针刺配合运动对偏瘫早期康复作用的研究

目的　研究针刺配合运动对脑卒中偏瘫早期的康复作用。方法　针刺配合运动疗法治疗脑卒中偏瘫 5 0例 ,与单纯用药物治疗 5 0例作疗效对比并作随访观察。结果　经平均 1个月治疗后 ,康复组显效率为 82 % ,对照组为 5 4% ,差异有显著性(P<0 .0 5 ) ;康复组的肢体运动功能和日常生活活动能力积分经治疗后明显提高 ,与对照组相比差异有显著性 (P<0 .0 5 ) ,且康复组对血液流变性、血脂有较好调节作用。结论　针刺配合运动作业法治疗脑卒中偏瘫较单纯药物治疗疗效显著。     

Observation on therapeutic effect of acupucnture plus rehabilitation for hemiplegia following stroke

目的：观察针刺配合康复治疗脑卒中偏瘫的临床疗效。方法：96例患者随机分为治疗组50例，采用针刺配合康复治疗；对照组46例，采用康复治疗。结果：治疗组总有效率92．0％，对照组总有效率为76．1％，两组疗效比较差异有统计学意义（P〈0．05）。结论：针刺配合康复，是治疗脑卒中偏瘫较为理想的方法，尤其在提高患者肢体功能、缓解痉挛和改善患者日常生活能力方面，疗效显著。     

Curative effect of acupuncture and rehabilitation training in treating hemiplegia after stroke

将中风偏瘫患者分为针灸结合康复训练组(n=50),针灸组(n=32),康复训练组(n=31),采用针刺治疗和康复训练.在治疗前后对患者偏瘫肢体的运动功能和日常生活能力进行评定.总有效率针灸结合康复训练组明显高于针灸组和康复训练组(P＜0.01),而针刺组和康复组的总有效率比较无明显差异(P＞0.05).针灸结合康复训练是治疗中风偏瘫的有效方法.     

Clinical Observation on Electroacupuncture Treatment of Shoulder-Hand Syndrome in Apoplectic Hemiplegia

目的：观察电针对中风偏瘫肩手综合征的治疗效果。方法160例患者随机分为两组，其中对照组80例，以传统毫针针刺法治疗，治疗组80例运用电针针刺法治疗两个疗程后判定疗效。结果：两个疗程后显示电针组手背水肿、屈指时手痛的疗效及总显效率均优于毫针组（P〈0．05）。结论：电针对消除手背水肿，防止手部肌肉萎缩，促进中风的康复有重要意义。     

Treatment of hemiplegia and joint contracture after apoplexy by acupuncture plus cupping therapy: A report of 52 cases

Objective: To study the treatment method of apoplectic joint contracture.Method: Fifty-two cases were treated with acupuncture plus cupping and thirty cases were treated with acupuncture alone as the control group.Result and conclusion: The effective rate of the former and later were 100% and 93.3% respectively, combined treatment of acupuncture and cupping was superior to acupuncture alone (P<0.05). Author: DING Bang-you (1966-), male, attending physician     

Influence of surrounding acupuncture by cranial MRI location on blood rheology in apoplectic patients

Purpose: To study the function of surrounding acupuncture located by cranial MRI on apoplexy.Method: Forty cases of the patients diagnosed as cerebral infarction were divided into the group of surrounding acupuncture by MRI location and the group of traditional scalp acupuncture, 20 cases in each group, and were treated respectively with surrounding acupuneture by MRI location and traditional scalp acupuncture, to determine the indexes of blood rheology before and after treatments.Results: There was significant difference (P<0.01) in comparison of various indexes in blood rheology between the apoplectic patients and healthy adults of same age. In comparison before and after the treatments in the group of surrounding acupuncture by MRI location there was significant difference (P<0.01) in various indexes of blood rheology, except ESR and ESR equation K value. In comparison before and after the treatments in the group of traditional scalp acupuncture, there was significant difference (P<0.05) in various indexes of blood rheology, except ESR, sclerosis index and ESR equation K value.Conclusion: The findings indicate that blood becomes thick and flows slowly and resistance increases in blood flow in the apoplectic patients. The two kinds of the needling techniques have an improving function in various indexes of blood rheology in the apoplectic patients and surrounding acupuncture by MRI location was better than traditional scalp acupuncture in improving blood rheology. JIANG Gang-hui, associate professor, has mainly done the clinical study in treating diseases of brain and spinal cord with acupuncture. Translator: HUANG Guoqi     

Clinical observation on scalp acupuncture combined with rehabilitation training for hemiplegia after stroke

