Therapeutic Observation on Treatment of 68 Cases of Prolapse of Lumbar Intervertebral Disc with Lumber Vertebral Traction plus Ding＇s Rolling Technique

目的观察腰椎牵引后结合丁氏滚法推拿治疗腰椎间盘突出症的临床疗效.方法将133例腰椎间盘突出症患者随机分为两组,治疗组68例,采用腰椎牵引后结合推拿治疗;对照组65例,采用单纯腰椎牵引治疗.结果两组差异有统计学意义(x2=6.86,P＜0.01),治疗组效果显著优于对照组.结论腰椎牵引后结合丁氏滚法推拿治疗腰椎间盘突出症的临床疗效优于单纯采用腰椎牵引治疗.     

Clinical observation on the treatment of lumbar intervertebral disc protrusion with electroacupuncture,TDP plus Tuina

将128例腰椎间盘突出症患者随机分为电针、TDP照射配合推拿组70例(治疗组)和电针和TDP照射组58例(对照组)进行观察.治疗组治愈率为64.3%,对照组治愈率为31.0%,治疗组好于对照组(P＜0.01);治疗组总有效率为100%,对照组总有效率为91.3%,治疗组疗效明显优于对照组(P＜0.05).     

Treatment of 89 Cases of Lumbar Intervertebral Disc Herniation with Acupuncture

采用以针刺为主、辅以腰部牵引和按摩等方法对89例腰椎间盘突出症患者进行综合治疗。经4个疗程的治疗．治愈65例。显效12例。有效7例．无效3例。采用以针刺为主的综合治疗腰椎间盘脱出症，能明显提高治疗效果．值得临床推广应用。     

Clinical observations on the treatment of lumbar intervertebral disc protrusion by acupuncture and Tuina

目的:观察针刺、穴位注射配合推拿复位治疗腰椎间盘突出症的疗效.方法:先针刺,再穴位注射,最后推拿复位治疗,每日1次,6次为1个疗程.并与单纯推拿复位治疗对比.结果:治疗组在临床治疗有效率及相同时间治愈率方面均明显优于对照组.结论:针刺、穴位注射配合推拿复位的综合治疗方法,比单纯推拿复位治疗的疗效好,疗程短.     

Treatment of Acute Lumbar Sprain with Single Acupoint： A RCT

目的:评价单一穴位治疗急性腰扭伤的治疗效果.方法:根据统一的诊断标准,在多个临床中心进行随机对照研究.全部病例320例经随机数字表法分为针刺后溪穴观察组和针刺腰痛点对照组.对患者的疼痛程度分别由医师和患者进行评分.结果:治疗2个疗程后,观察组和对照组近期有效率分别为89.4%和82.5%,远期有效率分别为95.6%和93.5%.经Ridit分析,近期疗效差异有统计意义(P<0.05),远期疗效差异无统计意义(P>0.05).结论:针刺单一穴位治疗急性腰扭伤疗效确切,取穴简便,后溪穴疗效好于腰痛点.     

Observation of the therapeutic effect of treating lumbar intervertebral disc protrusion by acupuncture therapy

目的：观察针刺病变腰椎两侧经穴治疗腰椎间盘突出症的临床疗效。方法：将180例腰椎间盘突出症患者随机分为治疗组60例，针刺对照组60例，西药对照组60例，治疗20天后进行疗效比较。结果：治疗组有效率96．7％，针刺对照组为80．0％，西药对照组为81．7％，治疗组与对照组差异有显著性意义（P〈0．05）。结论：针刺病变腰椎两侧经穴是治疗腰椎间盘突出症的有效方法。     

Comprehensive treatment of prolapse of lumbar intervertebral disc

为探讨治疗腰椎间盘突出症的最佳方法,对腰椎盘突出症采用推拿配合针灸来治疗.本法治愈率高,疗程短,效果满意.推拿能舒经活血,针灸能温经散寒,活血散瘀,两者配合,提高疗效.     

