Short and long-term efficacy of combining Fuzhengliqi mixture with acupuncture in treatment of functional constipation

OBJECTIVE: To explore the short and long-term efficacy of combining Fuzhengliqi mixture (FLM) with acupuncture in treating functional constipation (FC). METHODS: The 560 patients with confirmed diagnosis of FC were randomly assigned to four groups: FLM group, acupuncture group, combined therapy group, and control group. There were 140 cases in each group. The FLM group was administered FLM 60 mL twice a day, while the acupuncture group was treated with acupuncture at acupoints Tianshu (ST 25), Shangjuxu (ST 37), Zusanli (ST 36), Dachangshu (BL 25), and Zhigou (TE 6) twice a day, the combined therapy group with FLM and acupuncture, and the control group was administered mosapride (5 mg thrice a day) and Macrogol 4000 (10 g twice a day). The treatment lasted 6 weeks. The defecation interval, stool property, constipation symptoms, and accompanying symptomswere recorded, graded, and scored.The gastrointestinal transit time (GITT) and motilin (MTL) level in serum and life quality score were detected at three time points (pre-treatment, at the end of treatment, and 60 weeks post-treatment). Moreover, the adverse reactions were also observed. RESULTS: In the FLM group 2 cases were eliminated for not taking medication strictly according to the research plan and 1 case was lost to follow-up, while 2 cases in the acupuncture group and 2 cases in the combined therapy group were lost to follow-up. Compared with those detected pre-treat- ment, the defecation interval, stool property, consti- pation symptom grade, accompanying symptom grade, and GITT were all decreased markedly at the end of treatment in every group, while the MTL levels in serum and life quality score were increased markedly (P<0.01), the above-mentioned detecting indices were better in the combined therapy group than those in other groups (P<0.05). Compared with the end of treatment, above-mentioned detecting indices all recurred significantly in the FLM group and control group 60 weeks post-treatment (P>0.05), but these indices recurred insignificantly in the acupuncture and combined therapy groups (P>0.05). The short and long-term total effective rates in the combined therapy group were significantly different from those in other groups (P<0.05 or P<0.01). No serious adverse reactions were found in four groups. CONCLUSION: Both FLM and acupuncture can significantly shorten the defecation interval and GITT, increase MTL levels in serum, decrease the scores of stool property, constipation symptoms, and accompanying symptoms in patients with FC to increase their life quality. The combined therapy is much better in long-term efficacy and the safety is also good, worth spreading in clinical practice.     

Treatment of Heroinism with Acupuncture at Points of the Du Channel

To observe the effectiveness of acupuncture at points of the Du Channel in treating heroinism, seventy patients with heroinism were randomly divided into a treatment group （n = 35） and a control group （n=35）. A 10-day decrescendo therapy of methadone and acupuncture at points of the Du Channel were adopted in the treatment group, while the 10-day decrescendo therapy of methadone was simply performed in the control group. The scoring and grading of the abstinence symptoms were recorded and evaluated for both groups. 31 cases in the treatment group and 26 cases in the control group completed the entire treatment process, and a significant difference （P〈0.01） in scores of abstinence symptoms before and after treatment was noticed in the two groups. The obvious difference in scores of abstinence symptoms on the first, second, fifth, sixth, seventh, eighth, ninth and tenth day in the treatment group was superior to those in the control group （P〈0.05 or P〈0.01）. Particularly for such symptoms as perspiration, anxiety and pain in the muscle and bone, the result in the treatment group was much better than that in the control group （P〈0.05 or P〈0.01）. Acupuncture at points of the Du Channel has an auxiliary therapeutic effect on abstinence symptoms of heroinism, which can effectively help alleviate the abstinence symptoms.     

