神经电刺激治疗脊髓损伤后神经源性膀胱的临床观察

目的：观察体表骶神经电刺激结合胫神经电刺激治疗脊髓损伤后神经源性膀胱的临床疗效。方法：将29例符合纳入标准的脊髓损伤患者随机分为治疗组和对照组,治疗组15例,采用体表骶神经电刺激结合胫神经电刺激治疗;对照组14例,采用针灸治疗。结果：两组患者治疗后24h排尿次数比较,差异无统计学意义（P〉0．05）;治疗后24h尿失禁次数、每次排尿量及残余尿量比较,治疗组改善情况均优于对照组（P〈0．05）;两组治疗后神经功能评分及日常生活活动能力评分比较,差异均无统计学意义（P〉0．05）。结论：体表神经电刺激治疗脊髓损伤后神经源性膀胱可有效地改善患者膀胱功能。     

胡幼平教授针灸治疗帕金森病临床经验介绍

帕金森病（parkinson disease,PD）又称震颤麻痹,是临床常见的一种椎体外系疾病,以震颤、强直、运动障碍等异常表现为主要体征。该病是由于黑质、纹状体变性引起多巴胺减少所致。导师胡幼平教授经过多年临床实践探索,运用针灸疗法,     

针灸推拿干预亚健康的研究

亚健康已经成为威胁人类健康的＂世纪病＂,越来越受到人们的关注。亚健康状态的变化发展具有双向性和可逆性,积极地干预措施有助于亚健康状态向健康发展。针灸推拿干预亚健康的研究较多,采用体针、灸法、耳穴疗法、穴位注射、足穴疗法、综合疗法以及推拿疗法进行干预收效显著。     

针刺联合补阳还五汤治疗脑梗死恢复期中枢性面瘫的临床疗效及对面神经功能、面瘫程度、患者自理能力的影响

目的观察针刺联合补阳还五汤治疗脑梗死恢复期中枢性面瘫的临床疗效及对面神经功能、面瘫程度、患者自理能力的影响。方法将120例脑梗死恢复期中枢性面瘫患者随机分为3组。针药组40例予针刺联合补阳还五汤口服治疗;针刺组40例予针刺治疗;中药组40例予补阳还五汤口服治疗。3组均治疗4周,观察临床疗效,比较3组治疗前后H-B面神经功能分级量表评分、面部残疾指数(FDI)量表评分、改良Barthel指数评分。结果针药组愈显率55.0%,高于针刺组(27.5%)及中药组(32.5%)(P0.05)。3组治疗后H-B面神经功能分级量表功能值均较本组治疗前升高(P0.05);治疗后针药组H-B面神经功能分级量表改善值均高于针刺组、中药组(P0.05)。针药组治疗后FDI量表躯体功能评分较本组治疗前明显升高(P0.05);治疗后针药组FDI躯体功能评分及改善值均高于针刺组、中药组(P0.05)。3组治疗前后FDI量表社会生活功能评分及改善值比较差异无统计学意义(P0.05)。3组治疗后改良Barthel指数评分较本组治疗前均升高(P0.05);治疗后针药组改良Barthel指数评分及改善值均高于针刺组、中药组(P0.05)。结论针刺联合补阳还五汤治疗脑梗死恢复期中枢性面瘫有较好疗效,能有效改善患者面神经功能、临床症状及日常生活能力,针药合用较单一疗法效果更加显著。     

杵针干预亚健康状态40例临床研究

目的：研究杵针疗法干预亚健康状态的效果。方法：采用随机、对照的临床研究方法,将符合亚健康诊断标准的80例受试者随机分为杵针组及推拿组,每组40例,2组均每日干预1次,周末休息,共进行2周。观察分析干预前后杵针组和推拿组的亚健康状态变化,并比较两者的疗效。结果：亚健康评分改善等级、人体亚健康评分标准量表评价、CMI评价、TTM健康数据中睡眠质量和心理压力的比较,差异有统计学意义;TTM数据中＂督脉＂的比较,差异无统计学意义。结论：杵针干预亚健康疗效确切,简单易行,具有很强的可操作性和推广价值。     

杵针疗法干预亚健康状态临床观察

亚健康（Sub-health）,又称为＂第三状态＂,是介于健康和疾病之间的一种中间状态,在临床上没有明显的体征或器质性病变,但在生理上却有许多不适症状,如头昏、头痛、低热、胸闷、心悸、体倦乏力、少气懒言、精神不振、睡眠不佳、记忆力减退等。     

腹针疗法治疗经筋病研究进展

本文从腹针疗法的机制、临床应用治疗经筋病等方面对近10年的文献进行了综述,提出今后应加强多样本临床研究和循证医学研究以及对其治疗机制的深入探讨。参考文献35篇。