腹针配合局部围刺灸治疗带状疱疹后遗神经痛50例

目的:观察腹针配合局部围刺灸治疗带状疱疹后遗神经痛的疗效。方法:将100例带状疱疹后遗神经痛患者随机分为治疗组50例,采用腹针配合局部围刺灸法,对照组50例则常规取穴治疗,采用疼痛缓解视觉摸拟评分法(VAS)评价疼痛缓解程度,并观察两组疗效。结果:治疗组总有效率为100%,对照组为78%,治疗组疗效明显优于对照组(P<0.05)。提示:腹针配合局部围刺灸法治疗带状疱疹后遗神经痛疗效好,痛苦小,值得临床推广。     

针灸综合疗法治疗带状疱疹后遗神经痛33例临床观察

目的:观察针灸综合疗法治疗带状疱疹后遗神经痛的临床疗效。方法:将66例带状疱疹后遗神经痛患者随机分为治疗组与对照组,每组各33例。治疗组采用梅花针、电针、灸法综合治疗,对照组口服加巴喷丁胶囊、甲钴胺胶囊治疗,观察比较2组综合疗效、视觉模拟疼痛量表(VAS)评分、匹兹堡睡眠质量指数(PSQI)。结果:愈显率治疗组为75.76%(25/33),高于对照组的39.39%(13/33),2组比较,差异有统计学意义(P 0.05); 2组治疗后VAS、PSQI评分均有改善,且治疗组均明显优于对照组,两两比较,差异均有统计学意义(P 0.05)。结论:梅花针、电针、灸法综合治疗带状疱疹后遗神经痛临床疗效颇佳,值得在临床上推广。     

简易埋线法配合电针治疗带状疱疹后遗神经痛的临床研究

目的:观察简易埋线法配合电针治疗带状疱疹后遗神经痛的临床疗效及安全性。方法:采用spss软件将120例带状疱疹后遗神经痛患者随机分为2组(各60例),治疗组在电针基础上施以注射针埋线,对照组单纯电针治疗,4周后判定疗效。结果:治疗组完成55例,愈显率83.6%;对照组完成56例,愈显率73.2%;两组综合疗效、镇痛起效时间比较无统计学差异,治疗后疼痛VAS评分、镇痛维持时间、疼痛消除时间具有统计学差异(P0.05),均无明显不良反应。结论:简易埋线法配合电针治疗带状疱疹后遗神经痛可加强镇痛疗效,缩短病程。     

电针围刺联合放血疗法治疗带状疱疹后遗神经痛的临床观察

目的：探讨电针围刺联合放血疗法治疗带状疱疹后遗神经痛的临床疗效。方法：选取76例带状疱疹后遗神经痛患者,随机分为对照组和治疗组,每组38例。对照组采用常规电针疗法治疗,治疗组采用电针围刺联合放血疗法治疗。比较两组患者治疗前后视觉模拟评分法（VAS）评分、匹兹堡睡眠质量指数（PSQI）评分,评估临床疗效。结果：治疗组总有效率为89.47%(34/38),高于对照组的71.05%(27/38),差异具有统计学意义（P <0.05）。治疗组治疗前后VAS、PSQI评分比较,差异均有统计学意义（P<0.05）。治疗后,治疗组VAS、PSQI评分均低于对照组,差异均有统计学意义（P<0.05）。治疗组治疗前后VAS评分差值、PSQI评分差值均大于对照组,差异均有统计学意义（P<0.05）。两组患者治疗过程中均未出现不良反应。结论：采用电针围刺联合放血疗法治疗带状疱疹后遗神经痛,能明显缓解患者疼痛,改善其睡眠质量,提高临床疗效。     

电针夹脊穴配合围刺治疗带状疱疹后遗神经痛临床研究

目的观察电针夹脊穴结合围刺治疗带状疱疹后遗神经痛的临床疗效。方法将60例急性带状疱疹后遗神经痛患者随机分为两组,治疗组用电针夹脊结合围刺治疗,对照组口服卡马西平、维生素B1、维生素B12。观察两组临床疗效及VAS评分、汉密顿焦虑量表(HAMA)评分的变化。结果治疗组临床疗效优于对照组,其疼痛VAS评分、焦虑HAMA评分的改善亦优于对照组。结论电针夹脊穴配合围刺治疗带状疱疹后遗神经痛,能有效减轻患者的疼痛症状。     