Tiaobu Xinshen Recipe (调补心肾方) Improved Mild Cognitive Impairment of Alzheimer's Disease Patients with Xin (Heart) and Shen (Kidney) Deficiency

Objective: To observe the intervention effects of Tiaobu Xinshen Recipe(调补心肾方, TXR) on patients with mild cognitive impairment caused by Alzheimer's disease(MCI-AD). Methods: Totally 88 MCI-AD patients with syndrome of Xin(Heart) and Shen(Kidney) deficiency were assigned to the experimental group(47 cases, treated with TXR) and the control group(41 cases, treated with donepezil hydrochloride) using a random number table. Final recruited qualified patients were 44 cases in the experimental group and 39 cases in the control group. The therapeutic course was 12 weeks. Neuropsychological scales [mini mental state examination(MMSE) and Montreal cognitive assessment(MoCA)], and Chinese medicine(CM) dementia syndromes scales were performed in all patients, and results were compared between groups or intra-group before and after treatment. Results: MMSE and Mo CA scores of the two groups were increased after treatment compared with those before treatment(P0.05). But there was no statistical difference in MMSE or MOCA scores after treatment between the two groups(P0.05). CM dementia syndrome score was significantly decreased after treatment in the experimental group compared with the control group(P0.01). Visual spatial and executive function scores and delayed recall scores of the two groups were increased compared with those before treatment(P0.01). Conclusion: TXR could effectively improve cognitive impairment of MCI-AD patients with syndrome of Xin and Shen deficiency.     

Clinical observation on treatment of depression by electro-acupuncture combined with Paroxetine

Objective:To observe the clinical efficacy and adverse reactions of Paroxetine combined with electro-acupuncture (EA) in treating depression.Methods:Forty-two patients with depression were randomly assigned to the observation group (22 patients) treated with EA combined with Paroxetine,and the control group (20 patients) treated with Paroxetine alone,and the therapeutic course for both groups was 6 weeks.The therapeutic efficacy and adverse reactions were evaluated with scores by Hamilton depression scale (HAMD) and treatment emergent symptoms scale (TESS), respectively.Results:HAMD scores determined at the end of the 1st,2nd,4th,and 6th week of the treatment course were significantly lower in the observation group than those in the control group (P<0.05).The significant improvement rate evaluated at the end of the 6-week treatment was remarkably higher in the observation group than that in the control group (72.7% vs 40.0%).No significant difference of TESS scores was found between the two groups.Conclusion:EA combined with Paroxetine has better clinical efficacy than that of Paroxetine alone,with milder adverse reaction and quicker initiation of effect.     

针灸治疗慢性跟腱病：一项随机对照研究

Objective： To examine whether acupuncture treatment would improve outcome in chronic Achilles tendinopathy. Methods： A randomized, controlled trial at two centers of 64 randomized patients aged 18 to 70 years with chronic Achilles tendinopathy was conducted from July 2007 to April 2010, with follow-up until October, 2010. These patients were randomly allocated into an acupuncture treatment group （acupuncture group） and an eccentric exercises group （control group）. The validated Victorian Institute of Sports Assessment- Achilles （VISA-A） questionnaire was completed at baseline and 8, 16, and 24 weeks. The pain at rest and after activity was accessed at baseline and 8 weeks with Visual Analogue Scale （VAS）. Results： After randomization into the acupuncture group or control group, one patient was loss of follow-up. The mean VISA-A score improved significantly after 8 weeks in the acupuncture group to 67.1 points [95% confidence interval （CI）, 64.1-70.2] and in the control group to 48.5 points （95% CI, 45.5-51.6） with an additional 18.6 points increase in acupuncture treatment patients （P=0.0000）. Acupuncture treatment resulted in a significant increase from baseline in VISA-A of 25.8 after 16 weeks and 28.4 after 24 weeks. Whereas, in the control group the increase from baseline in VISA-A were 10.0 and 16.6 after 16 and 24 weeks, respectively （P=0.0000）. The VAS diminished by 2.0 cm after activity, and by 1.5 cm at rest after 8 weeks in the control group. In the acupuncture group, the pain scores diminished significantly more than in the control group, with pain reduction of 3.7 cm after activity （P=0.0000） and 3.2 cm at rest （P=0.0000）. Conclusion： Acupuncture intervention could improve pain and activity in patients with chronic Achilles tendinopathy compared with eccentric exercises.     

