耳后拔罐配合电针治疗周围性面神经麻痹临床观察

目的观察耳后拔罐配合电针治疗周围性面神经麻痹的疗效。方法将75例周围性面神经麻痹患者随机分为两组,分别采用耳后拔罐配合电针（观察组38例）和单纯电针（对照组37例）治疗,观察组在耳后施以火罐闪罐后留罐5min。治疗前后采用House—Braekmann（H-B）面神经功能评级及Nottingham分级系统量化进行评定。结果两组治疗前后自身对照评分比较差异有统计学意义（P〈0．05）,两组治疗后评分组间比较差异有统计学意义（P〈0．05）。观察组平均痊愈时间、平均显效时间、平均有效时间明显短于对照组（P〈0．05,P〈0．01）。结论耳后拔罐配合电针治疗周围性面神经麻痹疗效优于单纯电针,且能明显缩短疗程。     

背俞穴埋线治疗抑郁症的随机对照试验研究

【目的】观察背俞穴埋线治疗抑郁症的临床疗效。【方法】采用随机对照试验研究方法,将60例诊断为抑郁症的患者随机分为治疗组(31例)和对照组(29例)。治疗组采用背俞穴埋线,对照组采用普通电针治疗。4周为1个疗程,共治疗2个疗程。治疗前及治疗8周后应用汉密尔顿(HAMD)量表(17项)、中医证候量表和睡眠积分量表进行评分,以评价临床疗效。【结果】(1)治疗后治疗组临床疗效显著优于对照组,差异有统计学意义(P<0.05)。(2)治疗后2组均能显著减少HAMD量表、中医证候量表及睡眠积分量表评分,与治疗前比较差异有统计学意义(P<0.01);2组间比较,治疗组在改善HAMD量表、中医证候量表和睡眠积分量表评分方面均优于对照组,差异有统计学意义(P<0.05)。【结论】背俞穴埋线能全面改善抑郁患者的抑郁症状,其疗效优于电针治疗。     

针刺治疗腰椎间盘突出症与病理分型及病程的相关性

目的:观察腰椎间盘突出症不同病理类型、病程与针刺疗效的关系,探讨腰椎间盘突出症针刺治疗的适应证和时机。方法:采用针刺金门、外丘、梁丘等穴位为主治疗腰椎间盘突出症41例(治疗组),与常规针刺法治疗35例(对照组)相对照,同时两组都配合穴位注射当归注射液。结果:治疗线和对照组均取得了良好的效果,总有效率分别为97.6%和85.7%。病理类型属于膨出型和突出型及病程短、急性炎症期治疗效果好;病理类型属于髓核脱出型及病程久、慢性恢复期者治疗效果较差。结论:针刺治疗腰椎间盘突出症具有良好的疗效,尤其是病理类型属于膨出型和突出型者,急性炎症期亦为针刺治疗最佳的时机。     

通痹止痛散穴位外敷配合针刺治疗急性期颈椎病40例临床观察

采用“通痹止痛散”外敷阿是穴、大椎、大抒、百劳、外阳陵泉等穴位,配合常规针刺治疗急性期颈椎病40例,并随机选择35例以常规针刺治疗作对照组。结果:治疗组治愈率52.50％、总有效率92.5％、平均疗程14.2±1.3天;对照组治愈率35％、总有效率91.4％、平均疗程26.5±1.8天。两组治愈率、平均疗程比较差异均有显著性意义、总有效率比较无明显差异。表明治疗组既能提高治愈率,又能缩短疗程。     

针刺特定穴合痹痛散外敷治疗急性期腰椎间盘突出症32例疗效观察

目的:观察针刺特定穴合痹痛散穴位外敷治疗急性期腰椎间盘突出症疗效。方法:针刺外丘、侠溪、金门、委中、委阳等特定穴,阿是穴深刺,配合自制痹痛散外敷阿是穴、腰阳关、大肠俞、关元俞、环跳、阳陵泉等穴位,治疗急性期腰椎间盘突出症32例,并随机选择30例以常规针刺治疗作对照组。结果:治疗组32例中,总有效率90.63％,平均疗程26.28±3.68天;对照组30例中,总有效率73.33％,平均疗程33.85±3.25天。疗效经Ridit分析,平均疗程经t检验,均有显著性差异(P<0.05或P<0.01)。结论:治疗组可提高疗效,缩短疗程。其作用机理与消除局部炎症反应、神经根水肿、减少化学致癌物质有关。     

