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1.
目的:观察运用刺络放血疗法联合针刺治疗膝关节骨性关节炎的临床效果。方法:选取的64例患者随机分为对照组和观察组各32例。对照组运用针刺治疗,观察组运用针刺联合刺络放血治疗,观察两组患者膝关节改善情况及临床治疗效果。结果:观察组WOMAC关节指数评分明显优于对照组(P<0.05),差异具有统计学意义;观察组总有效率明显优于对照组(P<0.05),差异具有统计学意义。结论:刺络放血疗法联合针刺治疗,可有效改善膝关节骨性关节炎临床症状,提高治疗效果,值得临床推广。  相似文献   

2.
目的:探讨针刺结合刺络放血治疗膝关节骨性关节炎的疗效。方法:将64例膝关节骨性关节炎患者随机分为研究组和对照组各32例,对照组给予针刺治疗,研究组则采用针刺结合刺络放血治疗,观察两组患者WOMAC评分的改善情况。结果:研究组WOMAC评分改善程度显著优于对照组(P0.05)。结论:针刺结合刺络放血可有效缓解膝关节骨性关节炎患者的疼痛,对其生活质量有一定的改善作用。  相似文献   

3.
目的:观察壮医经筋疗法结合刺络放血治疗膝关节骨性关节炎的临床疗效。方法:将70例膝关节骨性关节炎患者随机分为观察组与对照组各35例,对照组采用传统常规针刺与艾灸疗法治疗,观察组采用壮医经筋手法、壮医经筋针刺及刺络放血疗法治疗,1周为1个疗程,共治疗3个疗程,观察两组临床疗效。结果:观察组与对照组的总有效率分别为91.43%、85.71%,差异无统计学意义(P0.05),两组的控显率分别为68.57%、42.86%,差异有统计学意义(P0.05)。结论:壮医经筋手法、壮医经筋针刺及刺络放血疗法治疗膝关节骨性关节炎较传统常规针刺与艾灸疗法具有较好的临床疗效。  相似文献   

4.
目的:观察刺络放血治疗膝关节骨性关节炎的临床疗效。方法:57例随机分为治疗组28例和对照组29例,治疗组用针络放血治疗,对照组用针刺腧穴治疗。用骨关节炎指数评分(WOMAC)视觉模拟评分(VAS)及健康调查简表(SF-36)在治疗前后进行评分记录各项评分,评估其临床疗效。结果:总有效率治疗组96.43%、对照组85.71%,两组比较差异有统计学意义(P0.05)。治疗前后各项评分两组比较差异有统计学意义(P0.05),治疗后各项评分组间比较差异有统计学意义(P0.05)。结论:刺络放血治疗膝关节骨性关节炎疗效更好。  相似文献   

5.
目的观察平衡针刺膝痛穴结合常规针刺疗法治疗膝关节骨性关节炎的临床效果。方法将60例膝关节骨性关节炎患者随机分为2组,观察组选择平衡针刺膝痛穴结合常规针刺(腧穴选择为内部与外部血海穴、膝眼穴、阳陵泉穴、梁丘穴、阴陵泉穴)治疗,对照组选择常规针刺治疗,每周治疗5 d,2组均以4周为1个疗程。观察2组治疗前后疼痛VAS评分、骨关节炎WOMAC评分变化情况,统计2组临床疗效。结果 2组治疗后VAS与WOMAC评分均明显减少(P均0.05),且观察组VAS与WOMAC评分均明显低于对照组(P均0.05);观察组治疗总有效率明显高于对照组(P0.05)。结论平衡针膝痛穴针刺联合常规针刺疗法治疗膝关节骨性关节炎具有良好的效果,可以有效缓解患者的疼痛,提高膝关节活动能力,具有较高的临床应用价值。  相似文献   