Acupuncture Treatment for 15 Cases of Post-traumatic Coma

In order to observe the effects of acupuncture combined with point-injection therapy on post-traumatic coma, 30 such cases were randomly divided into the following two groups. The patients in the control group were simply treated with the basic neural medical treatment; while patients in the treatment group were treated by acupuncture and point-injection therapy in addition to the above treatment. Comparisons were made between the two groups in the therapeutic effects by GCS evaluations as well as in the changes of main symptoms. The results showed that the GCS value in the treatment group was higher than that of the control group, but with no statistical significance （P〉0.05）. However, the main symptoms of the patients in treatment group, such as aphasia, hemiplegia, and injuries of cranial nerves （including injuries of the facial, oculomotor and abducent nerves） were obviously improved, showing significant differences as compared with the control group （P〈0.05）. Conclusion can be made that acupuncture combined with point-injection has the consciousness-inducing effect for post-traumatic coma, and shows good effects for the cranial nerve iniuries and aohasia.     

Effect of Interactive Dynamic Scalp Acupuncture on Post-Stroke Cognitive Function,Depression,and Anxiety:A Multicenter,Randomized,Controlled Trial

Objective:To compare the clinical effects of interactive dynamic scalp acupuncture(IDSA),simple combination therapy(SCT),and traditional scalp acupuncture(TSA)on cognitive function,depression and anxiety in patients with post-stroke cognitive impairment.Methods:A total of 660 patients with post-stroke cognitive impairment who were admitted to 3 hospitals in Shenzhen City between May 2017 and May 2020 were recruited and randomly assigned to the IDSA(218 cases),SCT(222 cases)and TSA groups(220 cases)according to a random number table.All the patients received conventional drug therapy for cerebral stroke and exercise rehabilitation training.Scalp acupuncture and computer-based cognitive training(CBCT)were performed simultaneously in the IDSA group,but separately in the morning and in the afternoon in the SCT group.The patients in the TSA group underwent scalp acupuncture only.The course of treatment was 8 weeks.Before treatment(M0),1(M1)and 2 months(M2)after treatment,as well as follow-up at 1(M3)and 2 months(M4),the cognitive function of patients was assessed using the Mini-Mental State Examination(MMSE)and Montreal Cognitive Assessment Scale(MoCA)Scales;depression,anxiety,sleep quality,and self-care ability of patients were assessed using Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA),Pittsburgh Sleep Quality Index(PSQI),and Modified Barthel Index(MBI),respectively.During this trial,all adverse events(AEs)were accurately recorded.Results:There were no significant differences in the MMSE,MoCA,HAMD,HAMA,PSQI,and MBI scores among the 3 groups at M0(all P>0.05).In the IDSA group,the MMSE,MoCA and MBI scores from M2 to M4 were significantly higher than those in the SCT and TSA groups,while the HAMD,HAMA and PSQI scores were significantly reduced(all P<0.01).The changes of all above scores(M2–M0,M4–M0)were significantly superior to those in the SCT and TSA groups(all P<0.01,except M4–M0 of HAMD).At M2,the severity of MMSE,HAMD,HAMA,PSQI and MBI in the IDSA group was significantly lower than that in the SCT and TSA groups(all P<0.01).There was no serious AE during this trial.Conclusions:IDSA can not only significantly improve cognitive function,but also reduce depression,anxiety,which finally improves the patient's self-care ability.The effect of IDSA was significantly better than SCT and TSA。     

Efficacy of Modified Qufeng Runmian Powder (加减祛风润面散) on Acne Vulgaris with Syndromes of Dampness and Blood Stasis: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Clinical Trial

