针刺对偏头痛患者疼痛及脑血流动力学的影响:随机对照研究

目的:观察针刺结合药物与单纯药物治疗偏头痛的临床疗效差异及其对脑血流动力学的影响。方法:将120例偏头痛患者随机分为针药组(60例,脱落3例)和药物组(60例,脱落6例)。药物组口服盐酸氟桂利嗪胶囊,每日10 mg,每晚睡前服;针药组在药物组基础上结合针刺治疗,穴取丝竹空、率谷、太阳、风池等,每次30 min,每天1次,两组均连续治疗4周。观察两组治疗前后疼痛视觉模拟量表(VAS)评分、脑血流动力学指标[大脑前动脉(ACA)、大脑中动脉(MCA)、大脑后动脉(PCA)、椎动脉(VA)、基底动脉(BA)血流速度]、中医证候总积分变化,并比较两组临床疗效及不良反应发生率。结果:与治疗前比较,治疗后两组VAS评分,ACA、MCA、PCA、VA、BA血流速度,中医证候总积分均下降(P<0.05);治疗后针药组VAS评分,ACA、MCA、PCA、VA、BA血流速度及中医证候总积分均较药物组低(P<0.05)。针药组总有效率为96.5%(55/57),高于药物组的90.7%(49/54,P<0.05)。两组的不良事件发生率比较差异无统计学意义(P>0.05)。结论:针刺结合盐酸氟桂利嗪可显著改善偏头痛患者疼痛程度,降低颅内血流速度,效果优于单纯口服盐酸氟桂利嗪。     

Therapeutic effect observation on treatment of acne with acupuncture plus moving cupping and blood-letting

目的：观察针刺配合刺络走罐治疗痤疮的疗效。方法：将60例痤疮患者随机分为两组，治疗组采用针刺配合刺络走罐；对照组采用针刺治疗，两组均治疗30天后观察疗效。结果：治疗组总有效率明显高于对照组（P〈0．05）。结论：针刺配合刺络走罐治疗痤疮能有效提高该病的有效率。     

针灸并用结合康复训练治疗中风后肩手综合征临床疗效观察

ObjectiveTo compare the clinical effects of body acupuncture, moxibustion, and body acupuncture plus moxibustion in the treatment of post-stroke shoulder hand syndrome (SHS).MethodsA total of 90 SHS patients after stroke were randomly divided into the body acupuncture group, the moxibustion group, and the body acupuncture plus moxibustion group, with 30 cases in each. On the basis of rehabilitation and routine treatment, the patients in different groups were treated with body acupuncture, moxibustion, and body acupuncture plus moxibustion respectively. Treatment was given once a day, 5 times a week, and 4 weeks in all. The visual analogue scale (VAS) scores, edema grading scores, and simplified Fugl-Meyer assessment (FMA) scores were evaluated before and after treatment, and the therapeutic effects of patients were evaluated as well.ResultsAfter treatment, the VAS and edema grading scores of the three groups were all lower and the FMA scores were all higher than those before treatment, with statistically significant differences (all P<0.05). The VAS and edema grading scores of the acupuncture plus moxibustion group were lower and the FMA score was higher than those of the body acupuncture group and the moxibustion group, with statistically significant differences (all P<0.05). The total effective rate of the acupuncture plus moxibustion group was 96.7%, higher than 80.0% of the body acupuncture group and 83.3% of the moxibustion group, with statistically significant differences (both P<0.05).ConclusionBody acupuncture, moxibustion, and body acupuncture plus moxibustion are all effective for post-stroke SHS, while the effect of acupuncture plus moxibustion is the best in relieving the pain and swelling, and improving effectively the joint movement of post-stroke SHS patients, which should be popularized in clinical practice.     

