针灸治疗肩周炎概况

本文对目前临床上针灸治疗肩周炎的现状做一概述,并着重介绍了灸法,拔罐等温热治疗方法在临床上的运用及疗效.以此探讨针灸治疗肩周炎的研究上存在的问题以及温热疗法的临床价值及发展前景.     

温针灸治疗肩周炎60例

目的 探讨温针灸治疗肩周炎的临床疗效.方法 将就诊患者60 例随机分为温针组32 例,针刺组28 例.温针灸组给予温针灸治疗,穴取肩关节周围的阿是穴、肩髃、肩髎、臂臑、肩贞,采用直径约0.30mm、长60mm 毫针,常规针刺进针后行提插转手法,持针刺得气后,将针留在适宜深度(以真根离皮肤15mm 为宜).把预先准备好的长1.5～2cm 的一段艾条,插在针尾上,然后从下端点燃,每针温灸2 段,待艾条烧完熄灭冷却后将针拔出.针刺组给予单纯针刺治疗.结果 结果显示温针灸组显效1 例,有效29 例,有效率为93.75%,针刺组显效1 例,有效11 例,有效率为42.86%.结论 温针灸比单纯针刺治疗肩周炎疗效显著.     

针灸配小针刀治疗肩周炎153例

针灸配小针刀治疗肩周炎１５３例何业斌杨清远吴元平（中国人民解放军５４６９１部队医院山东省潍坊市２６１０４１）图书分类号Ｒ２４６．９关键词关节周围炎，肩／针刺疗法小针刀灸法我门诊自１９９４年以来采用针灸配小针刀治疗肩周炎１５３例，现报告如下。１一般资料...     

温针灸治疗肩周炎疗效观察

目的：观察温针灸治疗肩周炎肾阳虚寒证的临床疗效。方法：60例随机分为温针灸组和单纯针刺组各30例,两组均取条口穴、三间、足三里、肩痛穴为主要穴位。湿针灸组针刺后用灸,单纯针刺组只针刺不灸。结果：总有效率温针灸组93．33％,单纯针刺组73．33％,两组比较有显著性差异（P〈0．05）。结论：温针灸治疗肩周炎肾阳虚寒型疗效较好。     

针刺治疗肩周炎

就肩周炎有无既往史对针刺治疗效果及临床症状的差异进行了回顾性研究。 方法:以诊断为肩周炎接受针灸治疗的25例患者(男性1l例,女性14例,平均年龄63.4岁)为对象。有既往史者13例,其中高血压7例,糖尿病3例,高脂血症2例,痛风2例,以及心绞痛、胸主动脉瘤、甲亢、类风湿性关节炎各1例。根据有无     

“肩三针”治疗肩周炎临床研究的系统评价

目的:系统评价"肩三针"治疗肩周炎的临床疗效。方法:电子检索Cochrane图书馆、Wan Fang Data、CNKI及VIP。由5位研究者按照纳入与排除标准进行文献筛选,按Cochrane系统评价方法对文献提取有效的数据、质量评价后,采用Rev Man5.0软件进行Meta分析。结果:最终纳入符合标准的文献5篇,共5个研究,包括449例患者。Meta分析结果显示:"肩三针"组的总有效率及痊愈率高于对照组的,且差异有统计学意义[RR:2.92,95%CI(1.13,7.56);RR:2.35,95%CI(1.52,3.63)]。结论:当前证据显示,"肩三针"治疗肩周炎疗效肯定,但由于纳入研究数量和质量有限,上述结论仍待更多高质量大样本长期随访的研究予以验证。     

针灸配合功能锻炼治疗肩周炎的疗效观察

目的:探讨针灸结合功能锻炼治疗肩周炎的临床疗效和安全性。方法:将本院收治的60例肩周炎患者随机分成2组,对照组30例接受肩关节功能锻炼(爬墙法+体后拉手法+头枕双手法),1次/d,5次为1个疗程,1个疗程结束后休息2 d,共治疗3个疗程。治疗组30例,在对照组治疗方案基础上加用针刺治疗,1次/d,30 min/次,5次为1个疗程,1个疗程结束后休息2d,共治疗3个疗程。治疗结束后比较2组视觉模拟疼痛评分(Visual Analogue Scale,VAS)、血液流变学、临床总有效率。结果:治疗后2组VAS评分、临床症状改善率比较具有统计学意义(P0.05),治疗组优于对照组;2组治疗后血流速度(Vs)、平均血流速度(Vd)、舒张末期血流速度(Vm)均较治疗前升高(P0.05),其中治疗组升高幅度较对照组明显(P0.05)。结论:针灸结合功能锻炼有效缓解肩周炎患者症状,为临床同类治疗开拓思路。     