Objective: To evaluate the efficacy and safety of a Chinese medicine(CM) Modified Qufeng Runmian Powder(加减祛风润面散, MQFRMP) for the treatment of acne vulgaris with CM syndromes of dampness and blood stasis. Methods: In this multicenter, randomized, double-blind, placebo-controlled clinical trial, 220 acne vulgaris patients with CM syndrome of dampness and blood stasis were included and randomly assigned using a central area group random design to receive either MQFRMP or the placebo, with 110 cases in each group. MQFRMP or a placebo at 145 g/bag were administered once daily for 4 weeks, respectively. The primary index of efficacy was the effective rate according to the acne severity score(ASS). The secondary indices of efficacy included the changes in the dermatology life quality index(DLQI) score, VISIA scores(spots, pores, brown spots, porphyrins and red areas) and skin assessment(skin p H, sebum amount and hydration) according to a SOFT skin multianalyzer. Results:(1) Follow-up: a total of 204 patients completed the follow-up, with 103 in the treatment group and 101 in the control group.(2) Effective rate: the total effective rate of the treatment group was significantly higher than the control group [83.5%(86/103) vs. 31.7%(32/101), P0.01)] with 95% confidence interval of 39.3%–66.4%.(3) DLQI: DLQI scores were significantly decreased the treatment and control groups(both P0.01), but the treatment group was more obvious than the placebo group(P0.01).(4) VISIA scores: the scores of spots, brown spots and red areas in the treatment group decreased compared with baseline(P0.05). In the control group, the scores of brown spots and pores decreased compared with baseline(P0.05). The improvement was more obvious in the treatment group than in the control group for all items(P0.05).(5) Skin assessment : the p H and sebum score in the both groups decreased drastically compared with the baseline(all P0.01), however, the improvement was more obvious in the treatment group than in the control group(P0.01). The hydration amount in the two groups showed no statistically significant difference compared with the baseline(both P0.05).(6) Safety: two cases of mild drug allergy were observed in the treatment group. Conclusion: MQFRMP was effective and safe for the treatment of acne vulgaris with syndromes of dampness and blood stasis.(No. ChiCTR1900020479).     

Clinical study of electro-acupuncture treatment with different intensities for functional constipation patients

Functional constipation （FC） is a common functional bowel disorder disease that affects life quality of a large number of people. This study aimed to explore the impact of different intensities of electro-acupuncture （EA） treatment for FC patients. Totally, 111 patients with FC meeting the Rome III criteria were randomly assigned to different intensities of EA groups （low and high intensity of EA groups） and medicine-controlled （MC） group. In EA groups, patients were treated with EA at quchi （Llll） and shangjuxu （ST37） bilaterally for 4 weeks, 5 times/week in the first 2 weeks, and 3 times/week in the last 2 weeks. In MC group, 5 mg mosapride citrate was administered orally 3 times/day for 4 weeks. Spontaneous bowel movement frequency each day was recorded using a consti- pation diary. Self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were used to assess the patients＇ psychological state. Cortisol （CORT）, substance P （SP）, and vasoactive intestinal polypep- tide （VIP） were evaluated at baseline and at the end of 4 weeks after treatment. As compared with the baseline, there was statistically significant increase in stool frequency every week （P〈0.01）, but there was no statistically significant difference among the three groups. As compared with the baseline, after 4 weeks of EA therapy, the scores of SDS and serum levels of CORT were decreased significantly in low intensity of EA group （P〈0.01）, and the serum levels of SP and VIP were increased significantly （P〈0.05）; the scores of SAS and SDS and serum levels of CORT were decreased significantly in high intensity of EA group （P〈0.05）, and the serum levels of SP and VIP were increased significantly （P〈0.05）; the serum levels of CORT and VIP were increased significantly in MC group （P〈0.05）. As compared with MC group, after 4 weeks of treatment, the serum levels of SP were signifcicantly in- creased in low intensity of EA group （P〈0.01）. Low and high intensi     

Protective effect of periplaneta americana extract on intestinal mucosal barrier function in patients with sepsis

