中药内服结合外敷治疗黄褐斑78例

目的:临床观察中药内服结合外敷治疗黄褐斑的疗效。方法:将符合诊断标准的78例患者随机分成两组,治疗组40例,口服中药桃红四物汤辨证加味结合五白散局部外敷治疗,对照组38例,只予以口服中药桃红四物汤辨证加味治疗,两组观察周期为3个月。结果:治疗组总有效率为90.24%,疗效明显优于对照组。结论:中药内服结合外敷治疗黄褐斑能够明显提高临床疗效。     

Forty-two Cases of Greater Occipital Neuralgia Treated by Acupuncture plus Acupoint-Injection

Objective:To observe the therapeutic effect of acupuncture plus acupoint-injection on greater occipital neuralgia.Methods:The 84 cases of greater occipital neuralgia were randomly divided into two groups,with 42 cases in the treatment group treated bv acupuncture plus acupoint-injection.and 42 cases in the control group treated with oral administration of carbamazepine.Results:The total effective rate was 92.8% in the treatment group and 71.4% in the control group.The difrerence in the tohal effective rate was significant (P＜0.05)between the two groups.Conclusions:Acupuncture plus acupoint-injection is eriective for greater occipital neuralgia,better than the routine western medication.     

Fifty Cases of Vertebrobasilar Ischemic Vertigo Treated by Acupuncture

Objective:To observe the therapeutic effects of filiform needle acupuncture combined with dermal needle tapping for vertebrobasilar ischemic vertigo. Methods: Based on the etiopathogenesis of TCM, the disease is caused by turbid phlegm clouding the heart orifice combined with wind, leading to insufficient nourishment of the brain due to deficiency of blood. Fenglong (ST 40) was punctured with filiform needle to resolve phlegm; Fengchi (GB 20) to dispel wind; Baihui (GV 20) to stop dizziness; and Lieque (LU 7) to widen the inner diameter of the vertebral arteries and increase peak systolic velocity and minute blood flow volume, so as to improve blood supply to the vertebral arteries. Dazhui (GV 14) was stimulated by tapping with a dermal needle to improve blood supply to the head. Results: Of 50 patients in this series, 39 cases (78%) were cured,6 cases (12%) relieved, 4 cases (8%) improved, and 1 case (2%) failed, with a total effective rate of 98%.Conclusion: Acupuncture combined with dermal needle tapping is an effective therapy for treating vertebrobasilar ischemic vertigo.     

针刺治疗颈性眩晕42例

目的：观察针刺治疗颈性眩晕的疗效。方法：将80例颈性眩晕患随机分为治疗组与对照组进行疗效对照。结果：治疗组治愈率及治疗3个月后的复发率与对照组比较,差异均有统计学意义(P＜0．01)。结论：治疗组的近期疗效及远期疗效均优于对照组。     

针药合治头痛186例临床观察

在德国采用针药配合方法治疗头痛患者１８６例。中药以搜风化痰、活血通络为主，针刺取穴为风池、百会、神庭、太阳、合谷、足三里、三阴交、太冲等，８～４周为１疗程。结果：按德国疗效标准判断，症状消失２６例，显效８７例，有效５１例，无效２２例，总有效率为８８．１７％。文中尚对疗效与病种、病程、年龄、精神、体质的关系进行了分析。     

针刺加腰椎牵引治疗腰椎间盘脱出34例

作者在文中详细介绍了针刺加腰椎牵引治疗腰椎间盘脱出的方法,规定了牵引的剂量、时间,并附典型病例佐证.     

针刺治疗多发脑梗塞性痴呆46例临床观察

目的　探讨针刺治疗多发性脑梗塞的机理。方法　采用“补下清上、调神益智”的治疗原则 ,针刺治疗多发脑梗塞性痴呆 (MID) 4 6例 ,设立药物对照组 30例。于 1个疗程后观察疗效。结果　治疗组治愈 18例 ,治愈率 39 13% ;有效 2 4例 ,有效率 5 2 17% ;总有效率 91 3% ;与对照组比较有显著性差异。观察患者HDS、FAQ积分和神经功能缺损积分变化 ,并分层观察了痴呆症状、中医分证症状的变化 ,其平均有效率分别为 84 2 5 %和 81 39% ,优于对照组 ;显示针刺可有效改善MID患者的智力、社会活动能力及临床症状。同时观察了其中 4 1例患者的血液流变学和 2 6例患者的事件相关电位的变化 ,显示出具有统计学意义的改变。结论　患者血液动力学的变化和通过大脑边缘系统的全脑整和机能的恢复 ,可能是针刺治疗MID的重要作用机制     

