Therapeutic Effect of Acupuncture plus Tuina on Cervical Spondylosis

目的：观察针刺配合推拿治疗颈椎病的，临床疗效。方法：将146例颈椎病患者随机分为针刺配合推拿组（观察组）70例，针刺组（对照Ⅰ组）38例，推拿组（对照Ⅱ组）38例。结果：观察组痊愈率为92．1％，对照Ⅰ组为68．4％，对照Ⅱ组为65．8％；观察组与对照Ⅰ组、对照Ⅱ组相比，差异有统计学意义（P〈0．01）；对照Ⅰ组与对照Ⅱ组间差异无统计学意义（P〉0．05）。结论：针刺配合推拿治疗颈椎病能够较快较好地缓解患者病情。     

Clinical observation on treatment of cervical spondylotic radiculopathy with combined electroacupuncture tuina and traction

目的：观察电针、推拿结合牵引治疗神经根型颈椎病的临床疗效。方法：将120例患者根据初诊时间,按随机数字表随机分为治疗组60例,采用电针、推拿结合牵引治疗：对照组60例,采用电针、推拿治疗,两组均每天治疗1次,5次为1个疗程,疗程间休息2d,治疗6个疗程后评价疗效。结果：治疗组总有效率及治愈率分别为93．3％和61．7％,对照组为78．3％和31．7％,两组总有效率、治愈率比较,差异有统计学意义。结论：电针、推拿、牵引三者结合治疗神经根型颈椎病疗效较好。     

Clinical study of tuina for stiff neck

目的：观察推拿治疗落枕的临床疗效。方法：将216例落枕患者随机分为推拿组110例和对照组106例,推拿组用“三部四穴五法”推拿法治疗,对照组针刺患侧外劳宫、后溪、肩井和阿是穴。每日1次,3次为1个疗程;治疗2个疗程后观察疗效。结果：推拿组有效率为93．64％,对照组为83．02％,两者比较有统计学意义（P〈O．05）结论：“三部四穴五法”推拿法治疗落枕明显优于单纯针刺疗法。     

分期针刺配合运动疗法治疗急性期Bell麻痹的临床观察

目的:寻找提高治疗急性期Bell麻痹临床疗效的方法.方法:将90例急性期Bell麻痹患者随机分为观察组、对照Ⅰ组和对照Ⅱ组各30例,分别采用针刺加运动疗法、单纯针刺疗法、单纯运动疗法治疗,观察治疗效果.结果:观察组治愈率66.7%,对照Ⅰ组53.3%,对照Ⅱ组46.7%.观察组疗效优于两对照组(P＜0.05).结论:分期针刺配合运动疗法治疗急性期Bell麻痹可提高疗效,是一种较佳的疗法.     

Treatment of senile intervertebral disc herniation with acupuncture, Tuina and traction

目的：观察针刺、推拿和牵引与理疗和牵引治疗老年腰椎间盘突出症的疗效。方法：将150例65岁以上的老年腰椎间盘突出症患者随机分为治疗组和对照组各75例，治疗组采用牵引配合针刺、推拿治疗；对照组采用牵引配合理疗治疗。结果：治疗1个月后，治疗组治愈率为70．7％，明显高于对照组533G（P〈0．05）。结论：针刺和推拿配合配合治疗老年腰椎间盘突出症有很好的临床疗效。     

Observations on the efficacy of acupuncture plus tuina therapy in treating supraspinatus tendinitis

目的：观察针刺、推拿治疗冈上肌肌腱炎的临床疗效。方法：将100例冈上肌腱炎患者随机分为两组,治疗组50例采用针刺推拿疗法,对照组50例采用单纯针刺疗法;每日1次,10次为1个疗程,2个疗程后进行疗效评定。结果：治疗组总有效率96．0％,对照组总有效率74．0％,两组总有效率经X^2检验（P〈0．01）,差异有统计学意义。结论：针刺配合推拿治疗冈上肌肌腱炎疗效优于单纯针刺治疗。     

