针刺反阿是穴加推拿治疗臀上皮神经损伤38例临床观察

目的 :观察针刺反阿是穴配合推拿治疗臀上皮神经损伤的疗效。方法 :将 38例患者随机分为两组 ,治疗组 2 1例运用针刺反阿是穴加推拿治疗 ,对照组 17例采用推拿治疗 ,2个疗程后 ,观察两组疗效。结果 :治愈率治疗组为 5 2 .4 % ,对照组为 4 1.2 % ,治疗组优于对照组 (P <0 .0 5 ) ;总有效率治疗组为 95 .2 % ,对照组为 82 .4 % ,提示针刺反阿是穴加推拿治疗臀上皮神经损伤临床疗效优于推拿的疗效 (P <0 .0 5 )。结论 :针刺反阿是穴加推拿治疗臀上皮神经损伤有较好的临床疗效     

壮医经筋推拿治疗臀上皮神经损伤疗效观察

目的:观察壮医经筋推拿治疗臀上皮神经损伤的疗效。方法:将120例患者随机分为治疗组和对照组各60例,治疗组采用壮医经筋推拿治疗,对照组采用针刺治疗,均隔日1次,10次为1个疗程,治疗1个疗程后观察疗效。结果:治疗组总有效率为93.3%,对照组总有效率为88.3%,两组疗效比较有显著性差异(P<0.05)。结论:壮医经筋推拿治疗臀上皮神经损伤效果显著。     

苍龟探穴针法加灸治疗臀上皮神经损伤临床观察

目的:观察苍龟探穴针法加灸治疗臀上皮神经损伤的临床疗效。方法:将130例臀上皮神经损伤的患者随机分为针刺组66例和理疗组64例,针刺组采用苍龟探穴针法加灸治疗,理疗组采用电脑中频治疗仪治疗,疗程均为2周。结果:针刺组总有效率97%,理疗组总有效率79.7%,2组疗效比较差异有统计学意义(P<0.01)。结论:苍龟探穴针法加灸治疗臀上皮神经损伤较理疗组治疗臀上皮神经损伤具有明显优势。     

臀上皮神经损伤的诊疗体会

目的:观察平乐推按、理筋及针刺配合功能锻炼治疗臀上皮神经损伤的临床疗效。方法:对急、慢性臀上皮神经损伤86例患者,采用推按、理筋法及针刺配合腰部功能锻炼的方法治疗,观察其临床症状的变化情况。结果:经过2个疗程的治疗,治愈62例,占72.1%;好转21例,占24.4%;未愈3例,占3.5%;总有效率占96.5%。结论:采用推按、理筋及针刺配合功能锻炼治疗臀上皮神经损伤见效快、疗效好且不易复发,值得在临床中应用。     

中国穴位埋线疗法系列讲座(57) 杨氏3A+疗法“臀五针”埋线针刀治疗臀肌筋膜炎疗效观察

目的观察"臀五针"埋线针刀治疗臀肌筋膜炎的临床疗效。方法将60例臀肌肌膜炎患者随机分为治疗组、对照组,每组各30例。治疗组采用杨氏3A+疗法"臀五针"埋线针刀治疗,对照组采用毫针针刺配合推拿疗法。治疗1个疗程后进行疗效评价。结果治疗组的总有效率为83.33%,对照组的总有效率为73.33%,2组比较差异具有统计学意义(P0.05)。可以表明杨氏3A+疗法"臀五针"治疗臀肌筋膜炎效果是明显于毫针针刺配合推拿的疗法的。结论 "臀五针"埋线针刀治疗臀肌筋膜炎的临床疗效明显优于常规针刺配合推拿疗法,值得临床推广与应用。     

针刺配合推拿治疗失眠对照临床观察

[目的]观察针刺配合推拿治疗失眠的临床疗效。[方法]将60例患者随机分为两组,治疗组30例采用针刺配合推拿手法治疗,对照组30例单纯用针刺治疗。两组均以10次为1个疗程,治疗2个疗程后进行疗效判定。[结果]治疗组总有效率93.30%,对照组总有效率76.70%,总有效率治疗组优于对照组。[结论]针刺配合推拿法治疗失眠症更具操作性、实用性和有效性,疗效满意。     