Fifty Cases of Parkinson＇s Disease Treated by Acupuncture Combined with Madopar

objective;To search for an effective therapy for trealing motor disorder due to Parkinson's disease(PD).Methods;Fifty cases in a treatrnent group were treated by acupuncture combined with madopar,and 30 cases in a control group treated by madopar only.Results;A total effective rate of 92%was achieved with obvious alleviation of motor disorder in the treatment group,which was significantly higher than that in the control group(P＜0.05).Conclusion;Acupuncture can enhance therapeutic effects of western medicine and lessen the dose of the medicine needed.     

Thirty-six Cases of Urinary Retention Treated by Acupuncture

Objective:To observe the clinical therapeutic effects of acupuncture on urinary retention.Methods:36 cases of urinary retention were treated by acupuncture at the following points:1)Qugu(CV 2),Zhongji(CV 3)Guanyuan(CV 4),Sanyinjiao(SP 6)and Yinlingquan(SP 9);2)Shenshu(BL 23),Pangguangshu(BL 28),Ciliao(BL 32)and Weiyang(BL 39).Results:30 cases were cured,4 cases improved and 2 cases failed,with a curative rate of 83.33% and a total effective rate of 94.44%.Conclusions:Acupuncture is affirmatively effective in treating urinary retention.     

Two Hundred Cases of Insomnia Treated by Otopoint Pressure plusAcupuncture

In recent years, the author has treated 200 cases of insomnia by otopoint pressure plus acupuncture,with good therapeutic results reported as follows.     

针刺结合音乐疗法治疗脑卒中后失眠的疗效观察

目的 观察针刺结合音乐疗法对脑卒中后失眠的临床疗效.方法 将92例脑卒中后失眠患者,随机分为治疗组和对照组各46例.在脑卒中常规治疗基础上,对照组予以单纯针刺治疗,治疗组予以针刺结合音乐疗法治疗.各组在治疗前后分别进行SPIEGEL睡眠量表评分及神经功能缺损程度量表（MESSS）评分,观察其疗效及起效时间.结果 治疗组总有效率为93.48%,对照组总有效率为76.09%,两组比较,差异有统计学意义（P＜0.05）;治疗组在治疗第2周后疗效与对照组比较,差异有统计学意义（P＜0.05）;治疗组对脑卒中患者神经功能康复的影响优于治疗组,差异有统计学意义（P＜0.05）.结论 针刺结合音乐疗法治疗中风后失眠有良好疗效,与单纯针刺治疗相比,具有起效快,同时有促进患者神经功能康复的优点.     

针灸治疗失眠70例的临床效果分析

目的：该文就针灸治疗失眠的临床疗效进行分析与探究。方法方便选取2014年8月—2015年7月来该院就诊的失眠患者,共计140例;将其随机分为实验组与参照组,各70例。参照组给予常规药物治疗,实验组在参照组基础上予以针灸治疗,对比两组患者的治疗总有效率及PSQI评分。结果实验组患者的治疗总有效率为92.86%,高于参照组的75.71%,实验组治疗后的PSQI为（7.4±1.5）分,优于参照组的（11.3±2.1）分,差异有统计学意义,P<0.05。结论采用针灸治疗失眠具有显著效果,可有效改善患者的睡眠质量。     

辨证治疗黄褐斑70例体会

根据70例黄褐斑临床表现,分为肝郁气滞,脾虚湿阻、肝肾阴亏,以疏肝健脾补肾、活血化瘀为治疗原则,结果治愈25例,显效34例,好转6例,无效5例,总有效率为92.8%.     

