不同灸量温针灸治疗带状疱疹后遗神经痛临床观察

目的:观察不同灸量温针灸治疗带状疱疹后遗神经痛的疗效,进一步优化带状疱疹后遗神经痛温针灸的治疗方案。方法:将入选的60例带状疱疹后遗神经痛的患者随机分成3组,分别为:温针灸1壮组、温针灸2壮组、温针灸3壮组,每组20例,3组均在普通针刺的基础上,同时在阿是穴、相应节段的同侧夹脊穴上加用温针灸治疗,分别采用温针灸1壮、温针灸2壮、温针灸3壮治疗,共3个疗程。各组患者在治疗前、结束后进行VAS评分量表、PSQI评分测定,比较各组的临床疗效。结果:温针灸1壮组总有效率为25%、温针灸2壮组为50%、温针灸3壮组为85%,各组疗效比较差异有统计学意义(P<0.05),温针灸2壮组与温针灸1壮组比较差异显著(P<0.01),温针灸3壮组疗效显著优于温针灸1壮组(P<0.01),温针灸3壮组与温针灸2壮组比较差异明显(P<0.05)。结论:温针灸治疗带状疱疹后遗神经痛能有效缓解疼痛,温针灸3壮疗效较1壮、2壮相比更显著,温针灸疗效与灸量具有相关性,温针灸3壮为治疗带状疱疹后遗神经痛的理性灸量。     

热敏灸治疗原发性痛经中医护理技术的研究进展

该文主要围绕热敏灸治疗痛经中医护理技术的进展,从热敏灸治疗痛经的证型、热敏化腧穴的探查工具、探查部位、探查方法、施灸穴位、施灸方法、干预时间、持续时间、频率及疗程这些方面梳理,系统探讨出热敏灸在寒湿凝滞型痛经方面应用广泛;探查工具以纯艾为宜;探查部位以下腹部及腰骶部居多;探查方法以回旋灸,雀啄灸,循经往返灸再温和灸为佳;选穴以关元、次髎穴为主,再结合辨证取穴和辨期取穴提高疗效;施灸方法采用温和灸为宜;干预时间、持续时间、频率及疗程等方面更侧重于患者的主观感受,尚缺乏统一的规范,以热敏灸在痛经前3~5 d施灸为宜;持续时间建议1~2 h左右;频率为每天1次,6~7 d为1个疗程,共3个疗程.从而为临床护士进一步规范护理操作提供参考依据.     

十一方药酒湿敷联合艾条灸治疗静脉炎的疗效观察

目的探讨十一方药酒湿敷联合艾条灸治疗静脉炎的临床疗效。方法选择2016年11月至2018年8月120例静脉炎患者为研究对象,随机等分为对照组和试验组,对照组采用50%硫酸镁湿敷,试验组采用十一方药酒湿敷联合艾条灸治疗。结果两组治疗后,试验组静脉炎缓解有效率(100.00%)明显高于对照组(85.00%),差异具有统计学意义(P<0.05);治疗后,试验组静脉炎的治疗费用明显少于对照组(P<0.05),试验组患者的疼痛改善明显优于对照组(P<0.05)。结论十一方药酒联合艾条灸治疗静脉炎可减轻患者痛苦,降低医疗费用,提高治疗效果,值得临床推广应用。     

艾条温灸配合莫匹罗星软膏治疗压疮的疗效

目的 观察艾条温灸配合莫匹罗星软膏治疗压疮的疗效.方法 将40例(49处)压疮患者按随机数字表法分为观察组(20例,27处)和对照组(20例,22处).观察组清洗疮面,使用艾条直接温灸,温灸时间为15～20 min.再用莫匹罗星软膏外涂疮面,外用无菌纱布加压包扎,隔日1次.对照组根据病情清洗疮面后,用无菌纱布加压包扎,隔日1次.2组均用药15 d,观察其疗效.结果 观察组压疮治愈率及总有效率分别为62.9％和96.3％,对照组压疮治愈率及总有效率分别为31.8％和86.3％,2组比较差异均有统计学意义(均P＜0.05).结论 使用艾条温灸配合莫匹罗星软膏外涂治疗压疮见效快、治愈率高,能明显地减轻患者的痛苦.     

