穴位贴敷配合中药内服治疗支气管哮喘临床研究

目的：探讨穴位贴敷配合中药内服治疗支气管哮喘临床效果。方法：选取我院近年来收治支气管哮喘患者300例,随机分为两组,每组150例;其中对照组患者给予西医常规对症治疗;中医综治组在对照组治疗的基础上,再给予穴位贴敷配合中药内服治疗;比较两组患者临床治疗总有效率,治疗前后中医症状积分及肺通气功能指标等。结果：中医综治组患者临床总有效率（81.3%）显著高于对照组（64.0%）（P〈0.05）;两组患者治疗后中医症状积分和肺通气功能指标均显著优于治疗前（P〈0.05）,且中医综治组患者治疗后中医症状积分下降程度和肺通气功能指标提高程度显著高于对照组（P〈0.05）。结论：穴位贴敷配合中药内服治疗支气管哮喘可有效缓解咳嗽、咳痰及喘息等临床症状,提高肺部通气功能,对于改善生活质量具有重要意义。     

穴位贴敷对治疗支气管哮喘急性发作期的疗效观察

目的：观察穴位贴敷对治疗支气管哮喘急性发作期（中医证属冷哮）的临床疗效。方法：将66例支气管哮喘急性发作期（中医证属冷哮）的患者随机分为试验组和对照组,两组均采用西医常规治疗,其中试验组在西医常规治疗的基础上加用穴位贴敷。疗程均为10d。观察两组治疗前后FEV1变化。结果：治疗组患者FEV1与对照组比较有显著性差异（P〈0.01）。结论：穴位贴敷治疗支气管哮喘急性发作期有较好的疗效。     

穴位贴敷与电针治疗支气管哮喘疗效对照观察

目的:比较穴位贴敷加隔姜灸与电针加隔姜灸治疗支气管哮喘的临床疗效差异.方法:采用随机、对照的方法,将100例患者分为穴位贴敷加隔姜灸组(穴位贴敷组)和电针加隔姜灸组(电针组),每组50例.两组均取大椎、肺俞、天突等穴,治疗时间均为一九、二九、三九及初伏、中伏、末伏的第一天,穴位贴敷组给予隔姜灸后贴敷白芥子、延胡索、甘遂、细辛等中药研末混合甘油及温热姜汁制成的药膏;电针组采用常规针刺加用电针治疗和隔姜灸.比较两组患者治疗前后咳嗽恢复评分、喘息控制评分、呼吸快慢评分、胸闷轻重评分、有无哮鸣音评分变化及愈显率.结果:穴位贴敷组的愈显率为72.0％(36/50),优于电针组的46.0％(23/50,P＜0.05).两组治疗后各症状积分较治疗前均明显改善(均P＜0.05),且穴位贴敷组优于电针组(均P＜0.05).结论:中药穴位贴敷加隔姜灸对支气管哮喘患者临床症状改善显著,并减少了药物对皮肤的刺激性,避免皮肤起泡,减轻了患者痛苦,且疗效优于电针加隔姜灸治疗.     

Clinical observation on acupuncture plus auricular point sticking in treating insomnia

Insomnia is a common sleep disorder and usually affects the patients' emotions and work.We applied acupuncture plus auricular point sticking to treat insomnia and reported it as follows.     

中药穴位贴敷辅助治疗儿童支气管哮喘的观察

目的：观察中药穴位贴敷辅助治疗儿童支气管哮喘的效果。方法：将320例患儿随机分为观察组和对照组,对照组给以常规治疗,即吸入性布地奈德混悬液＋沙丁胺醇雾化溶液＋吸入用异丙托溴铵溶液雾化治疗。观察组在给予常规治疗的基础上加用中药穴位贴敷。结果：观察组控显率为74．68％、总有效率为91．56％,对照组控显率为38．00％、总有效率为62．00％。观察组疗效优于对照组。结论：中药穴位贴敷治疗儿童支气管哮喘具有较好的辅助作用,并且费用低廉、简便易行、疗效确切、安全可靠等优点,在临床上值得推广和应用。     

传统穴位贴敷＋神阙穴贴敷治疗过敏性鼻炎36例疗效观察

目的：观察传统穴位贴敷＋神阙穴贴敷治疗过敏性鼻炎的疗效。方法：将72例患者随机分为两组,对照组36例采用药物贴敷于传统背部腧穴,治疗组36例在对照组的基础上加神阙穴贴敷。两组均治疗3个疗程。结果：与对照组比较,治疗组总有效率高于对照组（P<0.01）。结论：传统穴位贴敷＋神阙穴贴敷治疗过敏性鼻炎效果显著。     

针刺配合耳穴贴压治疗中风后呃逆临床观察(英文)

