Treatment of 60 Cases of Prolapse of Lumbar Intervertebral Disc by Electroacupuncture

目的观察电针治疗腰椎间盘突出症的临床疗效.方法运用电针辨证施治治疗腰椎间盘突出症患者60例,并临床随访6个月.结果近期显效40例,好转13例,总有效率为88.3%;远期疗效其中显效45例,好转10例,总有效率为91.7%.结论电针治疗腰椎间盘突出症近远期疗效好,疗效稳定,且方法安全有效,无毒副作用.     

Clinical Observation on Treatment of Lumbar Intervertebral Disc Herniation with Electroacupuncture on Jiaji （Ex-B 2） Points plus Traction： A Clinical Report of 30 Cases

目的探讨夹脊电针配合三维牵引治疗腰椎间盘突出症的临床疗效.方法将90例腰椎间盘突出症患者随机分为3组,分别采用三维牵引、夹脊电针和综合治疗(夹脊电针加三维牵引),采用临床症状积分和临床疗效进行治疗前后比较.结果治疗4星期后综合组在临床症状积分和临床疗效均优于其他两组.结论夹脊电针配合三维牵引治疗腰椎间盘突出症的疗效肯定.     

单穴电针对腰椎间盘突出症镇痛作用的对照研究

目的:探寻电针治疗腰椎间盘突出症腰腿痛的有效方法。方法:将98例患者随机分成治疗组(53例)与对照组(45例),两组分别进行局部单穴电针与常规取穴的电针治疗,共治疗8次,并分别采用简化疼痛量表(SF MPQ)对两组患者腰腿痛进行连续动态观测。结果:首次治疗后两组SF MPQ评分均较治疗前有极显著性差异(P<0.001),且每个时间点两组间指标也具有极显著性差异(P<0.001)。结论:局部单穴对腰椎间盘突出症腰腿痛具有较好的镇痛效果。     

单穴电针疗法治疗腰椎间盘突出症的再认识

目的:探讨腰椎间盘突出症单穴电针疗法的特点和临床应用。方法:从该疗法的选穴与针刺方法、临床适应证和疗效机制等方面进行阐释。结论:该疗法具有"少而精"的选穴特点,对腰椎间盘突出症腰腿痛具有良好的镇痛作用,但其镇痛机制不甚明了,尚需深入研究。     

Treatment of 30 cases of prolapse of lumbar intervertebral disc by electroacupuncture plus Tuina

Purpose: To observe the clinical therapeutic effect of electro acupuncture plus Tuina on treating prolapse of lumbar intervertebral disc.Methods: Electroacupuncture at Jiaji(Ex-B 2) acupoints plus reduction manipulations were used to treat 30 cases of prolapse of lumbar intervertebral disc.Results: After 2 courses of treatment, among the 30 cases, 8 cases were cured and 22 cases got improvements, and the effective rate was 100%.Conclusion: Electroacupuncture plus reduction manipulations had a satisfactory effect on treating this disease; and it can significantly improve the clinical symptoms of the patients. Author: JIANG Gui-mei (1976-), female, doctor Translator: WU Xue-fei     

Electro-acupuncture on the iNOS of lumbar intervertebral disk tissues in rats

目的：探讨电针防治腰椎间盘移位的机理。方法：75只大鼠经手术造成椎间盘移位模型，成功后分为电针组，西药组，针药组，模型对照组和正常对照组，分别给予相应处理。RTPCR法测定椎间盘组织中iNOSmRNA的表达。结果：模型组犬鼠椎间盘组织iNOSmRNA表达与正常组之间比较存在显著性差异（P〈0．01）；电针组、西药组、针药组对大鼠椎间盘组织iNOSmRNA表达均受抑制，与模型组比较有显著性差异（P〈0．01）。结论：电针具有抑制椎间盘组织内iNOS的作用。     

Effect of electro-acupuncture on matrix metalloproteinase in degenerated cervical intervertebral disc of rats