火针联合聚肌胞穴位注射治疗带状疱疹后遗神经痛临床观察

目的:观察火针联合夹脊穴穴位注射聚肌胞注射液治疗带状疱疹后遗神经痛的临床疗效。方法:将带状疱疹后遗神经痛患者186例随机分为对照组和治疗组各93例,对照组采用电针夹脊穴或阿是穴治疗,治疗组采用火针联合夹脊穴穴位注射聚肌胞注射液治疗,3个疗程后观察患者临床疗效及SF-36评分、VAS评分情况。结果:两组治疗后SF-36评分高于治疗前,VAS评分低于治疗前,对照组SF-36评分低于治疗组,VAS评分高于治疗组;总有效率治疗组为92.5%(86/93),高于对照组的79.6%(74/93)(P0.05)。结论:火针联合夹脊穴穴位注射聚肌胞注射液治疗带状疱疹后遗神经痛疗效优于电针夹脊穴或阿是穴治疗。     

滚针配合拔罐治疗带状疱疹后遗神经痛疗效观察

目的观察滚针配合拔罐治疗带状疱疹后遗神经痛的临床疗效。方法将60例带状疱疹后遗神经痛患者随机分为治疗组和对照组,每组30例。两组均口服甲钴胺片治疗,对照组在此基础上采用电针治疗,治疗组在对照组基础上采用滚针配合拔罐治疗。观察两组治疗前后VAS评分及睡眠评分变化情况,并比较两组临床疗效。结果治疗组总有效率为93.3%,对照组为80.0%,两组比较差异具有统计学意义(P0.01)。两组治疗后VAS评分及睡眠评分与同组治疗前比较,差异均具有统计学意义(P0.05)。治疗组治疗后VAS评分及睡眠评分与对照组比较,差异均具有统计学意义(P0.05)。结论滚针配合拔罐是一种治疗带状疱疹后遗神经痛的有效方法,能改善患者睡眠质量。     

火针配合耳穴压豆治疗带状疱疹后遗神经痛疗效观察

目的：观察火针配合耳穴压豆治疗带状疱疹后遗神经痛的疗效。方法：将122例带状疱疹后遗神经痛患者随机分为治疗组（61例）和对照组（61例）,治疗组采用火针配合耳穴压豆治疗,对照组采用单纯电针治疗,比较两组临床疗效及疼痛程度。结果：治疗组总有效率高于对照组（P〈0.05）,VAS评分低于对照组（P〈0.05）。结论：火针配合耳穴压豆治疗带状疱疹后遗神经痛疗效显著,方法简便,有利于在基层医院推广使用。     

芒针配合红光照射治疗带状疱疹后遗神经痛疗效观察

目的观察芒针配合红光照射治疗带状疱疹后遗神经痛的临床疗效。方法将70例带状疱疹后遗神经痛患者随机分为治疗组和对照组,每组35例。治疗组采用芒针配合红光照射治疗,对照组采用口服普瑞巴林胶囊治疗。观察两组治疗前后视觉模拟评分(VAS)及生存质量评分(QOL),比较两组临床疗效。结果治疗组总有效率为97.1%,对照组为71.4%,两组比较差异具有统计学意义(P0.05)。两组治疗后VAS评分和QOL评分与同组治疗前比较,差异均具有统计学意义(P0.05)。治疗组治疗后VAS评分和QOL评分与对照组比较,差异均具有统计学意义(P0.05)。结论芒针配合红光照射能有效缓解带状疱疹后遗神经痛。     

电针夹脊穴配合穴位注射治疗带状疱疹后遗神经痛的疗效评价研究

目的 观察电针夹脊穴结合穴位注射治疗带状疱疹后遗神经痛的临床疗效.方法 将60例带状疱疹后遗神经痛患者随机分为两组,治疗组用电针夹脊结合穴位注射治疗,对照组口服卡马西平片、维生素B1、维生素B12.两组均7d为1疗程,共计2个疗程.结果 治疗组临床疗效优于对照组（P＜0.05）,其疼痛VAS评分、焦虑量表HAMA评分的改善亦优于对照组（P＜0.05）.结论 电针夹脊穴配合穴位注射治疗带状疱疹后遗神经痛,能有效减轻患者的疼痛症状,治疗效果优于西药治疗.     