6.
目的:观察刺络放血配合温针灸治疗膝关节骨性关节炎的效果。方法:70例随机分为两组各35例,对照组用西药治疗,观察组用刺络放血配合温针灸治疗。结果:总有效观察组97.14%、对照组82.86%,两组比较差异有统计学意义(P0.05)。治疗后两组VAS疼痛程度与膝关节功能评分均改善,观察组改善更显著(P0.05)。结论:刺络放血配合温针灸治疗膝关节骨性关节炎效果较好。  相似文献   

7.
目的:观察理筋刺法治疗膝关节骨性关节炎的临床疗效。研究膝关节骨性关节炎新的取穴点与针刺手法。方法:采用随机对照研究方法,将2018年10月至2020年1月在我院就诊的膝关节骨性关节炎患者60例,随机分为实验组和对照组各30例。实验组予理筋刺法治疗,每周2次,共3周;对照组予普通针刺法治疗,每周5次,共3周。两组均给予康复训练指导。以VAS评分、WOMAC评分、有效率为观察指标。观察治疗1次后VAS评分;治疗2周、治疗结束时、治疗后1月和治疗后3月的VAS评分和WOMAC量表评分,评价两种治疗方法的临床疗效。结果:治疗后两组患者的VAS评分均较治疗前明显降低,具有显著统计学意义(P<0.001),两组间无统计学意义(P>0.05)。两组治疗后WOMAC总分均较治疗前降低(P<0.001)。实验组WOMAC总分评估优于对照组(P<0.05)。在日常生活能力评分改善上,实验组优于对照组(P<0.05)。在疼痛积分、僵直积分的改善程度上无差异(P>0.05)。实验组有效率100%,对照组有效率86.7%,优于对照组(P<0.05)。结论:理筋刺法可减少患者针刺治疗次数、缩短疗程、节省患者治疗时间,可更好的改善患者膝关节功能,适于临床推广应用。  相似文献   

8.
目的观察放血疗法治疗瘀血阻络型膝骨性关节炎的临床疗效。方法采用随机法将符合纳入病例标准的62例患者分为两组,治疗组采用放血疗法治疗,对照组采用常规体针针刺治疗,以疼痛量表和膝关节功能评定表为观察指标,于治疗前及治疗2疗程后评定各膝关节疼痛程度变化及膝关节功能变化。结果两组疼痛及膝关节功能积分比较,两组治疗前后比较,差异具有统计学意义(P0.05);两组治疗后比较,差异具有统计学意义(P0.05);两组治疗后临床疗效比较,治疗组的总有效率为87.10%,对照组的总有效率为77.42%。差异具有统计学意义(P0.01)。结论两组治疗后膝骨性关节炎患者的疼痛都减轻,膝关节功能都有改善,治疗组在减轻疼痛及改善功能方面以及临床疗效均优于对照组。放血疗法可以作为临床治疗膝骨性关节炎的一种方法。  相似文献   

9.
目的:探讨刺络放血疗法治疗气滞血瘀型颈椎病的临床疗效。方法:将120例气滞血瘀型颈椎病患者随机分为治疗组(刺络放血)和对照组(普通针刺)各60例,两组治疗每日1次,10 d为1个疗程,治疗3个疗程。观察比较两组治疗前后简化Mc Gill疼痛询问量表(MPQ)及临床疗效。结果:治疗组痊愈22例,显效20例,有效15例,无效3例,总有效率为95.0%;对照组痊愈15例,显效16例,有效20例,无效9例,总有效率为85.0%;治疗组疗效优于对照组(P<0.05)。两组治疗后简化MPQ各项指标均较治疗前明显改善,治疗组疼痛分级指数(PRI)总分优于对照组(P<0.05)。结论:刺络放血疗法治疗气滞血瘀型颈椎病优于普通针刺法,能显著缓解患者疼痛症状。  相似文献   

