开四关治疗痰火内扰型小儿抽动秽语综合征临床观察

目的：观察毫针刺四关穴治疗痰火内扰型小儿抽动秽语综合征(PTS)的临床疗效。方法：选取48例痰火内扰型PTS患者随机分为试验组与对照组(每组24例),对照组采用西药常规治疗,试验组在此基础上采用针刺开四关法治疗。此两组针对运动性抽动和发声性抽动分别进行评估,得出耶鲁抽动症整体严重度量表的评估得分,使之和临床疗效有进一步的比较分析。结果：试验组总有效率为95.83%,对照组58.33%,试验组疗效优于对照组(P<0.05),试验组缓解发声性和运动性抽动症状的效果优于对照组(P＜0.05)。结论：开四关法毫针刺治疗PTS疗效确切,对发声性抽动的改善明显,操作简单,安全性高,值得临床推广。     

针刺对实验性癫痫大鼠痫性发作行为与脑电图的影响

目的:探讨针刺对实验性癫痫大鼠痫性发作行为与脑电图的影响。方法:40只大鼠随机分为空白组、模型组、针刺组、西药组,分组进行预处理后,以腹腔注射青霉素造成大鼠急性癫痫模型,观察造模后70分钟内痫性发作的潜伏期、痫性发作行为表现与造模后70~80分钟内脑电图的变化。结果:①针刺组、西药组大鼠的痫性发作潜伏期均比模型组延长(P<0.05),但两组间比较差异无显著性意义(P>0.05);②针刺组大鼠出现的痫性行为全身抽动、窜动的次数均比模型组明显减少(P<0.01),针刺组的窜动次数明显少于西药组(P<0.01);③模型组大鼠脑电电压显著升高、脑电频率A明显减慢(P<0.01),针刺可显著降低脑电电压、使脑电频率A增快(P<0.01),其作用与西药相同,但对频率B无明显影响。结论:针刺可延长癫痫发作的潜伏期、减少癫痫发作症状、抑制痫性放电幅度、调整脑电频率,具有显著的抗痫作用。     

CLINICAL SIGNIFICANCE OF“TREATING VITALITY” AND “RESERVING VITALITY”

"Treating vitality"and"reserving vitality"are very important manipulations during acupuncture treatment of diseases. "Treating vitality" comprises adjusting and treating both the acupuncture doctor's and the patient's vitality; while "reserving vitality" demands the acupuncture doctor carefully to experience the sensations of 'excess' or 'deficiency' under the needle, wait for the arrival of qi, observe the patient's responses, and then perform reducing or reinforcing needling manipulations in accordance with the state of excess- or deficiency- syndrome. "Treating vitality" and "reserving vitality" impenetrate the whole process of acupuncture treatment all along. Through years' clinical practice, the author of the present paper discusses the functions of the two aspects in every stage of acupuncture treatment, including before acupuncture, during needle insertion, during retention and withdrawal of the needle. The purpose of this paper is to explain the clinical significance of treating and reserving vitality and arouse many acupuncture doctors' attention.     

ACUPUNCTURE AND GLAUCOMA

Glaucomaisthecommondisorderresultinginblindnessinclinic.Itisestimatedthatof67millionpatients6.7millionpatientssufferfromblindnessfinallyintheworld.AccordingtoHu scalculationandinvestigationof glaucomagroupinChinain1989thatofthegroupagedover40years,9.6mill…     

CLINICAL OBSERVATION ON 40 CASES OF ANKYLOSING SPONDYLITIS TREATED WITH ACUPUNCTURE AND CHINESE DRUGS

Ankylosing spondylitis(AS)is a systemic dis-ease marked by chronicinflammation of the sacro-iliacjoint and the spinal column.Its pathologic changesare inflammation of the attachment point of the mus-cle tendons and ligaments,rigidity,deformity andeven severe dysfunction of the spineinthelate stage.This disease is mostly seenin young and middle-agedpeople,possesses an obviousfamilial disposition andisclosely related to human leukocyte antigen(HLA)-B27.But its pathogenic causes remain unknown …     

ADVANCES IN CLINICAL AND EXPERIMENTAL STUDIES ON ACUPUNCTURE TREATMENT OF ACUTE CEREBRAL HEMORRHAGE

Acupuncturehasbeenwidelyusedfortreating cerebralhemorrhage(CH)atthestationary,recovery andsequelaestages,anditstherapeuticeffecthas beenconfirmedclinically.Withthegraduallydeep enedexperimentalstudiesonthemechanismsof acupunctureandtheincreaseofknowledgeabout cerebralphysiologyandpathology,experimentalre searchonclinicalapplicationofacupuncturetherapy foracuteCHhasbeenmadeatmultiplelevelsahead ofclinicalstudy.Inaddition,withtheexpansionof clinicalapplication,acupuncturetherapyhasbeenal readyu…     