不同针灸方法治疗带状疱疹(急性期)疗效的比较

目的:比较不同针灸方法治疗带状疱疹(急性期)的疗效。方法:通过多中心临床随机对照试验,将189例急性期带状疱疹患者随机分为5组:基础针刺组、铺棉灸组、火针组、叩刺拔罐组、西药组。基础针刺组取阿是穴(围刺)、夹脊(电针)、支沟(电针)、后溪(电针),铺棉灸组、火针组、叩刺拔罐组在基础针刺组的基础上分别施以铺棉灸、火针、叩刺拔罐,西药组口服盐酸伐昔洛韦胶囊(300mg/次,2次/d)、维生素B1(10mg/次,3次/d),均每日治疗1次,共治疗10d。比较不同方法治疗前后疱疹评价指标(包括止疱时间、结痂时间、脱痂时间)、疼痛强度的变化和综合疗效。结果:在疱疹止疱时间、结痂时间、脱痂时间和综合疗效方面,5组之间的差异均无统计学意义(P>0.05);5组患者疼痛强度比较,治疗第1-6天差异无统计学意义(均P>0.05),治疗第7-10天4个针灸组均明显低于西药组(P<0.05),而4个针灸组间比较差异仍无统计学意义(P>0.05);各组治疗结束时的疼痛强度与本组治疗前比较,差异均有统计学意义(P<0.05)。结论:4种针灸疗法治疗带状疱疹(急性期)疗效基本相当,在疱疹止疱、结痂、脱痂时间及综合疗效等方面与西药疗法无明显差异,但在治疗第7天以后镇痛效果优于西药。     

隔药灸结合电针治疗寒湿型膝骨性关节炎的疗效观察

目的:观察隔药灸结合电针对寒湿型膝骨性关节炎的疗效。方法:将124例患者按随机数字表分为隔药灸结合电针组和西药组各62例。隔药灸结合电针组采用神阙穴隔药灸9壮,梁丘、鹤顶、内外膝眼等穴用电针,疏密波,频率4Hz/20Hz,强度1～2mA,电针30min;每日1次,每周治疗5次,治疗4周。西药组口服英太青胶囊,每次50mg,每日2次,4周后统计疗效。结果:隔药灸结合电针组在降低关节疼痛积分、改善膝骨关节病情严重指数方面均优于西药组(P0.05)。隔药灸结合电针组临床控制8例,显效21例,有效27例,无效6例,总有效率90.3%;西药组临床控制3例,显效16例,有效31例,无效12例,总有效率80.6%。隔药灸结合电针组优于西药组(P0.05)。治疗后10周随访时隔药灸结合电针组总有效率87.1%(54/62),优于西药组67.7%(42/62,P0.01)。隔药灸结合电针组较西药组不良反应发生率低(P0.01)。结论:隔药灸神阙穴配合电针治疗寒湿型膝骨性关节炎的临床疗效佳,且副反应低。     

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。     

电针结合背腰部拔罐治疗中风后疲劳64例

目的:探讨电针结合背腰部拔罐治疗中风后疲劳的疗效。方法:128例中风后疲劳患者随机分为针罐组和药物组各64例,在一般治疗的基础上,电针组给予电针百会、印堂、水沟、合谷等穴及背腰部拔罐治疗,药物组给予复方氨基丁酸维E胶囊、葡萄糖酸镁口服液、舍曲林片口服治疗,两组均连续治疗5周。观察两组脑卒中专用生活质量量表(SS-QOL)中精力量表评分、临床疗效及复发率。结果:两组治疗后SS-QOL中精力量表评分较治疗前均有改善(P0.05),针罐组治疗后评分优于药物组(P0.05);针罐组治疗总有效率96.87%(62/64),优于药物组的84.37%(54/64,P0.01);针罐组复发率19.05%(8/42),低于药物组的47.83%(11/23,P0.05)。结论:电针结合背腰部拔罐治疗能有效减轻中风患者的疲劳,效果优于药物口服治疗,治疗作用持久,不易复发。     