中西医结合预防浅静脉留置针静脉炎的疗效观察

[目的]探讨中西医结合预防浅静脉留置针并发静脉炎的效果。[方法]将160例病人随机分为观察组和对照组各80例,对照组使用常规方法,观察组在常规方法的基础上使用艾条自穿刺点始沿近心端静脉约10 cm处进行温和灸,每天15min~20 min,并结合按揉足三里穴。[结果]观察组静脉炎发生率为8.75%,低于对照组的23.75%(P<0.05)。[结论]使用中西医结合方法可有效预防浅静脉留置针输液并发的静脉炎。     

Acupuncture methods put to the test for a tinnitus study: A Bayesian analysis

Background: This study evaluated the effectiveness of different methods of acupuncture in the treatment of tinnitus due to neurological causes. In total, eight treatment methods were selected for this study: traditional acupuncture, electroacupuncture, moxibustion acupuncture, medicine only without acupuncture, traditional acupuncture with supplementary medicine, electroacupuncture with supplementary medicine, moxibustion acupuncture with supplementary medicine, and an electroacupuncture and moxibustion acupuncture combination. All sample data come from the results of clinical treatment studies.Methods: Both Chinese- and English-language online databases were searched. The Chinese language databases included the Wanfang database, the China National Knowledge Infrastructure (CNKI) database, and the VIP Chinese Science and Technique Journals database. The English language databases included PubMed, Web of Science, Embase and Cochrane Library. After the previously mentioned eight interventions for the treatment of neurological tinnitus were tested in a randomized controlled trial (RCT), the data were extracted, and the effectiveness of each intervention was evaluated. A meta-analysis was performed using Stata14.0 and GeMTC 0.14.3 statistical software.Results: A total of 40 studies were included, which contained a total of 3657 patients and 8 intervention methods. There was a trend of greater effectiveness of moxibustion acupuncture, followed by moxibustion acupuncture combined with electroacupuncture, moxibustion acupuncture combined with supplementary medicine, acupuncture combined with drugs, electroacupuncture with supplementary medicine, electroacupuncture, traditional acupuncture, and medicine only without acupuncture. There was no significant difference between the results of indirect comparisons and direct comparisons.Conclusions: Eight interventions are all effective in the treatment of neurological tinnitus, but moxibustion acupuncture seems to be a better trend treatment for tinnitus.     

电温灸器的研制及临床使用效果观察

目的：研制并探讨电温灸器与艾灸治疗效果差异。方法：对97例痛经和70例胃脘痛患进行了前瞻性研究,运用电温灸器内电能产生热能,并加热药液,通过在人体相关穴位进行药物,热刺激起效,与传统艾灸作对照。结果：两组患痛经,胃脘痛治疗效果无显性差异,均P＞0．05。结论：电温灸器能恒温,调温,安全,使用方便,不污染空气,同时可灸多个穴位,弥补了传统艾条,艾绒的缺点,疗效与艾灸无显性差异。     

The effectiveness and safety of moxibustion for treating cancer-related fatigue: a systematic review and meta-analyses

Purpose

Among cancer patients, cancer-related fatigue (CRF) is one of the most common symptoms and adversely affects physical ability and quality of life even several years after treatment. This study aims to evaluate the current evidence for moxibustion in patients with CRF.

Methods

Eighteen databases were searched from their inception to April 2013. All randomized controlled trials (RCTs) of moxibustion for treating CRF without language restriction were considered for inclusion. The risk of bias and reporting quality of each study were assessed using the Cochrane risk of bias tool, Consolidated Standards of Reporting Trials (CONSORT), and Revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA). Risk ratio (RR) or mean difference (MD) was used to measure the treatment effect with 95 % confidence intervals (CIs) in a random effects model.

