针刺壮医天部穴治疗后循环缺血性眩晕的疗效观察

目的观察针刺壮医天部穴治疗后循环缺血性眩晕的临床疗效。方法将60例符合后循环缺血性眩晕的患者随机分为治疗组和对照组,各30例,治疗组予针刺壮医天部穴治疗,对照组予氟桂利嗪胶囊口服,比较两组的临床疗效,通过TCD观察两组治疗前后双侧椎动脉及基底动脉的平均血流速度变化情况。结果两组患者治疗后与治疗前比较平均血流速度均有明显改善,差异具有统计学意义(P0.05);两组间治疗后平均血流速度比较差异无统计学意义(P0.05)。结论针刺壮医天部穴通过改善平均血流速度治疗后循环缺血性眩晕,具有很好的临床疗效。     

化痰止眩汤治疗痰浊中阻型后循环缺血性眩晕临床观察

目的观察化痰止眩汤治疗痰浊中阻型后循环缺血性眩晕临床疗效。方法将76例痰浊中阻型后循环缺血性眩晕患者随机分为治疗组和对照组(各38例),对照组口服盐酸氟桂利嗪胶囊,治疗2周;治疗组在口服盐酸氟桂利嗪胶囊基础上,予口服化痰止眩汤,治疗2周,观察治疗前后患者病情和体征的变化;经颅多普勒超声(TCD)检测治疗前后两侧椎动脉(VA)及基底动脉(BA)的平均血流速度。结果治疗组总有效率为92.1%,对照组总有效率为81.6%,2组比较差异有统计学意义(P0.05);治疗后2组双侧椎动脉及基底动脉的平均血流速度均升高(P0.05或P0.01),尤其治疗组变化升高较明显,与对照组比较差异有统计学意义(P0.05)。结论化痰止眩汤治疗痰浊中阻型后循环缺血性眩晕临床效果显著。     

补中益气汤加减联合氟桂利嗪治疗椎-基底动脉供血不足所致眩晕临床研究

目的:观察补中益气汤加减联合氟桂利嗪治疗椎基底动脉供血不足(VB)I所致眩晕的临床疗效。方法:选取72例因VBI导致的眩晕患者,按照随机数字表法分为对照组35例和观察组37例。2组均给予基础治疗,对照组在治疗基础上口服盐酸氟桂利嗪胶囊治疗,观察组在对照组基础上再给予补中益气汤加减治疗。对比2组临床疗效,观察患者治疗前后眩晕程度及脑动脉血流速度的变化。结果:总有效率对照组68.6%,观察组89.2%,2组比较,差异有统计学意义(P 0.05)。治疗后,2组欧洲眩晕量表(EEV)和国际眩晕障碍量表(DH)I评分均较治疗前降低(P 0.05),且观察组EEV及DHI评分均低于对照组(P0.05)。治疗后,对照组左右侧椎动脉(VA)与基底动脉(BA)的舒张末期流速(Vd)均较治疗前上升(P 0.05),血管阻力指数(R)I均较治疗前下降(P 0.05);观察组左右侧VA与BA的峰值流速(Vp)、Vd、平均血流速度(Vm)均较治疗前上升(P0.05),血管搏动指数(P)I和RI均较治疗前下降(P 0.05)。与对照组治疗后比较,观察组左右侧VA与BA的Vp、Vm均较高,PI和RI均较低,差异均有统计学意义(P 0.05)。结论:补中益气汤加减联合氟桂利嗪治疗VBI所致眩晕,能有效减轻眩晕症状,改善脑动脉血流不足情况,疗效确切,值得临床推广。     

