针刺拮抗肌腧穴治疗脑卒中致上肢肌痉挛临床研究

目的：观察针刺拮抗肌腧穴治疗偏瘫患者上肢肌痉挛的疗效。方法：78例脑卒中致上肢肌痉挛患者随机分为对照组和治疗组。对照组采用传统针刺疗法,治疗组采用针刺拮抗肌腧穴疗法。结果：对照组有效率76.9%,治疗组有效率92.0%,两组有效率比较,差异有统计学意义（P〈0.05）。结论：针刺拮抗肌腧穴治疗脑卒中致上肢肌痉挛疗效显著。     

Acupuncture and Dry Needling in the Reduction of Peripheral Acute Fatigue Induced in the Biceps Braquii: Protocol for a Single-blinded Randomized Controlled Clinical Trial

The present study aims to propose a protocol to verify the efficacy and acute effects of traditional Chinese acupuncture, dry needling, and the rest in peripheral acute fatigue (PAF) induced by intermittent isometric contractions of the nondominant biceps brachii (BB) of nonphysically active men in a randomized, single-blind clinical trial assessed with surface electromyography, contraction time in seconds, infrared thermal imaging, and visual analog scale applied to the PAF. These instruments will evaluate the median frequency, endurance time, temperature (°C), and perceived fatigue in BB of the volunteers. The measurements will be collected in four moments (Test 0, 01, 02, and 03) divided between the beginning and the end of two sets of exercises (Exercises 01 and 02) of intermittent isometric contractions.Trial identifierNCT03448120 in www.clinicaltrials.gov.     

阳白四透结合刺络拔罐对周围性面瘫额肌肌力的影响

目的:探讨阳白四透结合刺络拔罐对周围性面瘫额肌肌力的影响。方法:60例周围性面瘫患者,均在临床药物治疗的基础上进行针刺治疗和局部刺络拔罐。所有患者均在治疗前及治疗2个疗程后采用手法肌力检查方法评定肌力,并与健侧比较。同时用肌电图检测。结果:患者接受治疗前后,患侧额肌肌力差异具有显著性(P<0.05)。与健侧相比,治疗前后额肌肌力差异均具有显著性(P<0.05)。肌电图检测结果显示,相关指标均有显著提高,治疗前后有显著性差异(P<0.05)。结论:阳白四透结合刺络拔罐对周围性面瘫额肌肌力有明显改善。     

神经肌电图在针灸研究周围性面瘫中的应用

神经肌电图检测是诊断周围性面瘫及判断预后最直接的定性、定量检测方法。探讨了神经肌电图在针灸研究周围性面瘫的诊断、治疗及预后中的应用。建议应该多学科交叉,把神经肌电图检测技术应用于针灸的基础研究中,探讨穴位与体表主治部位之间、合谷与面口部的特异性联系,以期更有效更客观的指导临床实践。     

Electromagnetic Acupuncture to Enhance the Effects of Manual Acupuncture on Recovery from Muscle Fatigue of the Quadriceps

The aim of this study was to investigate a new method of manual acupuncture that used a magnetic field to stimulate only one acupoint vertically. We developed an eight-channel electromagnetic acupuncture (EMA) system that uses a solenoid-type electrode to insert the manual acupuncture needle into a hole in an electrode. We used a manual acupuncture needle for magnetic induction in order to penetrate vertically and deeply into tissues. In order to confirm the usefulness of EMA, we investigated the effects of treatment on muscle fatigue after strenuous knee extension/flexion exercises that had been performed by three groups: the nonstimulation, the manual acupuncture, and the EMA groups. Electromyograms showed that the median frequency (MF) in the EMA group had rapidly recovered after 4 minutes (p = 0.608), but that the peak torque had not recovered to the normal state (p < 0.05). Thus, we confirmed that compared with manual acupuncture, EMA resulted in better recovery from muscle fatigue.     