Results

Four RCTs with a total of 374 subjects were included for the review. These four studies compared moxibustion plus routine care with routine care alone. Most studies were determined to have a moderate to high risk of bias with low reporting quality. An indirect moxa stick was used in two studies, an indirect ginger cake-separated moxa was used in one study, and in one remaining study, both moxibustion methods were used. Meta-analysis showed the favorable effects of moxibustion on the response rate (RR, 1.73; 95 % CI, 1.29 to 2.32; p?=?.0003; heterogeneity, I ²?=?15 %, p?=?.32). Burning with a mild blister after moxibustion was reported in one study.

Conclusions

Because of a high risk of bias and low reporting quality of the studies included in this review, it is difficult to draw the conclusion that moxibustion is an effective and safe treatment for patients with CRF. Further rigorous research will be necessary to evaluate whether moxibustion has beneficial effects on CRF.

Trial registration

PROSPERO. Unique identifier: CRD42013004501.     

艾灸加鲜姜片治疗化疗性静脉炎的疗效观察

目的 探讨艾炷隔鲜姜片灸外关、阿是穴治疗化疗性静脉炎的效果.方法 选择前臂浅层较粗静脉化疗引起的静脉炎患者80例,接发生静脉炎的先后顺序随机分为治疗组与对照组各40例,治疗组采用艾炷隔鲜姜片灸外关、阿是穴,对照组采用如意金黄散加植物油调匀外敷患处,治疗1疗程后观察其疗效.结果 治疗组总有效率为95%,对照组总有效率为78%,两组疗效比较差异有统计学意义(P＜0.05).结论 艾灸虽鲜姜片治疗化疗性静脉炎疗效优于如意金黄散外敷,值得临床推广应用.     

手法针刺合谷穴得气与脑功能激活关系的探讨

目的 探讨针灸"得气"与脑功能激活的关系.方法 13例健康右利手受试者,由针灸医师先后进行右手合谷穴"浅表刺激"与传统手法捻针刺激两种任务,利用fMRI-BOLD技术获得脑功能图像,用感兴趣区(ROI)分析方法,比较两种任务下的平均信号变化情况.结果 针灸"得气"存在个体差异,相应脑功能的激活情况也有所不同,前额区、丘...     

麦粒灸与普通针刺治疗缺血性脑卒中患者便秘的疗效比较

目的:比较分析麦粒灸与普通针刺治疗缺血性脑卒中患者便秘的临床疗效;方法:将60例缺血性脑卒中后便秘的患者随机分为2组,治疗组采用麦粒灸治疗,对照组采用普通针刺治疗,两组均每日治疗一次,连续10天为一疗程,一疗程结束后休息一天,治疗两个疗程之后观察两组患者治疗前后的便秘临床评分以及总疗效等指标。结果:治疗组治疗总有效率为90.00%,高于对照组的83.33%(χ^2=0.577,P=0.448>0.05),但治疗组愈显率为43.33%,对照组愈显率为20.00%(χ^2=4.735,P=0.030<0.05),治疗后两组前后相比,便秘临床症状积分评分均降低,并且均具有显著统计学意义(P<0.01),且两组组间治疗后比较差异有统计学意义(P=0.011<0.05),说明两组均能改善便秘症状,但治疗组的治疗效果要优于对照组;结论:麦粒灸治疗缺血性脑卒中患者便秘疗效优于普通针刺,能显著改善患者各项便秘的临床症状。     

针灸防治艾滋病研究概况(综述)

