针挑疗法治疗肩关节周围炎临床疗效观察

目的:观察针挑疗法治疗肩周炎的临床疗效.方法:对60例肩周炎患者采用通过对皮肤的刺激,内达经络脏腑,具有疏通经络,活血止痛,调整阴阳的作用.结果:治愈60例,显效10例,无效2例,总有效率96.7％.结论:针挑疗法治疗肩周炎疗效确切,操作简单,易于掌握.     

风穴治疗脑卒中后遗症疗效观察

脑卒中肢体运动功能障碍是后遗症重要的临床表现,脑卒中病后7-10 d,病人偏瘫占74·1%-85%,行动受限占71%~77%,不能站立坐者占47·5%。药物配合针刺治疗脑卒中肢体功能障碍的报道较多。     

手法治疗急性腰扭伤100例疗效小结

采用伤科手法治疗急性腰扭伤100例,收到较好疗效。强调在操作时宜从整体观出发,经穴并用,点面结合,刚柔相济的重要性以及动与静相结合的基本原则。     

针刺治疗急性腰扭伤近况

针刺治疗急性腰扭伤近况许竹松延边医学院朝医系关键词扭伤和劳损；腰；针刺疗法；经穴中图法分类号Ｒ２７４．３４；Ｒ２４５急性腰扭伤多发于青壮年，为针灸科门诊中的常见病之一．笔者收集近年来针刺治疗急性腰扭伤２０７４例，吸取精华，用于临床实践，受到较满意的效...     

针刺开音1号穴配合颈夹脊穴治疗声带小结25例临床观察

[目的]观察针刺开音1号穴配合颈夹脊穴治疗声带小结的临床疗效.[方法]将47例声带小结患者随机分为治疗组25例和对照组22例.治疗组以针刺开音1号穴配合颈夹脊穴3～5为主治疗,对照组以口服金嗓散结丸治疗.2组均以20 d为1个疗程.观察2组的临床疗效及安全性.[结果]治疗后治疗组愈显率为56.00%,对照组为36.36%,2组比较差异有显著性意义(P<0.05).治疗组患者治疗后的症状积分有明显改善(与治疗前比较,P<0.05);对照组治疗后的症状积分也有所改善,但与治疗前比较差异无显著性意义(P>0.05).2组治疗后比较差异有显著性意叉(P<0.05),说明治疗组对症状积分的改善作用明显优于对照组.2组病例均未出现任何不良反应.[结论]针刺开音l号穴配合颈夹脊穴为主治疗声带小结是临床安全有效的治法.     

火针八邪、上八邪穴治疗中风后手指拘挛的临床疗效观察

[目的]观察火针八邪、上八邪穴治疗中风后手指拘挛的临床疗效.[方法]将80例患者随机分为治疗组和对照组各40例.治疗组给予火针八邪、上八邪穴治疗,对照组给予常规针刺治疗.2组均以9d为1个疗程,2个疗程后观察疗效,以及改良的Ashworth痉挛分级量表(MAS)、Fugl-meyer评价量表(FMA)、神经功能缺损程度评定量表(NDS)评分的变化情况.[结果]治疗后,治疗组的总有效率为92.5％,对照组为77.5％,治疗组的临床疗效优于对照组,差异有统计学意义(P＜0.05).治疗后2组患者的MAS、FMA、NDS等手功能各项评分总积分均有改善,与治疗前比较差异均有统计学意义(P＜ 0.05或P＜0.01);且治疗组的手功能各项评分改善程度优于对照组,治疗后组间比较差异均有统计学意义(P＜0.05).[结论]火针八邪、上八邪穴治疗中风后手指拘挛疗效确切,值得临床推广应用.     

“应痛点”选穴法临床应用

根据左病取右、右病取左、左右交叉、上下相应的选穴施治原则,介绍了在四肢、关节、软组织扭伤、拉伤、挫伤后,可在其相对应的部位,通过循按、揉按、捏提等测定手法找到反应点,即“应痛点”(包括阳性点、阴性点、良性点3种)。针刺之具有良好的效果,尤其是在伤后数小时内,有针到病除之功。     

温针灸治疗肩周炎疗效观察

[目的]观察比较温针疗法与电针疗法治疗肩周炎的临床疗效。[方法]将84例肩周炎惠者分为治疗组(42例)和对照组(42例),治疗组采用温针疗法,对照组采用电针疗法治疗。10次为1疗程,3个疗程后统计疗效。[结果]治疗组的临床治愈率为71.4％,总有效率为95.2％,优于对照组的42.8％和78.6％(x2=7.0,P<0.01;x2=5.2,P<0.05)。[结论]对于肩周炎患青的治疗,温针疗法的疗效优于电针疗法。     

针灸治疗失眠55例疗效观察

目的:观察针灸疗法治疗失眠症的疗效.方法:对55例失眠患者采用针灸疗法,主穴取安眠穴、内关穴.心脾两虚者加百会穴、心俞穴、脾俞穴;肝郁化火者加太冲和肝俞穴;阴虚火旺者加太溪和三阴交穴;胃腑不和者加中脘穴、丰隆穴.针灸并用.结果:临床治愈44例,显效6例,有效3例,无效2例,总有效率为96.36％.结论:针灸治疗失眠症疗效确切.     

