针刺配合西医常规疗法治疗突发性耳聋50例临床观察

目的 :观察针刺配合西医常规疗法治疗突发性耳聋的临床疗效。方法 :将患者随机分为治疗组 5 0例 5 4耳 ,对照组 4 6例 5 0耳 ,治疗组在西医常规治疗的基础上加用针刺治疗 ,对照组仅予西医常规治疗。结果 :治疗组总有效率 85 2 % ,对照组总有效率 6 4% ,治疗组疗效优于对照组 (P <0 0 5 )。结论 :针刺配合西医常规疗法治疗突发性耳聋优于单纯西医常规治疗。     

不同留针时间对针刺治疗缺血性中风疗效的影响

目的:观察不同留针时间对针刺治疗缺血性中风疗效的影响。方法:将251例缺血性中风患者按病情程度分层随机分为3组,针刺留针时间分别为20、40和60分钟。主要观察神经功能缺损程度评分及临床疗效。结果:3组治疗后神经功能缺损程度评分变化比较,经Wilcoxon配对符号秩和检验,除水平凝视变化外,其余指标治疗前后变化差异均有非常显著性意义(P<0.01);3组治疗前后神经功能缺损程度评分差值平均秩比较,上肢肌力、手肌力和总分3个指标组间差异有显著性或非常显著性意义(P<0.05,P<0.01);3组上肢肌力、手肌力、总分等3个指标变化,用Mann-Whitney两样本秩和检验进行组间两两比较,结果20分钟组与60分钟组比较,差异有显著性意义(P<0.05),40分钟组与60分钟组之间上肢肌力比较,差异有显著性意义(P<0.05);3组疗效比较,经Kruskal-Wallis秩和检验,差异有非常显著性意义(P<0.01),经Mann-Whitney秩和检验,组间两两比较,40分钟组与60分钟组差异有显著性意义(P=0.013),20分钟组与60分钟组比较,差异有非常显著性意义(P=0.000)。结论:留针时间与针刺治疗缺血性中风的疗效存在一定时效联系。     

INFLUENCE OF DIFFERENT NEEDLE-RETAINING TIME ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE IN THE TREATMENT OF ISCHEMIC STROKE

Objective: To explore the relationship between the needle-retaining time and the therapeutic effect of acupuncture in the treatment of ischemic stroke patients. Methods: Based on the level of the severity of the patient's disease and the duration of acupuncture needle-retaining, 245 ischemic stroke inpatients were divided into 20 min, 40 min and 60 min groups according to the stratified random method. Acupoints used were Jianyu (肩髃 LI 15), Quchi (曲池 LI 11), Waiguan (外关 TE 5), Hegu (合谷 LI 4), etc. and stimulated electrically (2 Hz, sparse waves, an endurable strength) for 20 min, 40 min and 60 min respectively by using an electroacupuncture therapeutic apparatus. The treatment was given once daily, with 10 sessions being a therapeutic course. The severity of clinical neurological deficit was scored before and after the treatment. Results: The results showed that acupuncture could improve the neurological deficit severity of ischemic stroke patients. The therapeutic effect of acupuncture in improving myodynamia of the upper limbs and hands, and the total score of 60 min group was the best, followed by 40 min group and 20 min group respectively, indicating that longer duration of acupuncture needle retention has a better therapeutic effect in the treatment of stroke. Conclusion: There is a positive relationship between the needle-retaining time and the curative effect in improving ischemic stroke patients' clinical symptoms and signs by acupuncture.     

针刺治疗十二指肠侧瘘1例

患者，女性，５８岁，农民。因“十二指肠球部溃疡并大出血”于１９９５年４月１９日在我院外科行胃大部分切除术，十二指肠溃疡切开止血。术后未见黑便，血压平稳。但腹胀渐加重，持续发热，体温３８～４０℃，血常规检查白细胞１６．７×１０９／Ｌ。４月２６日Ｂ超提示...     

An Observation on the Acupuncture Treatment of Ischemic Wind-Stroke with Different Lengths of Needle-retaining Time

Objective:To observe the effects of different lengths of needle-retaining time on the therapeutic results ofacupuncture treatment for ischemic wind-stroke. Methods:According to the severity of disease,251 casesof ischemic wind-stroke were randomly divided into 3 groups and treated by acupuncture,with theneedle-retaining time lasting 20,40,and 60 minutes respectively. Observation was mainly focused on thescores of nervous dysfunction and the clinical therapeutic results. Results:The comparison of the scores ofnervous dysfunction in the 3 groups before and after the treatment showed that under Wilcoxon'spair-match symbol rank test,except for horizontal gaze,other indexes all showed significant differences(P<0.01). In the between-group comparison before and after the treatment,there showed significant orvery significant differences in the indexes of myodynamia of the upper limb,myodynamia of hand and thetotal scores (P<0.05,P<0.01). In the between-group comparison by Mann-Whitney rank test of theindexes Of myodynamia of upper limb,myodynamia of hand and the total scores,the 20-rain. group andthe 60-min. group showed significant differences (P<0.05);and 40-min. group and 60-rain. group showedsignificant differences in myodynamia of upper limb (P<0.05). In comparison of the therapeutic effects ofthe 3 groups by Kruskal-wallis rank test,there showed very significant differences (P<0.01). In thebetween-group comparison by Mann-Whitney rank test,the 40-min.group and 60-min. group showedsignificant differences (P=0.013);while the 20-min. group and 60-min. group showed very significantdifferences (P=0.000). Conclusion:There is a time-effect relationship between the length ofneedle-retaining time and the therapeutic effects of acupuncture for ischemic wind-stroke.     

不同留针时间针刺对缺血性中风患者血液流变学的影响

目的:观察不同留针时间针刺对缺血性中风患者血液流变学的影响,探索针刺治疗缺血性中风的时效关系。方法:251例缺血性中风急性期、恢复期患者,按轻度、中度和重度分3层随机分为留针20、40和60 min 3组。取肩髃、曲池、外关、合谷、伏兔、足三里、解溪、太冲等穴。进针后提插或捻转行针以使得气,施平补平泻手法,加疏波电刺激,3组留针时间分别为20、40和60 min,每天针刺1次,10次为1疗程。其中34例患者在针刺治疗前后分别进行血液流变学检测。结果:3组患者分别基本痊愈3、4、9例,显著进步15、17、21例,进步24、33、40例,无变化41、26、12例,有效率分别为50.60%、67.50%和85.37%,显效率分别为21.68%、26.25%和36.59%,20 min组和40 min组与60 min组比较差异存在显著性统计学意义(P<0.01,0.05)。针刺后患者的全血高切黏度、全血低切黏度、血浆黏度、红细胞压积和纤维蛋白原等血液流变学指标基本都降低,组间差异也均存在显著性统计学意义,以60 min组作用最明显。结论:改善血液流变学是针刺治疗缺血性中风的机制之一,且具有一定的时效关系。