头穴透刺结合康复治疗急性脑出血28例临床研究

目的 评价头穴透刺结合康复对急性脑出血患者的临床疗效。方法 采用计算器随机法随机分为头穴透刺结合康复组（A）、康复组（B）、西药对照组（C）。结果 A组总有效率为92．9％，愈显率为75．0％，B组为84.6％，愈显率为69.2％，C组为75．9％，37．9％，A组、B组与C组比较有极显著性差异（P〈0．01，P〈0．05），A组和B组无显著性差异（P〉0.05）。但A组总有效率明显高于B组。结论 头穴透刺结合康复能明显提高脑出血临床疗效，降低急性脑出血后的神经功能缺损症状，提高日常生活活动能力。     

Observation of therapeutic effect of cervicogenic headache treated by acupuncture plus Tuina therapy

目的：观察电针配合推拿治疗颈源性头痛的疗效。方法；将200例颈源性头痛患者随机分为电针配合推拿组（针推组，n=100）、电针组（n=50）和推拿组（n=50），分别应用电针颈部夹脊穴、风池穴、阿是穴、患侧率谷、翳风、头维和外关穴和推拿治疗。结果：针推组有效率为100％；电针组总有效率为90．oH；推拿组总有效率为88．0％，差异有显著性意义（P〈0．05）。结论：电针结合推拿是治疗颈源性头痛的有效方法。     

头针结合康复治疗对脑血栓形成恢复期偏瘫患者运动功能的影响

目的:探寻提高治疗脑血栓形成恢复期临床疗效的最佳方法.方法:采用随机单盲对照的方法,将90例脑血栓形成恢复期偏瘫患者随机分为3组:头针组(A组)、康复治疗组(B组)、头针结合康复治疗组(C组).A组采用头针治疗,穴取健侧项颞前斜线、项颞后斜线;B组采用现代康复医学疗法,进行肢体功能治疗;C组采用A组与B组疗法相结合治疗.观察患者的神经功能缺损和日常生活能力(ADL)改善情况及临床疗效.结果:C组治疗后神经功能缺损评分(6.14±0.36)显著低于A组(8.94±0.56)和B组(8.64±0.49)(P<0.05);且C组ADL能力评分(88.39±10.02)和临床疗效(90.0%)均显著高于A组(74.19±12.12,76.7%)和B组(72.29±11.52,73.3%)(均P<0.05).结论:头针结合康复治疗对脑血栓形成恢复期偏瘫患者运动功能的改善具有协同治疗作用,是治疗脑血栓形成恢复期的较佳疗法.     

Clinical observation of scalp acupuncture plus speech rehabilitation for Broca’s aphasia after cerebral stroke

Objective

To explore the clinical efficacy of scalp acupuncture plus speech rehabilitation in treating Broca’s aphasia after cerebral stroke, for providing novel evidences for the treatment.

Methods

Ninety-one eligible patients with Broca’s aphasia after cerebral stroke were randomized into an observation group and a control group. Forty-six cases in the observation group were intervened by scalp acupuncture plus speech rehabilitation, while 45 cases in the control group were treated by speech rehabilitation alone. The aphasia battery of Chinese (ABC) and Boston diagnostic aphasia examination (BDAE) were adopted to evaluate the clinical efficacy.

Results

After the treatment, the scores of oral expression, reading and writing and global score in the observation group were significantly higher than those in the control group (all P<0.05). There was a significant difference in comparing the BDAE grading between the two groups after the treatment (P<0.05). After intervention, the basically-recovered plus markedly-effective rate was 45.7% in the observation group versus 24.4% in the control group, and the between-group difference was statistically significant (P<0.05).

Conclusion

Scalp acupuncture plus speech rehabilitation is effective in treating Broca’s aphasia after cerebral stroke, and worth promoting.

     

Clinical observation of 40 cases of acne treated by acupuncture plus herbal drugs

Acne is divided into the patterns of wind and heat in the lung meridian and accumulation of dampness and heat. Forty cases of acne were treated by acupuncture plus herbal drugs (acupuncture and drug group, A) and 30 cases were treated by simple acupuncture as the control group (acupuncture group, B). The results showed basic cure in 31 cases, remarkable effect in 5 cases, effect in 3 cases, failure in 1 case and the total effective rate of 97.5% in Group A, and basic cure in 16 cases, remarkable effect in 6 cases, effect in 3 cases, failure in 5 cases and the total effective rate of 83. 3% in Group B. There was no significant difference (P>0.05) in the therapeutic effect and there was a significant difference (P<0.01) in the curative rate in the two groups. The therapeutic effect was obviously better in Group A than in Group B. Author: CAI An-he (1971-), male, resident Translator: Huang Guo-qi     

