针刺配合电脑疼痛治疗仪治疗颞下颌关节紊乱病的临床观察

目的观察针刺配合电脑疼痛治疗仪治疗颞下颌关节紊乱病的临床疗效。方法颞下颌关节紊乱病患者100例,分为治疗组60例,对照组40例。治疗组采用针刺配合电脑疼痛治疗仪治疗,每日1次,10次为1个疗程;对照组采用普通针刺疗法,每日1次,10次为1个疗程。治疗2个疗程后进行疗效评定。结果治疗组临床痊愈40例,显效12例,有效5例,无效3例,总有效率95.0%;对照组临床痊愈18例,显效10例,有效5例,无效7例,总有效率82.5%,组间差异有统计学意义(P<0.01)。结论针刺配合电脑疼痛治疗仪治疗颞下颌关节紊乱病疗效确切,优于单纯普通针刺疗法。     

华佗夹脊穴刮痧结合针刺疗法治疗疼痛型亚健康状态的临床研究

目的 观察华佗夹脊穴刮痧结合针刺疗法治疗疼痛型亚健康状态疼痛程度积分及临床疗效.方法 将疼痛型亚健康状态的患者随机分为2组,对照组给予针刺治疗,治疗组在此基础之上结合华佗夹脊穴刮痧.连续治疗2个疗程.结果 2个疗程后治疗组各种疼痛程度积分减低,有效率92%,明显高于对照组,差异有统计学意义(P＜0.05).结论 华佗夹脊穴刮痧结合针刺疗法治疗疼痛型亚健康状态临床疗效良好,值得推广应用.     

针刺运动疗法治疗急性非特异性腰痛疗效观察

目的观察针刺运动疗法治疗急性非特异性腰痛的临床疗效。方法将60例急性非特异性腰痛患者随机分为两组,治疗组30例采用针刺运动疗法治疗,对照组30例采用常规针刺方法治疗,隔日1次,3次为1个疗程,1个疗程后采用中医临床疗效、视觉模拟疼痛量表(VAS)和改良下腰痛评分量表(JOA)评价临床效果。结果治疗组总有效率93. 33%,对照组总有效率86. 67%,治疗组优于常规针刺组。两组VAS和JOA评分显示治疗后与治疗前比较均得到有效改善(P 0. 01),治疗组在改善VAS和JOA评分方面均优于对照组(P 0. 01)。结论针刺运动疗法治疗急性非特异性腰痛疗效优良,安全性好,值得临床推广。     

穴位全息律治疗颈型颈椎病140例临床观察

目的　观察针刺穴位全息律的全息颈穴治疗颈型颈椎病的止痛机理。方法　将 14 0例患者随机分为 3组 ,治疗组采用针刺全息颈穴的方法治疗 (留针 15min ,5次为一个疗程 ) ,与普通针刺法 (留针 30min ,10次为一个疗程 )和龙骨颈椎胶囊药物疗法 (1.2 5g ,3次 d ,10次为一个疗程 )进行随机对照观察 ,从疼痛指数 (PRI)、疼痛程度 (PPI)、血流变学方面观察对比。结果　治疗后各项指标明显降低 ,与治疗前对比P <0 .0 1,与对照的两组对比P <0 .0 1。结论　针刺全息颈穴止痛作用强 ,治疗时间短 ,疗程短 ,对降低全血粘度和血浆粘度 ,红细胞压积等方面有很好的疗效     

平衡针配以动气疗法治疗急性腰扭伤临床研究

目的：观察平衡针刺腰痛穴配合动气疗法治疗急性腰扭伤的临床效果。方法：治疗组取平衡针刺腰痛穴（位于印堂上1．5寸）,腰部双侧或腰部中间疼痛者针尖向下平刺;腰部右侧疼痛者针尖向左平刺;腰部左侧疼痛者针尖向右平刺;腰骶部疼痛者针尖向上平刺。进针约1．5寸,采用动气疗法。对照组使用手法推拿治疗,每日1次,3次为1个疗程。结果：治疗组显效18例,有效6例,无效0例,有效率100．0％。对照组显效11例,有效9例,无效1例,有效率为95．2％。结论：采用平衡针灸法配合动气疗法治疗急性腰扭伤临床效果显著,安全、简单、方便、见效快。     

岐黄针疗法治疗颈椎病颈痛的疗效观察

[目的]观察岐黄针疗法治疗颈椎病颈痛的临床疗效.[方法]将64例颈椎病颈痛患者随机分为常规针刺组和岐黄针组,每组各32例.岐黄针组给予岐黄针疗法治疗,常规针刺组给予常规针刺疗法治疗.每周3次,治疗3次为1个疗程.观察2组患者治疗前、治疗1周后及治疗3个月后随访时,Northwick Park颈痛量表(NPQ)以及Mc ...     