TREATMENT OF CEREBRAL PALSY WITH APHASIA BY LINGUISTIC TRAINING COMBINED WITH ACUPUNCTURE

Aphasiaisaconcurrentdisorderofcerebralpalsy(CP)childrenanditsincidencerateisbout70%-75%[1].Itoftenbringsthepatientwithseveredisor dersindaily lifeself careanddirectlyhindsthechild patient’scognitivedevelopment,learningandsocial intercourse.Thus,therehabilitationtreatmentofCP children’saphasiaisveryimportant.FromMay2000toDecember2001,theauthorsofthepresentpaper observedthetherapeuticeffectof“consciousness restoringneedling”pluslinguistictraininginCPchil dren.Followingisthereport.1CLIN…     

铋剂四联疗法联合针刺督脉背段压痛穴位治疗Hp感染性胃溃疡疗效分析

【摘要】 目的 分析铋剂四联疗法联合针刺督脉背段压痛穴位治疗脾胃虚寒型幽门螺杆菌 (Hp) 感染性胃溃疡的临床疗效。 方法 选取 2020 年 1 月至 2021 年 12 月河南科技大学第一附属医院收治的 80 例脾胃虚寒型 Hp感染性胃溃疡患者作为研究对象, 按照不同治疗方法将其分为联合组 (40 例) 与对照组 (40 例), 联合组患者采用铋剂四联疗法联合针刺督脉背段压痛穴位治疗, 对照组患者单纯采用铋剂四联疗法治疗, 对比观察两组患者中医症候评分、 溃疡长径、 血清胃泌素 (GAS) 水平、 Hp 转阴率及临床疗效。 结果 治疗 14 d 后, 联合组患者胃脘疼痛、 食后腹胀、 嗳气泛酸、 恶心反胃评分以及血清 GAS 水平均明显低于对照组 ( t = 6.910、 6.318、7.140、 9.345、 8.819, P 均<0.001), 溃疡长径明显短于对照组 (t = 18.860, P<0.001); 联合组患者 Hp 转阴率为 87.5%, 明显高于对照组患者的 Hp 转阴率 67.5% (χ2 = 4.588, P= 0.032); 联合组患者中显效 26 例、 有效 11例、 无效 3 例, 明显优于对照组患者的显效 19 例、 有效 10 例、 无效 11 例 (Z = -1.997, P = 0.046)。 结论 铋剂四联疗法联合针刺督脉背段压痛穴位治疗脾胃虚寒型 Hp 感染性胃溃疡, 可明显降低 GAS 水平, 提高 Hp 转阴率, 改善患者脾胃虚寒症状, 促进溃疡愈合。     

剪切波弹性成像在针灸治疗肩胛间区肌筋膜疼痛综合征中的应用价值

目的 探讨剪切波弹性成像（SWE）在针灸治疗肩胛间区肌筋膜疼痛综合征（MPS）中的应用价值。方法 前瞻性收集于我院接受针灸治疗的肩胛间区MPS患者39例,其中针对肩胛间区疼痛区域行针灸治疗15例（局部对症治疗组）,针对颈部肩胛背神经走行区行针灸治疗24例（颈部肩胛背神经治疗组）,均每周治疗3次,连续治疗2周,应用视觉模拟（VAS）评分评估其临床疗效,并计算总有效率;应用SWE测量治疗前后菱形肌内、外侧筋膜杨氏模量平均值（Emean）,比较两组治疗前、后Emean及总有效率。结果 局部对症治疗组和颈部肩胛背神经治疗组治疗后VAS评分均较治疗前明显下降,总有效率为92.3%(36/39),其中痊愈8例,显效22例,有效6例,无效3例,局部对症治疗组总有效率为80.0%(12/15),颈部肩胛背神经治疗组总有效率为100%(24/24),两组总有效率比较差异有统计学意义（P<0.05）。治疗前,局部对症治疗组菱形肌内、外侧筋膜Emean分别为21.09(18.31,32.33)kPa、28.82(18.42,36.49)kPa,颈部肩胛背神经治疗组菱形肌内、外侧筋膜Emean分别为23...     

头针为主治疗急性脑梗塞近期疗效对比观察

方法：治疗组66例采用穴位皮内注射结合头皮电针治疗急性脑梗塞,对照组62例采用西医常规治疗。结果：差异具有显著意义（P＜0.05）,说明前者疗效优于后者。