Clinical analysis of acupuncture combined with tuina in treating cervical vertigo

Objective： To investigate the clinical efficacy of acupuncture combined with tuina in treating patients with cervical vertigo. Methods： According to the principle of randomization, 258 cases with cervical vertigo who met the inclusion criteria for the study were randomly divided into an observation group and a control group, with 129 cases in each. The patients in the observation group received acupuncture combined with tuina therapy, while those in the control group were just treated by the same acupuncture therapy as in the observation group. After 10-day continuous treatments, the clinical efficacies of the two groups were analyzed and compared. Results： The total effective rate of the observation group was 100%, versus 86.0% of the control group, and the difference was significant（P〈0.05）. After treatment, cervical range of motion（ROM） scores in both groups were statistically significantly different from those before treatment（all P〈0.05）; in addition, there was a statistically significant difference in inter-group comparison of ROM score（P〈0.05）. Conclusion： Compared with simple acupuncture treatment, acupuncture combined with tuina therapy has a better effect in improving the ROM of cervical vertigo patients, with higher clinical efficacy.     

远针近推疗法对老年性骨质疏松症骨代谢生化指标的影响

目的:比较远针近推疗法与口服碳酸钙D3片对老年性骨质疏松症患者骨代谢生化指标影响的效应差异,探寻治疗骨质疏松症的较佳疗法。方法:将64例患者随机分为针推组和碳酸钙组。碳酸钙组(30例)口服碳酸钙D3片,连续服用12周。针推组(34例)采用"远针近推"疗法,即针刺患者双侧下肢委中、太溪穴,同时在患者腰部进行推拿治疗,共治疗30次。分别观察和比较两组治疗前后骨代谢生化指标血钙、血磷(P)、碱性磷酸酶(ALP)、骨钙素(BGP)、尿脱氧吡啶酚(DPD)的变化。结果:两组治疗后均血P降低、BGP升高、DPD降低,治疗前后差异均有统计学意义(P<0.05,P<0.01),但是上述指标组间尚未表现出统计学差异。结论:口服钙制剂和"远针近推"疗法均能有效改善老年性骨质疏松症患者的骨代谢生化指标,对骨质疏松的防治有积极意义,但尚不足以证明上述哪种疗法对于保钙更优。     

Clinical study on tuina therapy for degenerative spondylolisthesis of the lumbar spine

目的：推拿治疗腰痛有确切疗效,进行两种推拿手法治疗退行性腰椎滑脱症的疗效对比观察,以期探索推拿治疗腰椎滑脱症的最佳手法。方法：将121例退行性腰椎滑脱症患者,按就诊顺序及病情分级随机分为实验组和对照组。实验组61例,其中Ⅰ度34例,Ⅱ度27例;对照组60例,其中Ⅰ度34例,Ⅱ度26例。两组一般资料无显著差异。两组在进行相同软组织推拿基础上,实验组采用脊柱微调手法,对照组采用屈髋屈膝垫枕法。每星期治疗3次,10次为1个疗程。治疗1个疗程后评价疗效。结果：实验组与对照组总有效率、Ⅰ度患者愈显率均有显著差异（P〈O．01）,Ⅱ度患者总有效率也存在显著差异性（P〈0．05）。结论：脊柱微调手法对退行性腰椎滑脱症的疗效较好,且病情越轻,疗效越好。     

分组PBL带教模式在针灸推拿临床教学中的应用

目的探讨分组PBL带教模式在针灸推拿临床教学中的应用。方法根据上海市第六人民医院针推伤科组织结构特点,将本科实习同学分阶段在＂门诊部＂和＂住院部＂进行PBL带教,并与传统实习带教方法进行比较。结果分组PBL带教保证了针灸推拿教学计划的实施,增强了科室对同学工作和学习的管理,提高了同学的临床工作能力和学习能力。结论 ＂门诊部＂和＂住院部＂有着各自的特点和工作要求,在有限时间内对本科同学进行分组分阶段的PBL教学,与传统师生＂一对一＂教学方法比较有着很大的优越性,更符合临床教学实际,将对临床教学的深化改革起到参考和借鉴作用。     

