针灸治疗失眠疗效分析

目的:观察针灸对治疗失眠的疗效。方法:86例随机分为对照组和观察组各43例。对照组给予地西泮片治疗,观察组给予针灸治疗,两组均连续治疗3周。观察两组睡眠状态及焦虑、抑郁情绪改善情况。结果:总有效率观察组高于对照组(P0.05)。治疗后两组PSQI量表中入睡时间、睡眠时间、睡眠效率、睡眠质量、睡眠障碍和日间功能障碍等各项积分及总积分均较治疗前降低,且观察组低于对照组(P0.05)。治疗后两组SAS及SDS评分均较治疗前降低(P0.05),且观察组低于对照组(P0.05)。结论:针灸治疗可明显改善失眠患者睡眠状态,并可缓解其焦虑、抑郁情绪。     

针刺对甲基苯丙胺依赖者睡眠障碍和焦虑、抑郁情绪的影响

目的观察针刺对甲基苯丙胺依赖者睡眠障碍和焦虑抑郁情绪的改善作用。方法将90例男性甲基苯丙胺依赖者随机分为治疗组和对照组,每组45例。治疗组采用针刺治疗,对照组不接受任何治疗措施。采用匹兹堡睡眠质量指数(PSQI)、汉密顿焦虑量表(HAMA)及汉密顿抑郁量表(HAMD)分别观察两组治疗前后焦虑、抑郁状况及睡眠质量。结果治疗组治疗后各项PSQI评分、HAMA评分及HAMD评分与同组治疗前比较,差异均具有统计学意义(P0.05)。结论针刺对甲基苯丙胺依赖者睡眠障碍及焦虑、抑郁情绪均具有改善作用。     

针灸辅助低阻抗意念导入对脑病患者睡眠障碍与不良情绪的影响

目的:观察针灸辅助低阻抗意念导入(TIP)对脑病患者睡眠质量及情绪状态的改善效果。方法:选取广州中医药大学第一附属医院和广东省中医院2014年7月-2015年9月期间收治的96例脑病患者,随机分为观察组(n=48)和对照组(n=48);对照组给予TIP治疗,观察组给予针灸辅助TIP治疗。评定两组睡眠障碍、情绪状态改善效果,并采用失眠严重指数(ISI)量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)依次评估两组患者治疗前后睡眠质量、焦虑、抑郁程度。结果两组治疗前ISI、SAS、SDS评分比较无统计学意义(P0.05),两组治疗后ISI、SAS、SDS评分均显著降低,与治疗前相比有统计学意义(P0.05),治疗后观察组ISI、SAS、SDS评分均明显低于照组低(P0.05)。观察组睡眠障碍治疗总有效率为91.67%显著高于对照组75.00%,情绪状态改善总有效率为95.83%显著高于对照组81.25%(P0.05)。结论:针灸辅助TIP可显著增强脑病患者睡眠障碍及情绪状态改善效果,对改善患者睡眠质量、减轻焦虑、抑郁等不良情绪有积极作用。     

内关和足三里穴位埋线对海洛因戒断后焦虑和睡眠障碍的影响

目的 观察内关、足三里穴位埋线对海洛因戒断后焦虑和睡眠障碍的影响。方法 将67例海洛因成瘾者随机分为内关组(25例)、足三里组(22例)、联合组(内关加足三里组,20例),20 d治疗1次,共治疗4次。采用焦虑自评量表(SAS)和匹兹堡睡眠质量量表(PSQI),观察3组治疗前后焦虑和睡眠情况。结果 埋线60 d后,3组SAS总分和标准分、入睡时间和PSQI总分较治疗前显著减少(P0.05),睡眠时间显著延长(P0.05);其中,在改善焦虑比较中,联合组内关组足三里组(P0.05);在改善睡眠比较中,联合组疗效优于足三里组、内关组(P0.05);足三里组、内关组疗效比较差异无统计学意义(P0.05)。结论 内关、足三里、内关加足三里穴位埋线对海洛因戒断后焦虑和睡眠障碍均有疗效,其中穴位组合疗效优于单穴,说明穴位组合产生协同治疗效应。     