耳针配合刺络拔罐治疗带状疱疹36例

[目的]探讨耳针配合刺络拔罐治疗带状疱疹的效果。[方法]将72例患者按照数字表法随机分为两组,观察组与对照组各36例患者。观察组给予耳针配合刺络拔罐治疗,对照组给予常规西药治疗。记录两组患者的治疗效果、有无后遗神经痛、疼痛评分(VAS)及症状体征量化积分。[结果]观察组患者治疗的总有效率达100%,明显高于对照组的77.78%(P0.05)。观察组患者的后遗神经痛的发生率为0.00%,明显低于对照组的25.00%(P0.01)。治疗1个疗程后,两组患者的症状体征量化积分及VAS评分均显著性降低(P0.05),且观察组下降幅度更大(P0.05);治疗2个疗程,两组患者的症状体征量化积分及VAS评分大幅改善(P0.05),但是两组患者间症状体征量化积分、VAS评分均无统计学差异(P0.05)。[结论]耳针配合刺络拔罐治疗带状疱疹,见效快且无后遗神经痛,治疗效果显著。     

The effect of the combination of acupuncture and kinesiotherapy on upper cross syndrome based on mechanical balance principle – A randomized clinical trial: 浅析基于力学平衡原理针刺结合运动疗法治疗上交叉综合征疗效观察 -- 随机对照试验

ObjectiveTo observe the clinical effect of combined acupuncture and kinesiotherapy on upper cross syndrome (UCS) by a parallel randomized clinical trial.MethodsA total of 45 patients with UCS were recruited from the outpatients of Acupuncture-Moxibustion, Tuina and Rehabilitation Department of the First Affiliated Hospital of Hunan University of Chinese Medicine, the students of Hunan University of Chinese Medicine and the patients from the nearby communities in accordance with the inclusion criteria. Using the random number table method, they were divided into a combined treatment group (acupuncture plus kinesiotherapy, 23 cases) and a simple kinesiotherapy group (22 patients). Treatment for 4 weeks was one course, and two consecutive courses were required. The visual analog scale (VAS) score, the score of the assessment scale for cervical spondylosis, the value of surface electromyography (root mean square, RMS), and the cervical curvature value were used in the evaluation. The allocation scheme was concealed from the outcome assessors.ResultsThe data from 23 cases of the combined treatment group and 22 cases of the simple kinesiotherapy group were analyzed. Before treatment, the differences were not statistically significant in the general conditions, VAS score, assessment score of cervical spondylosis, cervical curvature value, and RMS in UCS patients between the two groups (all P > 0.05). After treatment, the VAS score was reduced compared with that before treatment in both groups (all P < 0.05). In two courses of treatment, the VAS score decreased as compared with that in one course of treatment in both groups (both P < 0.05), and the VAS score in the combined treatment group decreased more obviously after each course of treatment (both P < 0.05). The RMS decreased compared with that before treatment in each group (both P < 0.05), and the decrease in the combined treatment group was more obvious (P < 0.05). After treatment of each course, the assessment score was all increased as compared with that before treatment in two groups (all P < 0.05). In two courses of treatment, the assessment score was increased as compared with that in one course of treatment in both groups (both P < 0.05), and the score in the combined treatment group was increased more obviously in the two courses of treatment (P < 0.05). Regarding either the intra-group comparison or the inter-group comparison before and after treatment, the differences were not statistically significant (all P > 0.05), suggesting no obvious improvement of cervical curvature in the two courses of treatment in patients with UCS. However, cervical curvature tended to improve in the combined treatment group. The total effective rate was significantly different between the two groups (P < 0.05), indicating that the total effective rate in the combined treatment group was better than that in the simple kinesiotherapy group.No any adverse reactions occurred.ConclusionCombined treatment with acupuncture, kinesiotherapy, and kinesiotherapy alleviated pain, relieved the symptoms and physical signs, and improved the daily movement of the patients. However, the combined treatment of acupuncture and kinesiotherapy had a much better effect on UCS.     

