针刺表情肌对特发性面神经麻痹表情肌功能恢复的影响

目的:观察不同针刺方法对特发性面神经麻痹表情肌功能恢复的疗效。方法:将134例特发性面神经麻痹患者随机分为针刺表情肌组(表情肌组79例)和常规取穴组(55例)。表情肌组在颅顶肌额腹、眼轮匝肌、口轮匝肌、颊肌行围刺治疗;常规取穴组穴取患侧地仓、颊车、阳白、四白、攒竹等,行针刺治疗。治疗2个疗程后比较两组疗效。结果:表情肌组有效率为94.9%,优良率为92.4%;常规取穴组有效率为70.9%,优良率为52.7%,两组疗效经统计学检验,P<0.05,差异具有统计学意义。结论:表情肌针刺疗法治疗特发性面神经麻痹优于常规取穴针灸方法。     

深刺局部穴治疗三叉神经痛疗效观察

目的:寻找提高三叉神经痛疗效的有效方法.方法:将90例原发性三叉神经痛患者随机分为深刺组(45例)、常规针刺组(45例).常规针刺组以局部近取浅刺和循经远取手足阳明经穴位为主,深刺组在此基础上对局部穴位采用深刺达神经干的方法.治疗3个疗程后统计疗效.结果:两组均收到明显疗效,深刺组临床治愈12例,显效24例,好转7例,无效2例,有效率为95.6%;而常规针刺组分别为7例、15例、12例、11例、75.6%.深刺组疗效优于常规针刺组(P＜0.05).结论:针刺治疗三叉神经痛,局部穴位深刺加循经远取手足阳明经穴位,能明显提高疗效.     

三针结合“缩胃开锁法”治疗单纯性肥胖临床观察

目的：比较三针结合缩胃开锁法与单纯体针法治疗单纯性肥胖症的疗效差异。方法：1600例患者就诊先后顺序按照3：1比例分为三针结合治疗组（1200例）和单纯体针对照组（400例）。三针结合治疗组采用眼针、芒针、体针三针结合“缩胃开锁法”,选取眼针三焦区;芒针巨阙透肓俞;体针天枢、气海、太乙等穴位针刺。单纯体针组只采用体针法针刺,两组治疗均隔日一次,一周3次,10次为一疗程。结果：两组体质量、BMI、腰围、腹围及臀围治疗后均较治疗前有改善,各组内治疗前后比较差异均具有统计学意义（均P〈0．01）,表明两组方法治疗肥胖均有显著性疗效。三针结合治疗组总有效率为97．25％,单纯体针对照组总有效率为80．75％,两组比较差异有统计学意义（P〈0．01）。结论：三针结合“缩胃开锁法”治疗单纯性肥胖症疗效优于单纯体针。     

CLINICAL OBSERVATION ON TREATMENT OF PERIPHERAL FACIAL PARALYSIS WITH DIFFERENT NEEDLING METHODS

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USING ACUPUNCTURE EXERCISE THERAPY TO TREAT PERIPHERAL FACIAL PARALYSIS:A RANDOMIZED CONTROLLED TRIAL

Objective: Acupuncture exercise therapy is a new and effective therapy for some nervous system diseases and motor system diseases.The problem that whether acupuncture exercise therapy is effective for patients with peripheral facial paralysis is still unclear.Therefore, we reported a randomized controlled trial of using acupuncture exercise therapy to treat peripheral facial paralysis.Methods: This was a randomized, controlled trial.A total of 302 patients were randomly allocated into acupuncture exercise group(AE, n=100), sham acupuncture and exercise group(SAE, n=101) and acupuncture group(AC, n=101).The AE group received needling at Zusanli(ST36), Hegu(LI4) and Fengchi(GB20) and the SAE group received needling at sham Zusanli(ST36), Hegu(LI4) and Fengchi(GB20).Patients exercised facial muscle, such as lifting eyebrow, mouth movement, and eye closure in the process of retaining needle for 30 min once a day.The AC group was treated with acupuncture at acupoints Sibai(ST2), Dicang(ST4), Jiache(ST6), Quanliao(SI18), Yangbai(GB14), Yingxiang(LI20) and Hegu(LI4) for 30 min once a day.The patients were treated continuously for 3 to 12 d.Patients were assessed weekly by blinded assessors, using the House-Brackmann facial nerve grading system.Results: The efficacy of the three groups was compared in terms of degree of recovery and speed of recovery.The overall improvement(grade 3 or better) was 90.1% in the AE group, 80.4% in the AC group and 78.5% in the SAE group.The degree of recovery and time of treatment in the AE group were significantly different from those in other groups(P0.05).However, the difference in the degree of recovery and time of treatment in the AC group and the SAE group was not statistically significant(P0.05).Conclusion: Acupuncture exercise therapy was effective to treat peripheral facial paralysis and exercise therapy played an important role in the course of acupuncture.     

