Observations on the Short-term and Long Term Effects of Point Houxi（SI 3） Electroacupuncture on Acute Lumbar Sprain

目的：观察电针后溪穴治疗急性腰扭伤的临床疗效。方法：采用随机数字表将300例急性腰扭伤患者随机分组，其中电针组选用后溪穴，药物组用莫比可治疗，结果：近期疗效比较，电针组有效率为97．3％，药物组有效率为89．3％，电针组近期疗效评分的平均秩和较药物组低（P〈0．01），有显著性差异；远期疗效比较，电针组有效率为99．3‰药物组有效率为93．2％，电针组远期疗效评分的平均秩和较药物组低（P〈0．01），二者之间有显著性差异。结论：电针后溪穴与口服莫比可治疗急性腰扭伤，均有显著疗效，但电针组的近期疗效和远期疗效均优于药物组。     

电针后溪穴治疗急性腰扭伤的临床观察

目的观察电针后溪穴治疗急性腰扭伤的疗效。方法将320例急性腰扭伤患者随机分组，其中观察组选用后溪穴电针治疗，对照组则选用腰痛穴电针治疗。结果与结论近期疗效比较，后溪穴有效率为89．38％，腰痛穴有效率为82．5％（P〈0．05），二者有显著差异；而远期疗效比较，后溪穴有效率为95．59％，腰痛穴有效率为93．50％（P〉0．05），二者并无明显差异。表明电针后溪穴与腰痛穴治疗急性腰扭伤，均有显著疗效，但电针后溪穴治疗急性腰扭伤的近期疗效优于腰痛穴。     

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.     

电针养老穴治疗急性腰扭伤42例

目的:观察电针养老穴治疗急性腰扭伤的临床疗效。方法:将84例急性腰扭伤患者随机分为治疗组和对照组,其中治疗组使用电针养老穴治疗,对照组电针委中、肾俞、大肠俞治疗。结果:临床疗效上治疗组有效率为95.24%,对照组有效率为71.43%,二者有显著差异(P<0.05)。结论:电针养老穴,与电针委中、肾俞、大肠俞治疗急性腰扭伤,均有显著疗效,但电针养老穴治疗急性腰扭伤的疗效优于传统穴位。     

电针治疗颈椎间盘突出症临床观察

目的对比观察电针与药物治疗颈椎间盘突出症的疗效差异。方法采用随机数字表将420例颈椎间盘突出症患者随机分组,电针组选用大椎、大杼、后溪穴,药物组用美洛昔康片治疗。结果近期疗效比较,电针组总有效率为95．7％,药物组总有效率为88．0％,两组疗效比较差异有统计学意义（P〈0．01）：远期疗效比较,电针组总有效率为99．0％,药物组总有效率为93．3％,两组疗效比较差异有统计学意义（P〈0．01）。结论电针大椎、大杼与后溪穴治疗颈椎间盘突出症,近期疗效和远期疗效均优于药物组。     

电针治疗急性腰扭伤的临床疗效与红外热像研究

目的观察电针治疗急性腰扭伤的临床疗效以及治疗前后腰部红外热像图的变化。方法采用随机数字表将295例急性腰扭伤患者随机分为电针组147例和药物组148例，电针组选用后溪穴治疗，药物组用美洛昔康片治疗，两组治疗前后进行腰部红外热像图的检查。结果电针组和药物组痊愈率分别为71．4％和42．6％：总有效率分别为93．9％和87．2％，两组差异均有统计学意义（均F〉0．01）：电针组与药物组红外热像图治疗前后温度差分别为为2．52℃和0．80℃，二者有显著性差异（P〈0．01）。结论电针组和药物组治疗急性腰扭伤均有显著疗效。但电针组的总体疗效要优于药物组，且电针组治疗前后红外热像图的升温效应也明显高于药物组。     

Clinical effect and infrared thermogram on electroacupuncture for acute lumbar sprain

目的：观察电针治疗急性腰扭伤的，临床疗效以及治疗前后腰部红外热像图的变化。方法：采用随机数字表将295例急性腰扭伤患者随机分为电针组147例和药物组148例，电针组选用后溪穴治疗，药物组用美洛昔康片治疗，各组治疗前后进行腰部红外热像图的检查。结果：电针组和药物组痊愈率分别为71．4％和42．6％；有效率分别为93．9％和87．2％（P〈0．01）；电针组与药物组红外热像图治疗前后温度差分别为为2．52℃和0．80℃（P〈0．01），二者有显著性差异。结论：电针组和药物组治疗急性腰扭伤均有显著疗效，但电针组的总体疗效优于药物组，且电针组治疗前后红外热像图的升温效应也明显高于药物组。     

针灸后溪透合谷治疗急性腰扭伤的临床观察

目的:观察针灸后溪透合谷治疗急性腰扭伤的临床疗效。方法:将纳入的60例急性腰扭伤患者随机分为治疗组和对照组两组,每组30例,其中治疗组选用针灸后溪透合谷治疗,对照组选用西药莫比可治疗,每日口服1次,每次7.5mg,两组在治疗7天后进行疗效评价。结果:治疗组有效率90.00%,对照组有效率66.67%,二者疗效差异有统计学意义(P0.05)。结论:针灸后溪透合谷治疗急性腰扭伤疗效优良,值得在临床推广。     

针刺治疗急性腰扭伤40例

目的：观察针刺治疗急性腰扭伤的疗效。方法：将80例急性腰扭伤患者随机分为2组，每组40例。针刺组针刺水沟、后溪、肾俞、大肠俞、委中，每日1次，3次为一疗程；药物组用尼关舒利分散片0.1g，每日2次，口服。两组在治疗7天后进行疗效评定。结果：针刺组总有效率97．5％，对照组90％，二者疗效比较差异有非常显著性意义（P〈0.01）。结论：针刺治疗急性腰扭伤有良好疗效。     

后溪-劳宫穴透刺治疗急性腰扭伤32例

目的 观察后溪-劳宫穴透刺治疗急性腰扭伤的临床疗效.方法 采用临床随机分组,后溪-劳宫穴透刺治疗32例为治疗组,以常规电针治疗30例为对照组;比较两组的临床疗效.结果 治疗组临床总有效率100%,对照组为90.00%;治疗组愈显率93.75%,首次治疗痊愈率56.25%,对照组愈显率为66.67%,首次治疗痊愈率为16.67%,二者比较有统计学差异.结论 后溪-劳宫穴透刺疗法较常规电针治疗见效快,疗效好.     

