针刺治疗慢性疼痛所致抑郁症的临床观察

目的:通过研究证实针刺治疗慢性疼痛所致抑郁症的有效性及优势。方法:针刺治疗组、西药组分别接受针刺、抗抑郁药进行抗抑郁治疗。两组患者均采用汉密尔顿抑郁量表(HAMD)和疼痛模拟评分(VAS)分别在治疗前及治疗后第1、2、4周末进行评定。结果:1.针刺组治疗前后HAMD、VAS评分、HAMD减分率比较均有极其显著性差异(P<0.01)。2.西药组治疗前后HAMD、VAS评分、HAMD减分率比较均有极其显著性差异(P<0.01)。3.治疗后1W,针刺组和西药组组间比较HAMD评分*、HAMD减分率*及VAS评分**均有显著性差异(*P<0.01,**P<0.05)。4.治疗后2W、4W针刺组和西药组组间比较HAMD、VAS评分、HAMD减分率无显著性差异(P>0.05)。5.治疗前后针刺组无不良反应,西药组有不良反应发生。结论:针刺治疗慢性疼痛所致抑郁症有确切疗效,疗效和西药组相当,起效较西药组快,无副作用,无不良反应。     

针刺对SSRI类抗抑郁药治疗抑郁症伴慢性疼痛临床增效作用研究

目的:比较单独选择性5-羟色胺再摄取抑制(SSRIs)抗抑郁药与针刺联合SSRI类抗抑郁药治疗抑郁症伴慢性疼痛的临床疗效差异.方法:将90例抑郁症患者随机分为针药组(针刺联合西药治疗)和药物组(单用西药治疗),每组45例.药物组采用西药治疗,根据病情选用SSRI类抗抑郁药,如氟西汀、帕罗西汀等;针药组在西药治疗基础上,采用针刺百会、印堂、神庭、风池等穴.分别于治疗前及治疗第1、2、4周末通过汉密尔顿抑郁量表(HAMD17项版本)、疼痛程度视觉模拟量表(VAS)及Asberg氏抗抑郁剂副反应量表(SERS)评分来评价两组患者的抑郁症状、疼痛症状及抗抑郁药副反应方面的临床疗效差异.结果:两组治疗前HAMD、VAS评分未见明显差异(P＞0.05).针药组治疗第1、2、4周末HAMD评分、VAS评分明显较药物组低(均P＜0.01).针药组治疗第1、2、4周末SERS评分亦明显较药物组低(均P＜0.01).结论:针刺对SSRI类抗抑郁药治疗抑郁症伴慢性疼痛有临床增效作用,并可减轻不良反应.     

扶阳抑阴法针刺治疗抑郁症的随机对照研究

目的:观察运用扶阳抑阴法针刺治疗抑郁症的临床疗效。方法:随机选取70例抑郁症患者,采用随机数字表法分为针刺组及对照组各35例,针刺组采用扶阳抑阴法针刺治疗,对照组口服氟哌噻吨美利曲辛片,治疗周期4周。分别观察治疗前后HAMD评分、PSQI评分、5-HT和GABA水平及临床总有效率。结果:与治疗前比较,治疗后两组患者HAMD评分和PSQI评分均降低,差异具有统计学意义(P0.05);经治疗后与对照组比较,针刺组HAMD评分降低更明显,差异具有统计学意义(P0.05)。两组患者治疗方式均有效,但针刺组总有效率优于对照组,差异具有统计学意义(P0.05)。经治疗两组患者5-HT、GABA水平均升高,与本组治疗前比较差异有统计学意义(P0.05);治疗后两组5-HT、GABA水平相当(P0.05)。结论:扶阳抑阴法针刺治疗抑郁症临床疗效较好,可减少HAMD评分及PSQI评分,提高5-HT、GABA水平,值得推广。     

疼痛测评量表在国外针刺治疗慢性疼痛临床随机对照试验中的应用

针刺治疗慢性疼痛的科学研究常涉及对疼痛的定量评价,其中以疼痛相关量表最为常用。文章总结、分析近10年来发表在Pub Med上的高质量针刺治疗慢性疼痛的RCT研究中慢性疼痛量表使用情况,以期为今后研究中疼痛测评量表的选择提供借鉴。     

针刺治疗抑郁症的国内研究近况

抑郁症也称"忧郁症",是一种以持续的心境低落为主要特征的情感障碍性精神疾病.其涉及范围广,发病率高.常给患者本人、家属及社会带来严重危害.据世界卫生组织和世界银行发表的一项"全球疾病负担"权威研究分析,到2010年.世界发病率前15位疾病中抑郁症将列居榜首,到2020年,抑郁症造成的疾病负担将占第三位.     