Collateral-pricking and blood-letting cupping combined with electroacupuncture for post-herpetic neuralgia: 刺络放血拔罐结合电针围刺治疗带状疱疹后神经痛临床观察

ObjectiveTo explore the clinical efficacy of collateral-pricking and blood-letting cupping combined with surrounding needling technique electroacupuncture in the treatment of post-herpetic neuralgia (PHN).MethodsSeventy-two patients with post-herpetic neuralgia were randomized into observation group and control group. Of the 72 cases, 12 cases fell off, so finally 30 cases in each group. The observation group was treated with collateral-pricking and blood-letting cupping combined with surrounding needling technique electroacupuncture, while the control group was treated simply with pregabalin capsules for 20 consecutive days. On the basis of the western medication pregabalin capsules, the same as that of the control group, collateral-pricking and blood-letting cupping combined with electroacupuncture in a surrounding needling technique, was adopted for the observation group, once every two days, ten days as one course of treatment, a total of two courses. The immediate visual analogue scale (VAS) before and after treatment were observed in the two groups, and their clinical effects were compared.ResultsThe VAS scores of PHN patients in the two groups after treatment were lower than those before treatment (both P<0.01), and the scores of observation group were lower than those of control group (P<0.05). The total effective rate of the observation group was 86.7%, higher than 73.3% of the control group.ConclusionThe clinical effect of collateral-pricking and blood-letting cupping combined with electroacupuncture is relatively satisfactory in the treatment of post-herpetic neuralgia.     

刺血合火针点刺治疗膝关节骨性关节炎疗效观察

OBJECTIVE: To observe the therapeutic effect of blood-letting puncture combined with red-hot needle therapy on knee osteoarthritis. METHODS: One hundred and twenty-nine cases were randomly divided into a bloodletting puncture plus red-hot needle therapy group (n=73) and a routine acupuncture group (n=56). The blood letting puncture plus red-hot needle therapy group were treated by blood-letting puncture at Weizhong (BL 40), and red-hot needle pricking Heding (EX-LE 2), Dubi (ST 35), Xiyan (EX-LE 5), Yinlingquan (SP 9), Yanglingquan (GB 34), Xuanzhong (GB 39) and Ashi points, twice each week, 4 times constituting one course. The routine acupuncture group were treated by routine acupuncture at the same points as those for red-hot needle pricking, once each day, two weeks constituting one course. RESULTS: After treatment for 2 courses, the joint pain score and the illness serious index were 2.68+/-0.88 and 4.25+/-1.02, and 4.68+/-1.89 and 7.46+/-2. 13 in the two groups, respectively, with very significant differences before and after treatment in the two groups (P<0.01), the former being better than the later (P<0.05). The clinical cured rate and the total effective rate were 37.0% and 94.5% in the blood-letting puncture plus red-hot needle therapy group and 19.6% and 89.3% in the routine acupuncture group, with a very significant difference between the two groups(P<0. 01). CONCLUSION: Blood-letting puncture combined with red-hot needle therapy has obvious therapeutic effect on knee osteoarthritis.     

火针围刺联合夹脊电针治疗急性期带状疱疹:随机对照试验（英文）

目的:比较火针围刺联合夹脊电针治疗急性期带状疱疹的临床疗效,并通过血清炎性因子和疼痛介质水平的变化探讨其改善疼痛症状的可能机制。方法:将60例急性期带状疱疹患者随机分为针药组和西药组,西药组患者均给予甲钴胺和更昔洛韦治疗,连续治疗14天。针药组在西药组的基础上加用火针围刺(以皮损部位为中心运用火针方法向中心快速刺入)联合夹脊电针(取皮损部位一致的神经节段及上、下各一节段的夹脊穴连取连续波通电治疗)的方法,每日1次,共治疗14天。观察两组患者从出现疱疹到结痂脱落的疱疹症状改善情况,比较两组患者治疗前后疼痛视觉模拟量表(VAS)评分及血清炎性细胞因子(IL-1 β、IL-6、TNT-a)和疼痛介质水平(CGRP、SP)的变化,比较两组患者治疗前后及随访1个月后匹兹堡睡眠指数量表(PSQI)评分、汉密尔顿抑郁量表(HAMD)评分,评估两组患者临床疗效及随访1个月后遗神经痛的发生率。结果:治疗结束后,针药组疱疹的止疱时间、结痂时间、脱痂时间,明显短于西药组(all P<0.05)。治疗后两组患者VAS评分、PSQI评分、HAMD评分均较同组治疗前明显降低(P<0.05),且针药组与...     