针刺加推拿治疗臀上皮神经损伤24例临床疗效观察

目的:观察针刺加推拿治疗臀上皮神经损伤临床疗效.方法:将44例患者随机分为针刺加推拿组24例:单纯针刺组20例,两组进行比较.结果:针刺加推拿组痊愈16例,好转7例,无效1例,有效率为95.84%;单纯针刺组20例,痊愈11例,好转5例,无效4例,有效率为80%,两组之间疗效相比,差异有显著性意义(P＜0.05).结论:针刺加推拿治疗臀上皮神经损伤效果明显优于单纯针刺组.     

电针配合推拿治疗小儿臂丛神经损伤35例总结

目的:探讨电针配合推拿治疗小儿臂丛神经损伤的临床疗效。方法:将57例本病患者随机分为治疗组35例和对照组22例,治疗组采用电针配合推拿治疗,对照组采用普通针刺治疗。结果:治疗组的总有效率为91.4%,对照组为59.1%,两组比较,P0.05。结论:电针配合推拿治疗小儿臂丛神经损伤疗效明显。     

推拿结合红外线治疗臀上皮神经损伤58例疗效观察

目的:观察推拿结合红外线治疗臀上皮神经损伤的临床疗效。方法:58例臀上皮神经损伤患者采取推拿结合红外线治疗,观察疗效。结果:治愈53例,好转5例,未愈0例,治愈率为91.4%,总有效率为100%。结论:推拿结合红外线治疗臀上皮神经损伤有较好疗效。     

针刺配合推拿治疗冈上肌肌腱炎疗效观察

目的 观察针刺、推拿治疗冈上肌肌腱炎的临床疗效.方法 将100例冈上肌肌腱炎患者随机分为两组,治疗组50例采用针刺推拿,对照组50例采用单纯针刺治疗;每日1次,10次为1个疗程,2个疗程后进行疗效评定.结果 治疗组总有效率96.0%,对照组总有效率74.0%,两组总有效率经x2检验(P＜0.01),差异有统计学意义.结论针刺配合推拿治疗冈上肌肌腱炎疗效优于单纯针刺治疗.     

腹针配合推拿治疗落枕疗效观察

目的观察腹针配合推拿治疗落枕的临床疗效。方法将46例落枕患者随机分为对照组和治疗组,每组23例。治疗组采用腹针配合推拿治疗,对照组采用单纯推拿治疗,观察两组患者的疼痛指数和临床整体疗效。结果两组治疗1次后疼痛指数均低于同组治疗前（均P〈0.01）;两组治疗3次后疼痛指数均低于同组治疗1次后（均P〈0.01）。治疗组治疗1次和3次后疼痛指数均低于对照组（P〈0.01,P〈0.05）。治疗组治疗1次后临床疗效优于对照组,两组比较差异具有统计学意义（P〈0.05）。结论腹针配合推拿是一种治疗落枕的有效方法。     

针刺和超短波联合正骨推拿治疗颈型颈椎病临床研究

目的：比较针刺、超短波和正骨推拿联合治疗与单一正骨推拿治疗对颈型颈椎病的临床疗效。方法：将80例颈椎病患者随机分为治疗组和对照组。治疗组患者于颈肩部穴位针刺和超短波治疗后,再接受正骨推拿治疗;对照组仅接受正骨推拿治疗。均为每日1次,治疗10次为1疗程。于治疗前及治疗10次后,参照《中医病证诊断疗效标准》和语言评价量表（VRS）评定疗效。结果：治疗10次后,发现2组患者的VRS疼痛程度分级均较治疗前明显改善（均为P〈0.01）。但治疗组明显优于对照组（U=6.823,P〈0.01）。治疗组的有效率和优良率亦优于对照组（U=3.282,P〈0.001）。结论：采用针灸、超短波和正骨推拿综合治疗颈型颈椎病,比单用正骨推拿治疗效果更好,能较快缓解疼痛、改善症状,值得临床推广、应用。     

