电针夹脊穴配合刺络拔罐治疗带状疱疹的临床观察及其机制初探

目的探讨电针夹脊穴配合刺络拔罐治疗带状疱疹的临床疗效及其初步的作用机制。方法将100例带状疱疹患者随机分为治疗组和对照组,每组各50例。治疗组采用电针夹脊穴配合刺络拔罐治疗;对照组采用阿昔洛韦、维生素C治疗。两组均治疗10天后观察疗效,并观察治疗组治疗前后IL-10含量的变化。结果治疗组痊愈率64%,对照组痊愈率42%,治疗组痊愈率明显优于对照组(P0.05),但两组的总有效率差异无统计学意义(P0.05);治疗后VAS评分,治疗组明显低于对照组(P0.05);疼痛持续时间治疗组明显少于对照组(P0.01);结痂时间治疗组也明显快于对照组(P0.05);治疗组治疗后患者血清中IL-10含量明显低于治疗前(P0.01)。结论电针夹脊穴配合刺络拔罐治疗带状疱疹具有快速缓解疼痛、促进水疱结痂愈合的优点,经过治疗后机体免疫功能得到了增强,可能是治愈带状疱疹的有效途径。     

针药结合治疗带状疱疹45例疗效观察

目的:观察针刺夹脊穴加口服龙胆泻肝汤加减治疗带状疱疹的疗效。方法:将82例带状疱疹患者随机分为两组,治疗组45例,采用针刺夹脊穴加口服龙胆泻肝汤治疗;对照组37例,采用常规抗病毒治疗,口服阿昔洛韦片,比较两组患者的临床疗效。结果:治疗组患者治愈44例,好转1例;对照组患者治愈28例,好转8例,无效1例。两组患者疗效间差别有显著性意义(P<0.01)。结论:针刺夹脊穴加口服龙胆泻肝汤治疗带状疱疹的临床疗效显著。     

电针结合中药离子导入治疗腰椎间盘突出症（英文）

目的:观察电针腰夹脊穴配合中药离子导入治疗腰椎间盘突出症(lumbar intervertebral disc herniation,LIDH)的疗效。方法:采用随机数字表法将80例L IDH患者随机分为观察组和对照组,每组40例。观察组采用电针腰部夹脊穴结合中药离子导入治疗,对照组采用与观察组相同的电针治疗。两组患者均每日治疗1次,10次为1个疗程,2个疗程中间休息3d,治疗2个疗程后进行疗效观察。治疗前、首次治疗后及治疗2个疗程后,进行简式M c Gill疼痛询问量表(short-form Mc Gill pain questionnaire,SF-MPQ)和日本骨科协会(Japanese Orthopedic Association,JOA)下腰痛评分量表评分。结果:经2个疗程治疗后,治疗组总有效率为95.0%,对照组为87.5%,两组总有效率差异有统计学意义(P<0.05);其中首次治疗与2个疗程治疗后比较,治疗组的疗效均明显优于对照组,S F-MPQ评分均明显降低,下腰痛J OA评分升高明显,治疗组更为显著,差异有统计学意义(P<0.01)。结论:电针腰夹脊穴结合中药离子导入能够有效缓解L IDH患者的腰腿痛,改善腰腿部功能障碍,从而提高患者的生活质量,其疗效优于单纯电针腰夹脊穴。     

电针夹脊穴配合放血拔罐治疗带状疱疹疗效观察

目的:比较电针夹脊穴配合放血拔罐法与西药治疗带状疱疹的疗效差异.方法:将53例患者随机分为观察组(31例)、对照组(22例).观察组采用电针夹脊穴配合疱疹局部梅花针刺血加拔火罐治疗,每天1次;对照组采用口服盐酸伐昔洛韦、吲哚美辛、维生素B1、维生素B_(12).结果:观察组显愈率为96.8%,优于对照组的81.8%(P<0.05);在疼痛、瘙痒、烧灼感及睡眠临床症状改善方面,观察组优于对照组(均P<0.01).结论:电针夹脊穴配合放血拔罐是治疗带状疱疹的有效方法,疗效优于常规西药治疗.     