Clinical Observation on Vertebroarterial Pattern of Cervical Spondylopathy Treated by Combination of Adjacent and Distal Points

目的：探讨远近相伍取穴治疗椎动脉型颈椎病的疗效。方法：将140例椎动脉型颈椎病患者随机分为针刺组、药物组，每组各70例。针刺组采用中医辨证取穴结合西医解剖特定点，药物组采用口服龙骨颈椎胶囊、西比灵胶囊，并观察治疗前后临床症状体征积分和椎-基动脉血流改善情况。结果与结论：总有效率针刺组（100％）明显高于药物组（61．4G，P〈0．01），临床症状体征积分和椎-基动脉血流改善情况两组治疗前后比较有显著性差异（P〈0．05），而针刺组改善程度较药物组更著fP〈0．05），远期疗效针刺组优于对照组，但差异无显著性（P〉0．2）。     

揿针针刺局部压痛点治疗肱骨外上髁炎的疗效观察

[目的] 观察揿针疗法针刺局部压痛点治疗肱骨外上髁炎的临床疗效。[方法] 选取肱骨外上髁炎患者60例,随机分为毫针针刺组30例及揿针组30例,分别给予毫针针刺及揿针治疗,1周治疗2次。于治疗前及治疗2周后采用视觉模拟评分法（VAS）及四级加权评分法进行疗效评价。[结果] 治疗后2组VAS评分、四级加权评分均较治疗前降低（P<0.01）,且揿针组VAS评分、四级加权评分均低于毫针针刺组（P<0.05）。毫针针刺组总有效率为73.3%,揿针组为96.7%,两组比较差异具有统计学意义（P<0.05）。[结论] 揿针针刺局部压痛点治疗肱骨外上髁炎疗效显著,可以明显减轻肘关节疼痛,改善肘关节功能运动,疗效优于毫针针刺法。     

针刺颈夹脊穴配合梅花针刺络治疗神经根型颈椎病(英文)

目的:观察针刺颈夹脊穴配合梅花针刺络治疗神经根型颈椎病的疗效。方法:60例神经根型颈椎病的患者分为治疗组和对照组,各30例。治疗组在采用针刺颈夹脊穴的基础上加梅花针叩刺治疗,对照组单纯采用针刺颈夹脊穴治疗。两个疗程后分别观察两组患者疗效、视觉模拟评分(VAS)、麻木评分。结果:治疗组总有效率为86.7%(26/30),对照组为83.3%(25/30),两组比较差异没有统计学意义(P0.05);两组治疗后VAS评分较治疗前均有改善(均P0.01),但两组比较差异无统计学意义(P0.05);两组治疗后麻木评分较治疗前均有改善(均P0.01),治疗组治疗患肢麻木疗效优于对照组(P0.05)。结论:梅花针叩刺治疗神经根型颈椎病对缓解患肢麻木有较好疗效。     

针刺夹脊穴联合肩三针对冻结期肩周炎患者临床疗效及喙肱韧带厚度的影响

[目的] 观察针刺夹脊穴联合肩三针治疗冻结期肩周炎的临床疗效，探讨喙肱韧带厚度对冻结期肩周炎的诊断价值。[方法] 选取2021年1月—2021年10月期间诊断为冻结期肩周炎的患者80例，随机分为针刺夹脊穴联合肩三针治疗组40例和传统针灸对照组40例。经过2个疗程治疗后，比较两种治疗方式的临床有效率、视觉模拟评分（VAS）、Constant-Murley肩关节功能评分和喙肱韧带厚度（CHL）。[结果] 联合治疗组临床有效率显著高于对照组（P<0.05），VAS评分显著低于对照组（P<0.05），Constant-Murley肩关节功能评分总体优于对照组（P<0.05），喙肱韧带厚度低于对照组（P<0.05）。[结论] 针刺夹脊穴联合肩三针治疗冻结期肩周炎可以减轻患者疼痛，增加肩关节活动范围，值得临床推广应用。     