Effect of acupuncture on cerebral blood flow,serum S100β and ALP in the patients with post-stroke mild cognitive impairment in the convalescence stage: 针刺对脑卒中恢复期轻度认知功能障碍患者脑血流、血清S100β、ALP的影响

ObjectiveTo explore the clinical therapeutic effect and the impacts of acupuncture on cerebral blood flow and serum S100β and alkaline phosphatase (ALP) in the patients with post-stroke mild cognitive impairment in convalescence stage.MethodsA total of 66 cases were randomized into a control group (33 cases) and an observation group (33 cases). The conventional treatment was applied in the control group. On the base of the treatment of the control group, acupuncture was added at Shéntíng (神庭GV24), B?ihuì (百会GV20), Dàzhuī (大椎GV14), Mìngmén (命门GV4), Shènshū (肾俞BL23), Shénmén (神门HT7) and Xuánzhōng (悬钟GB39) in the observation group. Before and after treatment, separately, Montreal cognitive assessment (MoCA), mini-mental state examination (MMSE) and modified Barthel index (MBI) were assessed in the patients, peak systolic velocity (PSV) and resistance index (RI) and the levels of serum S100β and ALP were measured. At the end of treatment, the clinical therapeutic effect was evaluated in patients of the both groups.ResultsAfter treatment, the scores of MoCA, MMSE and MBI in the observation group were all higher than those in the control group. PSV in the observation group was higher than the control group, while RI, S100β and ALP were lower than those in the control group, indicating the statistical differences (all P < 0.05). The total effective rate was 93.75% in the observation group, higher than 67.74% in the control group, showing statistical difference (P < 0.05).ConclusionAcupuncture achieves the definite therapeutic effect on post-stroke mild cognitive impairment in convalescence stage. This therapy improves the cognitive function, the quality of life and cerebral blood flow in the patients and also down-regulates the levels of serum S100β and ALP. Hence, this acupuncture therapy is worthy of clinical promotion.     

针刺痛点配合艾灸足三里治疗肩周炎临床观察

目的:探寻治疗肩周炎的有效疗法.方法:以肩部疼痛、肩关节活动功能为观察指标,分别运用针刺痛点配合艾灸足三里和常规针刺,对60例(每组30例)患者进行对比治疗,并观察两组的临床疗效.结果:治疗组总有效率为96.7%,常规组总有效率为90.0%,两组总有效率差异无显著性意义(P＞0.05);但两组治愈率(分别为46.7%和20.0%)之间差异有显著性意义(P＜0.05).在改善肩关节活动功能和减轻疼痛方面亦同样具有统计学意义(均P＜0.01).结论:针刺痛点配合艾灸足三里治疗肩周炎在提高治愈率和减轻疼痛、改善肩关节功能方面优于常规针灸疗法.     

Clinical observation on oblique Ban-pulling tuina manipulation plus acupuncture for cervical vertigo

Objective

To explore the clinical efficacy of rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture in treating cervical vertigo (CV).

Methods

Seventy-three CV patients were divided into two groups by block randomization, 50 cases in each group. The observation group was intervened by rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture, while the control group was by the same acupuncture treatment alone. The tuina treatment was given once every other day and the acupuncture treatment was given once every day. The symptom score was observed before and after 20-day treatment, and the therapeutic efficacies were compared between the two groups.

Results

During the intervention, 14 subjects in the observation group and 13 subjects in the control group dropped out. Finally, 36 cases in the observation group and 37 cases in the control group were involved into the data analysis. After 20-day treatment, the symptom scores were significantly increased in both groups (P<0.05), and the symptom score in the observation group was significantly higher than that in the control group (P<0.05). The total effective rate was 91.7% in the observation group versus 83.8% in the control group, and the difference was statistically insignificant (P>0.05). The recovery and markedly effective rate was 69.4% in the observation group versus 32.4% in the control group, and the difference was statistically significant (P<0.05).