OBJECTIVE: To investigate the effect of the periplaneta americana extract on the intestinal mucosal barrier and prognostic implications in patients with sepsis. METHODS: Sixty and six patients with sepsis were assigned randomly to treatment group (32 cases) and control group (32 cases). The extractfrom periplaneta americana plus conventional medication for sepsis was administered to the treatment group, while the control group only received conventional treatment. The gastrointestinal function scores and acute physiology and chronic health evaluation II (APACHEⅡ) scores of all subjects were documented at baseline, at days 1, 3 and 7 after treatment respectively and their blood endotoxin was tested at the same time points as well.The incidence of death was recorded for both groups throughout the trial. RESULTS: At days 3 and 7 after treatment, gastroin-testinal function score, APACHE II, and endotoxin level in treatment group wasbetter than that in control group and the difference between them was significant (both P<0.05). Although the incidence of death in treatment group was less than that in control group, the difference between the two groups was not significant (P> 0.05). CONCLUSION: The extract of periplaneta americana had protective effect on intestinal mucosal barrier and could improve the condition and prognosis in patients with sepsis.     

血管性痴呆患者证候学研究

目的探讨血管性痴呆(vascular dementia,VaD)患者证候特征,研究VaD发病机制。方法应用Bristol最新神经心理量表中文版(BMDC-NPTB-CR)和B lessed行为量表(BBS)筛选VaD患者(n=66)和无认知损害的脑梗塞患者(卒中组,n=51)。VaD诊断基于《精神疾病诊断和统计手册》第4版(DSM-Ⅳ)、美国国立神经系统疾病与卒中研究所和瑞士神经科学研究国际协会(NINDS-AIREN)的标准及临床痴呆量表(CDR);Hachinski缺血量表和Cornell抑郁量表(CSDD)用于鉴别诊断。定式表格调查证候,《血管性痴呆的中医辨证量表》(SDSVD)诊断证候。结果VaD组比卒中组的肾精亏虚证、痰浊阻窍证单证阳性率增高;SDSVD证候总分以及肾精亏虚证、痰浊阻窍证、热毒内盛证积分显著性增高。结论肾精亏虚证、痰浊阻窍证、热毒内盛证在VaD患者中出现频率高、表现严重,是VaD发病的重要因素。     

三才灸法改善痰湿质高血压前期临床研究

目的:观察比较三才灸法对痰湿体质高血压前期的临床疗效,强调体质辨识在疾病治疗中的作用。方法:痰湿体质高血压前期的80例患者按简单随机化分组法,分为健康宣教组和预试验组,每组各40例,对健康宣教组进行健康指导,预试验组在健康宣教的基础上加用三才灸法治疗。结果:治疗2个疗程(8周),健康宣教组与预试验组比较,痰湿体质的评分差异有统计学意义(P<0.05);两组都可以改善血压,预试验组有效率更高,差异有统计学意义(P<0.05)。结论:三才灸法治疗痰湿体质高血压前期效果良好。     

血管性认知障碍载脂蛋白E基因多态性与中医辨证的相关性研究

目的探讨血管性认知障碍（VCI）载脂蛋白E基因（ApoE）多态性与中医辨证的相关性。方法研究共纳入105例健康对照组（NC组）及103例血管性认知障碍患者（VCI组）,将VCI组进一步诊断为血管性痴呆（VaD）亚组35例和非痴呆型血管性认知障碍（VCIND）亚组68例,检测其ApoE基因型与中医辨证分型相关性。结果 VCI组中VaD亚组E3/3基因型、ε3等位基因频率明显低于NC组;E3/4基因型及ε4等位基因频率明显高于NC组;VCI患者中E3/4基因型及ε4等位基因在肾精亏虚证、痰浊阻窍证、瘀血阻窍证阳性率较高,均有统计学意义（P〈0.05）。结论 ApoEε4基因可能是VCI患者中VaD亚型的危险因素,与VCI患者发生肾精亏虚证、痰浊阻窍证、瘀血阻窍证有关。     