三棱针刺血疗法治疗鼻赘期酒渣鼻临床观察

目的:观察三棱针刺血疗法治疗鼻赘期酒渣鼻的疗效.方法:用三棱针刺血疗法治疗鼻赘期酒渣鼻38例,10 d治疗1次,3次1个疗程,共治疗1-2个疗程.结果:经1-2个疗程治疗后,治愈20例,好转17例,无效1例,有效率97.37%.结论:三棱针刺血疗法治疗鼻赘期酒渣鼻是具有良好疗效的非药物疗法.     

针刺曲池配合运动疗法治疗急性腰扭伤237例疗效观察

目的评价针刺曲池配合运动疗法治疗急性腰扭伤的临床疗效。方法依据《中医病证诊断疗效标准》的诊断标准收集急性腰扭伤患者237例,运用针刺曲池配合运动疗法治疗,以视觉模拟尺进行疼痛视觉模拟评分评价疗效,分别在治疗第一次、第一疗程和第二疗程后评价疗效,通过SPSS 16.0统计软件分析疗效结果。结果治疗第二疗程后,针刺曲池配合运动疗法治疗急性腰扭伤总有效率为94.9%,第一疗程痊愈率为40.5%、显效率为46.4%均优于第二疗程治疗后,且差异具有统计学意义(P<0.01);第一次治疗前后腰痛评分平均下降3.137,较治疗前显著下降且差异具有统计学意义(P<0.05)。结论针刺曲池配合运动疗法治疗急性腰扭伤疗效显著,可缩短疗程,即可镇痛作用明显,值得临床推广运用。     

苗医弩药针治疗膝骨性关节炎的疗效评价

目的观察苗医弩药针疗法治疗膝关节骨性关节炎(KOA)的疗效。方法将60例KOA患者随机分为治疗组和对照组各30例,治疗组为苗医弩药针疗法,对照组为针刺疗法,取穴均为双膝眼,阳陵泉及膝关节局部疼痛点,每日1次,10次为1疗程,共治疗2个疗程。治疗后和治疗3个月后进行临床疗效判断,评价标准为《骨科临床疗效评价标准》及VAS疼痛视觉模拟评分。结果治疗组总有效率为86.67%,高于对照组的73.34%,治疗后3个月治疗组总有效率为93.34%,高于对照组的80.0%,治疗组与对照组组间治疗后及治疗后3个月VAS评分比较,差异有统计学意义(P0.05),治疗时不良反应对照组有2例,治疗组有1例,未见明显特殊不适。结论苗医弩药针疗法治疗KOA临床疗效确切,优于针刺疗法。     

针刺与康复结合治疗中风

目的 观察针刺结合康复疗法对中风患者的治疗效果.方法 对26例中风患者采用针刺结合康复疗法治疗.结果 针刺结合康复治疗中风总有效率为96.67%. 结论 针刺结合康复疗法是治疗中风的一种重要方法,早期进行系统规范和个体化康复治疗能够大大提高临床治疗效果.     

Immediate effects of acupuncture on gait patterns in patients with knee osteoarthritis

Background Acupuncture has been shown to be effective in pain relief and anesthesia, and has been suggested for treating various kinds of functional disabilities in traditional Chinese medicine, including knee osteoarthritis （CA）. The study aimed to investigate the immediate effects of acupuncture on gait patterns in patients with knee CA. Methods Twenty patients with bilateral medial knee CA were assigned evenly and randomly to a sham group and an experimental group. During the experiment, the experimental group underwent a 30-minute formula electro-acupuncture treatment while the sham group received a sham treatment. Before and after treatment, each subject was evaluated for their knee pain using visual analog scales （VAS） and then their performance of level walking using gait analysis. For all the obtained variables, the independent t-test was used for between-group comparisons, while paired t-test was used to investigate the before and after changes. Results All the measured data before acupuncture treatment between the groups were not significantly different. The VAS scores were decreased significantly after acupuncture in both groups, and the mean change of the VAS values of the experiment group was 2 times greater than that of the sham group. After formula acupuncture stimulation, while no significant changes were found in all the gait variables in the sham group, the experimental group had significant increases in the gait speed, step length, as well as in several components of the joint angles and moments. Conclusions The results of the study suggest that significantly improved gait performance in the experimental group may be associated with pain relief after treatment, but the relatively small decrease of pain in the sham group was not enough to induce significant improvements in gait patterns. Gait analysis combined with the VAS can be useful for the evaluation of the effect of acupuncture treatment for patients with neuromusculoskeletal diseases and movement disorder.     

