针灸奇经络脉为主治疗眼肌型重症肌无力60例

目的:探寻治疗眼肌型重症肌无力的有效疗法.方法:选取眼肌型重症肌无力患者60例,针刺督脉穴大椎、百会、上星,以及睛明、申脉、地仓、巨髎、承泣等与阴阳跷脉交会穴为主,并于阳白、四白行隔姜灸,梅花针叩刺手太阴肺经、手少阴心经、手厥阴心包经于上肢的循行路线,观察患者临床症状、低频重复神经刺激(RNS)电位衰减百分率.结果:痊愈8例,基本痊愈20例,显效12例,好转15例,无效5例,总有效率达91.7％.治疗后肌电图低频重复神经刺激电位衰减百分率较治疗前降低[(19.44±6.28)％vs(8.78±3.12)％,P＜0.05].结论:针灸奇经络脉为主治疗眼肌型重症肌无力疗效确切.

Sixty cases of ocular myasthenia gravis treated with acupuncture and moxibustion at extra-meridian and collateral

ObjectiveTo explore effective therapeutic method for the treatment of ocular myasthenia gravis.MethodsSixty cases of ocular myasthenia gravis were selected. The acupuncture was applied at Dàzhuī

GV 14), B

ihuì (

) GV 20), Shàngxīng (

GV 23) of Governor Vessel, and its crossing points with Yinqiao and Yangqiao Meridian, such as Jīngmíng (

BL 1), shēnmài (

BL 62), Dìcāng (

ST 4), Jūliáo (

ST 3), Chéngqì (

ST 1), etc. Besides, ginger-partition moxibustion was applied at Yángbái (

GB 14) and Sìbái (

ST 2). The plum-blossom needle was applied at upper limb distribution of lung channel of hand taiyin, heart channel of hand shaoyin and pericardium channel of hand jueyin. The patients’ clinical symptoms, potential degradation percentages of repetitive nerve stimulation (RNS) in low frequency were observed.Results8 cases were clinically cured, 20 cases were basically cured, 12 cases were remarkably effective, 15 cases were effective and 5 cases were failed. The total effective rate was 91.7%. Compared with before the treatment, the potential degradation percentages of repetitive nerve stimulation in low frequency were lowered [(19.44±6.28)% vs (8.78±3.12)%, (P<0.05)].ConclusionAcupuncture and moxibustion at extra-meridian and collateral for ocular myasthenia gravis could achieve positive efficacy.