10.
目的:观察发泡疗法治疗膝关节骨性关节炎的临床疗效及安全性。方法:将符合纳入标准的60例膝关节骨性关节炎患者随机分为发泡疗法组和通络止痛膏组,每组30例。发泡疗法组给予外用发泡药物痛点贴敷,每周1次,连续治疗2周;通络止痛膏组给予外用通络止痛膏,每天1次,连续治疗2周。分别于治疗前和治疗结束后应用膝关节WOMAC评分法对两组患者进行评分,同时观察两组患者的不良反应发生情况。结果:治疗后两组患者WOMAC评分均降低(P0.05)。发泡疗法组功能障碍评分和总评分降低更明显,两组间差异有统计学意义(P0.05);治疗前后疼痛、僵硬评分差值比较,两组间差异无统计学意义(P0.05)。两组均有少数患者出现皮肤过敏现象,停药后症状消失。结论:发泡疗法治疗膝关节骨性关节炎疗效确切,安全可靠。  相似文献   

11.
刺血合火针点刺治疗膝关节骨性关节炎疗效观察   总被引:2,自引:0,他引:2  
曾红文  聂斌  史琳琳 《中国针灸》2008,28(7):493-495
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.  相似文献   

12.
[目的]观察早期针刺配合刺络放血拔罐联合西药治疗周围性面瘫疗效。[方法]使用随机平行对照方法,将60例门诊患者就诊顺序先后随机抽选分为两组。治疗组30例急性期(1~7d)即给予针刺治疗,选穴双侧阳白、地仓、颊车、四白、翳风、合谷等,轻浅刺激,平补平泻,1周后即行中强度刺激,30min/次,1次/d;配合刺络放血拔罐,患侧太阳、四白与地仓、下关两组穴位,每次选一组,交替放血拔罐1mL,急性期辅以强的松(30 mg晨起顿服,每2日递减5 mg连用10d),Vit B1、Vit B12(各20mg,3次/d)。对照组30例急性期仅西药治疗,7d后加用针刺及放血拔罐同治疗组。观测面瘫区域症状。均治疗10d为1疗程,连续治疗3疗程(30d),判定疗效。[结果]治疗组痊愈26例,显效3例,有效1例,无效0例,总有效率100.00%。对照组痊愈19例,显效6例,有效3例,无效2例,总有效率73.33%。治疗组疗效优于对照组(P<0.05)。[结论]早期针刺结合刺络放血治疗周围性面瘫效果显著。  相似文献   

13.
张玉森  王子轩 《针刺研究》2011,36(5):373-376
目的:探讨温针配合玻璃酸钠关节内注射治疗膝关节骨性关节炎的临床增效作用。方法:将膝关节骨性关节炎患者随机分为治疗组(n=90)和对照组(n=89)。治疗组在玻璃酸钠关节内注射后第2天行温针疗法,穴取足三里、血海、梁丘、阴陵泉、阳陵泉、内膝眼、犊鼻、鹤顶,每天1次,共治疗25次;对照组仅行玻璃酸钠关节内注射治疗。在治疗前和治疗后2周、5周各进行1次膝关节运动功能评价并计算治疗有效率;治疗前及治疗5周后采用关节炎影响评定量表评价生活质量。结果:治疗后2周和5周,对照组和治疗组的膝关节运动功能评分均较治疗前逐步提高(P<0.001),治疗有效率亦相应升高。治疗后,治疗组运动功能评分均明显高于对照组(P<0.001),前者治疗有效率亦明显高于后者(P<0.05)。两组患者的生活质量均有显著改善(P<0.01),其中,治疗组明显优于对照组(P<0.01)。结论:温针配合玻璃酸钠关节内注射是治疗膝关节骨性关节炎的一种有效方法。  相似文献   

14.
目的:验证针刺治疗膝骨关节炎(KOA)的临床疗效。方法:将42例KOA患者随机分为针刺组(21例,脱落1例)和假针刺组(21例,脱落1例)。针刺组从本课题组制定的半标准化针刺方案穴位库中选取5~6个局部穴位(犊鼻、内膝眼、鹤顶、阴陵泉、血海、足三里等)、3~4个远端穴位(风市、外丘、悬钟、足临泣等)进行常规针刺;假针刺组选取非经非穴浅刺,两组均留针30 min,每周治疗3次,共8周。分别于治疗前后及治疗后18周随访时记录两组患者膝关节损伤与骨关节炎评分(KOOS)。结果:与治疗前比较,治疗后及随访时两组患者KOOS 5个维度[疼痛、症状(除疼痛)、日常活动、体育与娱乐功能及生活质量]评分均升高(P<0.05),且针刺组治疗后及随访时疼痛及日常活动评分均高于假针刺组(P<0.05)。结论:针刺可减轻膝骨关节炎患者疼痛症状,提高其日常活动能力。  相似文献   