本文综述近年来针灸防治艾滋病(AIDS)的研究概况。内容包括:1.针炎防治艾滋病的可行性探讨:不少学者认为艾滋病的临床表现多属中医“虚证”(主要为气虚、阴精亏虚、脾虚血亏和肺气阴两虚等)或“本虚标实证”,治疗宜补虚扶正为主;针灸能提高机体免疫抗病能力,扶正驱邪,通过整体调节作用改变患者体内艾滋病病毒感染毒力增强向艾滋病相关复合征(ARC)或 AIDS 发展的过程,从而达到防治艾滋病的目的。2.针灸防治艾滋病的临床实践探讨已近十年,虽然目前尚未有彻底治愈的报告,但所获得的临床疗效是令人振奋的:使患者健康状况在根本上得到很大程度改善,部分患者还恢复了正常社交和工作,有效地延缓了患者的生命。因此,在防治艾滋病领域上。针灸疗法并非只是辅助手段,而已被公认为最有希望不可低估的一支重要力量之一。     

针刺合谷穴对脑功能成像的研究

目的 观察针刺合谷穴引起的脑功能的即刻效应和后效应（时间变化规律）.方法 用改进时间簇分析（MTCA）方法对针刺合谷穴功能磁共振成像（fMRl）的数据进行处理，得到针刺后脑功能变化的时间和趋势.结果 针刺合谷穴引起脑功能的变化，MTCA方法得到针灸过程中脑功能变化的时间曲线.结论 针刺合谷穴对中枢神经系统的影响具有时间特性。     

针灸治疗黄体功能不全不孕症的系统评价和Meta分析

目的 系统评价针灸治疗黄体功能不全（LPD）不孕症的临床效果和安全性。方法 在线检索中国生物医学文献数据库（CBM）、中国知网数据库（CNKI）、万方数据库、维普数据库（VIP）和MEDLINE数据库中收录的针灸治疗LPD不孕症的原始文献,按标准筛选随机对照试验（RCT）,评价纳入研究文献质量,合并分析数据。结果 纳入15篇文献。针灸和中药联用与单纯中药对照7篇,以总有效率、妊娠率、血清孕酮（P）和雌二醇（E2）为结局指标的Meta分析结果显示,针灸和中药联合治疗LPD不孕症优于单纯中药（P<0.05）。针灸和有效药物联用与有效药物对照5篇,以妊娠率、血清P和E2为结局指标的Meta分析结果显示,针灸和有效药物联用治疗LPD不孕症优于单纯有效药物治疗（P<0.05）。单纯针灸与西药对照3篇,以总有效率、妊娠率和血清P为结局指标的Meta分析结果显示,针灸治疗LPD不孕症优于或同于西药组。结论 针灸治疗LPD不孕症的效果显著,但纳入研究存在偏倚且样本量偏少,仅可为今后运用针灸治疗LPD不孕症提供一些参考。     

热敏灸疗法治疗椎动脉型颈椎病临床进展

椎动脉型颈椎病是一种常见疾病,临床上热敏灸疗法治疗椎动脉型颈椎病有显著的疗效。作者归纳了单纯热敏灸疗法、热敏灸疗法结合针刺、中药、穴注、推拿、刺络拔罐疗法治疗椎动脉型颈椎病的多种应用方法,并对该疗法治疗椎动脉型颈椎病的机制进行讨论分析,以期为临床治疗椎动脉型颈椎病提供些思路和方法。临床研究表明传统医学治疗该病较现代医学更具有优势,也越来越受患者青睐。而其中热敏灸疗法具有无创痛、操作方便、经济费用低、无副作用、疗效显著等优点,能明显改善椎动脉型颈椎病患者眩晕症状。现将近10年来热敏灸疗法治疗椎动脉型颈椎病的相关文献进行归纳梳理,以期对临床研究有所帮助。     

Change of blood perfusion in hegu acupoint after contralateral hegu acupoint was stimulated