针灸辅助低阻抗意念导入对脑病患者睡眠质量及情绪状态的改善研究

目的:探究针灸辅助低阻抗意念导入(TIP)对脑病患者睡眠质量及情绪状态的改善效果。方法:将120例脑病患者随机分为观察组和对照组,每组60例;对照组给予TIP治疗,观察组给予针灸辅助TIP治疗;比较两组临床疗效,评估两组治疗前后睡眠质量及情绪状态改善效果。结果:观察组睡眠障碍临床总有效率为90.00%,显著高于对照组的75.00%(P0.05)。两组治疗前失眠严重指数量表(ISI)评分及焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P0.05),治疗后ISI评分及SAS、SDS评分均显著改善,与治疗前相比,差异有统计学意义(P0.05),且治疗后观察组ISI评分及SAS、SDS评分显著较对照组低,差异有统计学意义(P0.05)。结论:针灸辅助TIP可显著提高脑病患者睡眠障碍治疗效果,改善睡眠质量,并可显著减轻患者焦虑、抑郁等不良情绪状态,推荐临床推广使用。     

Clinical observation on improvement of heroin withdrawal syndrome by acupuncture plus methadone

目的:观察针刺在美沙酮疗法改善海洛因戒断综合征中的作用.方法:将60例海洛因依赖者分为治疗组和对照组,治疗组给予针刺和美沙酮治疗,对照组给予美沙酮治疗.结果:治疗组戒断症状积分比对照组低(P＜0.05).治疗组戒断症状改善明显优于对照组(P＜0.05).结论:针刺配合美沙酮较为明显地改善戒断症状.     

穴位埋线治疗肾虚肝郁证围绝经期轻度抑郁患者临床观察

目的:观察穴位埋线治疗肾虚肝郁证围绝经期轻度抑郁的临床疗效,并分析其主要作用的靶症状群.方法:将45例患者随机分为埋线组(23例)和针刺组(22例),埋线组取肾俞、肝俞、心俞、脾俞等穴进行埋线,每周1次;针刺组取埋线组相同穴位常规针刺,隔日1次,均以4周为一疗程,连续治疗2个疗程,2个疗程后进行疗效评价,第12周进行随访.观察患者治疗前后及随访时Kupperman评分、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)总分和因子评分的变化.结果:治疗后两组Kupperman评分、HAMD总分及焦虑/躯体化、阻滞、睡眠障碍和认知障碍评分均较治疗前显著降低(P＜0.01,P＜0.05);随访时,埋线组Kupperman评分与治疗后比较差异无统计学意义(P＞0.05),HAMD总分和睡眠障碍评分较治疗后显著降低(均P＜0.01);针刺组随访时Kupperman评分、HAMD总分和睡眠障碍评分均较治疗后升高(均P＜0.05);埋线组HAMD总分低于针刺组(P＜0.05),其阻滞和睡眠障碍评分亦较针刺组显著降低(均P＜0.01).结论:穴位埋线能减轻肾虚肝郁证围绝经期轻度抑郁患者的围绝经期症状,并通过对焦虑/躯体化、阻滞、睡眠障碍和认知障碍等靶症状群的调节,有效缓解患者的抑郁情绪,远期疗效优于常规针刺.     

电针治疗海洛因依赖者戒断后睡眠障碍的临床观察

目的　观察电针治疗海洛因依赖者戒断后睡眠障碍的临床疗效。方法　50例经脱毒治疗(7d)后,尿吗啡检测阴性的海洛因依赖者,随机分为治疗组和对照组,每组25例,治疗组给予电针治疗,对照组不予任何干预治疗;治疗前和治疗后4w、8w、10w采用《稽延性戒断症状评分量表》中三条有关睡眠障碍的项目对两组患者进行评分。结果　治疗组患者经电针治疗后,睡眠障碍的单项评分、综合评分均较治疗前有非常显著的下降(P<0. 001),且与相应时间段的对照组比较,其各项评分也非常显著地低于对照组(P<0. 001)。结论　电针能较快改善海洛因依赖者脱毒后的睡眠障碍,强化入睡状况,提高睡眠质量,延长睡眠时间。     

Clinical study on combined acupuncture and psychological desensitization therapy for anxiety due to heroin addiction

目的：观察针灸结合心理脱敏治疗海洛因成瘾者焦虑症状及抑制心理渴求的临床疗效。方法：将90例海洛因成瘾者随机分为治疗组（45例）和对照组（45例）。治疗组采用针灸结合心理脱敏治疗,每次30min,一星期治疗2次,共治疗8星期;对照组不接受任何治疗。观察两组焦虑积分及焦虑状态,并进行海洛因线索诱导前后心理渴求评价。结果：与对照组比较,治疗组焦虑总分、标准分减少明显,焦虑状态改善明显,两组差异有统计学意义（P〈0．05）;心理渴求明显降低（P〈0．01）。结论：针灸结合心理脱敏具有治疗焦虑症状、抑制近期心理渴求的疗效。     