Objective： To observe the clinical efficacy of the scalp acupuncture combined with rehabilitation training for hemiplegia. Methods： One hundred and thirty-six cases with hemiplegia after stroke who met the inclusion criteria were randomly divided into three groups according to visiting sequence. Forty-eight cases in the observation group were treated by scalp acupuncture combined with rehabilitation training, 35 cases in the medicine group were treated by Chinese and Western medicines, and 53 cases in the medicine plus rehabilitation group were treated by Western medicine and rehabilitation training. Patients＇ consciousness, speech and limb functions were scored before and after treatment, and the results were compared. Results： After treatment, the scores of consciousness, speech and limb functions after treatment were lower than those before treatment. And their decrease in the observation group were more statically significant than that in the medicine group and the medicine plus rehabilitation group （P〈0.01 or P〈0.05）. The total effective rates of the three groups were significantly different （P〈0.01 or P〈0.05）. The total effective rate of the observation group was better than that of the other two groups （both P〈0.01）. Conclusion： Scalp acupuncture combined with rehabilitation therapy has better effect for stroke hemiplegia.     

针刺结合康复训练治疗中风偏瘫临床研究

目的　观察组针刺结合康复训练治疗中风偏瘫的临床疗效。方法　将中风偏瘫患者分为针康组 (针刺结合康复训练 ) 10 0例 ,针刺组及康训组各 6 0例 ,采用针刺体穴和康复训练 ,并在治疗前后 ,对患者偏瘫肢体的运动功能和日常生活能力进行评定。结果　针康组与针刺组、康训组治疗后运动功能和日常生活能力比较 P<0 .0 1,差异明显 ,而针刺组、康训组比较P>0 .0 5 ,无差异 ;3组自身比较均有显著差异 ,其中针康组治疗前后 P<0 .0 1,差异明显 ,而针刺组、康训组治疗前后 P<0 .0 5 ,也有差异。结论　针刺结合康复训练比单纯针刺和康复训练治疗中风偏瘫疗效好 ,而针刺和康复训练治疗中风偏瘫均有较好疗效 ,两者无差异。     

Clinical observation of vascular headache treated by acupuncture plus needle-embedding method

目的：探讨针刺治疗血管性头痛的临床疗效。方法：93例血管性头痛患者随机分为针剌组（n=30），以针刺患侧风池、阿是穴和三阴交穴治疗；针刺加埋针组（n=36），在针刺治疗的基础上加用患侧太阳和悬钟穴埋针治疗；西药组（n=27），口服西比灵5mg，每日2次。观察三组患者治疗前后临床症状的变化。结果：治疗后三组患者的临床症状均有减轻或消失。近期疗效针刺加埋针组优于对照组（P〈0．05），针剌加埋针组与针刺组比较无显著差异（P〉0．05），针刺组与对照组比较亦无显著差异（P〉0．05）。远期疗效针刺加埋针组优于对照组（P〈0．01），针刺组优于对照组（P〈0．05），针刺加埋针组与针刺组比较则无显著差异。结论：针刺治疗血管性头痛具有良好的近、远期疗效，而针刺加埋针疗法的疗效更好。     

针刺配合穴位贴膜治疗中风偏瘫的疗效观察

目的　观察针刺配合穴位贴膜治疗中风偏瘫的临床疗效。方法　 96例中风偏瘫患者随机分成 3组 ,针刺组 2 8例 ,穴位贴膜组 2 7例 ,综合治疗组 3 1例 ,分别应用针刺、穴位敷贴以及二者综合的方法同期用来治疗中风偏瘫。结果　各组疗法均能改善患者的肢体功能与肌力。针刺组、穴位贴膜组和综合治疗组的总有效率分别为 84.4%、71.0 %和 93 .9% ,其中综合治疗组优于其他二组 ,与穴位贴膜组有显著性差异 ( P<0 .0 5 )。结论　针刺治疗配合穴位贴膜治疗中风偏瘫疗效显著。     

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.     