针药结合对先天愚型儿童智商和社会适应行为的影响

目的:观察针刺配合口服真人益智宝对先天愚型儿童智商(IQ)及社会适应行为(ADQ)的影响。方法:将50例先天愚型儿童分为针药结合组与药物组。针刺以头三针为主,配合体针,药物采用口服香港宗歧氏药厂生产的真人益智宝。治疗前后均采用斯坦福-比奈智力量表、儿童社会适应能力量表对患儿进行IQ、ADQ测定。结果:针药结合及单纯口服药物均能提高先天愚型患儿的IQ及ADQ水平(均P<0·01);针药结合对IQ、ADQ的影响较单纯口服药物更为明显(P<0·01)。结论:针刺配合口服真人益智宝能提高先天愚型儿童智商及社会适应能力水平,其疗效优于单纯口服真人益智宝。     

Clinical observation of acupuncture bloodletting at Ashi points on local swelling and pain after snakebite: 阿是穴针刺放血治疗蛇伤局部肿痛临床疗效观察

ObjectiveTo evaluate the clinical therapeutic effect of acupuncture bloodletting therapy on local swelling and pain of snakebite in the patients bitten by snakes.MethodsA total of 106 patients with trimeresurus stejnegeri bite were randomly divided into two groups, a conventional treatment group and a conventional treatment combined with bloodletting therapy group, 53 cases in each one. In the conventional treatment group, the convention treatment of western medicine was adopted. In the conventional treatment combined with bloodletting therapy group, on the base of the conventional treatment, bloodletting therapy was applied at Ashi points selected at the tender points around the wound. The intervention and observation were performed not less than 7 days in two groups. Before and after treatment, swelling and pain degrees were measured and remission time of both the limb swelling and pain were recorded in the patients.ResultsCompared with the values on day 1 of treatment, swelling degree and visual analogue scale (VAS) score of the upper and lower limbs were all lower on day 3 and day 7 of treatment in the patients of the two groups (all P < 0.05). Compared with the conventional treatment group, swelling degree and VAS score of the upper and lower limbs were all lower in the values of the conventional treatment combined with bloodletting therapy group on day 3 and day 7 of treatment respectively (all P < 0.05). The remission time of either limb swelling or pain in the patients of the conventional treatment combined with bloodletting therapy group was shorter than the conventional treatment group respectively (both P < 0.05).ConclusionAcupuncture bloodletting therapy can effectively relieve the local swelling and pain caused by snakebite, promote the recovery of limb function, shorten the treatment course and improve the clinical therapeutic effect.     

刺络放血后拔药罐治疗瘀血阻络型腰背肌筋膜炎临床观察

目的观察刺络放血后拔药罐治疗瘀血阻络型腰背肌筋膜炎的临床疗效。方法选择2017年3月-2018年10月笔者所在医院就诊的腰背肌筋膜炎患者144例,按照就诊的先后顺序分为对照组和治疗组,各72例。对照组口服盐酸乙哌立松片50 mg/次,3次/d,1周为1个疗程,共治疗3个疗程。治疗组给予刺络放血后拔药罐疗法,每3天1次,3次为1个疗程,共治疗3个疗程。对比2组疗效及治疗前后视觉模拟评分(VAS)、Oswestry功能障碍指数问卷表(ODI)评分。结果治疗组总有效率高于对照组(χ^2=7.91,P<0.05)。治疗前及治疗1个疗程后2组VAS评分及ODI评分差异无统计学意义(P>0.05),治疗2、3个疗程后2组VAS评分及ODI评分差异有统计学意义(P<0.05)。结论刺络放血后拔药罐治疗瘀血阻络型腰背肌筋膜炎临床疗效显著,可明显缓解患者腰背部疼痛,改善活动功能。     

