耳穴压豆联合西药治疗小儿精神发育迟滞睡眠障碍随机平行对照研究

[目的]观察耳穴压豆联合西药治疗小儿精神发育迟滞睡眠障碍疗效。[方法]使用随机平行对照方法,将74例住院及门诊患者按病志号抽签随机分两组,改善脑微循环、改善脑细胞功能代谢和促进神经细胞再生和修复,小剂量药物辅助睡眠。对照组37例针刺,华佗牌一次性30号毫针,三针组穴法,四神针(百会四周旁1.5寸;脑三针(脑户及两侧脑空);智三针(神庭及两侧本神);颢三针(耳尖上2寸为首针,前后1寸分别是第二、三针);手智针(内关、神门、劳宫),以及涌泉穴、安眠穴;肢体障碍加曲池、手三里、合谷或足三里、阳陵泉、飞扬;语言、吞咽障碍加舌三针;留针30min,行针3次后出针。2d 1次,3次/周。治疗组37例耳穴压豆(取神门、交感、心、肾及脾穴),两侧交替,按压3次/d,20s/穴,力度以耳穴微红为宜;1次/d,3次/周。连续治疗3周为1疗程。观测临床症状、儿童睡眠习惯调查问卷、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效25例,有效9例,无效3例,总有效率92.90%;对照组显效18例,有效12例,无效7例,总有效率81.00%;治疗组疗效优于对照组(P0.05)。睡眠总时长、夜醒情况、白天睡眠情况治疗组改善优于对照组(P0.05),上床睡觉时间、睡眠习惯、睡眠行为两组间无明显差异(P0.05)。[结论]耳穴压豆联合西药治疗小儿精神发育迟滞睡眠障碍,疗效满意,无严重不良反应,值得推广。     

郁三针配合耳穴压豆治疗肝火扰心证失眠疗效观察

目的:观察郁三针配合耳穴压豆治疗肝火扰心证失眠的临床疗效。方法:45例肝火扰心证失眠患者采用郁三针治疗,取穴:四神针、内关、三阴交、太冲,针刺结束后予耳穴压豆治疗。左右耳穴交替贴豆,每3～4日交替1次,7次为1个疗程,针刺隔日治疗1次,10次为1个疗程。结果:经2个疗程治疗后,临床有效率为93.3%,患者匹兹堡睡眠质量指数(PSQI)各项评分较治疗前明显降低(P0.05)。结论:郁三针配合耳穴压豆治疗肝火扰心证失眠疗效满意。     

针刺配合耳穴贴压治疗失眠症50例

目的:观察针刺配合耳穴贴压治疗失眠症的疗效。方法:50例用针刺百会、神庭、神门、四神聪、安眠等穴配合耳穴贴压的方法治疗,治疗2个疗程(20次)。结果:治愈25例,有效23例,无效2例,总有效率96%。结论:针刺配合耳穴贴压是治疗失眠症简便有效、安全的方法。     

耳穴贴压配合针刺治疗心肾不交型失眠临床研究

目的通过耳穴贴压配合针刺治疗40例心肾不交失眠患者,观察其疗效。方法确诊为失眠患者80例,随机分成两组,治疗组40例采用耳穴贴压配合针刺;对照组40例采用单纯针刺治疗。结果疗程结束后,耳穴贴压配合针刺有效率明显高于单纯针刺,两者之间有显著性差异(P0.05)。结论耳穴贴压配合针刺治疗心肾不交型失眠疗效更佳。     

针刺联合耳穴贴压治疗抑郁症睡眠障碍疗效观察

目的:探讨针刺联合耳穴贴压治疗抑郁症睡眠障碍的临床疗效.方法:76例抑郁症睡眠障碍患者随机分为观察组(39例)和对照组(37例).观察组治疗采用针刺百会、上星、神庭、风池、神门等穴位,同时联合耳穴贴压;对照组口服盐酸氟西汀分散片(百优解),两组疗程均为4周.比较两组汉密尔顿抑郁量表(HAMD)以及匹兹堡睡眠质量指数(P...     