针刺养老穴治疗急性腰扭伤34例

急性腰扭伤是门诊常见病，自2000年以来，笔者采用针刺一侧养老穴治疗急性腰扭伤3．4例，收到较好效果，现介绍如下。     

Differences in thermal effects of moxibustion at Zusanli(ST 36) and Hegu(LI 4) on various facial areas in healthy people

OBJECTIVE:To study the effects of temperature on different facial areas by suspended moxibustion at two points,Zusanli(ST 36) and Hegu(LI 4),and probe the phenomena underlying self-regulation in the human body after thermal stimulation.METHODS:Thirty healthy volunteers accepted moxibustion over Zusanli(ST 36) and Hegu(LI 4),and the order of moxibustion points was randomly determined.Moxibustion method:suspension of moxibustion over Zusanli(ST 36) and Hegu(LI 4) on both sides was performed using an ignited moxa stick stuck in a support for 20 min.Observation method:An infrared thermal image of the face was taken before and after suspended moxibustion using a CK350 medical infrared thermal imaging instrument.Data analysis:A thermal microscopic section view system(TMTSys) was used to analyze the change in temperature in special facial areas.Statistical analysis was carried out using SPSS 14.0 software.RESULTS:Before moxibustion was suspended,the facial thermal image showed a T-shaped thermal area related to the vascular distribution with even temperature and good symmetry on both sides.Suspended moxibustion over Zusanli(ST 36) have a very significant increase in temperature at the forehead,around the nose,at the corners of the mouth,and at the cheeks and lips(P<0.01).Suspended moxibustion over Hegu(LI 4) also have a significant(P<0.05) increase in temperature around the nose,the corners of the mouth,the cheeks,and lips,where has a new high temperature area was formed(P<0.01).Suspended moxibustion over Hegu(LI 4) raised the temperature at the middle point of the lips more obviously than did Zusanli(ST 36) in the same person,(P<0.05).After 10 min of moxibustion over Zusanli(ST 36) and Hegu(LI 4),the change in temperature in the facial area reached its peak value.CONCLUSIONS:Facial infrared thermography of healthy people revealed a T-shaped thermal area reflecting a physiological thermal area.Moxibustion over Zusanli(ST 36) or Hegu(LI 4) raised the temperature in this facial T-shaped thermal area.Hegu(LI 4) led to the formation of a new thermal area in the lips.The time required for moxibustion to regulate human body temperature was 10 min.     

Effect of electroacupuncture at Ximen (PC 4) and Hegu (LI 4) on expression of Akt in rats with myocardial ischemia-reperfusion injury

Objective

To investigate the effect of electroacupuncture (EA) at acupoints on the pericardium meridian on the expression of phosphorylated Akt (p-Akt) protein in rat myocardium after ischemia and reperfusion.

Study on the Regulatory Effect of Electro-acupuncture on Hegu Point （LI4） in Cerebral Response with Functional Magnetic Resonance Imaging