Effect of combined scalp and body acupuncture on Parkinson's disease: A randomized clinical trial: 头针联合体针对帕金森病运动症状的治疗效应:随机临床研究

ObjectiveTo observe the therapeutic effect of combined scalp and body acupuncture on the motor symptoms in Parkinson's disease (PD), and on the score of levodopa equivalent dose (LED).MethodsThis is a randomized, single blind trial. Sixty-six patients with PD were randomized into an acupuncture + medication group (33 patients) and a medication group (33 patients). The patients were aware of allocation and the assessors were blinded to group assignment and therapeutic regimen. Anti-PD drugs were administered in both groups. In the acupuncture + medication group, scalp and body acupuncture therapy was added. Treatments were applied for 8 weeks. In scalp acupuncture, the anterior oblique line of the vertex-temporal (MS6), lateral line 1 of the vertex (MS8), lateral line 2 of the vertex (MS9), and lower-lateral line of the occiput (MS14) were selected. In the body acupuncture, the acupoints included B?ihuì (百会GV20), Sìshéncōng (四神聪EX-HN1), and Dàzhuī (大椎GV14), as well as the bilateral Fēngchí (风池GB20), Nèiguān (内关PC6), Hég? (合谷LI4), Gānshū (肝俞BL18), Shènshū (肾俞BL23), Yánglíngquán (阳陵泉GB34), Zúsānl? (足三里ST36), Fēnglóng 丰隆ST40), Sānyīnjiāo (三阴交SP6), Tàixī (太溪KI3), and Tàichōng ( 太冲LR3). Before and after treatments, the unified Parkinson's disease rating scale (UPDRS), 3^rd section of the UPDRS (UPDRS-III), and motor dysfunction rating scale for Parkinson's disease (MDRSPD) were scored in the patients. The therapeutic effect of traditional Chinese medicine (TCM) and LED score were compared between both groups.ResultsThirty-three cases were included in data analysis in each group. After treatment, UPDRS scores were (28.77 ± 8.85) and (36.58 ± 10.16) points, UPDRS-Ⅲ scores were (12.16 ± 1.97) and (17.47 ± 2.93) points and MDRSPD scores were (15.56 ± 3.31) and (19.13 ± 4.87) points in the acupuncture + medication and medication groups respectively. The UPDRS, UPDRS-III, and MDRSPD scores all reduced after treatments in both groups (all P < 0.05). All three scores were lower in the acupuncture + medication group than in the medication group (all P < 0.05). When examining the therapeutic effects of TCM, the total effective rate was 87.88% in the acupuncture + medication group and 75.76% in the medication group (P < 0.05). After treatment, the LED scores were (387.55 ± 146.24) points and (437.42 ± 183.16) points in the acupuncture + medication and medication groups, respectively. The LED dose differences before and after treatment for the acupuncture + medication and medication groups were (40.36 ± 16.33) points and (95.88 ± 35.79) points, respectively. The LED scores in both groups were higher than the pre-treatment scores (P < 0.05). However, the post-treatment LED score was lower in the acupuncture + medication group than in the medication group (P < 0.05), as was the dose difference before and after treatment (P < 0.05).No relevant adverse reaction was found in each group.ConclusionIn addition to anti-PD medication, the scalp and body acupuncture may effectively relieve the motor symptoms of PD and improve the control of LED score.     