To observe the effect of electro-acupuncture on matrix metalloproteinase in degenerated cervical intervertebral disc rats.MethodsThe rat model of cervical intervertebral disc degeneration was induced by unbalanced dynamic and static forces,then the rats were randomly allocated to model group,electro-acupuncture groupⅠ(acupoints Dazhu(BL 11) and Tianzhu(BL 10) were electro-acupunctured),and electro-acupuncture group Ⅱ(acupoints Dazhu (BL 11),Tianzhu(BL 10)and Shenshu(BL 23) were electro-acupunctured),with the normal rats as control.then the HE staining method was adopted to observe the morphological change of cervical intervertebral disc and the immunohistochemical staining method was used to detect the marx metalloproteinases-1(MMP-1) and matrix metalloproteinases-3(MMP-3) in cervical intervertebral disc.ResultsThe morphological observation showed that after electro-acupuncture treatment,the degrees of cervical intervertebral disc degeneration in electro-acupuncture groupⅠand electro-acupuncture group Ⅱ were alleviated,and the electro-acupuncture group Ⅱ was superior to electro-acupuncture group Ⅰ.The expressions of MMP-1 and MMP-3 in degenerated cervical intervertebral disc were increased(P＜0.01),and after electro-acupuncture treatment,the expressions of MMP-1 and MMP-3 in degenerated cervical intervertebral disc were decreased,especially the electro-acupuncture group Ⅱpresented the better effect as compared with electro-acupuncture group Ⅰ(P＜0.05).ConclusionsElectro-acupuncture at acupoints Dazhu (BL 11) and Tianzhu (BL 10) had a certain therapeutic effect on cervical intervertebral disc degeneration,and in combination with acupoint Shenshu(BL 23),this therapeutic effect could be enhanced,its action mechanism might be that electro-acupuncture can reduce the expressions of MMP-l and MMP-3 in degenerated cervical intervertebral disc,inhibit the degradation of matrix in intervertebral disc.so as to relieve cervical intervertebral disc degeneration.     

持续牵引下电针治疗腰椎间盘突出症疗效观察

目的:观察持续俯卧位牵引下电针治疗腰椎间盘突出症的临床疗效,为临床治疗该症寻求一种更好的方法.方法:将患者随机分为A组(42例)、B组(39例)和C组(38例).三组针刺方法相同,均取夹脊穴配委中、承山等穴,针刺后加电针,在此基础上,A组采用俯卧位持续牵引同时配合电针方法治疗,B组则先仰卧牵引再行电针治疗,C组单纯进行电针治疗,观察并比较临床疗效.结果:A组有效率为95.2%,优于B组的79.5%与C组的65.8%(P＜0.05,P＜0.01).结论:持续俯卧位牵引下电针为治疗腰椎间盘突出症的较佳方法.     

Clinical observation on the treatment of lumbar intervertebral disc protrusion with electroacupuncture,TDP plus Tuina

将128例腰椎间盘突出症患者随机分为电针、TDP照射配合推拿组70例(治疗组)和电针和TDP照射组58例(对照组)进行观察.治疗组治愈率为64.3%,对照组治愈率为31.0%,治疗组好于对照组(P＜0.01);治疗组总有效率为100%,对照组总有效率为91.3%,治疗组疗效明显优于对照组(P＜0.05).     

Treatment of 48 cases of prolapse of lumbar intervertebral disc by acupuncture plus electroacupuncture

为观察电针治疗椎间盘突出症疗程与疗效的关系及对改善椎间盘突出不同临床症状间的差别,根据症状表现仅有腰痛、腿痛及腰痛兼腿痛分为不同治疗组,每组治疗3个疗程.结果疗程与疗效有显著差别(P＜0.01);症状与疗效有差别(P＜0.05).电针治疗腰椎间盘突出临床症状改善,腰痛最明显,腿痛最差,且第2疗程疗效显著.     