Study on Rehabilitating Effect of Acupuncture plus Kinetotherapy for Early Hemiplegia

目的：研究针剌配合运动对脑卒中偏瘫早期的康复作用。方法：针刺配合运动疗法治疗脑卒中偏瘫50例，与单纯用药物治疗50例作疗效对比并作随访观察。结果：经平均1个月治疗后，康复组显效率为82％，对照组为54％，差异有显著性（P〈0．05）；康复组的肢体运动功能和日常生活活动能力积分经治疗后明显提高，与对照组相比差异有显著性（肚0．05），且康复组对血液流变性、血脂有较好调节作用。结论：针剌配合运动作业法治疗脑卒中偏瘫较单纯药物治疗疗效显著。     

Clinical observation on scalp acupuncture combined with rehabilitation training for hemiplegia after stroke

Objective： To observe the clinical efficacy of the scalp acupuncture combined with rehabilitation training for hemiplegia. Methods： One hundred and thirty-six cases with hemiplegia after stroke who met the inclusion criteria were randomly divided into three groups according to visiting sequence. Forty-eight cases in the observation group were treated by scalp acupuncture combined with rehabilitation training, 35 cases in the medicine group were treated by Chinese and Western medicines, and 53 cases in the medicine plus rehabilitation group were treated by Western medicine and rehabilitation training. Patients＇ consciousness, speech and limb functions were scored before and after treatment, and the results were compared. Results： After treatment, the scores of consciousness, speech and limb functions after treatment were lower than those before treatment. And their decrease in the observation group were more statically significant than that in the medicine group and the medicine plus rehabilitation group （P〈0.01 or P〈0.05）. The total effective rates of the three groups were significantly different （P〈0.01 or P〈0.05）. The total effective rate of the observation group was better than that of the other two groups （both P〈0.01）. Conclusion： Scalp acupuncture combined with rehabilitation therapy has better effect for stroke hemiplegia.     

Acupuncture combined with speech rehabilitation training for post-stroke spasmodic dysphonia: a multicenter randomized controlled trial

ObjectiveTo observe the clinical efficacy of acupuncture combined with speech rehabilitation training for post-stroke spasmodic dysphonia and compare the differences in efficacy among the therapy of acupuncture combined with speech rehabilitation training and the monotherapy.MethodsTwo hundred and seventy cases of patients with post-stroke spasmodic dysarthria were randomly divided into three groups with the ratio of 1:1:1. Group A: acupuncture combined with speech rehabilitation training group (90 cases), group B: acupuncture group (90 cases), group C: speech rehabilitation training group (90 cases). In the group B, acupuncture treatment was given at B?ihuì (

GV 20), Jīnjīn (

EX-HN 12) and Yùyè (

EX-HN 13) as well as tongue-three needles. In the group C, the treatment of speech rehabilitation training was provided. The two treatments mentioned above were combined in the group A. Patients were treated once a day for a month with improved Frenchay dysarthria rating scale as the indices of therapeutic effect evaluation.Results

Group A: the cured and markedly effective rate was 88.7%, and total effective rate was 94.3%; group B: the cured and markedly effective rate was 44.2% and total effective rate was 81.4%; group C: the cured and markedly effective rate was 23.5% and total effective rate was 61.2%. Both the cured and markedly effective rate and the total effective rate in the group A were significantly higher than those in the group B or group C (all P<0.05); both the cured and markedly effective rate and the total effective rate in the group B were higher than those of group C (both P<0.05);

In comparison of functional recovery of tongue in accordance with the Frenchay dysarthria rating scale, the recovery rate of the tongue-stationary state was 71.74% in the group A, 18.87% in the group B and 4.44% in the group C; the recovery rate of tongue lolling out was 66.23% in the group A, 27.63% in the group B and 1.59% in the group C; the recovery rate of tongue up and down motion was 44.19% in the group A, 4.94% in the group B and 1.35% in the group C; the recovery rate of lateral motion was 40.24% in the group A, 7.59% in the group B and 0.00% in the group C; the recovery rate of alternating motion was 29.07% in the group A, 7.14% in the group B and 1.23% in the group C; the recovery rate of speech was 29.07% in the group A, 5.88% in the group B and 1.22% in the group C. In the three groups, the recovery rates of stationary state and tongue lolling out were superior to those of up and down movement, lateral movement, alternating movement and speech (all P<0.05).ConclusionThe clinical efficacy of acupuncture combined with speech rehabilitation training for patients with post-stroke spasmodic dysarthria is significant, and the efficacy of acupuncture is superior to that of speech rehabilitation training; as for functional recovery of tongue like stationary state and tongue out, the therapy of acupuncture combined with speech rehabilitation training is effective.     