胃电穴位刺激联合多虑平治疗脱毒后戒断征

目的探讨胃电穴位刺激及多虑平对海洛因依赖者在脱毒后稽延的焦虑、心理渴求等戒断征的疗效.方法两组各40例,均用戒毒药.治疗组加胃电仪穴位刺激及口服多虑平,进行为期10天的对比观察.结果治疗组总有效率90%,对照组为56.5%(P＜0.01),两组差异显著.治疗前后焦虑、心理渴求等戒断症状计分比较,治疗组各项分值明显较对照组低.稽延症状改善明显优于对照组.X检验P＜0.01.结论中西医结合可有效地改善海洛因依赖者在脱毒后的稽延性焦虑、心理渴求等戒断征的程度.     

Clinical observation on treatment of insomnia with puncturing Back-Shu acupoints

Objective： To evaluate the clinical efficacy of puncturing Back-Shu acupoints for insomnia. Methods： Sixty patients were randomly divided into two groups, 30 cases in each. Back-Shu acupoints acupuncture was employed in the treatment group, whereas conventional acupoints acupuncture was administered in the control group. And the efficacy was assessed by the efficiency rate of relief of sleep disorders and the global Pittsburgh Sleep Quality Index （PSOJ） score. Results： The total effective rate was 93.3% in the treatment group, versus 80.0% in the control group, showing that the two groups were significantly different （P〈0.01）. After treatment, the global PSO, I scores in the two groups decreased compared with those before treatment （P〈0.01）, and the global PSO, I scores of the two groups after treatment were also statistically different （P〈0.05）. Conclusion： Puncturing Back-Shu acupoints can effectively reduce the global PSQI score, improve the patient＇s quality of life, has a good effect on insomnia.     

针刺治疗海洛因依赖者稽延性戒断症状疗效观察(英文)

目的:通过针刺不同穴位,观察和分析其对海洛因依赖者稽延性戒断症状的干预效果,为筛选针刺治疗本症的特异穴位提供临床依据。方法:将符合纳入标准的60例男性海洛因依赖者随机分为3组,即内关组、神门组和对照组,分别在治疗前、治疗过程中及治疗3星期后采用稽延性戒断症状评分量表和汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)进行测定,观察其变化。结果:在控制稽延性戒断症状上,内关组、神门组与对照组相比有统计学差异(P<0.01, P<0.05);但内关组、神门组之间差异没有统计学意义(P>0.05)。结论:针刺可缓解海洛因依赖者稽延期戒断症状和精神焦虑症状,内关穴与神门穴具有同样显著疗效,但神门穴对于心神的异常具有更快更好的显效趋势。     

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。     

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.     

调督安神针法治疗失眠症疗效观察（英文）

目的:观察调督安神针法对失眠症的疗效,传承燕赵高氏针灸学术思想。方法:将68例失眠症患者按随机数字表随机分为针刺组及药物组,每组34例。针刺组采用调督安神针法治疗,每日1次,每星期治疗5次,休息2d,共治疗4星期。药物组予艾司唑仑片治疗,每日1mg,睡前口服,共治疗4星期。治疗前后采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评价睡眠质量,根据P SQI减分率评定疗效。结果:治疗后,针刺组PSQI总分及各单项评分均明显下降,与本组治疗前有统计学差异(均P<0.01);药物组P SQI总分明显下降,与本组治疗前差异有统计学意义(均P<0.01),除睡眠障碍外,其余各单项积分均较治疗前下降(P<0.01或P<0.05)。针刺组治疗后P SQI总分明显低于药物组(P<0.01)。除入睡时间及睡眠时间外,针刺组睡眠质量、睡眠效率、睡眠障碍及日间功能障碍评分均低于药物组,组间差异有统计学意义(均P<0.05)。针刺组愈显率显著高于药物组(P<0.05)。结论:调督安神针法治疗失眠疗效确切,疗效优于口服艾司唑仑片。     

Effect of electroacupuncture on anxiety and craving in heroin addicts during detoxification

Objective:To observe the effect of electroacupuncture at Jiaji (EX-B 2) points for anxiety and craving in heroin addicts during detoxification. Methods:A total of 60 cases were randomized into an electro-acupuncture group and a control group, 30 in each group. Cases in the electroacupuncture group were treated with electroacupuncture at Jiaji (EX-B 2) points, whereas cases in the control group were treated with Methadone and Doxepin. Then scores were graded using Zung self-rating anxiety score (SAS) and self-made visual analogue scale (VAS). The assessment was conducted once a day to record the adverse reactions. Results:After treatment, the SAS and VAS scores in the electro-acupuncture group were significantly lower than that in the control group (P<0.01). Conclusion:Electroacupuncture at Jiaji (EX-B 2) points can effectively alleviate anxiety and craving intensity in heroin addicts during detoxification.     