电针腰夹脊穴与膀胱经穴为主治疗腰椎间盘突出症疗效观察

目的:对比电针与药物治疗腰椎间盘突出症的疗效差异.方法:将85例患者随机分为电针组(45例)、药物组(40例).电针组穴取腰夹脊穴以及肾俞、气海俞、关元俞、大肠俞、阳陵泉等,行电针疗法,每日1次;药物组口服附桂骨痛胶囊(每次4粒,每日3次)和布洛芬(每次0.3g,每日3次).治疗2周后分别评定两组患者治疗前后症状积分并比较两组疗效.结果:电针组有效率为84.4％(38/45),药物组有效率为65.0％(26/40),电针组疗效明显优于药物组(P＜0.05).治疗后两组症状积分均明显下降(均P＜0.01),且电针组的积分下降幅度大于药物组(P＜0.05,P＜0.01).结论:电针腰夹脊穴和膀胱经穴为主治疗腰椎间盘突出症的疗效优于口服附桂骨痛胶囊和布洛芬.     

Treatment of 120 cases of lumber intervertebral disk displacement by electroacupuncture plus movable cupping and traction

Ashi points, movable cupping and traction were employed to treat 120 cases of prolapase of lumber intervertebral disk, and the total effective rate was 95.6%.     

电针结合中药治疗阳虚寒凝型腰椎间盘突出症

目的:探寻治疗阳虚寒凝型腰椎间盘突出症的有效方法.方法:将126例患者随机分为针药组(49例)、电针组(42例)、中药组(35例).针药组电针大肠俞、关元俞、小肠俞和腰阳关,同时口服自拟补阳祛寒方;电针组治疗与针药组电针操作一致;中药组口服方药与针药组一致.各组均治疗20天后观察疗效并在治疗结束后180天随访观察复发率.结果:针药组愈显率为79.6%,电针组为54.8%,中药组为51.4%,针药组疗效均优于电针组和中药组(均P<0.05),电针组与中药组疗效相当(P>0.05);180天后3组复发率分别为15.4%、83.3%及80.0%,针药组、电针组、中药组比较差异均有统计学意义(均P<0.01).结论:电针结合中药是治疗阳虚寒凝型腰椎间盘突出症的较佳疗法.     

夹脊电针配合激光针刀治疗腰椎间盘突出症：多中心随机对照试验

目的:观察夹脊电针配合激光针刀治疗腰椎间盘突出症的临床效应。方法:将120例腰椎间盘突出症患者按随机数字表法分为夹脊电针组、激光针刀组和综合组(夹脊电针加激光针刀),采用SF-MPQ积分观察治疗前后不同时段症状变化。结果:115例完成全部研究,综合组SF-MPQ积分明显低于激光针刀组和夹脊电针组(P<0.01,P<0.05),激光针刀组在治疗2周末SF-MPQ积分与夹脊电针组相比差异有非常显著性意义(P<0.01),在治疗1周和3周末则无统计学差异(P>0.05)。综合组半年后复发率明显低于激光针刀组和夹脊电针组(P<0.05)。结论:夹脊电针配合激光针刀可明显提高临床疗效,减轻患者疼痛,降低复发。     

Treatment of protrusion of cervical intervertebral disc with Tuina therapy plus acupuncture

In application of the bone-setting Tuina therapy plus acupuncture on Jiaji (Ex-B 2), Tianzong (SI 11). Jianyu (LU 15), Quchi (LI 11), Waiguan (TE 5) and Hegu (LI 4) in the treatment of 8 cases of protrusion of cervical intervertebral disc, all the symptoms disappeared and the movements were free after treatments in the patients. Author: Cheng Xiao (1955-) male, attending physician Translator: Huang Guo-qi     

Treatment of Lumbar Intervertebral disc Herniation with Electroacupuncture on Jiaji Points （Ex-B2） plus TDP： A Report of 68 Cases

取病变部位夹脊穴,进行电针,治疗68例腰椎间盘突出症患者,治疗3个疗程后痊愈35例,好转28例,无效5例,总有效率92.6%.     