针刺推拿配合运动疗法治疗痉挛型脑瘫临床观察

目的观察针刺推拿配合运动疗法治疗痉挛型脑瘫的疗效。方法将65例脑瘫患者随机分为治疗组(33例)和对照组(32例),治疗组采用头针、推拿、常规运动疗法治疗,对照组采用常规运动疗法治疗,两组患者在接受治疗12星期后,采用改良Ashworth痉挛分级和粗大运动功能评分(GMFM)比较治疗效果。结果治疗组总有效率为93.9%(31/33),对照组总有效率87.5%(28/32),两组比较差异有统计学意义(P0.05);在改良Ashworth痉挛分级方面治疗组疗效优于对照组(P0.05);治疗组粗大运动功能评分较对照组改善更加明显(P0.05)。结论针刺推拿配合运动疗法治疗痉挛型脑瘫有很好的疗效,优于单纯常规运动疗法。     

Therapeutic observation of warm needling moxibustion plus tuina for knee osteoarthritis due to cold-dampness blocking collaterals

Objective

To observe the clinical efficacy of warm needling moxibustion plus tuina in treating knee osteoarthritis (KOA) due to cold-dampness blocking collaterals.

Methods

Forty-eight KOA patients were randomized into 2 groups by their visiting sequence, 24 cases in each group. The treatment group was intervened by warm needling moxibustion plus tuina, while the control group was treated with acupuncture plus tuina. The two groups were both treated once a day, 30 min for each session, 10 d as a treatment course, totally for 3 treatment courses. The visual analogue scale (VAS) and Lysholm knee scoring scale (LKSS) were observed before and after the treatment to evaluate the clinical efficacy.

Results

After 3 treatment courses, the VAS and LKSS scores were significantly changed in the two groups (P<0.01), and the between-group differences were also statistically significant (P<0.01). The markedly-effective rate was 83.3% in the treatment group versus 66.7% in the control group, and the difference was statistically significant (P<0.05).

Conclusion

Warm needling moxibustion plus tuina can produce a more significant efficacy than acupuncture plus tuina in treating KOA due to cold-dampness blocking collaterals.

     

Therapeutic Effect of Acupuncture plus Tuina on Cervical Spondylosis

目的：观察针刺配合推拿治疗颈椎病的，临床疗效。方法：将146例颈椎病患者随机分为针刺配合推拿组（观察组）70例，针刺组（对照Ⅰ组）38例，推拿组（对照Ⅱ组）38例。结果：观察组痊愈率为92．1％，对照Ⅰ组为68．4％，对照Ⅱ组为65．8％；观察组与对照Ⅰ组、对照Ⅱ组相比，差异有统计学意义（P〈0．01）；对照Ⅰ组与对照Ⅱ组间差异无统计学意义（P〉0．05）。结论：针刺配合推拿治疗颈椎病能够较快较好地缓解患者病情。     

腹部推拿配合针灸治疗瑞士人肝郁气滞型广泛性焦虑症80例临床观察

目的 观察腹部推拿治疗瑞士人广泛性焦虑症(GAD)的临床疗效.方法 将80例肝郁气滞型GAD瑞士患者随机分为两组各40例.对照组采用针灸治疗;治疗组在对照组治疗基础上配合腹部推拿,观察两组患者临床疗效、并进行治疗前后的汉密顿焦虑症量表(HAMA)评分.结果 ①治疗组的总有效率较对照组,差异有统计学意义(x2=4.50,P<0.05).②两组HAMA量表评分均降低,较治疗前差异均有统计学意义(P均<0.05),治疗后组间比较,差异有统计学意义(t2=2.27,P<0.05).结论 腹部推拿配合针灸可有效治疗瑞士人的广泛性焦虑症,疗效优于单纯针灸治疗.     