基于视频透视吞咽功能研究评价针刺阿呛组穴联合康复训练治疗脑卒中后吞咽障碍的疗效分析

目的 基于视频透视吞咽功能研究（video fluoroscopic swallowing study, VFSS）评价针刺阿呛组穴联合康复训练治疗脑卒中后吞咽障碍的疗效。方法 将50例脑卒中后吞咽功能障碍的患者,随机分为对照组和治疗组,每组25例。对照组仅采用康复训练,治疗组采用针刺阿呛组穴联合康复训练,比较两组患者治疗前及治疗30 d后VFSS评分及功能性经口摄食量表（functional oral intake scale, FOIS）评分。结果 两组治疗后FOIS评分均较治疗前升高,差异均有统计学意义（P＜0.05）,治疗组FOIS评分升高值显著大于对照组（P＜0.05）。与治疗前比较,两组治疗后吞食稀钡、浓钡、糊钡、包钡的VFSS评分均显著升高,差异均有统计学意义（P＜0.05）;且治疗组治疗后吞食稀钡、浓钡、糊钡的VFSS评分升高值显著大于对照组（P＜0.05）。结论 针刺阿呛组穴联合康复训练可以在一定程度上改善脑卒中后吞咽障碍患者的吞咽功能。     

针药结合治疗风痰阻络证中风后吞咽障碍患者75例临床观察

目的 观察化痰通咽汤结合针灸治疗中风后风痰瘀阻证吞咽障碍的临床疗效.方法 选取在武汉市第一医院康复医学科住院的证属风痰瘀阻证中风后吞咽障碍患者150例,随机分为对照组和治疗组各75例.治疗组采用针刺结合化痰通咽汤进行治疗,对照组采用针刺治疗,两组均给予神经内科基本治疗和康复治疗,疗程4周,对比临床疗效.结果 治疗后两组洼田饮水试验评分,吞咽功能障碍中医评价量表评分,电视X线透视吞咽功能检查,吞咽困难生活质量测量比较差异均有统计学意义,治疗组优于对照组(P＜0.05).结论 在神经内科基本治疗和康复治疗基础上综合运用化痰通咽汤结合针灸治疗中风后风痰瘀阻证吞咽障碍患者,能提高疗效,值得推广应用.     

通督调神针法结合康复技术治疗中风后弛缓性瘫痪

目的观察通督调神针刺法结合康复技术与传统针刺治疗中风后弛缓性瘫痪的疗效差异。方法将40例中风后弛缓性瘫痪患者随机分为治疗组和对照组,每组20例。治疗组20例采用通督调神针法结合康复方案,对照组20例采用普通针刺结合康复技术,两组患者均同时给予常规营养脑神经、改善循环等对症治疗。每周治疗6次,连续3周,使用神经功能缺损程度评分(NDS)、日常生活活动能力(ADL指数)、四肢运动功能(FMA评分)三项量表分别对治疗前、治疗后以及疗程结束3月后随访当日予以评定积分变化。结果两组治疗前后,临床疗效差异具有统计学意义(P0.05);治疗组在治疗后以及治疗结束后3月随访中患者神经功能缺损、日常生活能力、四肢运动功能等方面疗效与治疗前差异均有显著意义(P0.01);对照组治疗后、以及治疗后3月回访中日常生活能力及运动功能方面与治疗前有显著差异(P0.01)。结论通督调神针法结合康复技术可明显改善中风后弛缓性瘫痪患者神经功能缺损、日常生活能力以及四肢运动功能等症状,效果显著,并具有较好的远期疗效。     

针刺结合功能训练对社区脑卒中患者综合功能的影响

目的探索规范针刺结合功能训练治疗对社区脑卒中患者综合功能的影响。方法将176例脑卒中患者根据区域随机化分成康复组（88例）和对照组（88例）,康复组在常规内科治疗的基础上给予规范的针刺结合功能训练,对照组仅给予一般的常规内科治疗,分别在治疗2个月和5个月末采用功能综合评定量表（FCA）进行综合功能的评定。结果治疗5个月后,两组患者的综合功能评分均提高,康复组与对照组相比差异有统计学意义（P〈0.05）。结论规范针刺结合功能训练的社区康复治疗能明显促进脑卒中患者的综合功能恢复。     