电针对脊髓损伤早期bcl2mRNA及蛋白表达的影响

目的：探讨电针治疗脊髓损伤的机制。方法：成年雄性SD大鼠，随机分为模型(MC)组、电针(EA)治疗组、甲基强的松龙(MP)组及假手术(SO)组。采用改良的Allen’s捶击法致大鼠T10脊髓损伤，应用原位杂交和免疫组织化学方法及图像定量分析法观察脊髓损伤早期bcl-2 mRNA和蛋白的表达。结果：MC组脊髓损伤后6h bcl-2 mRNA表达有增高趋势，伤后24h表达增高；伤后6h bcl-2蛋白表达未见明显变化，伤后24h表达有增高趋势。EA组bcl-2 mRNA及蛋白表达均高于模型组，与MP组相比差异无显著性意义。结论：电针可上调bcl-2 mRNA及蛋白的表达，从而抑制细胞凋亡，保护神经细胞。     

中、西医疗法治疗腰椎间盘突出症对照研究

目的：比较中医、西医、中西医结合疗法治疗腰椎间盘突出引起的急性腰腿痛的疗效、安全性和耐受性。方法：将90例患者随机分成西医组、中医组及中西医组，每组30例，分别接受西医药物及局部理疗、中医药物及针刺拔罐、中西医方法联合治疗，并于治疗开始后第7天和第30天对患者的疼痛、活动度、肌紧张等指标进行监测。结果：治疗7天后中西医组在腰骶痛和下肢放射痛VAS评分两方面指标改善优于中医组，但无统计学差异；中西医组在腰骶痛和下肢放射痛VAS评分、直腿抬高试验、脊柱活动度（Schober试验和指尖-地面距离）等方面指标改善明显优于西医组（P〈0．05）。治疗30天后3组疗效比较差异无统计学意义。3组患者对治疗均耐受良好，未发现严重不良反应。结论：中西医结合疗法治疗腰椎间盘突出引起的急性腰腿痛在缓解疼痛、改善活动度方面起效快、疗效肯定。     

头针及推拿治疗腰椎间盘突出症及其对自身免疫水平的影响

目的:探讨头针及推拿治疗腰椎间盘突出症(LDH)的临床疗效及自身免疫机制.方法:将50例LDH病人随机分为头针推拿组、推拿组各25例,同时设立正常组20例.测定治疗前后和正常组外周血T淋巴细胞亚群,血清IgM、IgG.结果:头针及推拿治疗LDH临床疗效优于推拿组(P＜0.05).50例LDH病人均存在不同程度的T淋巴细胞亚群比值下调,血清IgG、IgM浓度增高,经头针及推拿治疗后T淋巴细胞亚群比值上调(P＜0.05),血清IgG、IgM恢复正常(P＜O.O1),与推拿组治疗后相比差异均具有显著性意义(P＜0.05).结论:头针及推拿治疗腰椎间盘突出症疗效显著,提示本法疗效机制之一可能是通过对自体免疫反应和化学炎症的调节而发挥作用.     

Regulating effects of different moxibustion therapies on bax and Bcl-2 in rats with ulcerative colitis

目的：探讨不同灸法对溃疡性结肠炎（ulcerativecolitis,UC）大鼠结肠损伤的改善作用,以及对Bcl-2mRNA、BaxmRNA表达的影响。方法：采用免疫学方法加局部刺激制备实验性UC大鼠模型。造模后采用不同灸法治疗14次,实时荧光定量PCR技术检测结肠组织Bcl-2mRNA、BaxmRNA表达。结果：（1）各治疗组结肠大体形态损伤积分和光镜下组织学损伤积分较模型组比较有明显改善（Jp〈0．05,P〈0．01）：（2）uc模型大鼠结肠组织Bcl-2mRNA的表达显著高于正常大鼠沪〈0．01）,而BaxmRNA的表达显著低于正常大鼠（P〈0．01）;（3）治疗后,隔药灸组、隔姜灸组、隔蒜灸组大鼠结肠组织Bcl．2mRNA的表达明显下调,与模型组比较有显著差异（P〈0．05或P〈0．01）;隔药灸组、隔姜灸组BaxmRNA的表达明显增高,与模型组比较有显著差异（P〈0．05）。结论：初步研究结果提示隔药灸、隔姜灸、隔蒜灸、温和灸治疗均能有效改善UC大鼠结肠病理损伤,隔药灸、隔姜灸、隔蒜灸可不同程度抑制UC大鼠结肠组织Bcl-2mRNA和BaxmRNA的表达,调节Bcl-2／BaxmRNA的比例关系。