Clinical study on tuina plus functional training for scapulohumeral periarthritis

Objective

To observe the clinical effects of tuina manipulations plus the functional training on scapulohumeral periarthritis (SP), and provide the better therapeutic plan for SP patients.

Methods

A total of 76 cases with SP in conformity with the inclusion criteria were randomly divided into a tuina group and an acupuncture group, 38 patients in each group. All the patients were instructed to do functional training under the guidance of the professional medical practitioners. The patients in the tuina group were treated additionally with tuina manipulations, while the patients in the acupuncture group were added with acupuncture treatment. The two groups were treated once every day. After ten sessions, the changes in the scores of visual analog scale (VAS) and Melle were observed, and the clinical effect was compared.

Results

After the treatment, VAS and Melle scores were all lower in the tuina group than those in the acupuncture group, with statistical significances between the two groups (P<0.05). The remarkable effective rate was 5.3% in the acupuncture group and 21.1% in the tuina group. The remarkable effective rate was higher in the tuina group than that in the acupuncture group, with a statistical significance (P<0.05).

Conclusion

Tuina manipulations plus functional training for SP can effectively alleviate pain and restore the functions of the shoulder joint, with a better effect than acupuncture plus functional training.

     

Observation on therapeutic effects of acupuncture and tuina in treatment of sprains and strains of minor joints at four extremities

目的：观察针刺骨缝配合推拿治疗四肢小关节扭挫伤的，临床疗效。方法：将90例四肢小关节[包括掌（跖）指（趾）关节]扭挫伤患者按就诊顺序随机分为针刺组30例，采用单纯针刺骨缝治疗；推拿组30例，采用推拿治疗；观察组30例，采用针刺骨缝结合推拿治疗。每星期治疗6次，为1疗程，治疗2个疗程后观察疗效。结果：观察组、针刺组、推拿组的治愈率分别为50．0％、20．0％、16．7％；总有效率为93．4％、70．0％、73．3％，观察组与针刺组、推拿组相比，差异有统计学意义（P〈0．05），针刺组与推拿组差异无统计学意义，提示观察组疗效优于针刺组和推拿组。结论：针刺骨缝配合推拿治疗掌（跖）指（趾）关节扭挫伤有较好的治疗效果。     

Clinical observation on acupuncture at Jiaji (EX-B 2) points plus tuina in treating thoracic facet joint disorder

Objective

To observe the clinical effects of acupuncture at Jiaji (EX-B 2) points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder.

Methods

Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji (EX-B 2) points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments.

Results

After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups (P<0.01); the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference (P<0.05). The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups (P<0.05).

Conclusion

In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.

     

Clinical observation on oblique Ban-pulling tuina manipulation plus acupuncture for cervical vertigo

Objective

To explore the clinical efficacy of rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture in treating cervical vertigo (CV).

Methods

Seventy-three CV patients were divided into two groups by block randomization, 50 cases in each group. The observation group was intervened by rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture, while the control group was by the same acupuncture treatment alone. The tuina treatment was given once every other day and the acupuncture treatment was given once every day. The symptom score was observed before and after 20-day treatment, and the therapeutic efficacies were compared between the two groups.

Results

During the intervention, 14 subjects in the observation group and 13 subjects in the control group dropped out. Finally, 36 cases in the observation group and 37 cases in the control group were involved into the data analysis. After 20-day treatment, the symptom scores were significantly increased in both groups (P<0.05), and the symptom score in the observation group was significantly higher than that in the control group (P<0.05). The total effective rate was 91.7% in the observation group versus 83.8% in the control group, and the difference was statistically insignificant (P>0.05). The recovery and markedly effective rate was 69.4% in the observation group versus 32.4% in the control group, and the difference was statistically significant (P<0.05).

Conclusion

Rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture can significantly improve the clinical symptoms of CV patients, and its clinical efficacy is superior to that of acupuncture alone.