眩得宁治疗后循环缺血30例

目的:观察眩得宁治疗后循环缺血性眩晕的临床疗效。方法:在基础治疗的同时,治疗组口服眩得宁治疗,对照组口服盐酸氟桂利嗪治疗。结果:治疗组治愈率33.3%,总有效率83.3%;对照组治愈率33.3%,总有效率76.7%,两组比较治疗组治愈率与对照组相同,差异有统计学意义(P<0.05);治疗组胆固醇(TC)、甘油三酯(TG)、血粘度及收缩期脑血流速度均优于对照组,差异有统计学意义(P<0.05)。结论:眩得宁治疗后循环缺血性眩晕与西药盐酸氟桂利嗪治愈率相同,但对降胆固醇、甘油三酯、血粘度均优于西药盐酸氟桂利嗪。     

风眩宁方治疗后循环缺血性眩晕

目的观察风眩宁方治疗后循环缺血性眩晕(风痰上扰型)的临床疗效,并以经颅多普勒超声(TCD)和彩色多普勒超声(CDFI)做为疗效评估的手段,探讨其作用机制。方法选取后循环缺血性眩晕患者100例,随机分为治疗组50例和对照组50例,2组均给予抗血小板聚集、控制血压、降糖、调脂、镇静等基础治疗。治疗组给予中药风眩宁方治疗,对照组给予盐酸氟桂利嗪胶囊治疗。2组疗程均为12 d,观察2组患者眩晕程度改善情况及治疗前后TCD双侧椎动脉(VA)和基底动脉(BA)的平均血流速度(Vm),CDFI最大血流速度(Vmax),阻力指数(RI)。结果治疗组总有效率92.0%,对照组总有效率76.0%,2组疗效比较有统计学意义(P0.05)。2组治疗后平均血流速度及最大血流速度均有明显改善,与治疗前比较差异均有统计学意义(P0.05),治疗后2组比较有统计学意义(P0.05)。2组阻力指数与治疗前比较差异有统计学意义(P0.05),治疗后2组比较差异无统计学意义(P0.05)。结论风眩宁方能有效改善后循环缺血性眩晕患者的眩晕症状,并能改善后循环缺血患者椎-基底动脉血流速度。     

天麻钩藤饮加减联合醒脑开窍针刺法治疗后循环缺血性眩晕的疗效及对sCD40L、ET-1、NSE水平的影响

目的：观察天麻钩藤饮加减联合醒脑开窍针刺法治疗后循环缺血性眩晕的疗效及对可溶性CD40配体(sCD40L)、内皮素-1(ET-1)、神经元特异性烯醇化酶(NSE)水平的影响。方法：选取2019年2月～2021年4月本溪市中医院收治的后循环缺血性眩晕患者106例，随机数字法分为对照组(n=53)和观察组(n=53)。对照组给予盐酸氟桂利嗪治疗，观察组在对照组基础上给予天麻钩藤饮加减联合醒脑开窍针刺法治疗。比较两组疗效和不良反应，记录两组sCD40L、ET-1、NSE及彩色多普勒(TCD)检查结果差异。结果：观察组治疗总有效率为92.45%,高于对照组的77.36%,差异有统计学意义(P<0.05);治疗后，两组sCD40L、ET-1、NSE较治疗前降低(P<0.05);与对照组比较，观察组治疗后的sCD40L、ET-1、NSE明显更低(P<0.05);治疗后，两组左右椎动脉(LVA和RVA)、基底动脉(BA)的平均血流速度(Vm)均较治疗前升高，LVA、RVA、BA的血管搏动指数(PI)均较治疗前降低(P<0.05);与对照组比较，观察组治疗后的LVA、RVA、B...     