针刺五脏俞加膈俞治疗抑郁症的随机对照临床研究

目的观察针刺五脏俞加膈俞治疗抑郁症的疗效及不良反应,为抑郁症的临床治疗提供依据。方法将60例抑郁症患者随机分为治疗组和对照组各30例,治疗组采用针刺五脏俞加膈俞治疗,对照组口服抗抑郁药西肽普兰治疗。分别于治疗前,治疗1、2、4、8周末时及12周末随访时观察2组汉密尔顿抑郁量表(HAMD)分值变化、临床痊愈率及不良反应情况。结果 2组治疗期各观察时点HAMD总分及各因子分均较治疗前降低,差异均有统计学意义(P0.05或P0.01),组间差异均无统计学意义(P0.05),说明2组治疗均有效,且近期疗效相当;12周末随访时,治疗组临床痊愈率为77.8%,对照组为75.0%,差异无统计学意义(P0.05),2组远期疗效相当;研究过程中,治疗组和对照组分别有1例和4例出现不良反应,治疗组不良反应率明显低于对照组。结论针刺五脏俞加膈俞治疗抑郁症与抗抑郁药西肽普兰疗效相当,但针刺治疗起效快,对早期焦虑/躯体化、睡眠障碍、认知障碍的改善优于西药,且不良反应小,安全性高,患者依从性好。     

针刺治疗抑郁症的国内研究近况

抑郁症也称“忧郁症”，是一种以持续的心境低落为主要特征的情感障碍性精神疾病。其涉及范围广，发病率高，常给患者本人、家属及社会带来严重危害。据世界卫生组织和世界银行发表的一项“全球疾病负担”权威研究分析．到2010年．世界发病率前15位疾病中抑郁症将列居榜首，到2020年，抑郁症造成的疾病负担将占第三位。     

针刺治疗抑郁症临床观察

目的观察针刺治疗抑郁症的临床疗效。方法采用随机对照方法,将符合纳入标准的病例随机分为两组,治疗组给予针刺治疗,每日1次,4星期为1个疗程：对照组口服盐酸氟西汀片,4星期为1个疗程。治疗前后采用汉密顿抑郁量表进行评分以观察疗效。结果经1疗程治疗后,治疗组疗效明显优于对照组（P〈0．05）。结论针刺治疗抑郁症的疗效较满意。     

针刺治疗抑郁症23例疗效观察

[目的]评价针刺治疗抑郁症的临床疗效。[方法]采用汉密尔顿抑郁量表(HAMD)(24项)筛选轻、中度抑郁症患者,同时符合中医痰气郁结证,计48例,随机分为针刺组(观察组)和单纯西药组(对照组)各24例。采用汉密尔顿抑郁量表(HAMD)(24项),中医痰气郁结证候评分评定临床疗效,副反应量表(TESS)评定不良反应。[结果]45例完成试验,其中观察组23例,对照组22例。经6周治疗后,两组的HAMD、痰气郁结证候评分治疗前后相比较差异有显著性意义(其中观察组P<0.001,对照组P<0.01)。治疗后两组之间比较差异有显著性意义(P<0.05)。观察组的不良反应较对照组少而轻。[结论]:针刺治疗抑郁症疗效好,不良反应少而轻,适合临床应用。     