Abstract Objectives: The objective of this study was to investigate the change of mean blood flux in Hegu acupoint after contralateral Hegu acupoint was stimulated. Methods: Healthy volunteers (N=140) were placed in a temperature-controlled room as a resting state for 60 minutes. Then the measurements of skin blood flow were carried out in pre- and postacupuncture stimulation every 30 minutes over a total of 180 minutes using a Moor full-field laser perfusion imager. The change ratio of mean blood flux in Hegu acupoint was used to evaluate the contralateral stimulation effect in different groups. Results: After acupuncture of the right Hegu acupoint (AR), the change ratio of mean blood flux in the left Hegu acupoint was increased significantly compared with the control group 60 minutes after acupuncture stimulation (p<0.01). Then the blood flow in the AR group was sustained at a higher level compared with that of the control group (p<0.05). However, the change ratio of mean blood flux in the right Hegu acupoint increased significantly in the 30 minutes after contralateral acupuncture stimulation (p<0.01). From that point on, the change ratio was sustained at a higher level in the AR group than in the control group until 150 minutes after stimulation (p<0.05). Conclusions: On stimulation of either the left or right side of Hegu acupoint, the change ratio of mean blood flux was increased in the contralateral Hegu acupoint in a period from 30, 60, to 150 minutes after stimulation, respectively.     

隔药饼灸对高脂血症兔血浆内皮素及一氧化氮含量的调节

背景:内皮素、一氧化氮作为一对维持血管张力,血流动力的平衡因子,在不同的疾病过程中,均有不同的反应,阐明高脂血症对内皮细胞的影响及病理生理机制和寻找保护血管内皮的方法及药物已成为研究动脉粥样硬化的重点。目的:观察隔药饼灸对高脂血症兔血浆内皮素和一氧化氮含量的影响,分析隔药饼灸对高脂血症兔内皮素-一氧化氮的调节作用。设计:随机对照动物实验。单位:湖南中医药大学针推学院。材料:普通级健康新西兰白兔60只,体质量1.5～2.5kg,雌雄不拘。药饼由丹参、山楂、郁金、大黄、泽泻等按一定剂量比例碾为粉末,醋调为糊,制成直径5～8mm、厚2～3mm的药饼;艾炷:苏州东方艾绒厂,“神灸300灸”艾炷(型号:东方一号,批号:20021212)。方法:实验于2003-11/2004-10完成于湖南中医药大学实验动物中心。实验新西兰白兔随机分为4组,每组15只,即空白对照组、高脂血症模型组、直接灸组、隔药灸组。除空白组外以胆固醇高脂饮食喂养法,建立兔高脂血症模型。选两组穴位轮灸:Ⅰ组:巨阙、天枢(双)、丰隆(双)共五穴;Ⅱ组:心俞(双)、肝俞(双)、脾俞(双)共六穴。于实验开始第1天,选1组穴位,直接灸组兔将艾炷直接粘于穴位上点燃施灸,隔药灸组兔将去除底座的艾炷粘于置于穴位上的药饼上点燃施灸。每穴每次连灸4壮,每日1次,第二天换另一组穴位,两组交替,连灸40d。其余两组不予任何处理。于实验第41天,对各组动物进行血浆内皮素和一氧化氮含量的测定。采用放射免疫法测定治疗后内皮素的含量,硝酸还原酶法测定一氧化氮含量。主要观察指标:各组实验动物治疗40d后血浆内皮素和一氧化氮的含量。结果:实验过程中有5只兔因腹泻等原因死亡,其中空白对照组2只,模型组、直接灸组、隔药灸组各1只。最终进入结果分析55只。①隔药灸组血浆内皮素的含量明显低于模型组[(431.57±63.68),(500.14±75.41)ng/L,P<0.05],但隔药灸组与直接灸组内皮素含量差异无显著性意义[(431.57±63.68),(429.08±77.07)ng/L,P>0.05]。②4组血浆一氧化氮的含量虽然有模型组<空白组<隔药饼灸组<直接灸组的趋势,但4组之间两两比较经统计学处理差异无显著性意义[(27.17±16.55),(29.39±13.24),(30.24±20.25),(30.47±19.62)μmol/L,P>0.05]。结论:隔药饼灸和直接灸均对高脂血症兔血浆内皮素具有明显调节作用,且二者作用相近。对一氧化氮的调节作用不明显。     