针灸证治中风偏瘫痉挛期浅析

本文通过分析和整理所查阅的文献结合临床,将医家运用针灸对中风痉挛期的论证和治疗方法进行归纳和总结。     

针刺疗法治疗颈型颈椎病的表面肌电信号分析及评价

目的：观察针刺疗法治疗颈型颈椎病的表面肌电信号的变化。方法：66例颈型颈椎病患者随机分为治疗组与对照组,对照组采用常规康复治疗,治疗组在对照组基础上加用针刺疗法,2个疗程后观察两组患者临床疗效及表面肌电信号。结果：治疗组总有效率为97.15%,显著高于对照组的87.10%（P＜0.01）;治疗后治疗组积分肌电值显著高于对照组（P＜0.01）。结论：表面肌电图能有效评价针刺疗法治疗颈型颈椎病的肌肉电位变化。     

温针灸配合水针治疗手腕部腱鞘炎的临床体会

目的和方法 采用温针灸配合水针治疗手腕部腱鞘炎80例,并与针刺治疗28例及温针治疗30例进行比较。结果 温针灸配合水针治疗治愈率为81.2%,总有效率为100%;针刺治疗分别为32.1%、78.6%;温针治疗分别为33.3%、80.0%。温针灸配合水针治疗与针刺治疗、温针治疗分别比较,差异均有统计学意义,均P〈0.01,前者疗效明显优于后者。结论 温针灸配合水针治疗手腕部腱鞘炎疗效较好。     

赤凤迎源法对膝关节骨性关节炎患者膝部肌群的等速肌力测试研究

目的:观察赤凤迎源法治疗膝关节骨性关节炎的膝部肌群等速肌力变化.方法:将膝关节骨性关节炎患者30例随机分为观察组(n=15)和对照组(n=15),对照组采取平补平泻针法,观察组采用赤凤迎源法治疗.治疗前后采用WOMAC OA指数、KSS评分、峰力矩(PT)、平均功率(AP)、屈肌峰力矩/伸肌峰力矩比值(F/E)和峰力矩...     

针灸治疗肌肉痉挛临床研究进展

分析近3年针灸治疗肌肉痉挛的临床研究文献,发现多种针灸治疗方法对缓解患者肌肉痉挛的程度,改善患者的机体功能与活动能力均有较好效果,但尚需进行严谨的研究设计与报告,提高临床研究的质量,为临床医生提供完整、透明的针灸治疗肌肉痉挛的方案.     

针刺作用与Akt激活对缺血再灌注损伤心肌保护作用的比较分析

针刺内关等穴对心肌细胞的保护作用已被多年的临床和实验研究所证实,并呈现出多层面的调节作用。Akt作为与心肌细胞联系密切的酶,激活后对心肌的保护作用日益受到重视。对二者的保护作用及其机理进行了详尽的比较和研究。     

Kinesio Taping Associated with Acupuncture in the Treatment of the Paretic Upper Limb After Stroke

The leading cause of disability in adults, leads to different consequences, such as hemiparesis and loss of function in the upper limb which can impair the performance of activities of daily living. Different techniques, such as like acupuncture and Kinesio Taping (KT), have been used to ameliorate this condition. However, there is no consensus on their concomitant effect on neurological patients. This study aimed to analyze the effects of acupuncture associated with KT on the upper limb of patients with chronic hemiparesis after stroke. In this clinical study, 16 subjects were divided into two intervention groups: acupuncture (ACP)—12 sessions of acupuncture—and acupuncture + Kinesio Taping (ACP-KT)—12 sessions of acupuncture plus KT. The Modified Ashworth Scale (spasticity), active goniometry [range of motion (ROM)], and the Wolf Motor Function Test (speed of movement) were used to assess the function of the affected upper limb. As a main result, both groups reduced spasticity in some studied musculature and increased ROM (p < 0.05), without intergroup difference. Moreover, there was no significant improvement concerning speed of movement in either group. Acupuncture was effective in reducing spasticity and increasing ROM of paretic upper limb after stroke, but did not contribute significantly to speed and quality of movement. KT did not show significant benefits concerning the analyzed variables.     

电针夹脊穴对腰椎间盘突出症膝关节肌力的影响

目的:观察电针夹脊穴治疗腰椎间盘突出症对膝关节肌力的影响。方法:将30例患者采用电针夹脊穴治疗,并采用峰力矩(peak torque,PT)、峰力矩/体重(peak torque/body weight,PT/BW)、和屈/伸肌肌力比值(hamstrings/quadriceps,H/Q)为观察指标进行评估。结果:经治疗后,PT、PT/BW、H/Q与治疗前相比差异有统计学意义(P<0.05)。结论:电针夹脊穴能改善膝关节肌力、重建膝关节的稳定性。     

Use of Pupil Size to Determine the Effect of Electromagnetic Acupuncture on Activation Level of the Autonomic Nervous System