Therapeutic Effect Evaluation of Acupuncture and Chinese Patent Medicine on Rheumatoid Arthritis

目的运用99m TC-MDP骨关节显像对比评价针药配合治疗早期和活动期类风湿关节炎(RA)的疗效.方法将102例临床确诊的早期和活动期RA患者随机平分为复方风湿宁组(A组)、针刺组(B组)和复方风湿宁加针刺组(C组),疗程30 d,治疗前后行99m TC-MDP全身及手足局部骨显像,用感兴趣区分析法计算类风湿关节区和邻近正常骨骼的放射性比(T/TN),同时观察关节肿胀指数、关节压痛指数、晨僵、握力、进行ESR检查.结果T/TN比A组治疗前后无显著差异(t=1.35,P＞0.05),B、C组则有明显改善(t=5.31,t=8.97,P＜0.01);C组治疗前后临床和实验室检查的改变(P＜0.05),比A组、B组更有显著性(P＜0.05).结论针刺可促进类风湿关节炎的修复,针刺加复方风湿宁治疗疗效最佳.     

Clinical observation on treatment of 63 cases of enuresis by scalp acupuncture, body acupuncture plus moxibustion with box

To observe the clinical therapeutic effect of scalp acupuncture,body acupuncture plus moxibustion with box in treating enuresis.MethodsNinety-three patients were divided into treatment group of 63 cases and control group of 30 cases.Scalp acupuncture,body acupuncture plus moxibustion with box were used in treatment group.Routine western medicine therapy was used in control group.Results and ConclusionThe cured rate was 69.8% and the total effective rate was 95.3% in the treatment group and 33.3% and 76.7% in the control group.The therapeutic effect in treatment group was superior to that in control group(P＜0.05).     

Observation on Therapeutic Effect of Acupuncture and Medication for 30 Cases of Post-Stroke Depression

目的照观察针药结合与单纯西药治疗中风后抑郁症(PSD)的疗效及不良反应.方法采用开放性对照研究方法,将93例抑郁症患者随机分为三组,针药组30例、百忧解A组30例、百忧解B组33例.针药组口服百忧解20 mg/d并加以针刺,百忧解A组口服百忧解20 mg/d,百忧解B组口服百忧解20～40 mg/d;三组治疗时间均为42 d,以汉密尔顿抑郁量表(HAMD)及副反应观察量表(TESS)分别观察三组的疗效及不良反应.结果针药组有效率为86.7%,百忧解A组为63.3%,百忧解B组为87.9%,针药组疗效优于百忧解A组,与百忧解B组疗效差异无统计学意义(P＞0.05),但药物不良反应发生率百忧解B组高于针药组.结论药并用是脑卒中后抑郁症的一种疗效确切且副反应少的治疗方法.     

Clinical observation on the treatment of pseudobulbar paralysis by combined scalp and body acupuncture

目的：观察头针结合体针治疗假性延髓麻痹的疗效。方法：将80例患者随机分为治疗组和对照组各40例，对照组采用西医常规治疗方法，治疗组在此基础上加用头针结合体针治疗。观察两组治疗前后的疗效，并通过经颅多普勒（TCD）观察两组治疗对大脑前动脉（ACA）、大脑中动脉（MCA）和大脑后动脉（PCA）的平均血流速度（VM）影响。结果：治疗组总有效率为97．5％，痊愈率为75％，对照组总有效率为12．5％，无痊愈者。两组比较有显著差异（P〈0．01）。TCD发现治疗组使大脑各动脉的流速明显加快，并改变了左右脑血流的失衡状态，针剌前后VM比较P〈0．01。结论：头针结合体针对假性延髓麻痹有很好的治疗作用。     

Clinical observations on the treatment of 56 bronchial asthma cases by acupuncture and moxibustion plus Tuina

为观察针灸配合推拿治疗支气管哮喘的疗效,采用头皮针、体针、艾灸配合推拿治疗支气管哮喘56例,并与西药常规治疗30例对比.治疗组临床控制率为60.7%,总有效率为98.2%,西药组分别为50.0%和83.3%,治疗组疗效优于西药组(P＜0.05).治疗组治疗后肺活量、免疫球蛋白、CO2结合力、血氧都有明显改善(P＜0.01,P＜0.05).     

