磁珠耳穴贴压缓解肛肠病术后疼痛的临床观察

目的 :观察磁珠耳穴贴压对肛肠病术后疼痛的缓解作用。方法 :选取混合痔手术患者 2 0 0例 ,随机分为耳压观察组和对照组。观察组术前一日开始采用磁珠耳穴贴压 ,二组均选用痔疮宁栓术后纳肛。对术后疼痛二项指标进行对照观察 ,观察二组之间的疗效差异。结果 :观察组有明显的镇痛作用 ,其疗效优于对照组 ,与对照组之间有显著性差异 (p<0 .0 5 )。结论 :磁珠耳穴贴压对肛肠病术后疼痛有明显缓解作用。     

耳穴压豆治疗肛肠病术后疼痛120例疗效与护理

疼痛是肛肠疾病术后首位并发症,以疼痛为诱因而引起的一系列次级并发症给患者造成了病情的改变、肛门功能的异常以及心理上的伤害.近年来,运用中医理论治疗肛肠病术后疼痛做了大量的探究,积累了一定的经验,并获得较好的疗效.本科自2013年5月2014年5月,对住院的肛肠病术后疼痛患者采用肛肠科术后常规护理并配合中医耳穴压豆疗法以观察其临床疗效,现报道如下.     

耳穴贴压缓解肛肠病术后疼痛的临床观察

疼痛是肛肠病患者术后最感痛苦的主要症状之一，临床上常选用强痛定、氨氛待因、杜冷丁等药物治疗，但这些药物有易成瘾、胃肠道反应重及便秘等副作用。为了解决这一问题，我科采用耳穴贴压法缓解肛肠病术后疼痛，经临床观察对照，效果满意，现总结报道如下。     

耳穴贴压结合八正散加味治疗肛肠病术后排尿困难100例

目的:观察耳穴贴压结合八正散加味治疗肛肠病术后排尿困难的临床效果.方法:200例患者随机分成治疗组和对照组各100例.治疗组采用耳穴贴压结合八正散加味治疗,对照组采用传统的热敷、诱导排尿等方法治疗.结果:对照组100例,显效51例,有效42例,无效7例,有效率为93.0％,治疗组100例,显效95例,有效4例,无效1例,有效率为99.0％,两组有效率比较,差异有显著性(P＜0.05).结论:耳穴贴压结合八正散加味治疗肛肠病术后排尿困难疗效肯定.     

耳穴埋籽对肛肠病术后切口疼痛的影响

肛肠术后疼痛会对患者身心产生有害的影响，影响术后患者康复，通过刺激耳廓上的相应穴位进行耳穴埋籽取得满意效果。     

耳穴疗法防治肛肠病术后疼痛的研究现状

肛肠病术后往往单用西医治疗比较棘手,配合中医的耳穴疗法能达到事半功倍的效果。本文综述了肛肠病术后近年耳穴治疗研究现状,希望能给临床上更好的肛肠疾病术后提供帮助。     

耳穴贴压治疗混合痔术后疼痛50例

手术治疗痔疮,术后会出现肛门疼痛,可引起排便困难、尿潴留等诸多并发症。笔者采用耳穴贴压治疗治疗本病50例,并与口服去痛片治疗的50例对照观察,现报道如下。     

吲哚美辛栓联合耳穴压豆治疗肛肠病术后疼痛218例疗效观察

<正>疼痛是肛门病术后常见症状,以往对术后疼痛给予心理疏导,肌注盐酸哌替啶注射液。自2012年以来,我院手术结束时外用吲哚美辛栓基础上运用耳穴压豆法对218例因痔、肛瘘、肛裂等手术后引起的疼痛进行治疗,并将治疗效果进行比较,现报道如下。一般资料选取2012年5月~2014年5月我科手术治疗肛门病患者共218例,其中混合痔135例,肛瘘24例,肛     