针灸治疗肩周炎近况

肩周炎又名“冻结肩”、“漏肩风”或“肩凝症”,系属“痹证”的范畴.是以肩臂疼痛,活动受限为主要表现.目前治疗肩周炎方法虽多,但疗效不甚理想,而针灸治疗本病疗效显著,兹将近几年来针灸治疗该病报导情况作一概述.针刺治疗姜定气等氏独取肩髃穴,共治46例,均经1～9次治疗全部治愈.王文远等中平穴(足三里穴下1寸,上巨虚穴上2寸处)共治345例,治愈255例,显效49例,好转38例,无效3例,总有效率为99.1%,其中一针治愈68例,占9.7% .庄文颖氏仅取“天窗”一穴,共治30例,痊愈11例,显效12例,有效6例,无效1例,总有效率为96.67% .李存新氏针刺陵下穴治疗33例,方法是取患肩对侧陵下穴(阳陵泉穴下2     

针灸与针刀治疗肩关节周围炎疗效比较的系统评价

目的:系统评价针灸与针刀治疗肩关节周围炎的疗效和安全性差异。方法:计算机检索中国生物医学文献数据库CBM(1978年—2010年)、中国知网CNKI(1979年—2010年)、维普数据库VIP(1989年—2010年)、PubMed(1966年—2010年)和Cochrane Library(2010年第4期),辅以手工检索相关期刊,纳入针灸与针刀比较治疗肩周炎的随机对照试验。由2名评价者按照Cochrane系统评价员手册4.2.8的要求独立提取资料并交叉核对,采用RevMan5.1软件进行Meta分析。结果:共纳入6个随机对照试验,包括570例患者,仅有1篇高质量文献。Meta分析结果:针刀组治疗肩周炎总有效率明显高于针灸组,OR=7.70,95%CI[2.58,22.99],Z=3.66,P0.01;针刀组治疗肩周炎痊愈率明显高于针灸组,OR=5.39,95%CI[3.48,8.32],Z=7.58,P0.01。结论:针刀治疗肩周炎疗效优于针灸。但本研究纳入试验数有限且文献质量较低,需设计更严格的随机对照试验来进一步验证上述结论。     

针灸治疗骨质疏松症的回顾与评价

随着我国步入老龄化社会，骨质疏松症的研究越来越受到医务界的重视。通过传统针灸疗法治疗该症，在改善临床症状、改善骨代谢及提高骨密度方面的疗效已得到初步肯定，而且方法简便，疗效稳定，无副作用，其研究前景广阔。     

REVIEW AND PROSPECT OF THE TREATMENT OF APOPLEXY BY ACUPUNCTURE

Acupunctureforthetreatmentofapoplexyanditssequelaeisoneoftheidealmethodsforithastheadvantagesofcertaineffect,varioustreatmentmethods,convenientmanipulationsandnosideeffect.Theessaypresentsacom-mentaryonvariousfactorsinfluencingtheeffectofthetreatmentofapo…     

COMPARISON OF THE THERAPEUTIC EFFECT OF AURICULAR ACUPUNCTURE, BODY ACUPUNCTURE AND COMBINATION OF AURICULAR PLUS BODY ACUPUNCTURE FOR TREATMENT OF SIMPLE OBESITY

1 CLINICAL DATA1. l Subjects: All the patients were from theOut-patient Department (SPecialist Clinic foracupuncturesreducing body weight) of NanjingTCM and Pharmacy University and from theout-patient department (Specialist Clinic forAcupuncture-reducing Body Weight) of our hos-pital. They were diagnosed as simple obesitythrough clinical examination.l. 2 General data: In this series of treatment,l95 cases of simple obesity including 8 males andl87 females were observed. The oldest …     

针刀与封闭比较对肩关节周围炎的系统评价

目的:系统评价针刀与局部痛点封闭疗法治疗肩关节周围炎的安全性和有效性。方法:计算机检索中国生物医学文献数据库CBM(1978—2013年)、中国知网CNKI(1979—2013年)、维普数据库VIP(1989—2013年)、PubMed(1966—2013年)和Cochrane Library(2013年第5期),辅以手工检索相关期刊,纳入封闭与针刀比较治疗肩周炎的随机对照试验。由2名评价者按照Cochrane系统评价员手册的要求独立提取资料并交叉核对,如果有必要,将采用RevMan5.2.5软件进行Meta分析。结果:共纳入2个随机对照试验,包括115例患者,均为低质量文献。Meta分析结果显示:封闭组与针刀组相比,在治疗后痊愈率方面[OR=0.50,95%CI(0.16,1.63),P=0.25]无统计学意义。但在远期总有效率方面[OR=0.09,95%CI(0.01,0.93),P=0.04],在远期痊愈率方面[OR=0.07,95%CI(0.02,0.26),P0.0001]均有显著的统计学意义。结论:针刀治疗肩周炎的远期有效率和痊愈率的疗效可能更优于封闭。但本研究纳入试验数有限且文献质量较低,需设计更严格的随机对照试验来进一步验证上述结论。     