Influence of Nape Cluster Acupuncture on Peripheral Plasma ET Content in Patients with Acute Cerebral Infarction

目的：探讨项丛刺疗法治疗急性脑梗死的机理。方法：选取80例急性期脑梗死患者，随机分为A、B两组，B组采用急性期常规治疗，A组在B组治疗基础上加用项丛刺治疗，每日2次，15次为1疗程，观察神经功能缺损评分减少情况及血浆ET含量的变化。结果：两组治疗后神经功能缺损评分及血浆ET含量与治疗前相比较，均有显著性差异（P〈0．05）；但A组与B组治疗后比较有显著性差异（P〈0．05），即A组疗效优于B组。结论：项丛刺疗法治疗急性脑梗死有效，能显著降低血浆ET含量。使神经功能缺损评分减少，同时证明在脑梗死急性期配合项丛刺疗法，效果明显优于单纯药物治疗。     

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。     

Comparison of therapeutic effects between acupuncture plus sacral injection and simple acupuncture for lumbar intervertebral disc herniation

To compare the therapeutic effects between acupuncture plus sacral injection and simple acupuncture for intervertebral disc hemia.MethodsThe patients with lumbar intervertebral disc hernia at the age of 30-45 years old were divided into No.1-80 upon their visiting order,with odd number as Group A and even number as Group B.Group A was treated by acupuncture plus sacral injection,and Group B was treated by simple acupuncture.ResultsThe clinical effective rate was higher in Group A than in Group B,with significant difference (P＜0.05).ConclusionAcupuncture plus sacral injection had the better therapeutic effect than simple acupuncture in treating lumbar intervertebral disc hernia.     

Curative effect of acupuncture and rehabilitation training in treating hemiplegia after stroke

将中风偏瘫患者分为针灸结合康复训练组(n=50),针灸组(n=32),康复训练组(n=31),采用针刺治疗和康复训练.在治疗前后对患者偏瘫肢体的运动功能和日常生活能力进行评定.总有效率针灸结合康复训练组明显高于针灸组和康复训练组(P＜0.01),而针刺组和康复组的总有效率比较无明显差异(P＞0.05).针灸结合康复训练是治疗中风偏瘫的有效方法.     

四肢分筋术加针刺治疗脑梗死临床观察

目的 观察四肢分筋术加针刺治疗脑梗死的疗效。方法 脑梗死患者随机分为3组,第1组为基本治疗组(56例),采用药物治疗;第2组为基本治疗加针刺治疗组(62例);第3组为在基本治疗基础上用四肢分筋术加针刺治疗组(64例),各组连续治疗15天观察疗效。结果 第1组愈显率为28．6％,总有效率71．4％,治疗后神经功能缺损评分为17．57±1．51;第2组愈显率为48．4％,总有效率80．6％,治疗后神经功能缺损评分为13．97±1．38,与第1组比较差异有显著性(P<0．05);第3组愈显率为81．3％,总有效率为93．7％,治疗后神经功能缺损评分为11．00±1．51,与第1、2组比较,差异均有显著性(P<0．05)。结论 四肢分筋术加针刺治疗对脑梗死具有良好的治疗效果。     

Clinical study on treatment of constipation caused by antipsychotic drugs with acupuncture and Tuina combined with laxative suppository

目的:观察针刺推拿加开塞露治疗抗精神病药物所致便秘的疗效.方法:将240例患者随机分为A组,B组,C组,D组各60例,A组采用针刺推拿加开塞露治疗,B组采用针刺治疗,C组用推拿治疗,D组用开塞露治疗.结果:A组有效率为98.3%,B组有效率95.0%,C组有效率为91.7%,D组有效率60.0%,经χ2检验4组疗效有显著性差异,A组与B组、C组相比(P＜0.05),A组与D组相比(P＜0.01).4组治疗效应产生的时间((-χ)±S):A组2.41±1.87 h,B组2.47±1.89h,C组9.81±6.12h,D组15.13±6.17h,经t检验,A、B组效应时间差异有显著性(P＜0.05),A、C组差异有显著性(P＜0.05),A、D组差异有极显著性(P＜0.01),B、C组差异不显著(P＞0.05).结论:针刺与推拿均有较好的疗效,但针推加开塞露综合治疗效果最佳,且通便快.