针刺配合耳穴贴压治疗不安腿综合征睡眠障碍疗效观察

目的观察针刺配合耳穴贴压治疗原发性不安腿综合征睡眠障碍的临床疗效。方法将50例患者随机分为治疗组和对照组,每组25例。治疗组采用针刺配合耳穴贴压治疗,对照组采用单纯针刺治疗。观察两组治疗前后不安腿综合征的严重程度评定量表(IRLS)、匹兹堡睡眠质量指数(PSQI)、抑郁自评量表(SDS)评分,比较两组临床疗效。结果两组治疗后IRLS、PSQI、SDS评分与同组治疗前比较差异具有统计学意义(P0.05)。两组治疗后IRLS、PSQI、SDS评分比较差异具有统计学意义(P0.05)。结论针刺配合耳穴贴压是一种治疗原发性不安腿综合征睡眠障碍的有效方法。     

针刺结合耳穴贴压治疗排尿性晕厥25例

目的:观察针刺结合耳穴贴压治疗排尿性晕厥的临床疗效。方法:25例排尿性晕厥患者,采用针刺结合耳穴贴压治疗,针刺穴取百会、天枢、涌泉、中极、内关、神门,虚象明显者加关元,伴气厥者加太冲、膻中,痰厥者加丰隆。百会、天枢、涌泉行"进火补"法,留针50 min,留针期间每10分钟行适度捻转手法1次。每天治疗1次,7 d为一疗程,治疗2个疗程。耳穴取交感,将王不留行籽贴于0.5 cm×0.5 cm小方块胶布中央,然后贴于交感穴,嘱患者每天按压3次,每次3~5 min,每3天更换1次,共贴压21 d。治疗后5个月观察疗效。结果:16例痊愈,9例好转。有效率100%。结论:针刺结合耳穴贴压治疗排尿性晕厥疗效较好。     

针刺配合耳穴贴压治疗椎动脉型颈椎病103例

目的：观察针刺配合耳穴贴压治疗椎动脉型颈椎病的临床疗效。方法：103例患者均给予针刺配合耳穴贴压治疗,10d为1个疗程,2个疗程观察疗效。结果：本组103例,痊愈85例,占82％;显效15例,占15％;有效3例,占3％;有效率为100％。结论：针刺配合耳穴贴压治疗椎动脉型颈椎病有较好的临床疗效。     

耳穴贴压对失眠患者PQSI及ESS量表影响的临床观察

目的:观察单侧耳穴贴压、双侧耳穴贴压与常规针刺治疗失眠症的临床疗效差异,验证耳穴贴压的临床有效性及安全性。方法:将60例患者随机分为单侧耳穴贴压组(单侧耳压组)、双侧耳穴贴压组(双侧耳压组)和常规针刺组,每组20例。耳穴贴压组均取神门、交感、皮质下、心。单侧耳压组左右耳交替贴压,每侧3 d。双侧耳压组双耳均取上述耳穴,连续贴压6 d,休息1 d。常规针刺组取百会、安眠、申脉、照海、神门、三阴交为主穴行常规针刺,5次/周。3种疗法均4周为1个疗程。观察3组治疗前后匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)及Epworth嗜睡量表(Epworth Sleepiness Scale,ESS)变化情况。结果:3组均能明显降低PSQI及ESS量表得分(P0.01),但3组组间差异无统计学意义(P0.05)。结论:单侧耳压治疗失眠症安全有效,与双侧耳压、常规针刺疗效相当,但其操作性、安全性及患者依从性优于双侧耳压组及常规针刺组。     

电针配合耳穴贴压治疗失眠的疗效观察

目的:观察电针配合耳穴贴压治疗失眠的疗效。方法:60例失眠患者随机分为治疗组及对照组各30例,对照组采取电针治疗,治疗组采取电针和耳穴贴压,比较两组睡眠质量。结果:治疗组入睡时间、睡眠效率、睡眠障碍及日间功能显著优于对照组(P0.01)。结论:电针配合耳穴贴压治疗失眠的疗效明显,其安全可靠、副作用小。     

A case of amyotrophic cervical spondylosis

A case of amyotrophic cervical spondylosis was healed by using acupuncture in combination with electroacupuncture, needling was carried out on Fēngchí (

GB 20), Tiānzhù (

BL 10), Dàzhuī (

GV 14), Jiānj

ng (

GB 21), Zhìyang (

GV 9), Jiānzhēn (

SI 9), Jiānyú (

LI 15), Sh

usānl

(

LI 10), Hòuxī (

SI 3), Kūnlún (

BL 60) and Shùg? (

BL 65). BL 10 on the left side and LI 10 on the right side, GB 20 on the right side and GV 9 were connected for electroacupuncture, once a day, 12 treatments as one treatment course, a interval of 5 days was set between two treatment courses, and totally 6 treatment courses were carried out. The patient was clinically healed after the treatment and the disease did not recur during the follow-up for six months.     