大陵、"失眠"穴治疗顽固性失眠48例疗效观察

目的:寻找提高治疗顽固性失眠临床疗效的最佳方法.方法:将91例顽固性失眠患者随机分成观察组(48例)、常规针刺组(43例).观察组取大陵、"失眠"穴;常规针刺组取常规穴位.治疗4个疗程后进行疗效比较.结果:观察组治愈率81.25%,常规组治愈率34.88%,观察组疗效明显优于常规组(P＜0.01).观察组1疗程治愈率明显高于常规组(P＜0.01).结论:针刺大陵、"失眠"穴治疗顽固性失眠疗效明显优于常规取穴法.     

不同方法分期治疗周围性面瘫疗效观察

目的:观察采用不同方法治疗不同时期周围性面瘫的疗效.方法:对治疗组中26例急性期患者采用针刺健侧对应穴,15例静止期患者采用浅刺法针刺患侧,2例恢复期患者采用常规针灸治疗,并与36例常规针灸治疗患者进行对照研究,两组取穴相同.结果:治疗组愈显率为97.7%,对照组为75.0%,两组相比差异有非常显著性意义(P<0.01);治疗组所需平均疗程为2.7个,对照组为4.0个,两组在治疗疗程上比较差异也有非常显著性意义(P<0.01).结论:采用不同方法分期治疗周围性面瘫效果优于常规针刺方法.     

灵龟八法按时开穴治疗贝尔氏面神经麻痹疗效观察

目的：评价灵龟八法按时开穴法治疗贝尔氏面神经麻痹的疗效及安全性,为临床治疗贝尔氏面神经麻痹提供新的治疗思路。方法：将54例患者纳入研究,随机分为两组,治疗组按照灵龟八法按时开穴所得穴位,配以常规针刺方法。对照组按照常规针刺方法取穴（合谷、昆仑、颊车、地仓、下关、攒竹、阳白、颧醪等）。手法及留针时间与治疗组相同。两组均每日针刺1次,5d为一疗程,共治疗4个疗程。治疗前后使用改良的Portmann评分方法、House—Brackmann（H—B）、面部残疾指数躯体功能评分（FDIP）、面部残余指数社会功能评分（FDIS）进行疗效评定。结果：治疗组的愈显率为80．8％（22／26）,对照组的愈显率为66．7％（16／24）,两组愈显率差异有统计学意义（P〈0．05）,且两组治疗前后组间及组内的Portmann评分、H—B、PDIP、PDIS评分比较差异也有统计学意义（P〈0．05）。结论：灵龟八法按时开穴法治疗贝尔氏面神经麻痹优于常规针刺。     

矩阵针法配合针刺三阴穴治疗慢性非细菌性前列腺炎31例

目的：观察矩阵针法联合针刺三阴穴治疗l陵性非细菌性前列腺炎的临床疗效。方法：将60例患者随机分为2组,对照组口服舍尼通片,1片／次,2次／d,4周为1个疗程,连续服用30天后评估治疗结果。观察组采用矩阵针法联合针刺三阴穴治疗,10天1个疗程,1个疗程后休息2天,接续下1个疗程,连续3个疗程后统计疗效。结果：NIH—CPSI症状评分、前列腺液白细胞计数和卵磷脂小体计数改善情况及I临床疗效观察组均优于对照组（P〈0．05）。结论：矩阵针法联合针刺三阴穴治疗慢性非细菌性前列腺炎疗效显著。     

不同针灸方法分期治疗贝尔面瘫疗效观察

目的观察不同分期针灸方法治疗成都地区380例贝尔面瘫患者的临床疗效。方法采用临床随机对照试验方法将372例贝尔面瘫患者随机分为A组65例、B组78例、C组75例、D组71例和E组83例。A组采用分期针刺治疗,B组采用分期针灸治疗,C组采用分期电针治疗,D组采用分期经筋排刺治疗,E组采用不分期针刺治疗。治疗4个疗程后比较各组House-Brackmann(H-B)分级量表、面部残疾指数量表(FDI)、面神经麻痹程度分级评分表及WHOQLO-BREF量表评分,并评价各组疗效。结果 5组治疗后H-B分级量表、FDI、面神经麻痹程度分级评分表及WHOQLO-BREF量表评分比较,差异均无统计学意义(P0.05)。5组临床疗效比较,差异均无统计学意义(P0.05)。结论 5种治疗方案均对贝尔面瘫均有效。在医疗条件受限、医疗资源不足的情况下,治疗贝尔面瘫推荐使用单纯针刺治疗。