目的:观察针刺配合耳穴贴压治疗中风后呃逆的临床疗效。方法:符合纳入标准的60例中风后呃逆患者,按就诊顺序随机分为2组,治疗组30人,予针刺配合耳穴压丸治疗;对照组30人,予肌肉注射甲氧氯普胺治疗。治疗3d后观察疗效。结果:治疗组总有效率93.3%,对照组总有效率66.7%,两组总有效率差异有统计学意义(P<0.01)。结论:针刺配合耳穴贴压治疗中风后呃逆疗效优于甲氧氯普胺。     

针刺配合穴位注射治疗中风后顽固性呃逆疗效观察

目的：观察针刺配合穴位注射治疗中风后顽固性呃逆的疗效。方法：确诊的45例中风后顽固性呃逆患者,均采用针刺双侧内关、三阴交及中脘穴,配合氯丙嗪注射液25mg双侧足三里穴位注射治疗。结果：45例患者痊愈36例,好转8例,无效1例,总有效率97.78%。结论：针刺配合穴位注射治疗中风后顽固性呃逆疗效显著。     

中药穴位贴敷配合西医治疗妊娠剧吐的效果观察

目的：通过中药穴位贴敷控制妊娠剧吐的继续发展,保证孕妇及胎儿的健康。方法：将中药研末,鲜生姜汁调成糊状,贴敷于神阕穴。结果：控制妊娠剧吐的发展,恶阻症状明显缓解。结论：中药穴位贴敷方法简单,是治疗妊娠剧吐有效的手段。     

Therapeutic observation on acupuncture plus auricular point sticking for melasma

Objective： To observe the clinical efficacy and safety of acupuncture plus auricular point sticking in treating melasma. Methods： Forty-three eligible subjects with melasma were intervened by acupuncture plus auricular point sticking, 10 times as a treatment course, with an interval of 3-5 d between each two courses. The therapeutic efficacy was analyzed after 1, 2 and 3 treatment courses respectively. Results： With the increase of treatment course, the markedly effective rate and total effective rate were also increasing. Of the 43 subjects after 3 treatment courses, the epidermal type had the highest markedly effective rate and total effective rate, then it＇s the subtype IV of the mixed type and dermal type, and the subtype III of the mixed type had the lowest markedly effective rate and total effective rate. Conclusion： Acupuncture plus auricular point sticking is effective and safe in treating melasma, but different types have different therapeutic efficacies.     

针刺配合穴位贴敷治疗子宫内膜异位症痛经

目的:观察针刺加穴位贴敷治疗子宫内膜异位症痛经的临床疗效,探索治疗本病的最佳疗法。方法:将73例子宫内膜异位症痛经患者随机分为针刺加穴贴组(36例)和药物组(37例)。针刺加穴贴组取中极、关元、子宫等穴位针刺,然后用药物贴敷治疗;药物组采用口服加味没竭片。观察治疗前后两组疼痛积分、临床疗效、止痛起效时间和维持时间。结果:针刺加穴贴组对子宫内膜异位症痛经的近期总有效率为91.2%(31/34),优于药物组的83.3%(30/36)(P0.05);远期总有效率分别为97.1%(33/34)、69.4%(25/36),两组疗效差异具有统计学意义(P0.05)。两组疼痛积分均较治疗前降低,且针刺加穴贴组较药物组改善程度显著(P0.01);针刺加穴贴组较药物组止痛起效时间快(P0.05),维持时间长,止痛效果稳定。结论:针刺加穴位贴敷治疗子宫内膜异位症痛经患者疗效显著,是治疗本病的较佳疗法。     

针刺治疗支气管哮喘急性发作期临床观察

目的:观察针刺对哮喘急性发作期的影响.方法:将90例哮喘急性发作期患者随机分为观察组60例和对照组30例,从症状、体征、肺功能以及血清白介素4(IL-4)、γ-干扰素(INF-γ)等方面探讨针刺临床疗效及取效机理.结果:观察组和对照组均能改善肺通气功能,提高肺活量,减少哮喘的发作,但观察组肺功能的改善程度优于对照组(P<0.05).结论:针刺能加强药物的平喘作用,是治疗支气管哮喘的有效方法之一.     

穴位贴敷治疗支气管哮喘时间因素的研究概况

参阅近15年来国内有关文献,针对穴位贴敷治疗支气管哮喘时间影响因素,从患者分期、贴敷时机选择、药物贴敷时间、贴敷次数与疗程进行初步分析与比较,发现多数研究认为,贴敷法多选取哮喘缓解期患者;贴敷时机大多沿袭三伏天治疗,亦有选择三九或日常天者,药物贴敷时间长短不一,疗效比较结果莫衷一是;贴敷效果可能与贴敷次数及疗程成正比.今后应通过严谨的设计,充分考虑各时间因素的影响,才能科学地揭示贴敷治疗支气管哮喘的时间影响因素.     

