推拿结合温针灸治疗粘连性肩关节周围炎疗效观察

目的：观察推拿手法结合温针灸治疗粘连性肩关节周围炎的临床疗效。方法：将182例粘连性肩关节周围炎患者随机分为2组,观察组93例,予推拿手法松解结合温针灸治疗;对照组 89 例,予温针灸治疗。两组均隔日治疗1次,10次为1个疗程。观察治疗前及治疗1个疗程后肩关节功能及活动度评分。结果：观察组治愈率为 65.6%,总有效率为 97.9%;对照组治愈率为11.2%,总有效率85.4%,两组治愈率和总有效率比较,差异均有统计学意义（P〈0.01）。治疗后,两组患者的肩关节功能评分和肩关节活动度评分均有明显增加（P〈0.01,P〈0.05）,且观察组各项评分高于对照组（P〈0.01）。结论：推拿结合温针灸治疗粘连性肩关节周围炎疗效优于单纯的温针灸治疗。     

推拿结合温针治疗腰椎间盘突出症临床观察

目的:观察推拿结合温针治疗腰椎间盘突出症的疗效.方法:将90例腰椎间盘突出症患者随机分为两组,观察组45例,采用推拿结合温针治疗;对照组45例,采用单纯推拿治疗.结果:观察组的总有效率为88.9％,对照组的总有效率为75.6％,两组总有效率具有统计学差异(P＜0.01).结论:推拿结合温针治疗腰椎间盘突出症疗效优于单纯推拿手法治疗.     

Clinical observation of fire-needle therapy plus tuina for senile knee osteoarthritis

Objective： To observe the therapeutic efficacy of fire-needle therapy plus tuina in treating primary knee osteoarthritis （KOA） in the elderly. Methods： Twenty-three patients with KOA were intervened by pricking with fire-needle therapy plus tuina, and evaluated by using the Western Ontario and McMaster Universities osteoarthritis index （WOMAC） before and after intervention. Results： After intervention, the total score, scores of pain, rigidity, and activities of daily living of WOMAC dropped significantly （P＆lt;0.05）. Conclusion： Pricking with fire needle plus tuina can produce a significant therapeutic efficacy in treating KOA in the elderly, thus worth application in clinic.     

Clinical observation of warm needling moxibustion for seasonal allergic rhinitis

目的：观察温针灸治疗季节性变应性鼻炎的临床疗效。方法：将180例季节性变应性鼻炎患者随机分为2组,温针组90例,采用针刺加温针灸治疗;针刺组90例,仅采用针刺治疗。治疗1疗程后,观察疗效。结果：温针组总有效率为95．6％,针刺组总有效率为85．6％,两组比较差异有统计学意义（P〈0．05）。结论：温针灸为主治疗季节性变应性鼻炎总有效率优于单纯针刺治疗。     

Therapeutic observation on tuina plus electroacupuncture for lateral humeral epicondylitis

Objective： To observe the clinical efficacy of tuina combined with electroacupuncture（EA） in treating lateral humeral epicondylitis. Methods： Totally 118 patients were randomly allocated into a treatment group and a control group, 59 cases in each. The patients in the treatment group were treated with tuina combined with EA treatment, while those in the control group were treated by EA alone. Clinical efficacies of the two groups were compared after the treatment. Results： The total effective rate was 93.2% in the treatment group, versus 84.7% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion： Tuina combined with EA treatment for lateral humeral epicondylitis has a significant effect.     

三伏天温针灸治疗膝骨关节炎的临床观察

目的：观察三伏天温针灸疗法对膝关节骨性关节炎(KOA)的临床疗效。方法：将68例 KOA患者随机分为治疗组和对照组,每组34例,治疗组给予温针灸治疗,对照组给予常规针刺治疗。两组均在三伏天的第一天开始治疗,每日治疗1次,10次为1疗程,共治疗3个疗程,疗程结束后观察患者恢复情况并进行疗效统计。结果：治疗组总有效率91.2%,对照组67.6%,治疗组总有效率明显高于对照组,两组差异有统计学意义(P＜0.05)。结论：三伏天温针灸治疗KOA的疗效优于常规针刺治疗。     

Clinical observation on treatment of knee osteoarthritis by warm needling method

目的：观察温针灸治疗膝骨关节炎的临床疗效。方法：采用随机单盲法,将300例膝骨关节炎患者分为治疗组和对照组,每组各150例,治疗组采用温针灸治疗,对照组采用单纯针剌治疗。治疗20次后进行疗效比较。结果：治疗组有效率94．0％,对照组有效率86．0％,两组差异有显著性意义（P〈〈0．05）。结论：透刺温针灸治疗膝骨关节炎疗效较好。     

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 Knee Osteoarthritis with Acupuncture plus Tuina

目的观察针刺特定穴、手法调整膝关节肌力平衡疗法治疗膝骨关节炎的疗效.方法将105例患者随机分为两组,治疗组68例用针刺特定穴、手法调整膝关节肌力平衡疗法治疗,对照组37例用单纯针刺特定穴治疗.结果治疗组总显效率明显优于对照组(P＜0.05).结论针刺特定穴、手法调整膝关节肌力平衡疗法对膝骨关节炎的疗效满意.     