平肝定眩汤治疗肝阳上亢型后循环缺血性眩晕60例临床观察

目的:观察平肝定眩汤对肝阳上亢型后循环缺血性眩晕的疗效。方法:选取2017年6月-2018年10月烟台业达医院收治的后循环缺血性眩晕的患者120例,按随机数字表法分为治疗组和对照组。治疗组和对照组各60例,两组一般的资料经统计学方法,差异无统计学意义(P>0.05),具有可比性。两组均给予改善循环,控制血压、血糖,调节血脂,抗血小板聚集等基础治疗。治疗组给予平肝定眩汤,对照组给予平眩胶囊。两组疗程均为4周,观察两组患者治疗前后总体症状,脑血流速度、血脂、血糖等指标改善情况。采用SPSS 11.0统计学软件进行计算。结果:治疗组总有效率91.7%(55/60),对照组总有效率61.6%(37/60),两组疗效比较有统计学意义(P<0.05)。治疗组三酰甘油(Triglyceride,TG)、血清总胆固醇(Serum Total Cholesterol,TC)、HDL-C、LDL-C治疗后显著改善,与治疗前比较,差异有统计学意义(P<0.05);对照组TG及TC治疗前后差异有统计学意义(P<0.05),高密度脂蛋白胆固醇(High Density Liptein Cholesterol,HDL-C)及低密度脂蛋白胆固醇(Low Density Liptein Cholesterol,LDL-C)治疗前后比较,差异无统计学意义(P>0.05)。两组治疗后TC比较,差异有统计学意义(P<0.05)。两组治疗后空腹血糖(Fasting Plasma Glucose,GLU)明显降低(P<0.05),两组间的治疗后比较,差异无统计学意义(P>0.05)。治疗组治疗后椎动脉(Vertebral Artery,VA)、基底动脉(Basilarartery,BA)平均血流速度(Mean Blood Flow Velocity,VM)明显提高,与对照组治疗后相比较,差异具有统计学意义(P<0.05)。结论:平肝定眩汤治疗后循环缺血性眩晕在改善患者症状、降低血液黏稠度,改善脑血流状况方面疗效显著。     

针刺药物综合干预后循环缺血性眩晕临床研究

目的：探讨针药结合治疗后循环缺血性眩晕的临床疗效.方法：选择符合入选标准的80例后循环缺血性眩晕患者,按就诊顺序将其分为综合针药组40例和药物组40例.针药组患者行“三焦针法”配合长春西汀注射液综合治疗,药物组患者仅采用长春西汀注射液治疗,治疗20天后对两组患者的症状积分进行综合评定.结果：经过治疗,针药组患者症状积分及愈显率等均显著优于药物组,差异具有统计学意义（P＜0.05）.针药组患者VA、BA平均血流速度、血流阻力指数以及综合临床疗效亦显著优于药物组,差异具有统计学意义（P＜0.05）.结论：针刺药物综合干预后循环缺血性眩晕临床疗效较好,可显著改善患者眩晕症状,值得临床推广应用.     

针刺颅底组穴联合热敏灸治疗后循环缺血性眩晕30例

目的:观察针刺颅底组穴联合热敏灸治疗后循环缺血性眩晕的临床疗效。方法:将60例后循环缺血性眩晕患者按照随机数字表法分为对照组和治疗组,每组各30例。对照组给予针刺颅底组穴治疗,治疗组在对照组的基础上联合热敏灸疗法。比较两组患者的临床疗效,采用经颅多普勒TCD监测两组患者治疗前后左侧椎动脉、右侧椎动脉及基底动脉的平均血流速度(velocity,Vm)和搏动指数(pulsatility index,PI)。结果:治疗组有效率为96.67%,对照组有效率为80.00%,两组患者有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后椎动脉、基底动脉Vm高于治疗前,PI低于治疗前,且治疗组椎动脉、基底动脉Vm高于对照组,PI低于对照组,差异均有统计学意义(P<0.05)。结论:针刺颅底组穴联合热敏灸治疗后循环缺血性眩晕,可改善患者的临床症状,椎动脉、基底动脉血流变化及血流阻力指数。     