Objective To study, through blood oxygen level dependent functional magnetic resonance imaging (BOLD fMRI), the cerebral activated areas evoked by electro-acupuncturing (EA) the right Hegu point (LI4) or non-acupoint points on the face, and through comparing their similarities and differences, to speculate on the specific cerebral areas activated by stimulating LI4, for exploring the mechanism of its effect in potential clinical application. Methods EA was applied at volunteers’ right LI4 (of 9 subjects in the LI4 group) and facial non-acupoint points (of 5 subjects in the control group), and whole brain 3-dimensional T1 anatomical imaging of high resolution 1 × 1 × 1 mm³ used was performed with clustered stimulatory mode adopted by BOLD fMRI. Pretreatment and statistical t-test were conducted on the data by SPM2 software, then the statistical parameters were superimposed to the 3-dimensional anatomical imaging. Results Data from 3 testees of the 9 subjects in the LI4 group were given up eventually because they were unfit to the demand due to different causes such as movement of patients’ location or machinery factors. Statistical analysis showed that signal activation or deactivation was found in multiple cerebral areas in 6 subjects of LI4 group and 5 subjects of the control group (P<0.01). In the LI4 group, the areas which showed signal activation were: midline nuclear group of thalamus, left supra marginal gyrus, left supra temporal gyrus, right precuneous lobe, bilateral temporal pole, left precentral gyrus and left cerebellum; those which showed signal deactivation were: bilateral hippocampus, parahippocampal gyrus, amygdala body area, rostral side/audal side of cingulate gyrus, prefrontal lobe and occipital lobe as well as left infratemporal gyrus. In the control group, areas which showed signal activation were: bilateral frontal lobe, postcentral gyrus, Reil’s island lobe, primary somato-sensory cortex, cingulate gyrus, superior temporal gyrus, occipital cuneiform gyrus and/or precuneus gyrus and right brainstem; and the area that showed deactivation was left median frontal lobe. Conclusion The effects of EA LI4 in regulating cerebral activities could be displayed and recorded through BOLD fMRI, the distribution of signally deactivated area evoked by EA LI4 was similar to the known distribution of anatomical orientation of pain in brain, and closely related to the anatomic structure of limbic system, which areas are possibly the acupuncture analgesic effect’s cerebral regulating area. Furthermore, activated portion of left central anterior gyrus, which represent the movement of oral facial muscles, and the activated portion of cerebellum are possibly related with the effect of using EA LI4 in treating facial palsy and facial muscle spasm. As for the mechanism of signal deactivation of cerebral activities exhibited in the present study that is unable to be elucidated, it awaits for further research. Supported by the National Natural Science Foundation (No. 90209031)     

电针迎香穴对嗅觉障碍大鼠嗅球及嗅黏膜IGF-1、FGF-2的影响

目的:观察电针迎香穴通过三叉神经通路对嗅觉障碍大鼠嗅球及嗅黏膜胰岛素样生长因子-1(insulin-like growth factor-1,IGF-1)和成纤维生长因子-2(fibroblast growth factors-2,FGF-2)表达的影响,以阐明其治疗嗅觉功能障碍的作用机制。方法:取SD雄性大鼠40只,随机分为空白组,模型组,电针迎香穴组,电针迎香穴+眶下神经切断组,每组10只。除空白组外,其余各组均用灌注Triton X-100的方法建立嗅觉障碍,造模成功后进行电针干预,期间观察大鼠嗅觉行为学等指标,电针干预10 d,用免疫组织化学法测定嗅球及嗅黏膜组织中IGF-1和FGF-2的表达水平。结果:模型组嗅球及嗅黏膜中FGF-2或IGF-1表达减少、食物小球寻找时间增加(P0.05),而电针迎香穴干预可以显著提高FGF-2或IGF-1的表达水平并缩短食物小球寻找时间(P0.05),电针迎香穴+眶下神经切断则无显著干预效应。结论:电针干预可以减轻由Triton X-100诱导的大鼠嗅觉功能障碍症状,其机制可能与提高嗅觉神经元再生因子FGF-2或IGF-1的表达有关,且其干预效应的产生与三叉神经通路的完整性相关。     

二苯乙烯苷对Aβ25-35致NG108-15损伤的保护作用

目的观察二苯乙烯苷对Aβ25-35诱导损伤的NG108-15细胞生长、分化的影响。方法以Aβ25-35诱导NG108-15细胞建立痴呆细胞模型后加入二苯乙烯苷培养,观察NG108-15细胞的生长状态、存活率、突起率及突起平均长度。结果与细胞模型组相比,二苯乙烯苷组能在一定程度上抑制Aβ25-35对痴呆细胞的损伤作用,细胞生长状态良好,细胞存活率、突起率及突起平均长度与模型组比较均有显著性差异(P<0.05或P<0.01)。结论二苯乙烯苷对Aβ25-35诱导的NG108-15细胞损伤具有保护作用。     

针刺不同经穴对正常人事件相关电位P3a和P3b的影响

目的：探讨针刺不同经脉穴位对大脑注意功能的影响,为进一步揭示针刺心经经穴神门效应的脑功能与脑整合机制奠定基础。方法：选择10名健康青年大学生作为试验对象,采用视觉新奇刺激和靶刺激诱导P3a和P3b电位,采用Neuroscan事件相关电位系统,选择测量时间窗口为330～430ms和400～600ms,观察手针心经神门穴与肺经太渊穴前后P300强度分布的变化。结果：针刺神门或太渊后P3a、P3b的波幅均显著降低,但降低的程度受针刺穴位的调控和影响;在电极FCz记录位置,针刺神门引起更大程度的P3a波幅的降低（P〈0.05）。结论：手针神门或太渊穴均能影响大脑的注意功能,针刺神门对人体大脑注意功能的影响更大。     