Conclusion

Rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture can significantly improve the clinical symptoms of CV patients, and its clinical efficacy is superior to that of acupuncture alone.

     

Therapeutic observation of acupuncture plus tuina for cervical vertigo

Objective

To evaluate the clinical efficacy of acupuncture plus tuina in treating cervical vertigo (CV).

Methods

One hundred CV patients were randomized into an observation group and an acupuncture group by the random number table, with 50 cases in each group. The acupuncture group received acupuncture at Xiang Ba Zhen (eight acupoints on the nape); the observation group received tuina treatment in addition to the Xiang Ba Zhen acupuncture. The two groups were both treated once every other day for 10 sessions in total. The two groups were examined by transcranial cerebral Doppler (TCD) before and after the treatment, and their therapeutic efficacies were evaluated.

Results

After the treatment, the mean velocity (Vm) of vertebral artery (VA) and basilar artery (BA) showed significant improvement in both groups (all P<0.001); there were significant differences in the Vm of VA and BA between the two groups (both P<0.05). The total effective rate was 100.0% in the observation group versus 82.0% in the acupuncture group, and the difference was statistically significant (P<0.01).

Conclusion

Xiang Ba Zhen acupuncture as a monotherapy or used together with tuina can improve CV, but Xiang Ba Zhen plus tuina can produce a more significant efficacy.

     

Therapeutic efficacy observation on combining acupuncture, tuina and functional exercise for transverse process syndrome of the third lumbar vertebra

Objective： To observe the clinical effect of combining acupuncture, tuina and functional exercise for transverse process syndrome of the third lumbar vertebra. Methods： A total of 90 cases were randomly allocated into an observation group and a medication group. The 48 cases in the observation group were treated with acupuncture, tuina and functional exercise, whereas the 42 cases in the medication group were treated with Ibuprofen sustained release capsules. Before and after treatment, the short-form McGill pain questionnaire （SF-MPQ） was employed to observe the changes in pain rating index （PRI）, visual analogue scale （VAS） and present pain intensity （PPI）. In addition, therapeutic efficacies were compared between two groups. Results： The total effective rate in the observation group was 97.9%, versus 61.9% in the medication group, showing a statistical difference （P〈O.05）. After treatment, there were statistical differences between the two groups in sensory PRI score, affective PRI score, total PRI score, VAS score and PPI score （P〈O.05）; and there were also statistical differences between two groups in clinical sign scoring （P〈O.05）. After 4 and 8 weeks of treatment, there was a statistical difference between the two groups in re~apse rate （P〈O.05）. Conclusion： Combining acupuncture, tuina and functional exercise can obtain better effects and has a lower relapse rate than Ibuprofen sustained release capsules for transverse process syndrome of the third lumbar vertebra.     

推针手法治疗中风后指过屈疗效观察

目的：比较推针手法与常规针刺治疗中风后指过屈的疗效差异。方法：将80例患者随机分为2组,2组均取合谷、后溪、外关。推针手法组42例,针刺得气后施以推针手法,带力向下插针,拇指向前、食指向后,重插轻提,留针30分钟;常规针刺组38例,常规针刺得气后留针30分钟。采用修订的Ashworth痉挛分级评定和掌指关节活动度为指标,对2组患者治疗30天、60天后进行疗效评定。结果：推针手法组的总有效率81.0%,明显优于常规针刺组的57.9%（P〈0.05）;推针手法组治疗后痉挛程度和掌指关节活动度变化与常规针刺组相比,差异有显著性或非常显著性意义（P〈0.05,P〈0.01）。结论：推针手法治疗中风后指过屈疗效肯定,值得临床推广应用。     

针刺治疗脑萎缩疗效观察

目的:比较针刺与中药治疗脑萎缩的疗效差异.方法:将140例脑萎缩患者分为观察组(80例,用耳针、头皮针配合体针治疗)与对照组(60例,口服中药八珍汤加减),观察并比较两组临床症状的改善情况.结果:观察组的愈显率和总有效率分别为78.8%和96.3%,对照组为45.0%和75.0%,两组疗效比较,差异均有非常显著性意义(P＜0.01).结论:针刺治疗脑萎缩优于中药治疗.     