Efficacy of ＂Remissive Stage-reinforcing and Acute Stage-reducing＂ Acupuncture for Treating 30 Apoplectic Myospasm Patients

目的：观察“补缓泻急”针刺法对中风性肌痉挛的临床疗效。方法：60例中风病偏瘫患者随机分为治疗组30例和对照组30例。治疗组采用“补缓泻急”针剌法，对照组采用现代康复训练。采用目前康复学界常用的修改的Ashworth痉挛程度评级法，Brunnstrom分期法以及Barthel指数分别评定治疗前后痉挛程度、运动功能水平和日常生活能力。结果：“补缓泻急”针刺法对中风性肌痉挛的改善优于对照组。结论：“补缓泻急”针刺法在改善痉挛状态方面有独特的优势。     

中医头针结合康复训练治疗中风偏瘫疗效观察

目的：探讨中医头针与康复训练治疗中风偏瘫的临床效果。方法：我院187例中风偏瘫患者分为治疗组107例与对照组80例,两组均予西医常规治疗,治疗组再用中医头针结合康复训练治疗,3个疗程后观察两组效果。结果：治疗组总有效率为96.3%,显著高于对照组的85.1%（P＆lt;0.05）。结论：中风偏瘫应用中医头针结合康复训练治疗有利于肢体功能恢复,临床效果显著。     

针刺配合康复治疗脑卒中失语的临床观察

目的研究电针加语言康复训练对脑卒中引起的失语的治疗作用。方法将60例病人随机分成两组,每组30例。治疗组行针刺加语言康复训练。对照组单纯采用语言康复训练,将两组结果进行比较。结果治疗组的总有效率和语言分明显高于对照组（P〈0．05）。结论针刺加语言训练的综合康复对脑卒中引起的失语具有较好的治疗作用。     

Clinical Observation on Vertebroarterial Pattern of Cervical Spondylopathy Treated by Combination of Adjacent and Distal Points

目的：探讨远近相伍取穴治疗椎动脉型颈椎病的疗效。方法：将140例椎动脉型颈椎病患者随机分为针刺组、药物组，每组各70例。针刺组采用中医辨证取穴结合西医解剖特定点，药物组采用口服龙骨颈椎胶囊、西比灵胶囊，并观察治疗前后临床症状体征积分和椎-基动脉血流改善情况。结果与结论：总有效率针刺组（100％）明显高于药物组（61．4G，P〈0．01），临床症状体征积分和椎-基动脉血流改善情况两组治疗前后比较有显著性差异（P〈0．05），而针刺组改善程度较药物组更著fP〈0．05），远期疗效针刺组优于对照组，但差异无显著性（P〉0．2）。     

Effects of acupuncture on hyperlipidemia and hyperviscosity in old people

目的:观察针灸对老年人高脂血症及高粘血症的影响.方法:针灸配合川芎嗪治疗老年人高脂血症及高粘血症60例,并与单纯用川芎嗪治疗的60例作疗效对比观察.结果:针灸配合药物治疗组的胆固醇(TC)、甘油三脂(TG)、低密度脂蛋白胆固醇(LDL-ch)、高切粘度、低切粘度、红细胞压积、红细胞聚集指数治疗前后有高度显著性差异(P＜0.01),而单纯用药物组只有显著性差异(P＜0.05),两组对比疗效有显著性差异(P＜0.05).结论:说明针灸配合药物治疗比单纯用药物治疗疗效显著.     

Clinical observations on the treatment of 56 bronchial asthma cases by acupuncture and moxibustion plus Tuina

为观察针灸配合推拿治疗支气管哮喘的疗效,采用头皮针、体针、艾灸配合推拿治疗支气管哮喘56例,并与西药常规治疗30例对比.治疗组临床控制率为60.7%,总有效率为98.2%,西药组分别为50.0%和83.3%,治疗组疗效优于西药组(P＜0.05).治疗组治疗后肺活量、免疫球蛋白、CO2结合力、血氧都有明显改善(P＜0.01,P＜0.05).     

Treatment of 65 Cases of Cervical Vertigo Treated by Acupuncture plus Medication

目的：观察针灸配合葛根素治疗颈性眩晕的疗效。方法：将110例颈性眩晕患者分为治疗组和对照组。治疗组65例以针灸配合葛根素治疗，对照组45例采用西药治疗。结果：治疗组痊愈33例，有效29例，无效3例，总有效率95，38％。对照组痊愈12例，有效23例，无效10例，总有效率为77．87％，两组总有效率比较，治疗组疗效优于对照组（P〈0．01）。结论：针灸中药并用治疗颈性眩晕疗效优于西药治疗。     

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.     

Treatment of 40 Cases of Post-apoplectic Dysphagia by Acupuncture plus Rehabilitation Exercise

目的：观察针刺结合康复训练治疗中风后吞咽障碍的疗效。方法：将患者随机分为治疗组和对照组，治疗组针刺风池、天柱、通里及廉泉结合康复训练的方法治疗，对照组运用康复训练方法治疗。结果：治疗组总有效率为95．0％，对照组有效率为71．9％，两组比较有非常显著性差异（P〈0．01）。结论：针刺结合康复训练能提高中风后吞咽障碍的疗效。