督脉针刺结合氟桂利嗪口服治疗后循环缺血眩晕30例

目的:观察督脉针刺结合氟桂利嗪口服治疗后循环缺血眩晕患者的临床疗效。方法:将60例符合纳入标准的后循环缺血眩晕患者,随机分为观察组和对照组,每组30例。观察组采取督脉针刺加口服盐酸氟桂利嗪片治疗,对照组仅采用口服盐酸氟桂利嗪片治疗。结果:与治疗前比较,两组患者治疗后中医症状评分均有明显下降,脑循环的平均血流速度及血管调节-动态阻力均有明显改善,差异具有统计学意义(P0.01);与对照组治疗后比较,观察组两项指标下降和改善更为显著,差异具有统计学意义(P0.05);总有效率观察组为93.33%,对照组为76.67%,总体疗效观察组优于对照组,差异具有统计学意义(P0.05)。结论:督脉针刺能有效改善后循环缺血眩晕症状,整体疗效十分显著,不良反应少,安全可靠,具有一定的临床实用价值。     

Therapeutic effect observation on combining electroacupuncture and tuina for migraine

Objective： To observe the clinical effect of combining electro- acupuncture and local tuina for migraine. Methods： A total of 94 migraine cases were randomly allocated into an observation group and a medication group, 48 cases in each group. Electroacupuncture and local tuina were used for cases in the observation group, whereas oral Flunarizine Hydrochloride capsules were used for cases in the medication group. Then the frequency of attacks, severity of the pain, duration of the headache, and associated symptoms of headache before and after treatment in the two groups were observed and compared. Results： The total effective rate in the observation group was 93.8%, versus 63.0% in the medication group, showing a statistical significant difference （P〈0.05）. There were statistical significant differences in frequency of attacks, severity of the pain, duration of the headache and associated symptoms between the two groups （P〈0.05）. In addition, there were statistical significant differences in relapse rates after 4 and 8 weeks of treatment （P〈0.05）. Conclusion： Combining electroacupuncture and local tuina can obtain better effect and lower relapse rate than oral Flunarizine Hydrochloride capsules in migraine patients.     

针刺治疗原发性口干燥症疗效观察(英文)

目的:观察针刺治疗原发性口干燥症的临床疗效。方法:将46例患者按随机字母表随机分入针刺组和药物组。针刺组予以滋阴补肾针刺治疗,药物组口服知柏地黄丸治疗。对两组患者治疗前后静态唾液总流率及方糖试验计分变化进行比较分析。结果:针刺组总有效率87.0%,药物组总有效率60.9%,两组总有效率比较,差异有统计学意义(P<0.05)。治疗后,两组静态唾液总流率测定、方糖试验计分均明显改善,同组治疗前后比较差异均有统计学意义(P<0.05或P<0.01);治疗后,针刺组静态唾液总流率、方糖试验计分与药物组比较差异均有统计学意义(P<0.01)。结论:滋阴补肾针刺疗法治疗原发性口干燥症疗效优于口服知柏地黄丸,且无不良反应。     

Effect of combined acupuncture and Shen Zao An Shen Tang on sleep quality of insomnia patients due to deficiency of the heart and spleen

Objective： To observe the clinical efficacy of acupuncture combined with Shen Zao An Shen Tang for insomnia due to deficiency of the heart and spleen, investigate the law of treating insomnia based on syndrome differentiation, and thus provide evidence for treatment based on differentiation of insomnia in traditional Chinese medicine. Methods： A total of 62 cases with insomnia due to deficiency of the heart and spleen were randomized into a combined acupuncture and Chinese herbal formula group and a Western medication group, 31 cases in each group. Acupuncture and self-made Shen Zao An Shen Tang were employed in the former, while Estazolam was used in the latter. After a 28-day treatment, the clinical efficacy, sleep efficiency, sleep dysfunction rating scale （SDRS） and adverse reactions in the two groups were observed and compared. Results： The total effective rate in the combined acupuncture and Chinese herb formula group was 96.8%, versus 74.2% in the Western medication group, showing a statistically significant difference （P〈0.05）. After treatment, the sleep efficiency ratios in both groups were significantly increased （P〈O.01, P〈0.05）, and there was a between-group statistically significant difference （P〈0.05）. Also, the SDRS scores in both groups were decreased （P〈0.01, P〈0.01） and there was a between-group statistically significant difference （P〈0.01）. In addition, the adverse reaction rate in the combined acupuncture and Chinese herb formula group was significantly lower than that in the Western medication group （P〈0.05）. Conclusion： Combining acupuncture and Chinese herb formula can obtain a substantial clinical efficacy for insomnia due to deficiency of the heart and spleen and improve the patients＇ sleep quality. Compared with Estazolam, it is better in effect and less in adverse reactions.     