Magnetic fields are widely considered as a method of treatment to increase the therapeutic effect when applied to acupoints. Hence, this study proposes a new method which creates significant stimulation of acupoints by using weak magnetic fields. We conducted this experiment in order to confirm the effect on the activation level of the autonomic nervous system by measuring pupil sizes in cases of stimulation by using manual acupuncture and electromagnetic acupuncture (EMA) at BL15. We selected 30 Hz of biphasic wave form with 570.1 Gauss. To confirm the biopotential by the magnetic flux density occurring in EMA that affected the activation of the autonomic nervous system, we observed the biopotential induced at the upper and the mid left and right trapezius. We observed a significant decrease in pupil size only in the EMA group (p < 0.05), thus confirming that EMA decreased the pupil size through activation of the parasympathetic nerve in the autonomic nervous system. Moreover, we confirmed that the amplitude of the biopotential which was caused by 570.1 Gauss was higher than ±20 μA. Thus, we can conclude that EMA treatment successfully activates the parasympathetic nerve in the autonomic nervous system by inducing a biotransformation by the induced biopotential.     

脑卒中后手功能障碍针刺治疗研究

目的总结针刺治疗脑卒中后手功能障碍的治疗进展。方法查阅文献,分析相关机理,将近几年的文献进行整理,归纳相关针刺技术经验、特色、治疗机理,将行之有效的主要理论形成综述。结果各家取穴、刺法不同,各有特色,针刺治疗脑卒中后手功能障碍有较好的临床疗效。结论中医针刺治疗脑卒中后手功能障碍有独特优势,但尚有不足,可进一步提高以取得更好疗效。     

Acupuncture Improves the Facial Muscular Function in a Case of Facioscapulohumeral Muscular Dystrophy

Facioscapulohumeral muscular dystrophy (FSHD) is a genetic muscle disorder in which muscles of the face, shoulder blades, and upper arms develop gradual and progressive weakness. There is no effective pharmacological treatment currently available for this disorder so far. We had an opportunity to treat a patient with FSHD using acupuncture. The patient was a 62-year-old female, who presented to us with symptoms such as weakness in her eyes, mouth, shoulder, and upper and lower limbs. Muscle atrophy could be found in multiple areas in her body including her face, shoulder, arm, chest, and lower limbs. Her diagnosis of FSHD muscular dystrophy was established a few years ago and was later genetically confirmed. After a long treatment course of about 10 months with acupuncture, this patient showed a significant restoration of her facial muscle function. However, acupuncture did not improve the function of other muscle groups. The potential mechanism that acupuncture improved the facial function but not the other muscles needs to be further investigated.     

牵引联合针灸推拿治疗腰肌劳损临床研究

目的：探讨牵引联合针灸推拿治疗腰肌劳损临床疗效。方法：随机选取60例腰肌劳损患者,按随机数字表法平均分为两组。对照组患者给予牵引治疗,在对照组治疗基础之上,给予治疗组患者针灸推拿治疗,对比两组患者临床治疗效果。结果：对照组有效率为70.0%,治疗组有效率为96.7%,两组比较差异有统计学意义（P〈0.05）。对患者进行6个月随访,对照组患者复发6例,复发率为20.0%,治疗组患者复发1例,复发率为3.35%,两组比较差异有统计学意义（P〈0.05）。结论：牵引联合针灸推拿治疗腰肌劳损临床效果显著。     

针刺研究的困惑与假说

近年来西方用现代临床试验方法研究针灸引出一些令传统针灸界十分困惑的难题,其中包括如何确认针灸适应症,穴位是否有特异性,为何东方临床经验同西方研究结果迥异等问题。笔者试图以“针灸愈合作用”、“泛穴现象”及“硬针灸和软针灸”3个假说解释西方报道的大量临床研究数据同中国传统针灸理论和实践的差异。相信,采用科学方法对这些假说的证实或否定,将促进对传统针灸的重新认知和现代针灸理论的成熟。     

针刺治疗中风后顽固性呃逆例析

中风呃逆是中风较常见的合并症,一般不能自行缓解,往往揭示患者病情危重,易引起应激性溃疡。笔者应用多种配穴手法,辨证取穴治疗一例病程较长,病势凶险,病机复杂之中风后顽固性呃逆,57例取得满意疗效。     

针灸治疗中风后偏瘫研究述评

目的：总结针灸治疗中风后偏瘫的研究进展情况。方法：搜集2007年以来国内相关杂志的论文进行分析并进行评述。结果：近5 a的研究主要集中在针刺与康复训练结合的研究以及针药结合的研究。结论：针灸治疗中风的疗效肯定,但在多中心随机对照的临床研究、针灸治疗的优化方案、各种疗法相结合的研究、腧穴的选取及特异性方面需要进一步深入。