Therapeutic effect observation on combining electroacupuncture and tuina for migraine

Objective： To observe the clinical effect of combining electro- acupuncture and local tuina for migraine. Methods： A total of 94 migraine cases were randomly allocated into an observation group and a medication group, 48 cases in each group. Electroacupuncture and local tuina were used for cases in the observation group, whereas oral Flunarizine Hydrochloride capsules were used for cases in the medication group. Then the frequency of attacks, severity of the pain, duration of the headache, and associated symptoms of headache before and after treatment in the two groups were observed and compared. Results： The total effective rate in the observation group was 93.8%, versus 63.0% in the medication group, showing a statistical significant difference （P〈0.05）. There were statistical significant differences in frequency of attacks, severity of the pain, duration of the headache and associated symptoms between the two groups （P〈0.05）. In addition, there were statistical significant differences in relapse rates after 4 and 8 weeks of treatment （P〈0.05）. Conclusion： Combining electroacupuncture and local tuina can obtain better effect and lower relapse rate than oral Flunarizine Hydrochloride capsules in migraine patients.     

透刺配合推拿治疗中风后肩-手综合征疗效观察

目的:观察透刺结合推拿治疗中风后肩-手综合征的临床疗效.方法:将86例确诊的中风后肩-手综合征患者随机分为观察组和对照组,每组43例.观察组在脑卒中入院常规治疗基础上予以透刺、推拿治疗;对照组在脑卒中入院常规治疗基础上予以与观察组相同的推拿治疗.6次为一个疗程,治疗4个疗程后评价疗效.结果:观察组总有效率88.4％,对照组总有效率69.8％,两组总有效率比较,x2=4.497,P＜0.05,表明观察组总有效率优于对照组.两组患者治疗后视觉疼痛模拟评分(Visual Analogue Scale,VAS)评分、Fugl-Meyer评价法(Fugl-Meyer Assessment,FMA)评分均较治疗前有明显改善,治疗前后比较差异均有统计学意义(P＜0.05或P＜0.01).治疗后观察组VAS评分、FMA评分与对照组比较差异均有统计学意义(P＜0.05).结论:透刺配合推拿治疗中风后肩-手综合征疗效肯定,值得进一步研究,并在临床推广使用.     

Warm needling combined with iontophoresis of Chinese medicine for temporomandibular joint disorder

Objective： To observe the clinical efficacy of warm needling combined with iontophoresis of Chinese medicine for temporomandibular joint disorder（TMD）. Methods： A total of 100 TMD cases were randomly allocated into a treatment group and a control group, 50 in each group. Cases in the treatment group were treated with warm needling combined with iontophoresis of Chinese medicine, whereas cases in the control group were treated with Western medication. The therapeutic efficacies in two groups were assessed after three courses of treatment. Results： The recovery rate and total effective rate were 54.0% and 98.0% respectively in the treatment group, versus 30.0% and 82.0% in the control group, showing significant differences（both P〈0.05）. The recovery rates in the treatment group were higher than those in the control group respectively after 1, 2 and 3 courses of treatment, indicating that warm needling combined iontophoresis of Chinese medicine could substantially shorten the course of treatment. Conclusion： Warm needling combined with iontophoresis of Chinese medicine is remarkably effective for TMD and deserves further clinical application.     