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。     

凉泻针法治疗带状疱疹临床疗效观察

目的:观察凉泻针法治疗带状疱疹的临床疗效。方法:将80例带状疱疹患者按照随机数字表分为两组,两组均选取阿是穴和病变部位相应神经阶段的夹脊穴,对照组给予电针夹脊穴配合病变部位围刺治疗,治疗组给予凉泻针法针刺夹脊穴和阿是穴,两组均每日针刺1次,连续治疗6次为1疗程,疗程间休息1天。连续治疗3个疗程后观察两组患者治疗前后疼痛积分及临床疗效的改善情况。结果:两组患者治疗后疼痛积分均较治疗前明显降低(P0.05),且治疗组疼痛程度明显低于对照组(P0.05);治疗组治愈23例,好转12例,未愈5例,有效率为87.5%;对照组治愈16例,好转15例,未愈9例,有效率为77.5%,治疗组临床疗效优于对照组,差异具有统计学意义(P0.05)。结论:凉泻针法在缓解带状疱疹患者的疼痛方面优于临床常用针刺方法,对带状疱疹患者疗效肯定。     

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。     

电针夹脊穴配合刺络拔罐治疗带状疱疹疗效观察

目的观察电针夹脊穴配合刺络拔罐法与西药治疗带状疱疹的疗效差异。方法将53例带状疱疹患者随机分为治疗组31例、对照组22例。治疗组采用电针夹脊穴配合梅花针叩刺加拔火罐法治疗：对照组采用口服盐酸伐昔洛韦、消炎痛、维生素B1、维生素B12治疗。结果治疗组愈显率为93．5％,对照组愈显率为72．7％,两组比较差异具有统计学意义（P〈0．01）,电针夹脊配合刺络拔罐治疗带状疱疹的临床疗效优于西药治疗。结论电针夹脊配合刺络拔罐是治疗带状疱疹的有效方法。     

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.     

夹脊穴电针治疗不完全性脊髓损伤疗效观察

目的:观察电针夹脊穴对不全性脊髓损伤术后功能恢复的影响。方法:不全性脊髓损伤术后患者40例随机分为治疗组和对照组各20例,治疗组采用夹脊穴电针为主治疗,对照组采用西药治疗。结果:治疗组肌力指数评分、步行能力、ADL疗效均优于常规药物对照组,两组疗效比较有显著性差异(P<0.05)。结论:电针夹脊穴对不全性脊髓损伤术后功能恢复疗效较好。     

Therapeutic Observation of Point-towards-point Electroacupuncture for Cervical Spondylotic Radiculopathy简

Objective： To compare the therapeutic efficacies of point-towards-point electroacupuncture（EA）, EA with Jiaji points（EX-B 2）, and Jing Fu Kang in treating cervical spondylotic radiculopathy（CSR）, and to explore the optimal treatment protocol. Methods： Totally 160 patients with CSR were randomized into three groups： a point-towards-point group（n=60） treated with EA with point-towards-point method; a Jiaji group（n=60） treated with EA at cervical Jiaji（EX-B 2） points; a medicine group（n=40） treated with oral administration of Jing Fu Kang alone. The clinical efficacies were compared afterwards. Results： After treatment, the recovery rate and total effective rate of the point-towards-point group were significantly better than that of the Jiaji group and medicine group（both P〈0.01）. After 1-week treatment, the symptom and function score of the point-towards-point group was significantly better than that of the Jiaji group and medicine group（both P〈0.01）; the point-towards-point group and Jiaji group both achieved significant improvements in the symptom and function score（P〈0.01, P〈0.05）. After 2-week treatment, the three groups all achieved marked improvements in the symptom and function score（P〈0.01）. At the end of treatment, in comparing the symptom and function score, the point-towards-point group was significantly different from the medicine group（P〈0.01） and Jiaji group（P〈0.05）; the difference between the Jiaji group and medicine group was also statistically significant（P〈0.05）. Conclusion： Point-towards-point EA can rapidly improve the symptoms and function of CSR patients, and it＇s superior to EA at Jiaji（EX-B 2） and oral administration of Jing Fu Kang in comparing the clinical efficacy.     

Clinical Study on Extracorporeal Shock Wave Therapy plus Electroacupuncture for Myofascial Pain Syndrome简

Objective： To observe the clinical effect of extracorporeal shock wave plus electroacupuncture（EA） on myofascial pain syndrome（MPS） and to investigate its treatment mechanism. Methods： Ninety cases who met the inclusion criteria were randomly allocated into an EA group, an extracorporeal shock wave therapy（ESWT） group and a combined therapy group, 30 in each group. EA was employed in the EA group, extracorporeal shock wave therapy in the ESWT group and EA plus extracorporeal shock wave therapy in the combined therapy group. The VAS, tenderness threshold and therapeutic efficacy were evaluated after three months of treatment. Results： After 2 weeks, 4 weeks and 3 months of treatment, the VAS scores in all three groups were significantly reduced and the tenderness threshold significantly elevated. The recovery rate and total effective rate were 23.3% and 83.3% respectively in the EA group, versus 40.0% and 90.0% in the ESWT group and 63.3% and 96.7% in the combined therapy group, showing statistical differences（P〈0.05）. Conclusion： EA combined with EWST works remarkably well for MPS.     