针灸治疗难治性弱视疗效观察

目的研究针灸治疗难治性弱视的临床疗效。方法对60例（108眼）患者随机分为对照组（50眼）和治疗组（58眼）。对照组采用传统的戴镜、遮盖等常规方法治疗;治疗组采用针刺治疗加常规的治疗方法。结果治疗组治疗各类型引起的弱视总有效率均优于对照组（P〈0．05）,尤其是对白内障术后弱视、屈光参差弱视,其总有效率达100％。结论针刺可以明显改善眼周局部的血液循环,加快血流速度,提高血氧含量,从而使视神经和视网膜得以滋养,加快弱视的治愈。     

针药并用治疗强直性脊柱炎临床观察

目的：验证针药并用治疗强直性脊柱炎临床疗效。方法：治疗组采用针刺与独活寄生汤治疗，对照组服甲氨喋呤。结果：两组比较，疗效差异无显著意义而起效时间有显著意义。结论：提示强直性脊柱炎针药并用，标本兼顾，疗效更著。     

Forty-six Cases of Vertebrobasilar Insufficiency Treated by Acupuncture plus Intravenous Infusion of Ligustrazine

Obiective;To observe the therapeutic effect of acupuncture plus Ligustrazine on vertebrobasilar insufficiency(VBI)by transcranial Doppler(TCD)sonography Methods;86 VBI patients including 56 cases of low flow rate velocity type(LFVT)and 30 cases of high flow velocity type(HFVT)were randomly divided into Ligustrazine group(26 LFRT and 14 HFVT)and acupuncture plus Ligustrazine group(30 LFVT and 16 HFVT).The blood flow velocity(BFV)of venebral artery(VA)and basilar artery(BA)in systole before and after treatment was measured with TCD and therapeutic effects were evaluated after 10 days'treatment in the two groups.Results;In the acupuncture plus Ligustrazine group,the total effective rate was 93.3%and 88.5%in cases of LFVT and HFVT respectively,and BFV of VA and BA increased in LFVT patients while that in HFVT patients decreased significantly(P＜0.05 or P＜0.01).Conclusion;Owing to its dual regulation on blood flow of VA and BA,The therapeutic effect of acupuncture plus Ligustrazine was better than that of simple Ligustrazine.     

推拿配合针灸治疗梨状肌综合征88例

目的观察推拿配合针灸治疗梨状肌综合征的临床疗效。方法将88例梨状肌综合征患者均采用推拿三步操作手法,同时配合针灸和必要的功能锻炼。结果治愈71例,显效10例,好转7例,总有效率达100%。结论推拿配合针灸治疗梨状肌综合征在镇痛和改善肢体功能活动能方面疗效显著。     

针刺配合吞咽功能训练治疗中风后吞咽障碍50例临床观察

目的观察针刺配合吞咽功能训练治疗中风后吞咽障碍临床疗效。方法 100例中风后吞咽障碍患者随机分为两组：治疗组50例,给予针刺治疗,配合吞咽功能训练,对照组50例,给予单纯药物治疗。连续治疗21 d后分别观察两组临床综合疗效。结果治疗组治愈26例,显效14例,有效6例,无效4例,总有效率92%;对照组治愈18例,显效12例,有效10例,无效10例,总有效率80%。经Ridit检验,治疗组临床疗效显著优于对照组,差异有统计学意义（P〈0.05）。结论针刺配合吞咽功能训练治疗中风后吞咽障碍效果显著,可以明显改善患者吞咽呛咳、进食困难等症状,疗效显著优于单纯药物组。     

护理干预对2型糖尿病强化胰岛素治疗中低血糖的影响

目的探讨护理干预措施对2型糖尿病患者强化胰岛素治疗中低血糖发生情况的影响。方法选取该院自2008年3月—2010年5月收治的350例需要住院胰岛素强化治疗的2型糖尿病患者作为研究对象,按照住院时间单双日随机分为干预组190例和常规组160例,比较两组患者胰岛素治疗过程中低血糖的发生情况。结果干预组发生低血糖反应46例,占24.2%;常规组发生低血糖反应84例,占52.5%。两组患者轻度、中度低血糖反应发生情况比较,差异有统计学意义(P<0.01)。结论在2型糖尿病患者强化胰岛素治疗过程中给予护理干预措施可以有效降低轻、中度低血糖反应的发生率,值得推广应用。     

针刺配合强筋健骨丸治疗面神经麻痹82例疗效观察

目的:观察针刺配合强筋健骨丸治疗面神经麻痹的疗效。方法:将面神经麻痹患者随机分为两组,对照组采用针刺治疗,治疗组在针刺基础上加强筋健骨丸。结果:治疗组治愈率97.5%,明显高于对照组的91%。结论:强筋健骨丸可明显提高针刺治疗面神经麻痹的疗效。