Clinical observation on the treatment of lumbar disk herniation with hydro-acupuncture plus tuina

目的：观察穴位注射配合推拿治疗腰椎间盘突出症的临床疗效。方法：腰椎间盘突出症患者380例随机分为2组,治疗组290例,采用穴位注射配合推拿治疗。对照组60例,采用针刺结合药物治疗。治疗3个疗程后观察临床疗效并进行统计分析。结果：治疗组总有效率为95．5％,对照组为57．8％,两组比较,差异有统计学意义（P〈0．01）。结论：穴位注射配合推拿是治疗腰椎间盘突出症有效的方法。     

Clinical observation on treatment of knee osteoarthritis by acupuncture and tuina therapy

目的：观察和评价针灸推拿治疗膝骨关节炎的临床疗效,分析针灸推拿对患者股四头肌肌力的影响。方法：将80例膝骨关节炎患者随机分为2组,治疗组40例采用针灸推拿治疗,对照组40例口服芬必得,治疗前后采用疗效评定量表、Lequene＆Mery严重度指数评分以及等速测试系统进行评估。结果：治疗组总有效率90．0％,对照组总有效率87．5％,治疗后组间比较无明显差异;Lequene＆Mery评分显示,两组治疗后组间比较无明显差异。等速测试结果显示,两组治疗前后比较均有显著性差异（P〈0．05）;治疗后组间比较有显著性差异（P〈0．05）。结论：针灸推拿和口服芬必得均能改善患者症状,但对膝骨关节炎严重程度改善较小。针灸推拿治疗可以提高膝骨关节炎患者股四头肌肌力、做功和爆发力,其影响大于口服芬必得。     

Clinical observation on treatment of spastic cerebral palsy with tuina plus music therapy

目的：观察小儿推拿结合音乐疗法对改善痉挛型小儿脑性瘫痪患者踝关节活动度及下肢肌肉痉挛的作用。方法：对符合小儿脑性瘫痪诊断标准的286例痉挛型患儿,在背景音乐下进行通督循经点穴推拿、益肾健脾推拿、捏脊疗法、足底推拿、节段性推拿、促肌力恢复推拿及关节活动度推拿7种推拿治疗,每次25～30min,每日1～2次。30天为1个疗程。于治疗前后进行股内收肌角、足背屈角和综合痉挛量袁（Composite Spasticity Scale,CSS）评分,以评价疗效。结果：治疗前后足背屈角、股内收肌角、CSS评分统计学处理,差异有统计学意义（P〈O．01）。总体疗效为显效106例,有效172例,无效8例。结论：推拿结合音乐疗法治疗痉挛型小儿脑瘫,有滑利关节,松解肌腱挛缩,缓解肌肉痉挛作用,能改善剪刀步态和尖足步态。对患儿坐、跪、站、行大运动功能恢复有极积治疗作用。     

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。     

温针灸结合康复疗法治疗膝骨关节炎疗效观察

目的:比较温针灸结合康复疗法、单纯温针灸与康复疗法治疗膝骨关节炎(OA)的临床疗效.方法:将90例膝OA患者随机分为3组,每组30例,其中针康组,穴取血海、内膝眼、犊鼻、足三里等,行温针灸结合关节体操、等长练习、伸展运动、耐力运动等康复治疗;温针灸组予单纯采用温针灸治疗,康复组单纯行康复疗法.采用关节疼痛量表及膝关节炎...     

Clinical observation on treatment of degenerative knee osteoarthritis with warming needle plus tuina

目的：探讨温针灸配合推拿治疗退行性膝关节炎的疗效。方法：选取退行性膝关节炎患者120例,按就诊川页序随机分为治疗组60例和对照组60例,治疗组采用温针灸配合推拿治疗,对照组采用玻璃酸钠关节腔内注射治疗。结果：治疗组总有效率为93．3％,对照组总有效率83．3％。经统计学处理有显著性差异（P〈0．05）。结论：温针灸配合推拿是治疗退行性膝关节炎的有效方法。     

推拿结合灸法治疗慢性疲劳综合征临床研究(英文)

目的:观察推拿结合灸法治疗对慢性疲劳综合征患者的影响。方法:将60例符合纳入标准的慢性疲劳综合征(Chronic Fatigue Syndrome,CFS)患者,随机分为2组,治疗组30例予推拿结合雷火灸治疗,对照组30例予普通针刺治疗。治疗4星期后进行临床疗效比较。结果:治疗组治愈率为36.7%,总有效率为93.3%,对照组治愈率为16.7%,总有效率为76.7%,两组治愈率和总有效率差异均有统计学意义(P<0.01)。结论:推拿结合雷火灸治疗CFS疗效优于普通针刺。     

Clinical observation on treatment of 304 cases of proliferative arthritis by acupuncture plus TDP irradiation

观察针刺结合TDP照射疗法治疗增生性关节炎,304例增生性关节炎患者随机分为治疗组和对照组.其中治疗组采用针刺结合TDP照射方法;对照组采用常规推拿方法.治疗组在临床痊愈率及总有效率均优于对照组.运用本方法治疗本病疗效好、疗程短,是目前临床较好的治疗手段之一.