皮内针治疗肛肠病术后疼痛120例

我们应用长强、承山穴皮内埋针治疗肛肠病术后疼痛 1 2 0例 ,取得满意效果 ,现介绍发下 :1　一般资料患者经筛选后 1 2 0例 ,男 82例 ,女 38例。其中肛裂术后 2 0例 ,混合痔术后 5 0例 ,肛瘘术后 5 0例。2　治疗方法取双侧承山、长强穴。常规消毒 ,用镊子夹住皮内针针圈 ,刺承山穴针尖直刺 ,刺长强穴针尖向上与皮肤成 45°角。用胶布固定 ,然后拇指按揉皮内针 ,使患者产生酸、麻、胀等感觉 ,并使承山穴针感向上传导。每穴按揉 5ｍｉｎ ,第 1天按揉 3次 ,每2天按揉 1次 ,3天后起针。3　疗效判定疼痛评分采用视觉模拟评分法 :0为无痛 ,1 0为最…     

中西医结合治疗肛肠病术后疼痛70例

目的观察中西医结合方法减轻肛肠病患者术后疼痛的疗效。方法将140例患者随机分为两组。对照组予亚甲蓝、罗哌卡因混合液皮下注射,观察组在此基础上加用川椒坐浴,口服中药。观察两组患者术后各时点的疼痛程度。结果观察组各时点止痛效果优于对照组。结论本中西医结合方法能有效减轻肛肠病术后疼痛。     

和解汤联合耳穴贴压治疗少阳郁热型颈性眩晕疗效研究

目的:观察和解汤联合耳穴贴压治疗少阳郁热型颈性眩晕的疗效与安全性。方法:选取我院门诊部诊治的少阳郁热型颈性眩晕患者86例为研究对象,应用随机数字表以简单随机分组法分为观察组、对照组各43例,对照组予以常规西药治疗,观察组在此基础上采用和解汤联合耳穴贴压治疗,比较两组治疗有效率、治疗前后颈性眩晕症状与功能(ESOV)评分、彩色多普勒超声(TCD)下椎基底动脉血流动力学指标、血清相关指标[白介素-1β(IL-1β)、白介素-6(IL-6)、内皮素-1(ET-1)]、不良反应发生率。结果:观察组治疗有效率为95.35%,较对照组的81.40%高(P<0.05)。观察组治疗2周、治疗4周ESOV评分分别为(22.18±2.47)分、(25.13±2.56)分,高于对照组的(20.45±2.29)分、(22.76±2.35)分(P<0.05)。观察组治疗结束后左椎动脉、右椎动脉、基底动脉血流速度为(20.15±2.17)cm/s、(19.75±1.98)cm/s、(20.49±2.17)cm/s,均高于对照组的(18.96±1.93)cm/s、(16.82±1.67)cm/s、(19...     

Effect of auricular pressing treatment on myopia in children

OBJECTIVE:To observe the effect of pressing auricular points on myopia in children.METHODS:Myopic children aged 8-9 years were divided into two groups.The Chinese herb Semen Vaccariae was used to stimulate the auricular points of CO_(10),LO_5,TF_4,CO_(15),CO_(12),and CO_(13) for three treatment courses for the experimental group(n =39),while the same therapy was not given to the control group(n = 33).Binocular naked vision of the experimental group and the control group before and after the intervention was measured using a standard E visual acuity chart.RESULTS:There was no difference in the binocular naked vision between the experimental group and the control group before the intervention.In contrast,there was significant improvement in binocular naked vision in the experimental group after the intervention compared with the control group(P 0.05).CONCLUSION:When combined with external medical application,non-invasive auricular therapy could improve the function of myopia in children.Auricular pressing was well received by the children.     

Clinical observation of auricular acupoint therapy for pain in early-stage extremity trauma

Objective

To observe the efficacy of auricular acupoint sticking based on conventional treatment in treating pain in early-stage extremity trauma.

Methods

A hundred eligible patients with acute soft tissue injury or acute closed fracture were randomized into an observation group and a control group by their admission sequence, 50 cases in each group. The two groups both received routine management including routine checking, external fixing, traction, raising up the affected limb, etc., as well as cold compress with Chinese medication (Xiao Zhong Zhi Tong Powder). In addition to the routine management, the control group was given oral administration of amidopyrine and phenacetin compound tablet, 1 tablet per dose, twice a day, which was then taken only when necessary or terminated after pain subsided. The observation group was given auricular acupoint sticking in addition to the routine management. The two groups were compared in terms of numerical rating scale (NRS) score, therapeutic efficacy and adverse reactions after pain was relieved.