电针联合雷火灸治疗寒湿型膝骨性关节炎:随机对照试验

ObjectiveTo observe the clinical effect differences of knee osteoarthritis (KOA) with cold-damp type between electroacupuncture (EA) combined with thunder-fire moxibustion and medication.MethodsA total of 72 cases of KOA patients with cold-damp type were randomly divided into a combined treatment group of EA and thunder-fire moxibustion (combined treatment group) and a medication group, 36 cases in each group. In the combined treatment group, the acupoints for EA were Dúbí (犊鼻 ST35), Nèixīyăn (内膝眼 EX-LE4), Zúsānlĭ (足三里 ST36), Yánglíngquán (阳陵泉 GB34), Yīnlíngquán(阴陵泉 SP9), Xuèhăi (血海 SP10), Liángqiū (梁丘 ST34) and Hèdĭng (鹤顶 EX-LE2). During the period of EA, the suspending thunder-fire moxibustion was applied to Shénquè (神阙 CV8) and Guānyuán (关元 CV4). In the medication group, diclofenac sodium double release intestine-sol capsule and Fugui gutong capsules were prescribed for oral administration. The treatment for 14 days was taken as one course and the consecutive 2 courses of treatment were required in each group. Before and after treatment, as well as in the follow-up visit, the pain score (visual analogue scale, VAS), the knee function score(Western Ontario and McMaster University, WOMAC, the expressions of interleukin 6 (IL-6) and transforming growth factor β1 (TGF-β1) in the joint fluid as well as the difference in the clinical therapeutic effect were observed in the two groups separately.Results(1) The pain score: compared with those before treatment, the VAS scores were all reduced after treatment and in the follow-up in the two groups (all P < 0.05). After treatment and in the follow-up, VAS scores in the combined treatment group were lower than those in the medication group (both P < 0.05). (2) The knee function score: WOMAC score of each item, i.e. pain, stiffness and function, as well as the total score after treatment and the follow-up were all lower than those before treatment in the patients of the two groups (all P < 0.05). The score of each item, i.e. pain and function, as well as the total score in the combined treatment group were all lower than those in the medication group after treatment and the follow-up respectively (all P < 0.05). (3)The expressions of IL-6 and TGF-β1: the level of IL-6 in the joint fluid was reduced after treatment as compared with that before treatment in either group and the level of TGF-β1 was increased, indicating the statistical differences (all P < 0.05). After treatment, the level of IL-6 in the combined treatment group was lower than that in the medication group and the level of TGF-β1 was higher than that of the medicating group, indicating the statistical significance (both P < 0.05). (4)The total effective rate in the combined treatment group was 97.1%, higher than 78.8% in the medication group, indicating the statistical significance (P < 0.05).ConclusionThe clinical effect of the combined treatment of electroacupuncture and the thunder-fire moxibustion is remarkable on knee osteoarthritis of cold-damp type. The combined treatment presents a more advantageous at the sustainability of the therapeutic effect as compared with medication.     

Therapeutic observation of thin-cotton moxibustion plus surround needling for herpes zoster

Objective

To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster (HZ).

Methods

Eighty-three HZ patients were divided into two groups according to their admission sequence, 41 cases in the thin-cotton moxibustion group and 42 cases in the Western medication group. The thin-cotton moxibustion group received thin-cotton moxibustion on the surface of lesions plus surround needling around the lesions, once a day. The Western medication group was intervened by Acyclovir intravenous injection, 0.25 g per dose, once a day, along with external application of Acyclovir cream 3-5 times a day. After 10-day treatment, the blister-healing time, crusting time, pain-reducing time, onset time of action, lesion-healed time, and occurrence of post-herpetic neuralgia (PHN) were compared.

Results

During the study, a case dropped out in the thin-cotton moxibustion group, and 2 cases dropped out in the Western medication group. The recovery and markedly-effective rate was 92.5% and total effective rate was 97.5% in the thin-cotton moxibustion group, versus 72.5% and 87.5% in the Western medication group, and the between-group differences were statistically significant (P<0.05). The blister-healing time, crusting time, pain-reducing time, onset time of action and lesion-healed time in the thin-cotton moxibustion group were significantly shorter than those in the Western medication group (P<0.05). The occurrence rate of PHN was 2.07% in the thin-cotton moxibustion group, significantly lower than 9.19% in the Western medication group (P<0.01).