针刺胃食管反流病人督脉背段压痛变化的临床观察

目的 观察针刺胃食管反流病（GERD）患者督脉背段第3~9胸椎棘突下的压痛变化及其临床意义。方法 将60例GERD患者,随机分为针刺组和西药组,每组30例。针刺组取T₃（身柱）、T₄（非穴位）、T₅（神道）、T₆（灵台）、T₇（至阳）、T₈（非穴位）、T₉（筋缩）,隔日治疗1次,1周3次;西药组口服奥美拉唑肠溶胶囊,20mg/次,每日2次,疗程均为8周。2组在治疗前后填写反流性疾病诊断问卷（RDQ）并在T₃~T₉棘突下进行压痛程度评价和压痛阈值评估。结果 针刺组愈显率70%,对比西药组43.3%,差异有显著性意义（P＜0.05）;针刺组治疗后在T₃~T₉段的压痛程度缓解优于西药组（P＜0.05）;在T₅~T₇段的压痛阈值提高大于西药组（P＜0.05）。结论 针刺督脉背部T₃~T₉段棘突下治疗GERD的疗效优于西药组,并且针刺后的压痛阈值也比西药组显著升高,因此可以将督脉背段压痛作为评估针刺治疗GERD效果的指标。      

针灸联合文蛤膏治疗癌性疼痛临床研究

目的:观察针灸联合文蛤膏外敷治疗癌性疼痛的临床疗效。方法:将90例肺癌伴癌性疼痛患者随机分为3组,每组各30例,分别予以单纯针刺治疗、文蛤膏外敷治疗及针灸联合文蛤膏外敷治疗,比较治疗后各组的镇痛疗效及镇痛持续时间。结果:针刺加文蛤膏治疗组的镇痛效果和镇痛持续时间均明显优于普通针刺组和文蛤膏外敷组,差异具有统计学意义(P0.05);普通针刺组和文蛤膏外敷组镇痛效果、镇痛持续时间比较,差异无统计学意义(P0.05)。结论:针灸联合文蛤膏外敷治疗癌性疼痛效果明显。     

针刺推拿治疗慢性疲劳综合征的临床研究

目的探讨中医针刺推拿治疗慢性疲劳综合征的临床效果。方法选择30例符合慢性疲劳综合征诊断标准的患者。治疗开始前用简式McGill疼痛问卷对患者进行评分,经过针灸推拿治疗后再对患者进行简式McGill疼痛问卷评分以研究治疗效果。结果通过治疗前对患者进行简式McGill疼痛问卷评分和治疗后在对患者进行的简式McGill疼痛问卷评分的统计学分析治疗前分值和治疗后分值有明显差异(P<0.01)。结论说明针刺推拿治疗慢性疲劳综合征的肢体疼痛有明显疗效。在缓解疼痛的同时也大大改善了患者的记忆力减退、失眠症状和精神状态差等一系列症状。由此我们认为在治疗慢性疲劳综合征上传统的针刺推拿是十分有效的。     

Efficacy of acupuncture on fibromyalgia syndrome: a Meta-analysis

ObjectiveTo comprehensively evaluate the effectiveness of acupuncture as a treatment for fibromyalgia syndrome.MethodsTwo review authors independently selected the trials for the Meta-analysis, assessed their methodological quality and extracted relevant data. A quality assessment was conducted according to the Cochrane Review Handbook 5.0. RevMan 5.0.20 software was used in the statistical analysis.ResultsA total of 523 trials were reviewed and 9 trials were selected for Meta-analysis. (a) Compared acupuncture with sham acupuncture, there was a significant difference in the visual analogue scale, but no difference in the pressure pain threshold. Additionally, and there was a difference in the fibromyalgia impact questionnaire and the multidisciplinary pain inventory after 4 weeks of treatment, but no difference after 7 weeks of therapy. There was no difference in the numerical rating scale in weeks 3, 8 and 13. (b) Acupuncture versus drugs. There were differences in the VAS after 20 days of acupuncture and moxibustion treatment comparing with the drug amitriptyline, and after 4 weeks of acupuncture and moxibustion treatment comparing with the drug fluoxetine and amitriptyline. There were also differences in the number of tender points when comparing acupuncture with amitriptyline or fluoxetine. There was no difference in total efficiency when comparing acupuncture with amitriptyline after 4 weeks of treatment, but there were differences between the two groups 45 days after treatment. There were also differences in total efficiency comparing acupuncture with fluoxetine, and when comparing 4 weeks post-treatment of acupuncture with a combination of amitriptyline, oryzanol and vitamin B. (c) A comparison of acupuncture, drugs and exercise with drugs and exercise showed PPT differences in months 3 and 6. There was no difference between the two comparison groups after follow-up visits in months 12 and 24.ConclusionsCompared with sham acupuncture, there was not enough evidence to prove the efficacy of acupuncture therapy for the treatment of fibromyalgia. Some evidence testified that the effectiveness of acupuncture therapy for fibromyalgia was superior to drugs; however, the included trials were not of high quality or had high bias risks. Acupuncture combined with drugs and exercise could increase pain thresholds in the short term, but there is a need for higher quality randomized controlled trials to further confirm this.     