Clinical Study on Puncturing Houxi （SI 3） Toward Hegu （LI 4） plus Lumbar Movement for Acute Lumbar Sprain

Objective: To observe the therapeutic efficacy of puncturing Houxi (SI 3) toward Hegu (LI 4) plus lumbar movement in treating acute lumbar sprain. Methods: A total of 212 patients with acute lumbar sprain were randomized into two groups. There were 106 subjects in the observation group who were treated with puncturing Houxi (SI 3) toward Hegu (LI 4) plus lumbar movement; the other 106 patients in the control group were treated with puncturing Houxi (SI 3) toward Hegu (LI 4) alone. Therapeutic efficacy was evaluated after 2 treatment courses. Results: The total effective rate was 95.3% in the observation group versus 88.7% in the control group, and the difference was statistically insignificant between the two groups (P>0.05). However, in comparing the treatment times for achieving recovery and effectiveness, differences between the two groups were statistically significant (both P<0.05), indicating that integrated use of acupuncture and exercise is faster in realizing therapeutic effectiveness. Conclusion: By selecting fewer acupoints, puncturing Houxi (SI 3) toward Hegu (LI 4) is effective in treating acute lumbar sprain, and with the help of lumbar movement, it can achieve even better treatment effect.     

Clinical study on electroacupuncture for cervical intervertebral disc herniation

Objective： To compare the therapeutic efficacies between electroacupuncture （EA） and medication for cervical intervertebral disc herniation （ClDH）. Methods： Totally 420 patients with CIDH were randomized into two groups by random number table. 210 patients in the EA group were intervened by EA at Dazhui （GV 14）, Dazhu （BL 11） and Houxi （SI 3）, 210 patients in the medication group were treated by oral administration of Meloxicam tablets. Results： The average ranks of both short and long term efficacies in the EA group were significantly lower than that in the medication group （both P〈0.01）; there were significant differences in comparing the total effective rates of both short and long terms between the two groups （both P〈0.01）. It shows that EA group has better therapeutic efficacy than the medication group. Conclusion： EA is better than medication in comparing both short-term and long-term therapeutic efficacies in treating CIDH.     

电针夹脊配合围刺治疗带状疱疹疗效的随机对照观察

目的:观察电针夹脊配合围刺治疗带状疱疹镇痛及促进疱疹结痂的临床效果。方法:将80例急性期带状疱疹患者按随机数字表法分为针刺组(40例)和西药组(40例)。针刺组用电针夹脊穴配合皮损局部阿是穴围刺及远端支沟、后溪配穴治疗,每次30min,每日1次,共治疗10次;西药组用盐酸伐昔洛韦及维生素B1口服治疗,共治疗10d。观察两组临床疗效及疱疹结痂时间,并进行疼痛评价。结果:针刺组痊愈30例,好转7例,未愈3例,总有效率为92.5%;西药组痊愈15例,好转12例,未愈13例,总有效率67.5%;两者差异有统计学意义(P<0.01),针刺组疗效优于西药组。针刺组与西药组比较,疼痛评分及结痂面积大于50%所需时间差异均有统计学意义(P<0.01)。结论:电针夹脊配合围刺治疗能更有效地缓解带状疱疹所引起的疼痛,并能促进疱疹结痂,缩短病程。     

Effect of electroacupuncture combined with tuina on lumbar muscle tone in patients with acute lumbar sprain

Objective： To observe the clinical effect of electroacupuncture（EA）combined with tuina on acute lumbar sprain and lumbar muscle tone before and after treatment. Methods： A total of 130 acute lumbar sprain cases were randomly allocated into an observation group and a control group, 65 in each group. Cases in the observation group were treated with EA combined with tuina, whereas cases in the control group were treated with Diclofenac Sodium Dual Release Enteric-coated capsules. The muscle tones in two groups were tested before and after treatment. Results： The recovery rate and overall response rate in the observation group were 66.2% and 93.8% respectively, versus 56.9% and 87.7% in the control group, showing no between-group statistical significances（P〉0.05）. After treatment, the force-displacement area under curve（AUC） in both groups showed a significance difference（P〈0.05）. Conclusion： Both EA combined with tuina and aforementioned oral medication have remarkable effects for acute lumbar sprain, and the former can better improve the lumbar muscle tone in patients with acute lumbar sprain.     

施氏手法按压耳穴配合中药治疗急性腰扭伤疗效观察

目的观察施氏手法按压耳穴配合中药治疗急性腰扭伤的临床疗效。方法将60例急性腰扭伤患者随机分为治疗组和对照组,每组30例。治疗组采用耳穴配合中药治疗,对照组采用单纯中药治疗。对比两组近期和远期疗效。结果两组患者近期疗效比较,差异具有统计学意义（P〈0．05）。两组患者远期疗效比较,差异无统计学意义（P〉0．05）。结论耳穴配合中药是一种治疗急性腰扭伤的有效方法。