症状体征量化评分法评价腰椎间盘突出症的临床疗效

对80例腰椎间盘突出症患者予以综合康复治疗后,应用自拟症状、体征、生活质量等量化评分以评价其疗效,并与FairbankJC的“腰痛病情计分法”对其疗效评价进行对照研究。结果:自拟症状、体征、生活质量等量化计分法评价效果优于对照方法,表明本法可以作为腰椎间盘突出症的疗效评价较客观的方法之一。     

电针对血瘀型腰椎间盘突出症疗效及血液流变学IL-6的影响

目的:观察针刺治疗血瘀型腰椎间盘突出症临床疗效及对其血液流变学、IL-6的影响。方法:将入选病例60例随机分为治疗组、对照组各30例。治疗组针刺L4-S1夹脊穴,外丘、委中、侠溪等特定穴;对照组常规针刺治疗。同时观察两组治疗前后IL-6及血液流变学的变化。结果:治疗1个疗程后,根据症状体征量化积分及疼痛评估采用视觉模拟评分法(VAS法)评价疗效,治疗组与对照组治疗后积分分别为(18.47±10.46),(22.67±10.9);(3.47±1.45),(5.67±1.52),经t检验,P<0.001。疗效经Ridit分析,P=0.012,治疗组与对照组均可改善IL-6及血液流变学。结论:治疗组临床疗效,疼痛减轻程度,改善直腿抬高试验等优于对照组。其作用机理可能与改善IL-6及血液流变学,从而消除神经根炎症有关。     

Thirty Cases of the Blood-Stasis Type Prolapse of Lumbar Intervertebral Disc Treated by Acupuncture at the Xi （cleft） Point plus Herbal Intervention Injection

Objective:To observe the clinical therapeuric effects and explore the mechanism of acupuncture at the xi (cleft)points combined witll herbal intervention injection for treatment of prolapse of the lumbar intervertebral disc with TCM symptoms and signs of blood stasis.Methods:The 60 CaSeS in this series were randomly divided into a treatment group and a control group,30 cases in each group.The patients in the treatment group were treated by acupuncture at Jiaji L4-S1,Waiqiu(GB 36),Weizhong(BL 40)and Xiaxi (GB 43)plus intervention injection of Gegensu Zhusheye(葛根素注射液 Puerarin Injectio).The patients of the control group were given the routine acupuncture combined with injection of Gegensu Zhusheye (葛根素注射液 Puerarin Injectio)into the Ashi points.The changes in interleukin-6(IL-6) and hempdynamics were observed before and after treatment in both the two groups.Resuits:The total therapeutic effect in the treatment group was obviously better(P＜0.05)and the treatment course was obviously shorter than that of the control group(P＜0.01).After the treatment,the total score,the visual analog scale(VAS)pain-evaluating score,and the score in straight-leg raising test were obviously improved in both the two groups,in which the improvement in the treatment group shown by the score in straight-leg raising test and the total score superior to that of the control group(P＜0.05).The IL-6 level,red blood cell ratio,K value of blood sedimentation equation.and whole blood high shearing specific viscosity were improved in both the two groups.but the treatment group showed better improvement than that of the control group in the red blood cell ratio,K value of blood sedimentation,and IL-6 level(P＜0.05 or P＜0.01).Conclusions:The treatment group was superior to the control group in improvement of the symptoms and signs,the daily life ability,and in pain alleviation.The mechanism is possibly related witb the improvement in the IL-6 level and hemodynamic indexes.which may promote the subsidence of inflammation of the nerve roots.     

直接灸治疗面瘫36例临床观察

采用随机法将面瘫（病程３个月以上者）６６例分为治疗组直接灸３６例，对照组针刺治疗３０例。治疗组以小麦粒艾炷隔姜灸面部穴位及直接非疤痕灸足三里、合谷、中腕、气海、关元、脾俞、肝俞。结果：治疗组总有效率８８．９％，平均疗程２８天；对照组总有效率６０％，平均疗程３５天。经统计学处理，两组总有效率、平均疗程均有显著性差异，表明治疗组既能提高疗效，又能缩短疗程。