15.
目的:基于关节液代谢组学变化分析刺络药物罐疗法治疗膝骨性关节炎(KOA)的作用机制。方法:选取2018年4月至2019年5月深圳市宝安区中医院收治的KOA患者98例作为研究对象,按照治疗方法不同分为西药观察组(n=52)和刺络药物罐疗法组(n=46);比较所有患者治疗前后VAS评分和WOMAC评分;统计不同手段治疗前后血尿酸、C反应蛋白和红细胞沉降率;分离来自膝骨关节的关节液进行NMR分析。结果:治疗前,刺络药物罐疗法组和西药观察组VAS和WOMAC评分以及血尿酸、C反应蛋白和红细胞沉降率差异无统计学意义(P>0.05);治疗后,刺络药物罐疗法组和西药观察组VVAS和WOMAC评分以及血尿酸、C反应蛋白含量和红细胞沉降率均降低,其中刺络药物罐疗法降低幅度更大,差异有统计学意义(P<0.05);治疗后,刺络药物罐疗法组和西药观察组异丁酸和葡萄糖增加,羟脯氨酸,天冬酰胺,丝氨酸和尿苷均降低,差异有统计学意义(P<0.05)。结论:刺络药物罐疗法可以有效地改善KOA患者的治疗效果和身体功能。  相似文献   

16.
ObjectiveTo observe the clinical therapeutic effect on migraine treated with acupuncture combined with blood-letting therapy.MethodsA total of 90 patients of migraine were included in compliance with the requirement and divided into a blood-letting therapy group, a western medication group, an acupuncture plus blood-letting therapy group, 30 cases in each one according to the random number table. In the two control groups, the simple blood-letting therapy was exerted at Dàzhuī (大椎 GV14) and the oral administration with carbamazepine were provided respectively. In the acupuncture plus blood-letting therapy group, acupuncture was exerted at B?ihuì (百会 GV20) and other points, with blood-letting therapy combined. The treatment was given once daily and 12 treatments were as one course. After 2 courses of treatment, the score of therapeutic effect on symptoms and signs, pain score of visual analogue scale(VAS) and clinical therapeutic effect were compared among the three groups before and after treatment.ResultsAt the end of treatment, the scores for symptoms and signs and VAS score were reduced obviously as compared with those before treatment in the three groups (all P < 0.01). Compared with the blood-letting therapy group and the medication group, the scores for symptoms and signs and VAS score were all reduced more obviously in the acupuncture plus blood-letting therapy group respectively (all P < 0.01) and the differences were not significant between the blood-letting therapy group and the medication group (P > 0.05). The total effective rate in the acupuncture plus blood-letting therapy group was higher obviously than either the blood-letting therapy group or the medication group (both P < 0.05).ConclusionAcupuncture combined with blood-letting therapy achieves a better clinical therapeutic effect on migraine as compared with either simple blood-letting therapy or medication. Such combined treatment obtains a satisfactory therapeutic results and deserves to be promoted in clinical application.  相似文献   

17.
目的:比较针刺配合磁疗与单纯磁疗治疗颞颌关节功能紊乱症的临床疗效差异.方法:将82例颞颌关节紊乱症患者随机分为观察组(52例)及对照组(30例).观察组采取针刺下关、颊车、合谷等穴,配合AL-2型低频电磁综合治疗仪治疗;对照组采取单纯AL-2型低频电磁综合治疗仪治疗.结果:观察组愈显率为90.4%,优于对照组的66.7%(P<0.01);观察组总有效率为98.1%,亦优于对照组的86.7%(P<0.05).结论:针刺配合磁疗治疗颞颌关节功能紊乱症疗效明显优于单纯磁疗.  相似文献   