Clinical observation of acupuncture plus patent Chinese medicine for post-stroke constipation

Objective： To observe the clinical efficacy of acupuncture plus patent Chinese medicine in treating post-stroke constipation. Methods： Sixty eligible patients with post-stroke constipation were randomized into a treatment group and a control group, 30 in each group. The treatment group was intervened by acupuncture plus Ma Zi Ren pill, while the control group was by Ma Zi Ren pill alone. The symptoms of constipation were observed before and after intervention. Results： After 2-week treatment, the constipation condition was improved in both groups, and the improvement in the treatment group was statistically more significant than that in the control group（P〈0.05）; respectively two weeks and a month after the intervention, the treatment group was superior to the control group in comparing the constipation score（P〈0.05）. However, acupuncture didn＇t show marked effect in improving defecation speed, initial defecation time, and spontaneous discharge frequency. The treatment group had a significantly higher short-term markedly-effective rate compared with the control group（P〈0.05）; the long-term therapeutic efficacy of the treatment group was significantly higher than that of the control group（P〈0.05）. The adverse events happened in the treatment group were significantly less than those in the control group（P〈0.05）. Conclusion： Acupuncture at specific acupoints plus patent Chinese medicine can produce a content therapeutic efficacy.     

Treatment of herpes zoster with electroacupuncture plus collateral-pricking and cupping therapy

Objective： To observe the clinical effect of electroacupuncture （EA） plus collateral-pricking and cupping therapy for herpes zoster. Methods： Fifty-three cases with herpes zoster were randomly divided into two groups. Thirty-one cases in the treatment group were treated with EA at Jiaji （EX-B 2） points plus local collateral-pricking and cupping therapy. Twenty-two cases in the control group were treated with oral administration of VaLacido~;ir Hvdrochloride and Indomethaci~. Results： The curative and remarkable effective rate was 93.5% in the treatment group and 72.7% in the control group. The difference between the two groups was statistically significant （P〈0.01）, indicating that EA plus collateral-pricking and cupping therapy is better than Western medications in the clinical effects for herpes zoster. Conclusion： The EA plus collateral-pricking and cupping method is an effective therapy for herpes zoster.     

Therapeutic efficacy observation on combining acupuncture and chinese herbal fumigation for cervical radiculopathy

Objective： To observe the clinical effect of needling eight neck points and Chinese herbal fumigation for cervical radiculopathy. Methods： A total of 85 cases who met the inclusion criteria of cervical radiculopathy were allocated into a Jiaji （EX-B 2） points group, an eight neck points group and a comprehensive therapy group according to single-blind randomized controlled trial design. The 27 cases in the Jiaji （EX-B 2） points group were treated with needling cervical Jiaji （EX-B 2） points. The 28 cases in the eight neck points group were treated with needling the eight neck points. The 30 cases in the comprehensive therapy group were treated with needling the eight neck points coupled with Chinese herbal fumigation over the affected area. Before and after treatment, the symptoms of traditional Chinese medicine （TCM） were graded and the short-form McGill pain questionnaire （SF-MQP） was employed to test pain rating index （PRI）, visual analogue scale （VAS） and present pain intensity （PPI）. In addition, therapeutic efficacies were compared among three groups. Results： After treatment, all SF-MPO, scores in three groups were significantly reduced, and there were inter-group statistical significant in comparison of scores differences between before and after treatment （P〈O.01）; there were inter-group statistical differences in the total effective rate （P〈O.05）. Conclusion： Needling the cervical Jiaji （EX-B 2） points and eight neck points can both alleviate pain in cervical radiculopathy patient. However, combining needling the eight neck points and Chinese herbal fumigation can obtain the better effect.     