Results

After the intervention, the NRS scores dropped significantly in both groups (P<0.01); the NRS score in the observation group was significantly lower than that in the control group (P<0.05). The total effective rate in the observation group was superior to that in the control group (P<0.05). There were no severe adverse reactions in the two groups.

Conclusion

Based on routine management, auricular acupoint sticking can produce a more significant efficacy in treating pain in early-stage extremity trauma compared to amidopyrine and phenacetin compound tablet; it can effectively reduce pain of the affected limb and prevent complications; it’s easy-to-operate and safe; patients can learn and understand it easily; its efficacy is confirmed; it enhances the satisfaction degree of the inpatients. Therefore, this method is worth promoting in clinic.

     

自拟减肥8穴配合耳穴贴压治疗单纯性肥胖病临床观察

目的观察自拟减肥8穴配合耳穴贴压治疗单纯性肥胖病的临床疗效。方法65例单纯性肥胖病患者随机分为2组,治疗组36例以自拟减肥8穴为主,结合辨证取穴及耳穴贴压治疗;对照组29例采取传统辨证取穴和耳穴贴压治疗。2组病例均隔日治疗1次,10次为1个疗程,治疗3个疗程观察疗效。结果治疗组总有效率93.7%,对照组总有效率72.4%。2组疗效经统计学处理差异有显著性意义(P<0.05)。结论减肥8穴治疗单纯性肥胖疗效明显优于传统针灸。     

Clinical study on auricular acupoint penetration needling along the skin for treatment of a variety of pain syndrome and dysfunction

This paper is a summary of clinical studies on auricular acupoint penetration needling along the skin for treatment of pain and dysfunction in recent 10 years. Auricular acupoint penetration needling along the skin was used to observe rapid analgesic effects and clinical efficacy on cervical spondylopathy, periarthritis of shoulder, pain in waist and lower extremities, migraine, and other peripheral neuropathic pain, and stroke sequels, soft tissue injury, and so on. Self-control method was used in the studies at the first stage, and clinically randomized control trial methodwas used for systematic comparison with other therapies at the second stage. Results indicated that the auricular acupoint penetration needling along the skin had obviously clinical effects on cervical spondylopathy, periarthritis of shoulder, pain in waist and lower extremities, migraine, soft tissue injuries and stroke sequels, with a better rapid analgesic effect as compared with ear perpendicular needling method.     

耳穴压豆联合穴位按摩对慢性肾功能衰竭维持血液透析患者睡眠及生活质量的影响

[目的] 研究耳穴压豆联合穴位按摩对慢性肾功能衰竭维持血液透析伴睡眠障碍患者睡眠及生活质量的影响。[方法] 选取2018年5月-2019年5月在深圳市宝安区中医院肾病科就诊的慢性肾功能衰竭维持血液透析伴睡眠障碍患者76例,随机分为对照组和观察组,各38例。两组患者均接受常规血液透析及其他对症治疗,对照组患者予慢性肾功能衰竭维持血液透析基础护理,包括导管护理、一般宣教、生活指导等,观察组在对照组基础上予耳穴压豆及穴位按摩治疗,穴位按摩每日进行1次,耳穴压豆隔日1次,两组患者均连续观察4周。干预前后均进行匹兹堡睡眠质量指数（PSQI）评分,抑郁自评量表（SDS）、焦虑自评量表（SAS）评分,肾病相关生活质量（KDTA）评分,并比较干预后两组患者睡眠改善临床疗效。[结果] 干预后,观察组患者PSQI各维度评分及总分,SDS、SAS评分与干预前及对照组比较均显著降低（P<0.05）,KDTA生活质量评分与干预前及对照组比较均显著升高（P<0.05）。观察组睡眠改善总有效率为92.1%,与对照组71.1%比较,具有统计学差异（P<0.05）。[结论] 慢性肾功能衰竭维持血液透析伴睡眠障碍患者在基础护理同时,予耳穴压豆联合穴位按摩疗法,可以有效改善患者睡眠质量,减少入睡时间,延长有效睡眠时间,改善睡眠质量,缓解抑郁、焦虑等不良情绪,提高生活质量。     