Treatment of 60 cases of simple obesity by acupuncture plus Tuina therapy

Purpose To observe the therapeutic effect of acupuncture therapy plus Tuina therapy in the treatment of simple obesity.Methods Ninety-eight cases of the patients were randomly divided into the two groups and 60 cases in the treatment group were treated with acupuncture therapy plus Tuina therapy, and 38 cases in the control group were treated with single acupuncture therapy.Results The effective rate was 100% in the treatment group and was 71.0% in the control group,P<0.01.Conclusion Acupuncture therapy plus Tuina therapy is better than single acupuncture therapy in the treatment of simple obesity. Author: SHANG Xiao-li (1976- ), female, physician Translator: HUANG Guo-qi     

Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo

Objective

To observe the clinical efficacy and action mechanism of Jin’s three-needle acupuncture plus Long’s chiropractic tuina manipulations in treating cervical vertigo.

Methods

By adopting a randomized controlled method, 80 eligible patients were randomized into an observation group of 41 cases and a control group of 39 cases. The control group was intervened by Jin’s cervical three-needle acupuncture plus acupuncture at the vertigo-pain points and Fengchi (GB 20); the observation group was by Long’s chiropractic tuina manipulations in addition to the treatment given to the control. For both groups, the intervention was given once a day, 7 sessions as a treatment course, with a 1-day interval after a course, for 2 courses in total. The therapeutic efficacy was evaluated after the first session and the second treatment course, at the 3-month and 6-month follow-ups.

Results

After the first session, the recovery plus markedly effective rate of the observation group was significantly higher than that of the control group (P<0.01); the rate was markedly higher in the observation group than that in the control group after 2 treatment courses (P<0.01); at the 3-month follow-up, the relapse rate was 2.5% in the observation group versus 13.5% in the control, and the between-group difference was statistically insignificant (P>0.05); the 6-month follow-up study showed that the relapse rate was 5.0% in the observation group versus 21.6% in the control group, and the between-group difference was statistically significant (P<0.05); at the 6-month follow-up, the total relapse rate was 7.5% in the observation group versus 35.1% in the control group, and the inter-group difference was statistically significant (P<0.01).

Conclusion

The two treatment protocols are both effective in treating cervical vertigo. However, due to its more significant efficacy, more efficient action and lower relapse rate compared to acupuncture alone, acupuncture plus tuina can be regarded as a verified protocol for cervical vertigo.

     

Fifteen-day Acupuncture Treatment Relieves Diabetic Peripheral Neuropathy

Our study aimed to investigate the effects of acupuncture on diabetic peripheral neuropathy. We compared 42 cases treated with acupuncture with 21 cases exposed to sham acupuncture and observed the effects on nerve conduction velocity and a variety of subjective symptoms associated with diabetic peripheral neuropathy. Three of the six measures of motor nerves, and two measures of sensory function, demonstrated significant improvement (p < 0.05) over the 15-day treatment period in the acupuncture group, while no motor or sensory function significantly improved in the sham acupuncture group. There were also significant differences in vibration perception threshold between the groups (p < 0.05) and when compared to the baseline levels (p < 0.01) in the acupuncture group. Acupuncture was significantly more effective than sham for treatment of numbness of the lower extremities, spontaneous pain in the lower extremities, rigidity in the upper extremities and alterations in temperature perception in the lower extremities after therapy. Our pilot study has, therefore, provided evidence that acupuncture may be clinically useful for the radical treatment of diabetic peripheral neuropathy.