针刺结合康复训练治疗中风后肩关节半脱位的临床观察

目的 探讨针刺结合康复训练的方法对中风后肩关节半脱位患者运动功能障碍的治疗作用.方法 将60例中风后肩关节半脱位患者随机分为治疗组30例和对照组30例,治疗组予针刺结合康复训练;对照组予康复训练.观察两组治疗前后疼痛指标评分、肩关节活动功能评分、临床神经功能缺损程度评分及临床疗效,对针刺结合康复训练治疗肩关节半脱位的治疗效果做出客观的评价.结果 治疗组在缓解肩部疼痛、改善肩关节活动功能和临床神经功能缺损程度及临床疗效方面均优于对照组.结论 针刺结合康复训练的方法能有效地改善中风后肩关节半脱位患者运动功能障碍,缓解肩部疼痛.     

刃针循经筋治疗神经根型颈椎病的临床研究

目的 本研究按照“以痛为腧”的经筋理论,循着经筋寻找神经根型颈椎病的病灶点,采用刃针进行治疗,并评价此方法的临床疗效。方法 收集金华市中医医院针灸科门诊及住院部神经根型颈椎病患者120例,随机分为刃针组和针刺组,刃针组60例采用循经筋的刃针治疗,7天治疗1次,疗程为4周;针刺组60例采用毫针针刺治疗,每周治疗5次,疗程为4周。比较两组治疗前后的症状与体征积分、VAS疼痛评分、临床疗效的差异。结果 刃针组在改善症状与体征、减轻疼痛方面优于针刺组,具有统计学意义(R ＜0.05),在临床疗效方面差异不具有统计学意义(R ＞0.05)。结论：刃针循经筋治疗神经根型颈椎病在改善症状与体征、减轻疼痛方面优于针刺治疗,但两种方法临床总有效率差别不大。     

生命力针刺在治疗痔术后疼痛中的应用体会

目的：探讨生命力针刺方法在治疗痔PPH术后疼痛中的临床疗效。方法：穴位的选用是以全息缩影为基础,在两手第二掌骨桡侧,进行针刺治疗。结果：治疗组145例患者,治愈53例,占36.55%,好转75例,占51.72%,总有效率88.28%。结论：生命力针刺能有效缓解痔术后病痛,并且方法简单,容易掌握,同时能提高人体的防御和修复能力,增强战胜疾病与伤痛的意念。     

颊针对类风湿关节炎家兔镇痛效应特性的研究

目的观察颊针对类风湿关节炎家兔镇痛效应的特点,为颊针临床应用提供实验依据。方法 40只家兔随机分成正常组、模型组、体针组、颊针组,每组10只。采用卵清蛋白诱导关节炎兔模型。造模成功后,体针组家兔在双侧膝眼和足三里、颊针组家兔在颊针"膝"穴每天接受针刺治疗1次,连续10次。分别在治疗第1、4、7、10次测定针刺0、5、15、30、60、120、240 min时的热痛阈值。结果颊针与体针均有明显的镇痛效果。颊针治疗5 min即开始显示明显的镇痛效应,30min时到达峰值,60 min时镇痛效应开始下降,240 min时的痛阈值降到与0 min时相同。而体针在治疗15 min时开始显示明显镇痛效应,30 min时到达峰值,60 min时镇痛效应开始下降,但240min痛阈值仍高于0 min时的痛阈值。结论颊针镇痛效应具有明显的时效关系,其时效曲线与体针时效曲线相似,但颊针起效快于体针,效应持续时间短于体针,且颊针镇痛效应不随治疗次数的增加而变化。