针罐结合治疗神经根型颈椎病的临床疗效观察（英文）

目的:观察针罐结合和单纯西药治疗神经根型颈椎病的疗效。方法:将139例神经根型颈椎病患者按随机数字表随机分为针罐组(70例)和西药组(69例)。针罐组针刺风池(双侧)、大椎、肩井(双侧)和颈夹脊穴(双侧,取风池和大椎穴连线的中点)。得气后,双侧风池和肩井接电针,其余穴位采用平补平泻法。留针期间配合T DP灯照射,针刺后予以局部拔罐。隔日治疗1次,20 d为1个疗程,1个疗程后观察疗效。西药组予口服美洛昔康片(莫比可),每次7.5 mg,每日1次,饭后用水或流质送服,20 d疗程后观察疗效。结果:针罐组总有效率为92.8%。西药组总有效率为73.9%,两组总有效率差异有统计学意义(P<0.05)。治疗后,两组临床症状评分均较本组治疗前明显下降(P<0.01),针罐组临床症状评分优于西药组,差异有统计学意义(P<0.05)。结论:针罐结合治疗神经根型颈椎病的疗效优于单纯口服美洛昔康片。     

耳尖放血治疗外麦粒肿的随机对照研究

目的:观察耳尖放血治疗外麦粒肿的临床疗效和安全性。方法:102例外麦粒肿患者随机分为耳尖放血组和常规治疗组各51例,常规治疗组采用常规药物和热敷治疗,耳尖放血组采用耳尖放血配合常规治疗,每日1次,治疗3d。分别于治疗前、治疗后即刻及治疗后每天随访评价肿块大小、视觉模拟评分(VAS),统计两组治愈率。结果:治疗前与治疗后即刻和治疗后3、5、7d肿块大小及VAS评分的差值,耳尖放血组均比常规治疗组改善更明显(P<0.05)。治疗后3、5、7d治愈率,耳尖放血组均优于常规治疗组(P<0.05)。结论:耳尖放血配合常规治疗在减轻外麦粒肿临床症状、缩小肿块面积、缓解疼痛、缩短病程等方面疗效均优于单纯常规治疗,是治疗早期外麦粒肿的有效方案。     

滞针法对膝骨关节炎关节功能及关节液中相关炎性标志物的影响:随机对照试验

ObjectiveTo observe the differences of clinical effect and influence on joint function and inflammatory markers in joint fluid between stuck-needle technique and regular acupuncture in patients with knee osteoarthritis.MethodsSeventy-two patients with knee osteoarthritis were randomly divided into a stuck-needle technique group and a regular acupuncture group, with 36 cases in each one. The selection of acupoints, retaining time of needles, and treatment course were all the same in both groups. The visual analog scale (VAS) score, Lequesne index score, and the content of related inflammatory indexes in joint fluid before and after treatment were observed, and the therapeutic effect were evaluated.ResultsAfter treatment, the VAS scores, Lequesne index scores, interleukin-1 beta (IL-1β), and the tumor necrosis factor α (TNF-α) of the two groups were all lower than those before treatment (all P<0.05). After treatment, the VAS scores, Lequesne index scores, IL-1β, and TNF-α of the stuck-needle technique group were all lower than those of the regular acupuncture group (all P<0.05). The total effective rate of the stuck-needle technique group was 96.97% (32/33), higher than 93.75% (30/32) of the regular acupuncture group (P<0.05).ConclusionStuck-needle technique can effectively relieve the pain and improve the joint functions, being more effective than regular acupuncture for the treatment of knee osteoarthritis.     

屈膝点按扣揉推拿手法配合微波治疗膝关节鹅足滑囊炎46例临床研究

[目的] 观察屈膝点按扣揉推拿手法配合微波治疗膝关节鹅足滑囊炎的疗效。[方法] 将46例膝关节鹅足滑囊炎患者随机分为治疗组和对照组,治疗组采用屈膝点按扣揉推拿手法配合微波治疗,对照组采用针灸配合微波治疗,两组10 d后通过膝关节评分标准(HSS)、疼痛视觉模拟量尺评分(VAS)评分标准,压痛测试仪分析疗效。[结果] 治疗后HSS膝关节评分较治疗前明显缓解(P<0.05),VAS疼痛评分明显改善(P<0.05),及压痛测试仪测量膝关节压痛明显缓解(P<0.05)。[结论] 两组均有效,但对于患者主观疼痛的缓解及压痛的缓解治疗组优于对照组。