Clinical observation of acupuncture, Tuina and acupoint injection on cervicogenic headache

目的：探讨针灸和推拿疗法治疗颈源性头痛的临床疗效。方法：应用随机数字表法。40例患者被分成两组，即针灸配合推拿手法组（治疗组）和推拿配合穴位注射组（对照组），每组各20例。治疗组患者首先接受针刺治疗，以风池为主穴，然后接受推拿治疗。对照组患者先接受推拿治疗，然后在风池穴注射弥可保500μg。治疗前后。两组患者均用颈源性头痛评估量表进行评估。结果：治疗后治疗组和对照组患者的各个指标积分均显著提高（P〈0．01），而治疗后治疗组患者的头痛积分（13．1&#177;3．02vs10．8&#177;2．36，P〈0．01）、日常生活和工作积分（3．3&#177;0．66vs2．6&#177;0．79，P〈0．01）、心理及社会适应积分（3．1&#177;0．85vs2．1&#177;0．85，P〈0．05）以及症状总积分（24．6&#177;4．36vs20．3&#177;2．53，P〈0．01）均高于对照组。结论：针灸结合推拿治疗颈源性疼痛可以更有效地缓解疼痛，提高日常生活质量和社会适应能力。     

Treatment of infantile cerebral palsy mainly by acupoint-pressing and Tuina

目的:探讨点穴、推拿、穴位注射、运动训练综合康复治疗小儿脑瘫的方法和疗效.方法:将640例7岁以内脑瘫患儿随机分为治疗组和对照组,两组均接受常规穴位注射治疗和功能训练,治疗组在功能训练前或后施术点穴推拿、穴位注射,并在治疗前后进行综合评价,观察整体康复疗效,进行统计学处理.结果:治疗组整体疗效明显优于对照组(P＜0.05).结论:点穴推拿和穴位注射为主的综合康复方法是治疗小儿脑瘫的最佳方法之一,是具有中国特色的综合康复体系,值得推行应用.     

Treatment of 96 cases of prolapse of lumbar intervertebral disc of posterior protrusion type by the comprehensive therapy

选择腰椎间盘突出症后凸型患者96例,随机分为观察组50例和对照组46例,观察组采用针刺牵引推拿综合治疗,对照组仅用针刺治疗,对患者治疗后进行疗效评定.治疗组和对照组治疗后的疗效有显著差异(P＜0.05).综合治疗腰椎间盘突出症后凸型疗效确切,方法简便,具有一定的临床指导意义.     

Observations on the efficacy of acupuncture plus tuina therapy in treating supraspinatus tendinitis

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例冈上肌腱炎患者随机分为两组，治疗组50例采用针刺推拿疗法，对照组50例采用单纯针刺疗法；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X^2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。     

Treatment of 48 cases of prolapse of lumbar intervertebral disc by acupuncture plus electroacupuncture

为观察电针治疗椎间盘突出症疗程与疗效的关系及对改善椎间盘突出不同临床症状间的差别,根据症状表现仅有腰痛、腿痛及腰痛兼腿痛分为不同治疗组,每组治疗3个疗程.结果疗程与疗效有显著差别(P＜0.01);症状与疗效有差别(P＜0.05).电针治疗腰椎间盘突出临床症状改善,腰痛最明显,腿痛最差,且第2疗程疗效显著.     

推拿配合高压氧治疗腰椎间盘突出症的疗效评价

目的:评价推拿手法配合高压氧治疗腰椎间盘突出症的疗效.方法:符合纳入标准的腰椎间盘突出症患者160例,分为治疗组和对照组.治疗组100例,采用推拿手法配合高压氧治疗.对照组60例,单纯采用推拿手法治疗.比较治疗前后总体疗效及症状、体征积分.结果:治疗组总有效率为100.0%,对照组总有效率83.0%.结论:推拿手法配合高压氧治疗腰椎间盘突出症有良好的疗效,可以明显改善腰腿酸痛活动受限等临床症状和体征,恢复患者的日常工作、生活能力.

Abstract：

Objective: To evaluate the therapeutic effects of Tuina and hyperbaric oxygen on prolapse of lumbar intervertebral disc. Methods: The included 160 cases of prolapse of lumbar intervertebral disc were allocated into a treatment group and a control group. The 100 cases in the treatment group were treated with tuina manipulation and hyperbaric oxygen. The 60 cases in the control group were treated with tuina manipulation. The total effect and scores of symptoms and signs were compared before and after treatment. Results: The total effective rate in the treatment group was 100.0%, and 83.0% in the control group. Conclusion: Tuina and hyperbaric oxygen had excellent effects on the prolapse of lumbar intervertebral disc, by improving the clinical symptoms and signs of ache and movement restriction of lower back and leg, and recovering the ability of work and daily life.     