Therapeutic Observation on Combined Acupuncture and Medication for Recurrent Facial Dermatitis简

Objective： To observe the clinical efficacy of acupoint injection plus medication in treating recurrent facial dermatitis（RFD）. Methods： Fifty-eight patients with RFD were randomized into a treatment group and a control group, 29 in each. The treatment group was intervened by acupoint injection with BCG-PSN plus oral administration of Fexofenadine Hydrochloride, and the control group was by Fexofenadine Hydrochloride only. The clinical efficacies were compared between the two groups, and a follow-up study was conducted to investigate the recurrence rate. Results： The total effective rate was 96.6% in the treatment group versus 65.5% in the control group, and the difference was statistically significant（P〈0.01）. Of the cured and improved patients in the treatment group, the recurrence rates were 10.7%, 25.0%, and 32.1% respectively 3 months, 6 months, and 12 months after treatment, versus 31.6%, 36.8%, and 73.7% in the control group, and the differences were statistically significant（P〈0.05）. Conclusion： Acupoint injection plus medication is an effective method in treating RFD.     

Therapeutic efficacy observation on combining acupuncture, tuina and functional exercise for transverse process syndrome of the third lumbar vertebra

Objective： To observe the clinical effect of combining acupuncture, tuina and functional exercise for transverse process syndrome of the third lumbar vertebra. Methods： A total of 90 cases were randomly allocated into an observation group and a medication group. The 48 cases in the observation group were treated with acupuncture, tuina and functional exercise, whereas the 42 cases in the medication group were treated with Ibuprofen sustained release capsules. Before and after treatment, the short-form McGill pain questionnaire （SF-MPQ） was employed to observe the changes in pain rating index （PRI）, visual analogue scale （VAS） and present pain intensity （PPI）. In addition, therapeutic efficacies were compared between two groups. Results： The total effective rate in the observation group was 97.9%, versus 61.9% in the medication group, showing a statistical difference （P〈O.05）. After treatment, there were statistical differences between the two groups in sensory PRI score, affective PRI score, total PRI score, VAS score and PPI score （P〈O.05）; and there were also statistical differences between two groups in clinical sign scoring （P〈O.05）. After 4 and 8 weeks of treatment, there was a statistical difference between the two groups in re~apse rate （P〈O.05）. Conclusion： Combining acupuncture, tuina and functional exercise can obtain better effects and has a lower relapse rate than Ibuprofen sustained release capsules for transverse process syndrome of the third lumbar vertebra.     

Clinical study on acupuncture plus medication for chronic atrophic gastritis due to spleen-stomach deficiency

Objective： To observe the clinical efficacy of combining acupuncture and medication in treating chronic atrophic gastritis （CAG） due to spleen-stomach deficiency.
Methods： Totally 176 patients with CAG were randomized into two groups by the random number table. The 91 subjects in the treatment group were intervened by acupuncture and oral Chinese patent medication; the other 85 subjects were by oral Chinese patent medication alone. The clinical efficacies were compared at the end of intervention.
Results： After a treatment course, the total effective rate was 87.9% in the treatment group versus 75.3% in the control group; according to the gastroscopy and pathological biopsy examinations, the total effective rate was 85.7% in the treatment group versus 74.1% in the control group. There were significant differences in comparing the clinical efficacy, gastroscopy and pathological examinations between the two groups （P〈0.05）.
Conclusion： Combining acupuncture and medication can produce a better therapeutic efficacy than medication alone in treating CAG due to spleen-stomach deficiency.     