火针配合针刺治疗带状疱疹随机对照研究

目的:观察火针配合针刺治疗带状疱疹(AHZ)的临床疗效,以期肯定该疗法治疗AHZ的有效性。方法:采用随机、单盲、对照研究方法,将80例患者随机分为治疗组(40例)和对照组(40例)。治疗组给予火针配合针刺治疗,对照组给予西药治疗。记录患者止疱时间、结痂时间、脱痂时间、疼痛缓解百分数、疼痛开始缓解时间、疼痛持续时间,治疗结束后进行疗效评价。结果:1例患者因针刺后晕针剔除,3例患者未完成治疗疗程而采用其他疗法做脱落处理。完成研究的80例患者治疗组愈显率70%,优于对照组的57.5%,但无显著差异(P>0.05)。两组止疱时间、脱痂时间、疼痛缓解百分数、疼痛开始缓解时间均无显著性差异(均P>0.05);两组结痂时间、疼痛持续时间均具有显著性意义(P<0.05),且治疗组优于对照组。结论:火针配合针刺疗法对AHZ具有良好的疗效,相对于西药疗法能够缩短疱疹结痂时间和疼痛持续时间。     

针刺治疗神经外科术后偏瘫临床疗效观察

目的：探讨治疗神经外科术后病人偏瘫的最佳疗法。方法：将本病患者50例随机分为治疗组25例和对照组25例。对照组采用内科西药常规治疗,治疗组在对照组治疗基础上,术后3天加用针刺,取内关、水沟、曲池、合谷、三阴交、极泉、委中等穴,并合用头针,治疗30天（1次／日）,以神经功能缺损评分进行治疗前后的功能评价。结果：采用针刺法能明显改善患者的神经功能缺损程度,治疗组总有效率为76．0％,对照组总有效率为42．4％,经统计学处理（P〈0．05）,两组间差异有显著性意义。结论：治疗组疗效优于对照组。采用针刺配合西药治疗神经外科术后病人偏瘫有协同作用,疗效更好。     

OBSERVATION ON THE THERAPEUTIC EFFECTS OF 282 CASES WITH PAIN TREATED BY ACUPUNCTURE AT XI POINTS

Of 282 cases with pain treated by acupuncture at Xi points,207 cases were curedaccounting for 73.4％,among which 107 cases were cured after one treatment,36 cases after twosessions and 64 cases after over 3 sessions.75 cases improved.The total effective rate was100％.     

OBSERVATION ON THERAPEUTIC EFFECTS OF ACUTE SPRAIN OF SOFT TISSUE TREATED BY ACUPUNCTURE AT PRESSURE PAIN POINTS

In the present paper,70 cases of acute sprain of soft tissue were treated withacupuncture at pressure pain points on the lateral of the second metacarpal bone.Results showedthat the cure rate was 58.6％ and the total effective rate was 94.3％.Also,its mechanisms werestudied preliminarily.The present therapy is simple,convenient,easy to operate and it producesrapidly desired effects with a higher cure rate,so it is suited to be popularized clinically.     

ANALYSIS OF CLINIC CURATIVE EFFECT ON CHRONIC PROSTATITIS WITH ACUPUNCTURE AND MOXIBUSTION

Chronicprostatitisiscommonlyandfre-quentlyencountereddiseaseoftheadultmalesathomeandabroad.Itcanaffectthesecretionoftheprostateandleadstoprostatichyperplasiaandsexualdisorder'ThisdiseasebelongstostranguriaorturbidurineintraditionalChinesemedicine.Theclinicsymptomsarefrequent,painfulanddribblingurination,crampingsensa-tioninthelowerabdOmen,orthepainradiatingtolumbusandabdomn.Somepatientshavethesymptomsofsexualdisordersuchasspermator-rhea,impotenceofsterility.Chronicprostatitisisadiseaseintheb…     

CLINICAL OBSERVATION ON THE EFFECTS OF REMOVING CALCULUS AND RELIEVING PAIN OF 280 CASES WITH UROLITHASIS TREATED BY ACUPUNCTURE COMBINED WITH CHINESE MEDICINAL HERBS

Ｓｉｎｃｅ1981,ｗｅｈａｖｅｔｒｅａｔｅｄ280ｃａｓｅｓｏｆｕｒｏｌｉｔｈｉａｓｉｓｗｉｔｈａｃｕｐｕｎｃｔｕｒｅｃｏｍｂｉｎｅｄｗｉｔｈＣｈｉｎｅｓｅｍｅｄｉｃｉｎａｌｈｅｒｂｓａｎｄａｃｈｉｅｖｅｄａｂｅｔｔｅｒｔｈｅｒａｐｅｕｔｉｃｅｆｆｅｃｔ.Ｉｔ’ｓｒｅｐｏｒｔｅｄａｓｆｏｌｌｏｗｓ.ＧＥＮＥＲＡＬＤＡＴＡＡｌｌｔｈｅ280ｃａｓｅｓｗｅｒｅｉｎｐａｔｉｅｎｔｓ.Ｏｆｔｈｅｍ,242ｃａｓｅｓｗｅｒｅｍａｌｅａｎｄ38ｆｅｍａｌｅ.Ｔｈｅｏｌｄｅｓｔｗａｓ62ｙｅａｒｓａｎｄｔｈｅｙｏｕｎｇｅｓｔ22ｙ…     