Conclusion

Thin-cotton moxibustion plus surround needling can produce a more significant efficacy than Acyclovir in treating HZ, and it can markedly reduce the occurrence of PHN.

     

热敏灸联合西药治疗肾阳虚型骨质疏松症腰背痛:随机对照研究

目的:比较热敏灸联合西药与单纯西药治疗肾阳虚型骨质疏松症腰背痛的临床疗效.方法:将64例骨质疏松症患者随机分为观察组(32例,脱落2例)和对照组(32例,脱落3例).对照组口服阿伦膦酸钠与碳酸钙D3片;观察组在对照组基础上于命门、腰阳关、关元、肾俞、足三里穴区探寻热敏腧穴行热敏灸治疗,每日1次,每周5次,两组均治疗8周...     

肩穴电针对粘连前期肩关节周围炎的治疗作用

目的:观察肩穴电针刺激对粘连前期肩周炎的治疗作用。方法:采用规范化、标准化的诊断和疗效评价标准,明确和固定各治疗参数,以肩部疼痛和肩关节活动为观察指标。经治疗的216例粘连前期肩关节周围炎患者中,有108例接受电针刺激治疗,取穴为患侧肩穴,刺激参数为变频连续波,刺激强度(10±2)mA,时间40 min,每日治疗1次;另108例接受布洛芬治疗,每日0.6 g。两组均治疗7 d。结果:肩穴电针治疗对粘连前期肩周炎的治疗总有效率达到92.59%,布洛芬治疗对粘连前期肩周炎的总有效率为82.41%,两组比较有显著性差异;电针刺激组疼痛指数平均下降63.21%,肩关节活动4项指标总分提高22.64%,与治疗前比较有显著性差异,与布洛芬治疗的60.16%和16.95%比较差异无显著性。结论:肩穴电针刺激疗法不仅能有效止痛,对粘连前期的肩关节活动障碍也有明显的改善作用。     

硬膜外阻滞在带状疱疹治疗中的应用

目的　观察硬膜外阻滞与无环鸟苷治疗带状疱疹的疗效。方法　将 96例带状疱疹患者随机分为硬膜外组 (n =66 ,Ⅰ组 )和无环鸟苷组 (n =30 ,Ⅱ组 ) ,比较两组在治疗 1周前后的疼痛VAS评分 ,止痛、止疱、结痂时间及有无后遗神经痛和不良反应。结果　在治疗 1周后患者疼痛VAS评分 ,Ⅰ组较治疗前明显降低 (P <0 .0 5) ,Ⅰ组明显低于Ⅱ组 (P <0 .0 5) ;Ⅰ组的止痛、止疱、结痂时间明显优于Ⅱ组 (P <0 .0 1 ,P <0 .0 5 ,P <0 .0 5)。随访 1周时的痊愈率、总有效率Ⅰ组显著高于Ⅱ组 (P <0 .0 1 )。Ⅰ组无后遗神经痛 ,Ⅱ组后遗神经痛者达 1 3 .3 %(P <0 .0 1 )。结论　硬膜外阻滞治疗带状疱疹的疗效明显优于无环鸟苷     

药线点灸法与火针法治疗带状疱疹后神经痛的疗效对比分析

目的:比较药线点灸法与火针法治疗带状疱疹后神经痛(PHN)的临床疗效。方法:将70例PHN患者随机分成药线点灸组和火针组。药线点灸组(35例)采用药线点灸疗法治疗,火针组(35例)采用火针疗法治疗,两组均治疗2个疗程共14d。采用视觉模拟尺进行疼痛视觉模拟评分(VAS)评定疗效。结果:两组治疗后VAS评分较治疗前有明显降低(P0.05),两组间VAS评分变化比较,治疗后药线点灸组显效12例(34.3%),有效20例(57.1%),总有效率为91.4%;火针组显效12例(34.3%),有效18例(51.4%),总有效率为85.7%,两组临床疗效相当。结论:药线点灸疗法和火针疗法均可缓解PHN患者的疼痛症状,且疗效相当。