醒痴方加针刺对老年性痴呆患者血浆同型半胱氨酸的影响

目的探讨醒痴方加针刺在脾肾两虚、痰浊阻窍型轻-中度老年性痴呆（AD）治疗中的疗效。方法临床观察60例脾肾两虚、痰浊阻窍型轻-中度AD患者,采用随机对照方法将患者分成三组,中医组、西医组及中西医结合组各20例。中医组给予醒痴方加针刺治疗;西医组口服都可喜、脑复康片治疗;中西医结合组口服西药、醒痴方并行针刺治疗,三组的疗程均为4周。观察治疗前后患者血浆Hcy、MMSE量表的变化,并观察不良事件和副反应。结果经治疗4周后,口服西药、醒痴方并行针刺的中西医结合组的中医总疗效、对MMSE量表积分的改善、对AD患者的检测指标（血浆Hcy）的改善均优于单纯中西医及单纯西医组（P〈0．05）。结论在常规西药治疗的基础上,醒痴方加针刺的中西医结合方案对脾肾两虚、痰浊阻窍型轻-中度AD患者疗效确切,临床试验中未发现该方案有不良反应,可考虑作为AD患者的常规治疗方案。     

针灸配合康复功能训练治疗面神经麻痹的可行性与有效性研究

目的 研究针灸配合康复功能训练治疗面神经麻痹的可行性与有效性.方法 选取我院2014年5月-2016年5月收治的面神经麻痹患者80例,随机分为针灸配合康复功能训练治疗组(治疗组)和针灸治疗组(对照组),各40例,对2组进行Portmann评分、H-B分级、临床疗效统计分析.结果 治疗组Portmann评分,H-B分级Ⅰ级、Ⅱ级比例均显著高于对照组(P<0.05),Ⅲ级、Ⅳ~Ⅵ级比例均显著低于对照组(P<0.05),治疗组总有效率95.0%,高于对照组的77.5%(P<0.05).结论 针灸配合康复功能训练较单独针灸治疗面神经麻痹具有较高的可行性与有效性.     

器械辅助软组织松解技术联合针灸治疗足跟痛综合征的临床疗效观察

目的 探讨器械辅助软组织松解技术（instrument assisted soft tissue mobilization,IASTM）联合针灸治疗足底筋膜炎的疗效。方法 选取2020年1月至2021年8月就诊于湖州市第一医院的90例足底筋膜炎患者,根据随机数字表法将其分为IASTM组、针灸组和观察组,每组各30例。三组患者均给予物理因子和运动疗法治疗,IASTM组患者辅以IASTM治疗,针灸组患者辅以针灸治疗,观察组患者辅以IASTM和针灸治疗。三组患者均治疗4周。比较三组患者治疗前、治疗2周和4周后及治疗结束后8周美国矫形足踝协会评分系统（American Orthopedic Ankle Association scoring system,AOFAS）评分、视觉模拟评分法（visual analogue scale,VAS）和足底筋膜厚度的变化。结果 治疗后,三组患者的AOFAS评分均显著高于本组治疗前,VAS评分均显著低于本组治疗前,足底筋膜厚度均显著薄于本组治疗前（P<0.05）;治疗2周后、治疗4周后、治疗结束后8周,观察组患者的AOFAS评分均显著高于IASTM组和针灸组,VAS评分均显著低于IASTM组和针灸组,足底筋膜厚度均显著薄于IASTM组和针灸组（P<0.05）;治疗2周后、治疗4周后,IASTM组患者的足底筋膜厚度均显著薄于针灸组（P<0.05）。结论 IASTM和针灸治疗联合具有协同作用,可明显减轻足底筋膜炎患者的疼痛,改善踝足功能,提高临床康复效果。