Clinical observation on comprehensive treatment on cutaneous region for low back pain

Objective： To observe the clinical effects of comprehensive treatmenton cutaneous region for low back pain. Methods： One hundred and twenty outpatients with low back pain who met the diagnostic criteria were randomly divided into a cutaneous region group or a medication group, 60 cases in each group. The cases in the cutaneous region group were treated by Nie-pinching up the skin of the lumbosacral region, cupping and acupuncture. Those in the medication group were treated by oral administration of Celecoxib capsule. The visual analogue scale （VAS） and Oswestry disability index （ODI） were used to assess the therapeutic effects. Results： After treatment, the VAS scores of both groups were different from those before treatment, showing statistical significances （allP＆lt;0.01）. The D-valuse of VAS scores of both groups were different from those before treatment, showing statistical significances （allP＆lt;0.01）. The D-value of OID scores in the cutaneous region group was significantly different from that in the medication group（P＆lt;0.01）. After treatment, the total effective rate was 91.7% in the cutaneous region group versus 76.7% in the medication group, there was a significant difference in comparing the clinical effect （P＆lt;0.01）. Conclusion： Both comprehensive treatment on the cutaneous region and Celecoxib capsule can obviously relieve low back pain. But comprehensive treatment on the cutaneous region is better than Celecoxib capsule in the therapeutic effects.     

Clinical Observation on Vertebroarterial Pattern of Cervical Spondylopathy Treated by Combination of Adjacent and Distal Points

目的：探讨远近相伍取穴治疗椎动脉型颈椎病的疗效。方法：将140例椎动脉型颈椎病患者随机分为针刺组、药物组，每组各70例。针刺组采用中医辨证取穴结合西医解剖特定点，药物组采用口服龙骨颈椎胶囊、西比灵胶囊，并观察治疗前后临床症状体征积分和椎-基动脉血流改善情况。结果与结论：总有效率针刺组（100％）明显高于药物组（61．4G，P〈0．01），临床症状体征积分和椎-基动脉血流改善情况两组治疗前后比较有显著性差异（P〈0．05），而针刺组改善程度较药物组更著fP〈0．05），远期疗效针刺组优于对照组，但差异无显著性（P〉0．2）。     

针刺治疗慢性疲劳综合征临床观察(英文)

目的:观察针刺治疗慢性疲劳综合征(Chronic Fatigue Syndrome,CFS)患者的临床疗效及对其焦虑状态的影响。方法:将90例符合纳入标准的患者随机分为2组,治疗组45例,采用针刺治疗;对照组45例,采用药物治疗。采用焦虑自评量表(Self-ratingAnxietyScale,SAS)对两组患者治疗前后的焦虑状态进行评价。结果:两组患者治疗后SAS评分较同组治疗前均有降低(P<0.01)。两组治疗后SAS评分比较,差异无统计学意义(P>0.05)。结论:针刺和药物治疗均能改善CFS患者的焦虑症状。     

针刺配合雷火灸治疗颈型颈椎病临床研究

目的：观察针刺配合雷火灸治疗颈型颈椎病的临床疗效。方法：将符合纳入标准的60例颈型颈椎病患者随机分为治疗组和对照组,每组30例。治疗组采用针刺配合雷火灸治疗;对照组采用单纯针刺治疗。观察治疗前后症状、体征积分及视觉模拟量表（Visual Analogue Scale,VAS）评分的变化。结果：治疗组在提高临床疗效、降低VAS评分,改善临床症状、体征积分方面均优于对照组（P〈0.01 或P〈0.05）。差异均有统计学意义。结论：针刺配合雷火灸能明显减轻颈型颈椎病患者的疼痛症状,改善颈椎功能。