A case of functional rehabilitation after replantation of a severed limb

A patient with functional impairment after replantation of severed limb was treated by electroacupuncture in combination with rehabilitation training, and needling was carried out on Qūchí (

LI 11), Sh

usānl

(

LI 10), Wàiguān (

TE 5), Yángxī (

LI 5), Yángchí (

TE 4), Yángg? (

SI 5), Hég? (

LI 4), Bāxié (

EX-UE 9), Wàiláogōng (

EX-UE 8) and Yèmén (

TE 2). Electroacupuncture was carried out on TE 5, EX-UE 8, LI 11 and LI 4. After treatments for four months, except the opposition of thumb was not satisfactory, the active exercises of the remaining four fingers almost recovered.     

Allergic rhinitis treated with warming-needle moxibustion

A case of allergic rhinitis treated with warming-needle moxibustion was introduced. A 57-year old patient with allergic rhinitis for more than 10 years was treated. Yíngxiāng (

LI 20), Shàngyíngxiāng (

EX-HN8), Shàngxīng (

GV 23), Yìntáng (

EX-HN3), Cuánzhú (

BL 2), Fēngchí (

GB 20), Tiāntū (

CV 22), Wàiguān (

TE 5), Hég? (

LI 4), Zúsānl? (

ST 36), Shènshū (

BL 23) and Tàixī (

KI 3) were punctured. After deqi, warming-needle moxibustion was performed at LI 20 and ST 36. After treatment for 2 courses, all the symptoms disappeared without relapse of urticaria or asthma during treatment. Another 1 course of treatment was conducted additionally for consolidating the curative effect. No relapse was found during the follow-up visit half a year after treatment.     

针刺治疗怪异性大面积皮肤瘙痒案

介绍笔者在海外工作期间,通过针刺太溪、三阴交、阴陵泉、足三里、丰隆和血海等穴治疗怪异性大面积皮肤瘙痒症,最终取得满意疗效,表明针刺对本病确有疗效.     

电针配合TDP治疗慢性盆腔炎45例

目的:观察电针配合TDP照射治疗慢性盆腔炎的疗效.方法:45例慢性盆腔炎患者采用电针与TDP治疗,针刺取穴关元、中极、水道、归来、足三里、三阴交、太冲,分别于同侧水道、归来接G9805-C低频治疗仪治疗,留针30 min,同时将TDP治疗头直接照射在患者下腹部.隔日治疗1次,5次为一疗程,3个疗程后观察疗效.结果:痊愈10例,显效18例,有效17例,治疗过程中所有患者均无不良反应及并发症发生.结论:电针配合TDP是治疗慢性盆腔炎的有效方法.     

Clinical research on insomnia treated by acupuncture at back-shu points

ObjectiveTo observe the clinical therapeutic effect on insomnia treated with acupuncture at back-shu points.MethodsSixty-four cases of insomnia were selected and divided randomly into a back-shu points group (group A) and a conventional acupoints group (group B) by a computer generated allocation list, 32 cases in each one. In the trial group, acupuncture was applied at Xīnshū (

BL 15), Gānshū (

BL 18), Píshū (

BL 20) and Géshū (

BL 17). In the control group, acupuncture was applied conventionally to Nèiguān (

PC 6), Shénmén (

HT 7), Sānyīnjiāo (

SP 6), B?ihuì (

GV 20) and Sìshéncōng (

EX-HN 1). Ten treatments made a session. The efficacy was analyzed statistically after 3 sessions of treatment.ResultsThere were significant differences between the two groups in the relief of sleep disorders after the treatment (P<0.01). The improvement in sleep efficiency was different significantly (P<0.05), The difference in sleep difficulty was significant in Chinese medicine (TCM) symptom score (P<0.05).ConclusionThe clinical efficacy is achieved by either acupuncture at back-shu points or by acupuncture at conventional acupoints. The improvements of sleep efficiency and sleep disorder scores in PSQI, and sleep difficulty in TCM as well as the long-term efficacy are superior in group A as compared with those in group B.     