Clinical Study on Treatment of Cervical Spondylotic Radiculopathy by Electroacupuncture plus Tuina简

Objective： To observe the clinical effects of electroacupuncture（EA） plus tuina for cervical spondylotic radiculopathy. Methods： One hundred and twenty cases with cervical spondylotic radiculopathy were divided randomly by the digital table into the observation group and control group. The patients in an observation group were treated by EA plus tuina techniques. The patients in the control group were treated by simple tuina techniques. Results： The total effective rate was 91.7% in the observation group and 78.3% in the control group. The effective rates in the two groups were statistically different（P〈0.05）. Conclusion： EA plus tuina therapy is better than simple tuina therapy in the treatment of cervical spondylotic radiculopathy.     

艾炷灸治疗慢性腹泻临床观察

目的：观察艾灸对慢性顽固性腹泻的疗效。方法：将符合纳入标准的60例患者随机分为2组,治疗组30 例,予艾炷灸脾俞、肾俞等穴治疗;对照组予口服中药治疗。治疗1个疗程后比较两组疗效。结果：治疗组总有效率高于对照组,且两组比较差异具有统计学意义（P〈0.05）。结论：艾炷灸治疗慢性顽固性腹泻疗效优于口服中药。     

Clinical observation on electroacupuncture plus hydro-acupuncture for low back pain caused by compression fractures

Objective

To observe the effect of electroacupuncture (EA) at Jiaji (EX-B 2) points plus hydro-acupuncture with sinomenine hydrochloride for low back pain caused by compression fractures in the elderly.

Methods

Ninety-five elderly in-patients with low back pain caused by compression fractures were randomly divided into an observation group and an EA group according to the visit sequence. Both groups received the same basic treatment. In the EA group, 48 cases were treated with EA at Jiaji (EX-B 2) points plus the basic therapy; 47 cases in the observation group received the basic treatment plus EA and hydro-acupuncture with sinomenine hydrochloride at Jiaji (EX-B 2) points. The levels of osteoprotegerin (OPG) and interleukin-1β (IL-1β) in peripheral blood were measured by enzyme-linked immunosorbent assay (ELISA) before and at the 21st day of treatment in both groups. Oswestry disability index (ODI) and visual analog scale (VAS) scores were used to analyze the clinical efficacy.

Results

After treatment, the OPG content in the observation group was higher with statistical significance compared with that before treatment in the observation group and after the treatment in the EA group, respectively (both P<0.05); the content of IL-1β, ODI and VAS scores were lower than those before treatment in the observation group and after treatment in the EA group with statistical significances (all P<0.05).

Conclusion

The combination of EA and hydro-acupuncture with sinomenine hydrochloride at Jiaji (EX-B 2) points is effective for low back pain caused by compression fractures in the elderly, and is superior to EA at Jiaji (EX-B 2) points alone.

     

Observation on Clinical Effects of Electroacupuncture for Migraine Without Aura简

Objective： To observe the clinical effects of electroacupuncture（EA） for migraine without aura. Methods： The migraine patients in conformity with the conditions were randomly divided into two groups, 34 cases in each group. The treatment group was given EA and the control group was given the routine acupuncture treatment, to observe various pain indexes respectively before and one month after the treatment. Results： The general effect was remarkably better in the treatment group than that in the control group（P〈0.05）. Conclusion： EA is an effective therapy for migraine without aura.     

Diverse needling methods for dry eye syndrome: A randomized controlled study

Objective:To explore a proper acupuncture treatment protocol for dry eye syndrome(DES),by comparing the therapeutic effects between ordinary acupuncture and electroacupuncture(EA).Methods:Forty-seven eligible subjects with DES were randomized into an acupuncture group(n=23)and an EA group(n=24).With the same acupoint formula,the acupuncture group was treated with ordinary acupuncture,and the EA group was treated with ordinary acupuncture plus electrical stimulation.After a treatment course,eye symptom score,Schirmer I test(SIT),Break-up Time(BUT)of tear film,Corneal Fluorescein Staining(CFS),and Visual Analogue Scale(VAS)were adopted in evaluation and comparison of the two groups.Results:The total effective rate was 79.2%in the EA group versus 56.5%in the acupuncture group,and the difference was statistically significant(P<0.05).After treatment,both groups had marked improvements in eye symptom score,SIT,BUT,CFS,and VAS values(P<0.001);the EA group was better than acupuncture group in improving eye symptom score and SIT value(both P<0.05);the differences were insignificant in comparing VAS,BUT and CFS results between the two groups(P>0.05).Conclusion:Both EA and ordinary acupuncture are effective in treating DES,but EA is better than ordinary acupuncture in improving eye symptom and SIT score.