电针条口穴治疗肩关节周围炎临床研究

为比较电针条口穴与口服双氯酚酸钠缓释剂治疗肩关节周围炎的疗效、安全性。采用多分中心随机对照研究的方法,将各分中心的患者均分为2组,每组46例,治疗组采取电针健侧条口穴,对照组予口服双氯酚酸钠缓释片,6天为1个疗程。在治疗0、2、4、6天时按JOA肩关节疾患治疗成绩评定标准评分。结果显示,电针组治疗前后JOA评分平均升高21.02分,其中疼痛积分升高7.52分,功能积分升高2.13分,活动度积分升高9.66分。结论表明,电针条口穴是治疗肩关节周围炎的有效方法。尤其对肩关节活动度的改善,明显优于口服双氯酚酸钠缓释片。     

A BRIEF REVIEW OF RECENT ACUPUNCTURE THERAPY FOR AUTISM

Autism is defined as a developing mental disorder, and its symptoms involve: problems of social communication, inflexible language and behavior, and repetitive sensory-motor movements.Autism has received great attention due to its relatively high prevalence rate in recent years.Among the available methods for the treatment of autism, rehabilitation training looks helpful but has poor prognosis and effective therapeutic methods are lacking.Acupuncture is one of the crucial components of traditional Chinese medicine in high demand for public.It appears to be effective in the treatment of many symptoms and/or disorders by regulating the functions of the autonomic nervous system and neuroendocrine system.Several lines of evidence have indicated that acupuncture is effective in the treatment of autism, and most studies certified that a short course of acupuncture can improve the function of autism, especially for language comprehension and self-care ability.Collecting original clinical and case studies, predominantly scalp acupoints along with supplementary body acupoints were mainly put into use.A few studies only used acupoints on body surface, similar amount of scalp and body surface acupoints were applied, and few observations used tongue acupoints.Furthermore, transcutaneous electrical acupoint stimulation treatment is beneficial for autistic children with passive and aloof social interaction styles.Its therapeutic effect may be related to the increase in plasma levels of arginine-vasopressin.Revolutionized by using functional magnetic resonance imaging, acupuncture mobilizes the functionally anti-correlated networks of the brain to mediate its actions, and the effect is dependent on the psychophysical response.However, multiple avenues of future research need to be pursued.The extent neurotransmitters, which may play a role in response to acupuncture, are little understood, and may be elucidated through animal models or by developing avenues such as magnetic resonance spectroscopy or positron emission tomography.In addition, the long-term efficacy in functional gain needs to be further observed.     

THE ASSESSMENT OF SCALP ACUPUNCTURE FOR TREATING ISCHEMIC STROKE

One hundred and seventeen acute cerebral infarction patients were randomly divid-ed into two groups: Scalp acupuncture group(Group A) and pure medication group(Group B). Thefunction of the nervous system, brain electrical activity mapping and somatosensory evoked potentialswere observed before and after the treatment. It was found that the indexes in the two groupschanged significantly (P<0. 05). The curative effects in Group A were better than that in Group B(P<0. 001 ). The curative effects of scalp acupuncture on acute cerebral infarction were objectivelyconfirmed by means of electrophysiological studies.     

ACUPUNCTURE FOR TRERTING 120 CASES OF HYPERPLASIA OF MAMMARY GLANDS

Hyperplasiaofmammaryglandsischaracterized bydistendingpainandlumpsappearinginbreast,whichmostlyhappensinwomenof30～50yearsin age.Byusingacupuncturetherapytheauthortreated120casesofthediseasefromJune2001toJune2003,andachievedsatisfactorytherapeuticeffects.Follow ingisthereport.1GENERALDATA The120casesrangedfrom23to51yearsin age,andfrom1.5monthsto5yearsintheduration ofdisease.AccordingtoTCM,hyperplasiaofmam maryglandsisclassifiedintothreetypes:liver qi stagnation,phlegmcoagulationandThoro…     

CLINICAL OBSERVATION ON ACUPUNCTURE TREATMENT FOR 120 CASES OF STIFFNECK

Stiffneckisalsotermedassprainoftheneckandresultsfrommanycauses.Inclinic,mostpatientsarethosewhoareweakinphysicalconstitutionandadditionallyaffectedbywindandcoldpathogensintheneckwhilesleepingorafterperspiration,whichleadstostagnancyofqiandxue(blood)andblo…