Study on effects of acupuncture on menstruation and endocrine in patients of normal body weight with polycystic ovary syndrome

ObjectiveTo observe the effects of acupuncture on menstruation and endocrine in patients of normal body weight with polycystic ovary syndrome.MethodsTwenty-seven patients were treated with acupuncture and moxibustion for six months. Guānyuān (

CV 4), Zhōngjí (

CV 3), and Z

gōng (

EX-CA 1) on the abdomen and Sānyīnjiāo (

SP 6), Zúsānl

(

ST 36), Yīnlíngquán (

SP 9), Fēnglóng (

ST 40), Xiáxī (

GB 43), Tàichōng (

LR 3) were punctured. CV 3 on the abdomen and EX-CA 1 on both sides were manipulated by moxisbustion. The menstrual frequency, B ultrasound examination of uterus and adnexa uteri, luteinizing hormone (LH), follicle stimulating hormone (FSH), testosterone (T), prolactin (PRL), progesterone (PROG) and estradiol (E₂) were recorded.ResultsMenstrual cycles were restored in twenty-six patients after six-month treatment. The total frequencies of menstruation were 105, of which 79 with normal ovulation accounting for 75.23%. The testosterone level of (109.65 ± 43.38) ng/dL before treatment were reduced to (53.7 ± 19.24) ng/dL after treatment, LH/FSH ratio of 4.15 ± 1.38 before treatment were reduced to 1.75 ± 1.09 after treatment. The differences were statistically significant (both P<0.05).ConclusionAcupuncture can promote normal ovulation and menstrual cycles in patients with PCOS by regulating endocrine level.     

针刺颈夹脊配合按摩点穴治疗颈性眩晕症65例(英文)

目的:观察针刺颈夹脊配合按摩点穴治疗颈性眩晕的临床疗效,为临床治疗颈性眩晕提供更优方法。方法:65例颈性眩晕患者针刺双侧颈夹脊、风池,强间透刺脑户、玉枕透刺天柱,并结合按摩点穴,每日治疗1次,16次为一疗程,共治疗2个疗程,观察患者的临床疗效。结果:治愈25例,占38.5%;显效18例,占27.7%;有效19例,占29.2%;无效3例,占4.6%。总有效率为95.4%。结论:针刺颈夹脊配合按摩点穴治疗可以很好地缓解颈性眩晕患者的临床症状。     

气海俞电针治疗股内收肌损伤40例

目的:观察气海俞电针治疗股内收肌损伤的临床疗效.方法:将40例股内收肌损伤患者采用气海俞深刺后,单穴电针治疗.结果:治疗10天后,治愈31例(77.5％),总有效率为(95.0％).结论:气海俞电针治疗股内收肌损伤有显著的临床疗效.     

电刺激吞咽神经肌肉联合针刺治疗脑卒中后吞咽障碍疗效观察

ObjectiveTo seek a better therapy for treating post-stroke dysphagia.MethodsPatients with stroke and swallowing disorders were randomly divided into ordinary acupuncture group (group A, 58 cases) and swallowing neuromuscular electrical stimulation combined with acupuncture group (group B, 62 cases). Two-group patients were given the same basic internal medical treatment. In addition, group A was given normal acupuncture treatment with the choice of local points: Jīnjīn (

EX-HN 12), Yùyè (

EX-HN 13), Fēngchí (

GB 20), Yìfēng (

TE 17), Liánquán (

CV 23), Wángŭ (

GB 12). Group B was given swallowing neuromuscular electrical stimulation combined with acupuncture: GB 20, Fēngfŭ (

GV 16), TE 17, Yìmíng (

EX-HN 14), Yămén (

GV 15), Tiānróng (

SI 17), Tiānchuāng (

SI 16), CV 23, the uniform reinforcing-reducing manipulation was used; EX-HN 12, EX-HN 13, the piercing and blood-letting method (1-2 mL blood) was used; at the same time, the swallowing neuromuscular electrical stimulation therapy device was used to electrically stimulate the nerves and muscles in the throat and neck at specific output pulse current (50-100 Hz). Treatment was made twice a day, 30 minutes each time. Two weeks after the treatment, the patients were assessed in symptoms improvement and clinical efficacy.ResultsThe total effective rate in group B was 91.4% and 75.8% in group A; in the total efficiency comparison in both groups, χ²=5.232, P<0.05. The difference in improvement of symptoms with post-stroke dysphagia treated with above mentioned combination treatment was statistically significant between both groups (P<0.05).ConclusionsThe above mentioned swallowing neuromuscular electrical stimulation combined with acupuncture treatment has a better clinical effect when compared with ordinary acupuncture.