Clinical study on acupuncture for primary insomnia

Objective

To observe the clinical effect of Acupuncture at Baihui (GV 20), Sishencong (EX-HN 1) and Anmian [Extra, locates at the midpoint between Yiming (EX-HN 14) and Fengchi (GB 20)] for primary insomnia.

Methods

A total of 112 patients with primary insomnia were randomized into an acupuncture group and a medication group according to the visiting sequence, 56 cases in each group. The acupuncture group was intervened by acupuncture at Baihui (GV 20), Sishencong (EX-HN 1) and Anmian [Extra, locates at the midpoint between Yiming (EX-HN 14) and Fengchi (GB 20)], and points selected based on syndrome differentiation, while the medication group was by oral intake of zopiclone tablet. The Pittsburgh sleep quality index (PSQI) was measured before and after treatment, and the clinical efficacy was compared after 1 month of treatment.

Results

After treatment, subscales of PSQI and global score in the acupuncture group were improved, and intra-group comparisons showed statistical differences (all P<0.05); subscales of sleep quality, sleep latency, sleep duration and global score of PSQI in the medication group were improved, showing statistical differences (all P<0.05). Inter-group comparison of global and subscales scores of PSQI showed statistical differences (all P<0.05). The total effective rate in the acupuncture group was 92.9%, higher than 67.9% in the medication group, and between-group comparison showed a statistical difference (P<0.05).

Conclusion

Acupuncture at Baihui (GV 20), Sishencong (EX-HN 1) and Anmian [Extra, locates at the midpoint between Yiming (EX-HN 14) and Fengchi (GB 20)] as the main treatment method can produce a better effect than oral intake of zopiclone tablet.

     

Observation on warm needling therapy for third lumbar vertebra transverse process syndrome

Objective： To observe the effect of warm needling therapy plus acupuncture on third lumbar vertebra transverse process syndrome. Methods： Sixty cases of third lumbar vertebra transverseprocess syndrome were randomly divided into a warm needling groupor an acupuncture group, 30 cases in each group. Cases in the acupuncture group were treated by routine points and needle sticking manipulation, while those in the warm needling group were treated by moxibustion plus needling as same as the acupuncture group. Japanese orthopedic association scores （JOA） in the two groups were observed and compared after 2 treatment courses. Results： After treatment, the JOA score in the warm needling group was higher than that in the acupuncture group （P〈0.01）; subjective symptom, clinical syndromes, activity of daily living （ADL） in the warm needling group were all higher than those in the acupuncture group （allP〈0.05）; the score of pain in the warm needling group was significantly lower than that in the acupuncture group （P〈0.01）; the total effective rate in the warm needling group was 76.7%, versus 70.0% in the acupuncture group, showing a statistically significant difference （P〈0.05）. Conclusion： Warm needling therapy is more effective thannormal acupuncture in treating third lumbar vertebra transverseprocess syndrome.     

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。     

Treatment of post-stroke spastic hemiplegia by acupuncture plus rehabilitation training

Objective： To observe the clinical effects of acupuncture plus rehabilitation training for post-stroke spastic hemiplegia. Methods： Eighty patients with post-stroke spastic hemiplegia in conformity with the inclusion criteria were randomly divided into two groups, a treatment group and a control group, 40 cases in each group. Both two groups were given treatments of routine Western medicine and rehabilitation training. Those in the treatment group were treated by puncturing antagonistic muscles, and those in the control group were given routine acupuncture treatment, to observe the changes in the scores of modified Ashworth scale （MAS）, Fugl-Meyer assessment （FMA） and Barthel index （BI） after treatments in the two groups. Results： After treatment, the scores of MAS, FMA and BI in the two groups were statistically different from those of the same group before the treatment （all P〈0.02）. After treatment, the differences in the scores of MAS, FMA and BI were all statistically significant （P〈0.01 or P〈0.05）. Conclusion： Acupuncture of antagonistic muscles plus rehabilitation training is better than routine acupuncture plus rehabilitation in the treatment of post-stroke spastic hemiplegia.