Electro-acupuncture on the iNOS of lumbar intervertebral disk tissues in rats

目的：探讨电针防治腰椎间盘移位的机理。方法：75只大鼠经手术造成椎间盘移位模型，成功后分为电针组，西药组，针药组，模型对照组和正常对照组，分别给予相应处理。RTPCR法测定椎间盘组织中iNOSmRNA的表达。结果：模型组犬鼠椎间盘组织iNOSmRNA表达与正常组之间比较存在显著性差异（P〈0．01）；电针组、西药组、针药组对大鼠椎间盘组织iNOSmRNA表达均受抑制，与模型组比较有显著性差异（P〈0．01）。结论：电针具有抑制椎间盘组织内iNOS的作用。     

Treatment of 30 cases of prolapse of lumbar intervertebral disc by electroacupuncture plus Tuina

Purpose: To observe the clinical therapeutic effect of electro acupuncture plus Tuina on treating prolapse of lumbar intervertebral disc.Methods: Electroacupuncture at Jiaji(Ex-B 2) acupoints plus reduction manipulations were used to treat 30 cases of prolapse of lumbar intervertebral disc.Results: After 2 courses of treatment, among the 30 cases, 8 cases were cured and 22 cases got improvements, and the effective rate was 100%.Conclusion: Electroacupuncture plus reduction manipulations had a satisfactory effect on treating this disease; and it can significantly improve the clinical symptoms of the patients. Author: JIANG Gui-mei (1976-), female, doctor Translator: WU Xue-fei     

Clinical Observation on Treatment of 67 Cases with Lumbar Intervertebral Disc Herniation with Abdomen Acupuncture

目的：对比腹针与体针治疗腰椎间盘突出症的，临床疗效差异。方法：将133例患者随机分为治疗组67例，对照组66例。治疗组采用腹针治疗，对照组采用体针治疗，对治疗前后症状的改善情况进行对照观察。结果：治疗组有效率95．5％，对照组有效率86．4％，两组比较差异有统计学意义（P〈0．05）；两组痊愈患者中治疗1疗程后治疗组痊愈率显著高于对照组（P〈0．05）。结论：腹针治疗腰椎间盘突出症疗效好，疗程短。     

Clinical Study on Warming Needle Moxibustion plus Tuina for Shoulder Periarthritis

目的：比较温针灸配合推拿与单纯推拿治疗肩周炎的疗效。方法：采用随机单盲对照法，将80例患者随机分到A组（单纯推拿组）及B组（温针灸配合推拿组），每组各40例。结果：B组有效率为95．0％，A组有效率为85．0％，两组比较没有显著性差异（P〉0．05）；在疼痛视觉模拟评分方面，两组治疗前后均有明显降低（P〈0．01）；治疗后VAS评分差值两组间比较，差异有非常显著性意义（P〈0．01）。结论：温针灸配合推拿在止痛上优于单纯推拿治疗。     

Tuina therapy for prolapsed lumbar intervertebral disc

反复下腰痛和下肢反射性坐骨神经痛是腰椎间盘突出症的两大症状.根据病史、症状、体征以及影像学(包括CT、MRI等)结果,可以确诊.需与以腰痛为主要表现的疾病,以腰痛伴坐骨神经痛为主要表现的疾病和以坐骨神经痛为主要表现的疾病相鉴别.推拿保守治疗多以足太阳膀胱经、足少阳胆经及督脉为主,取相应的夹脊穴、肾俞、大肠俞、腰阳关、环跳、委中、承山、阳陵泉及阿是穴等以一指禅推法、滚法、扳法、按法、揉法和拿法等进行治疗.     

辨证分期推拿法在腰椎间盘突出症综合治疗方案中的应用

回顾总结了近年来腰椎间盘突出症的常用非手术疗法,阐述了在长期临床及理论研究的基础上,应用＂辨证分期推拿法＂,同时与其他非手术疗法（尤其是中医特色疗法）有机结合,形成腰椎间盘突出症综合治疗方案。并探讨了＂辨证分期推拿法＂在腰椎间盘突出症综合治疗方案中应用的临床意义。腰椎间盘突出症疗效评价体系的建立、并藉此优化综合治疗方案是今后研究的方向。     

Intervention of CT localization plus TCM therapy on prolapse of lumbar intervertebral disc

Purpose To observe the curative effect of interventional therapy by CT localization combined traditional Chinese medicine on prolapse of lumbar intervertebral disc.Method The inpatients of lumbar intervertegroup and control group. Interventional therapy by CT localization combined TCM was used in the treatment group while in the control group TCM therapy was taken only. The treatment lasted for 10 days in both groups.Results The curative effect was 94.3% in the treatment group while 76.8% in the control one (P<0.05), which had statistical meaning.Conclusion Interventional therapy by CT localization combined TCM on prolapse of lumbar intervertebral disc had better effect and shorter treatment course. Author: LUO Zhi-hong (1968-), male, attending physician Translator: SHEN Wei-na