18.
目的:观察电针配合火针刺血疗法治疗足部急性痛风性关节炎的临床疗效。方法:将66例急性痛风性关节炎患者随机分为治疗组34例,电针足三里、三阴交、阿是穴等,每天1次,治疗6天;配合足部浅表静脉及阿是穴火针点刺放血,每3天1次,共治疗2次。对照组32例,采用口服西药治疗。测定治疗前后VAS疼痛积分、血尿酸、血沉及C反应蛋白的水平。结果:治疗组有效率为91.18%,对照组为87.5%,两组比较,差异有统计学意义(P<0.05)。两组治疗前后各项指标均较治疗前明显改善(P<0.01),治疗后,两组的疼痛积分和血尿酸水平比较,差异有统计学意义(P<0.05),而两组的血沉和C反应蛋白水平比较,差异无统计学意义(P>0.05)。结论:电针配合火针刺血疗法比口服西药更能有效地降低血尿酸,缓解患者的疼痛。  相似文献   

19.
Objective: Acupuncture exercise therapy is a new and effective therapy for some nervous system diseases and motor system diseases.The problem that whether acupuncture exercise therapy is effective for patients with peripheral facial paralysis is still unclear.Therefore, we reported a randomized controlled trial of using acupuncture exercise therapy to treat peripheral facial paralysis.Methods: This was a randomized, controlled trial.A total of 302 patients were randomly allocated into acupuncture exercise group(AE, n=100), sham acupuncture and exercise group(SAE, n=101) and acupuncture group(AC, n=101).The AE group received needling at Zusanli(ST36), Hegu(LI4) and Fengchi(GB20) and the SAE group received needling at sham Zusanli(ST36), Hegu(LI4) and Fengchi(GB20).Patients exercised facial muscle, such as lifting eyebrow, mouth movement, and eye closure in the process of retaining needle for 30 min once a day.The AC group was treated with acupuncture at acupoints Sibai(ST2), Dicang(ST4), Jiache(ST6), Quanliao(SI18), Yangbai(GB14), Yingxiang(LI20) and Hegu(LI4) for 30 min once a day.The patients were treated continuously for 3 to 12 d.Patients were assessed weekly by blinded assessors, using the House-Brackmann facial nerve grading system.Results: The efficacy of the three groups was compared in terms of degree of recovery and speed of recovery.The overall improvement(grade 3 or better) was 90.1% in the AE group, 80.4% in the AC group and 78.5% in the SAE group.The degree of recovery and time of treatment in the AE group were significantly different from those in other groups(P0.05).However, the difference in the degree of recovery and time of treatment in the AC group and the SAE group was not statistically significant(P0.05).Conclusion: Acupuncture exercise therapy was effective to treat peripheral facial paralysis and exercise therapy played an important role in the course of acupuncture.  相似文献   

20.
目的:观察采用不同方案温和灸治疗阳虚寒凝型膝骨性关节炎临床疗效差异。方法:59例阳虚寒凝型膝骨性关节炎患者采用随机数字表法随机分为对照组30例及试验组29例。对照组予以内、外膝眼穴温和灸治疗,试验组第1疗程予以内、外膝眼穴实施温和灸治疗,第2疗程予以命门、腰阳关穴实施温和灸治疗,两组均配合常规针刺,均每日治疗1次,7d为1个疗程,共治疗2个疗程。以Lysholm膝关节功能评分表进行疗效评价,比较两组治疗前后关节疼痛、晨僵、关节肿胀、步行能力评分。结果:治疗后两组患者在关节疼痛、晨僵、关节肿胀、步行能力方面均比治疗前好转(P0.05),试验组在治疗后以上各项指标比对照组改善显著(P0.05)。治疗后试验组总有效率89.66%(26/29),对照组总有效率70.00%(21/30),试验组的疗效明显高于对照组(P0.05)。结论:采用不同方案温和灸治疗膝骨性关节炎可以取得更好的疗效。  相似文献   

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