磁刺激穴位镇痛诱发的脑电信号特征成分及源定位

背景:针灸是中国传统医学的重要组成部分.穴位治疗作用是否具有生理基础或者只是心理作用一直是争议的焦点.目前临床中常用的穴位刺激方式为手针和电针,很少有关于磁刺激穴位引起脑电活动的文献发表.目的:利用诱发电位来研究磁刺激合谷穴对大脑皮质功能区的影响,探讨磁刺激穴位镇痛机制.方法:18名被试(男13名,女5名)自愿参加实验,选取右侧合谷穴作为靶点目标,距离合谷穴约3 cm处的非穴位点作为对照点.磁刺激频率为1Hz,刺激强度为1.76T,实验分别采集磁刺激前、中、后的脑电信号.结果与结论:磁刺激穴位140～170 ms后,在F3,F1,FZ,F2,F4,FC3,FC1,FCZ,FC2,FC4 等电极处记录到诱发电位晚成分P150.对该成分进行偶极子源定位分析发现P150定位于前扣带回后部,之前的研究已经证明前扣带回不仅参与痛觉认知,还参与痛觉的调制.结果揭示了磁刺激穴位可能的镇痛机制.     

三种中药熏蒸法对重症监护病房空气消毒效果比较

目的比较艾条、苍术、诃子等3种中药熏蒸法空气消毒效果。方法采用自然沉降法采样和检测方法对3种熏蒸法消毒空气的效果进行了检测。结果用艾条约1.33 g/m3点燃熏蒸,对重症监护病房空气中自然菌消除率为90%,菌数由消毒前的867 cfu/m3下降到82 cfu/m3。用苍术约3 g/m3烟熏,对室内空气中自然菌消除率为84%,菌数由消毒前的863 cfu/m3下降到137 cfu/m3。用诃子0.5 g/m3烟熏,对室内空气中自然菌消除率为78%,菌数由消毒前的860 cfu/m3下降到182 cfu/m3。结论3组中草药熏蒸消毒对室内空气中自然菌均有一定杀灭效果,艾条熏蒸比另两者效果更好。     

Do Japanese Style Acupuncture and Moxibustion Reduce Symptoms of the Common Cold?

We summarize the results from a series of investigations of Japanese style acupuncture and moxibustion therapies on symptoms of the common cold that have been conducted (FTLE 1999–03, supported by the Foundation for Training and Licensure Examination in Anma- Massage- Acupressure, Acupuncture and Moxibustion). We also discuss the various interventions and concerns that we faced during these investigations. The subjects were students and teachers. The pilot study (FTLE1999) of a two arm (real and non-treatment control) RCT at a Japanese acupuncture school showed that manual acupuncture to a specific needling point at the throat clearly reduced symptoms of the common cold. The first multi-center (five centers) RCT (FTLE 2000) revealed a significant reduction in cold symptoms, by general linear model analysis (between groups, P = 0.024). To reduce the technical variation, we employed indirect moxibustion to the neck points as a uniform intervention in the next project (FTLE 2001) without statistically significant results. Then we elongated the periods of treatment from 2 to a maximum of 12 weeks (FTLE 2002) with different interventions accompanied by 4 weeks follow-up. The results were still not statistically significant. As the final project, we tried to develop a new experimental design for individualized intervention by conducting n-of-1 trials using elderly subjects in a health care center but without detecting a clear effect. In conclusion, the safety of Japanese acupuncture or moxibustion was sufficiently demonstrated; however, a series of clinical trials could not offer convincing evidence to recommend the use of Japanese style acupuncture or moxibustion for preventing the common cold. Further studies are required as the present trials had several limitations.