针刺治疗小儿慢性肠系膜淋巴结炎近远期疗效观察

[目的]评价针刺治疗小儿慢性肠系膜淋巴结炎的临床疗效。[方法]将120例慢性肠系膜淋巴结炎患儿随机分为两组,每组60例。对照组予头孢呋辛钠抗感染治疗,治疗组穴取四缝穴、内关、中脘、足三里等,予针刺治疗。1周为1疗程,1个疗程后评定疗效。[结果]治疗组愈显率与总有效率分别为91.7%、98.3%,对照组分别为86.7%、95%,两组疗效有显著性差异（均P〈0.05）,两组患儿治疗前后症状体征积分比较治疗前均有下降,差异均有非常显著性意义（P〈0.01）;治疗组治疗后症状体征积分低于对照组,差异有显著性意义（P〈0.05）。治疗后三个月,治疗组复发率为3.6%,治疗后六个月,治疗组复发率为1.9%,分别显著低于对照组的57.7%,54%（P〈0.01）。[结论]针刺法治疗小儿慢性肠系膜淋巴结炎不但具有确切的近期临床疗效,而且远期疗效稳定,复发率低,值得临床推广。     

参麦注射液足三里注射治疗化疗后白细胞减少症临床观察

目的观察参麦注射液足三里穴位注射治疗肿瘤患者白细胞减少症的临床疗效。方法将59例肿瘤化疗后白细胞减少症患者随机分为三组,参麦注射液足三里穴位注射组(治疗1组)20例,参麦注射液静脉滴注组(治疗2组)20例,利血生口服组(对照组)19例。三组均以3周为1个疗程。1个疗程结束后,观察三组患者治疗前后外周血白细胞计数变化情况。结果治疗1组在治疗后白细胞减少总有效率高于治疗2组和对照组,且差异有统计学意义(P0.05或P0.01);治疗2组总有效率高于对照组,但差异无统计学意义(P0.05)。治疗1组和治疗2组治疗后症状改善情况均优于对照组(P0.05或P0.01)。结论参麦注射液足三里穴位注射治疗肿瘤患者化疗后白细胞减少症疗效确切。     

深刺夹脊穴治疗腰椎间盘突出症40例临床观察

目的观察深刺夹脊穴治疗腰椎间盘突出症的临床疗效。方法将符合诊断标准的80例患者随机分为治疗组和对照组,每组各40例。对照组采用常规针刺疗法治疗,配穴的选取参照治疗组;治疗组在采用深刺夹脊穴疗法的同时,根据疼痛部位的不同,选取不同的配穴治疗。结果80例患者治疗后对照组总有效率为80.0%,治疗组为97.5%,两组比较有显著性差异（P（〈0.01）,治疗组疗效明显优于对照组。结论深刺夹脊穴治疗腰椎间盘突出症,疗效显著,操作简便,毒副作用少,值得临床推广。     

重组人血管内皮抑素联合NP方案治疗晚期乳腺癌临床观察

目的应用重组人血管内皮抑素(恩度)联合长春瑞滨+顺铂(NP)方案治疗晚期乳腺癌,与单纯长春瑞滨+顺铂方案相比较,探讨其疗效、安全性及耐受性。方法选择2009年2月—2012年8月该院收治的36例经病理证实的晚期乳腺癌患者,其中16例应用恩度联合NP方案治疗,20例单纯NP方案化疗。恩度15 mg加生理盐水500 mL匀速缓慢静脉滴注3 h,d 1~14;长春瑞滨:25 mg/m2,d1、8;顺铂:25 mg/m2,d 2~4。3周重复。按照RECIST1.1标准评价近期疗效,按照NCI.CTC3.0版标准评价毒性反应,用药2周期后评价疗效及毒性。结果 36例患者均完成至少2周期治疗,可评价疗效。恩度联合NP组:CR 3例、PR 6例、SD 5例、PD 2例。客观有效率(RR)56.3%,疾病控制率(DCR)87.5%。C3/4级毒性:中性粒细胞下降4例(25%),血小板下降1例(6.25%),恶心、呕吐1例(6.25%)。NP治疗组:CR 2例、PR 6例、SD 6例、PD 6例。客观有效率(RR)40%,疾病控制率(DCR)70%。C3/4级毒性:中性粒细胞下降5例(25%),血小板下降2例(10%),恶心、呕吐2例(10%)。两组之间RR及DCR差异有统计学意义(P<0.05)。结论恩度联合NP方案治疗晚期乳腺癌可提高NP方案疗效,未增加毒性反应,安全性好,并可改善患者的生活质量,值得临床推广应用。