Clinical study on acupuncture plus auricular point sticking for insomnia

目的：探讨针刺配合耳压治疗失眠症临床疗效。方法：将156例患者随机分为观察组、针刺组、中药组,分别采用针刺配合耳压、针刺、中药治疗。结果：观察纽总有效率94．2％,针刺组和中药组总有效率分别为75．0％和78．8％,观察组疗效明显优于针刺组（P〈0．01）和中药组（P〈0．05）。结论：针刺配合耳压疗法治疗失眠症具有较好的临床疗效。     

Clinical observation on treatment of bronchial asthma by comprehensive acupuncture methods

采用针刺、耳压、水针综合治疗支气管哮喘40例,分别用单纯针刺治疗36例,中药治疗38例为对照,分析3组间的疗效.综合组总有效率为95.0%,针刺组为80.6%,中药组为73.7%,3组间疗效比较有显著性差异(P＜0.05).针刺、耳压和水针结合治疗哮喘疗效优于单纯针刺和中药.     

Clinical observation on treatment of chronic eczema with acupuncture plus acupoint injection therapy

Objective： To observe the clinical effects of acupuncture combined with acupoint injection therapy in treating chronic eczema. Methods： Seventy patients were randomly divided into two groups. Thirty-six cases in the treatment group were treated with acupuncture, acupoint injection therapy and tapping with plum-blossom needle, while 34 cases in the control group were treated with oral administration of Loratadine plus topical application of Halometasone Cream. Results： After a three-week treatment, the curative and remarkable effective rate and the total effective rate were respectively 80.6% and 97.2% in the treatment group, versus 47.1% and 79.4% in the control group. The differences in the curative and remarkable effective rate and total effective rate between the two groups were statistically significant （all P〈O.05）. No obvious adverse reaction appeared in the two groups during the treatment. Conclusion： Acupuncture plus acupoint injection therapy is effective for chronic eczema with high in safety.     

时间因素对穴位贴敷防治支气管哮喘效应的影响

目的:观察时间因素在穴位贴敷防治支气管哮喘中的影响效应。方法:将71例支气管哮喘患者随机分为三伏组(30例)、三九组(21例)和日常组(20例),穴取大椎、肺俞等,采用隔姜灸加中药贴敷。三伏组在夏季初伏、中伏、末伏各灸贴1次;三九组在冬季一九、二九、三九各灸贴1次;日常组在除三伏、三九以外的时间灸贴,每隔10天1次,共3次。观察临床疗效、生存质量及血清白细胞介素13(IL-13)的变化。结果:三伏组、三九组、日常组患者临床总有效率分别为83.3%(25/30)、61.9%(13/21)、65.0%(13/20),其差异无统计学意义(P0.05),治疗后生存质量及血清IL-13组间差异亦无统计学意义;3组患者治疗前后生存质量及血清IL-13变化差异均有统计学意义(P0.01,P0.001)。结论:贴敷疗法是治疗支气管哮喘等呼吸系统疾病的一种行之有效的方法,该疗法中占主导因素的是药物及经穴,时间因素似乎影响不大,适宜全年开展。     

Clinical observation on acupoint sticking therapy for lumbar intervertebral disc hernination

Objective:To observe the clinical effects of acupoint sticking therapy for lumbar intervertebral disc herniation. Methods:Seventy patients with lumbar intervertebral disc herniation were randomly divided into two groups by the visit order, 35 cases in each group. The treatment group was treated with acupoint sticking therapy and the control group was treated with tuina. After treatment, the clinical effects, pain integral and Japanese Orthopedic Association (JOA) scores were compared between the two groups. Results:The total effective rate, pain integral and improvement of JOA scores were better in the treatment group than in the control group (P<0.05). Conclusion:Acupoint sticking therapy is affirmative in the therapeutic effects and better than tuina treatment for lumbar intervertebral disc herniation.     

中药穴位贴敷治疗子宫肌瘤临床观察

目的：探讨中药穴位贴敷治疗子宫肌瘤疗效。方法：对30例子宫肌瘤患者采用中药穴位贴敷治疗，穴位选用关元、气海、中极；药物选用三棱、莪术、大黄等。观察治疗前后子宫肌瘤的变化。结果：中药穴位贴敷治疗子宫肌瘤总有效率为83．33％，且对子宫肌瘤的主症如下腹胀痛、不规则出血、腰酸痛等方面的改善作用突出。结论：该方法是一种使用简便、安全有效、无毒副作用、对机体无创伤、适于推广应用的治疗方法，具有较大的理论价值和经济效益。