CLINICAL RESEARCH ON TREATMENT OF CHRONIC PROSTATITIS WITH ACUPUNCTURE

In the present study, the authors put forward that Zhibian(BL 54) and Sanyin-jiao(SP 6) are the effective acupoints for treatment of chronic prostatitis and possess an unique cura-tive effect in treatment of this disease with the type of deficiency of both the spleen and the kidney. Atotal effective rate was 92% in group of 1OO cases treated with acupuncture and comparison betweenpre- and post-treatment in examinations of prostatic fluid and other 6 items showed, significantly bet-ter than that of oral compound Sinohan(P<0. 01 ).     

CLINICAL OBSERVATION ON LUMBAR INTERVERTEBRAL DISC HERNIATION TREATED BY TRACTION COMBINED WITH ACUPUNCTURE

Lumbarintervertebraldischerniation(LIDH)isoneofthemaincausesinducinglowbackpain .ItisestimatedthatintheU .S .2 .6millionpeoplesufferfromthedisease,andtheannualcostforthisdiseaseisashighas 3 0mil liondollarsorevenmore[1 ,2 ] .Lumbartraction(LT)andmedicationarethecommoninterven tionforLIDH .However,theyarefarfromsat isfactionduetotheirlimitedeffects.UsingLTcombinedwithEA ,theauthorstreated 42out patientsinGrandRapidsandKalamazoo ,Michi ganfromApril 2 0 0 2toFebruary 2 0 0 4,andachieveds…     

OBSERVATION ON THE CURATIVE EFFECT OF 92 CASES WITH LUMBOCRURAL PAIN TREATED BY THE THERAPY OF NEEDLE WARMING THROUGH MOXIBUSTION(WEN ZHEN JIU)

Thetherapyofneedlewarmingthroughmoxibustionisacombinedtreatmentmethodofacupunctrueandmoxibustion-Whenitisusedinclinic,itnotonlyhasthefunctionofdredgingthechannelsandregu1atingvinandpengofsimpleacupuncture,buthasthefunctionofex-pellingpathogeniccoldduetowarming,clearingthechannelsbywarming,promotingtheflowofqiandbloodcirculationandrelievingswellingandremovingmassofmoxibustion-Therefore,itcanyieldabetteractiononregu1atingtheflowofqiandremovingtheobstructionofthechannelstorelievepain.SinceJulyl99…     

OBSERVATION ON THERAPEUTIC EFFECT OF 120 CASES BLEPHAROPTOSIS TREATED WITH ACUPUNCTURE

The writer had applied the theory of meridlians and collaterals to differentiation ofsyndrome,type classification,principle of treatment and selection of points.120 cases of blepharoptosis were treated with acupuncture therapy.The results showed that 90 cases were cured（75.0％）,21 cases improve（17.5％）and 9 without effect（7.5％）,with the total effective rate of 92.5％.     

CONSTIPATION TREATED BY AURICULAR ACUPOINT PRESSING COMBINED WITH ACUPUNCTURE AT ZUSANLI POINT

Apatientisconsideredtohavesufferedfromconstipationwhenone'sstoolstaysintheintestineoverterm,andthestoolbecomesdryorhardandcan'tbedischargedoncewithin48hours,orevencan'tbedischargedwithoutlaxa-tive,suppositoryorenema.Theauthortreated65patientswithfunctionalconstipationinTan-zaniabyauricularacupointpressingassociatedwithacupunctureatZusanlipointwithsatisfac-toryresult,duringtwo-yearperiodfromAugust1993toAugust1995.CLINICALDATAofthe65casesofconsllIJ;lt1(;)11,23xvcrcmaleand42werefemaleandthe…