电针夹脊穴治疗带状疱疹后遗神经痛66例

目的：观察电针夹脊穴治疗带状疱疹后遗神经痛的临床疗效；方法：采用回顾性分析我科2000年1月～2004年12月门诊和住院带状疱疹后遗神经痛病人的病历资料，总结电针夹脊穴疗法的疗效：结果：66例患者中，治愈46例，好转17例，无效3例，总有效率为95．2％；结论：电针夹脊穴治疗带状疱疹后遗神经痛有较好的临床疗效。     

热敏灸疗法治疗爱尔兰人椎间盘源性腰痛疗效观察

目的:观察热敏灸疗法与针刺疗法治疗爱尔兰人椎间盘源性腰痛(寒湿痹证型)的疗效差异.方法:将82例病人随机分成热敏灸组(43例)和针刺组(39例),热敏灸组在腰骶部相应部位寻找热敏点,然后在热敏点施灸,使灸感传导,到灸感传导结束后治疗结束,如果不出现灸感,就在相应痛点施灸30 min;针刺组取相应的华佗夹脊、背俞穴及委中进行针刺,配穴为环跳、风市、阳陵泉、秩边等,针刺后在腰部加神灯照射,留针30 min.每周治疗2次,4周为一疗程,治疗8周后统计疗效.结果:热敏灸组,临床治愈19例,好转20例,无效4例,有效率90.7%(39/43).针刺组,临床治愈9例,好转25例,无效5例,有效率87.2%(34/39).两组间临床治愈例数比较,差异有统计学意义(P<0.05),热敏灸组优于针刺组.结论:热敏灸疗法治疗爱尔兰人椎间盘源性腰痛疗效优于传统针刺疗法.

Abstract：

Objective To observe the therapeutic difference in treatment of Irishmen with discogeniclow back pain (arthritis of cold-damp syndrome type) between heat-sensitive acupoint and acupuncture.Methods Eighty-two patients were randomly assigned to the heat-sensitive group (43 cases) andthe acupuncture group (39 cases). Corresponding heat-sensitive points in the lumbosacral area wereselected in the heat-sensitive group. Then moxibustion was performed at the heat-sensitive acupoint,thus conducting the moxibustion sensation. The treatment was ended when the sensation conductionwas finished. If there appeared no moxibustion sensation, moxibustion at the corresponding painfulirradiated with TDP after needling, with the maintaining time of 30 min. The treatment was carried outtwice weekly, four weeks as one therapeutic course. The therapeutic effect was statistically calculatedafter 8-week treatment. Results Nineteen cases were clinically cured, 20 improved, 4 failed, and theeffective rate 90.7%(39/43) in the heat-sensitive group, while 9 clinically cured, 25 improved, 5 failed,and the effective rate 87.2%(34/39) in the acupuncture group. Significant difference was shown in theclinically cured case by x2 test (P<0.05). Conclusion Heat-sensitive acupoint was superior to traditionalacupuncture in treatment Irishmen with discogenic low back pain.     

加味双柏散外敷联合耳穴压豆对肝癌介入治疗患者疼痛评分及生活质量影响

目的:研究加味双柏散外敷联合耳穴压豆对肝癌介入治疗疼痛患者疼痛评分及生活质量的影响。方法:将行介入治疗的70例原发性肝癌患者分为两组。对照组给予常规治疗。研究组在对照组基础上给予加味双柏散外敷联合耳穴压豆。比较两组疗效、干预前及干预7 d后疼痛评分、中医症状积分、致痛因子、生活质量评分。结果:干预7 d后,研究组有效缓解率94.29%,高于对照组的77.14%,组间比较差异有统计学意义(P<0.05)。研究组患者疼痛评分、胁痛及情志抑郁中医症状积分、致痛因子PGE₂及5-HT明显低于干预前及同期对照组,差异有统计学意义(P<0.05)。两组痞块、臌胀中医症状积分与干预前比较,以及组间比较,差异均无统计学意义(P>0.05)。研究组患者生活质量评分水平高于干预前及同期对照组,差异有统计学意义(P<0.05)。结论:加味双柏散外敷联合耳穴压豆能够有效缓解肝癌介入治疗疼痛患者的疼痛程度,改善症状及血液流变学,提升患者生活质量。