Clinical observation on acupuncture at Jiaji (EX-B 2) points plus tuina in treating thoracic facet joint disorder

Objective

To observe the clinical effects of acupuncture at Jiaji (EX-B 2) points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder.

Methods

Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji (EX-B 2) points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments.

Results

After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups (P<0.01); the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference (P<0.05). The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups (P<0.05).

Conclusion

In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.

     

Sitting-pushing manipulation combined with bloodletting for 40 cases of thoracic facet joint disorder syndrome

Objective:To observe the clinical effect on thoracic facet joint disorder syndrome treated with the sitting-pushing manipulation,acupuncture at Yanglingquan(阳陵泉 GB34)and bloodletting at Weizhong(委中 BL40).Methods:A total of 40 patients of thoracic facet joint disorder syndrome were treated with the combined therapy of the sitting-pushing manipulation,acupuncture at GB34 and bloodletting at BL40,once every two days.The therapeutic effect was evaluated 6 days later.Results:After treatment,of 40 cases of thoracic facet joint disorder syndrome,31 cases were cured,5 cases improved,2 cases effective and 2 cases failed.The curative rate was 77.5% and the total effective rate was 95%.Visual analog scale(VAS)was(4.1±1.4)points before treatment and was(2.2±0.6)points after treatment,indicating the statistical difference in comparison before and after treatment(P0.05).Conclusion:The sitting-pushing manipulation combined with acupuncture at GB34 and bloodletting at BL 40 achieves a very satisfactory therapeutic effect on thoracic facet joint disorder syndrome.Such combined therapy is a kind of favorable method for thoracic facet joint disorder syndrome.     

手法治疗胸椎关节紊乱症52例报告

目的：探讨推拿手法治疗胸椎小关节紊乱症的疗效。方法：对52例病人进行以手法复位为主的治疗。结果：52例病人中痊愈44例,占84．6％;有效6例,占11．5％;无效2例,占3．8％;总有效率96．2％。结论：复位手法治疗胸椎小关节紊乱,疗效迅速显著。     

整复胸腰椎后关节紊乱治疗腰背肌筋膜炎128例

摘要：目的：观察手法整复胸腰椎后关节紊乱治疗腰背肌筋膜炎的临床疗效。方法：采用手法整复胸腰椎后关节紊乱治疗,观察治疗前后临床症状、体征变化。结果：患者128例,治疗效果优82例,良37例,差9例,总有效率93％。结论：胸腰椎后关节紊乱是腰背肌筋膜炎一个重要病理改变,手法整复胸腰椎后关节紊乱在临床取得良好疗效。     

搭肩环抱提拉法配合中药封包治疗上胸椎小关节紊乱症40例临床观察

目的：评价搭肩环抱提拉法联合中药封包治疗上胸椎小关节紊乱症的疗效。方法：选取我院骨科门诊80例上胸椎小关节紊乱症患者按随机数表法分为对照组和观察组,对照组采用中医传统手法进行治疗,观察组采用搭肩环抱提拉法联合中药封包进行治疗,两组均是首诊时进行一次治疗,1周后进行第二次治疗。结果：对照组第一次复位后的VAS评分为3.15±1.31,第二次复位后的VAS评分为1.65±1.43;观察组第一次复位后的VAS评分为2.21±1.01,第二次复位后的VAS评分为0.94±1.15,两组第二次复位后VAS评分对比有显著差异（P<0.05）。对照组治疗后总有效率90.0%,观察组总有效率97.5%。结论：搭肩环抱提拉法联合中药封包治疗上胸椎小关节紊乱症,在二次复位后治疗效果显著,优于传统手法复位,临床值得推广。     

手法治疗胸椎小关节错位50例临床总结

胸椎小关节紊乱症是引起胸背痛的常见原因,多见于体力劳动者,往往是因搬运物品姿势不良,躯干用力扭转而发生小关节移位.近年来长期从事伏案工作及长时间使用电脑的人员也有高发的趋势,自1999年至2004年,本人运用脊柱整复手法治疗此病,取得了满意的疗效,并对50例进行了临床总结.现报道如下.     

腹部推拿配合针灸治疗瑞士人肝郁气滞型广泛性焦虑症80例临床观察

Objective To observe the clinical effect of abdominal Tuina and acupuncture in treating Swiss generalized anxiety disorder (GAD). Methods 80 patients of GAD caused by liver depression-qi stagnation were randomly recruited into a treatment group and a control group, 40 patients in each. The treatment group was treated with abdominal tuina & acupuncture; while the control group was treated with acupuncture exclusively. Clinical effects and hamilton anxiety scale (HAMA) score were observed in both groups before and after the treatment. Results ①There was significant difference in total efficacy between the two groups CP<0.05), and the treatment group was better than the control group. ②The HAMA score of the two groups after the treatment was lower than that before the treatment, and the difference was significant (P< 0.05). There was also significant difference of HAMA score between the two groups after the treatment (/><0.05), with the treatment group showing better results than the control group. Conclusion Abdominal tuina combined with acupuncture has sound effects in treating Swiss GAD due to liver depression-qi stagnation.     

腹部推拿配合针灸治疗瑞士人肝郁气滞型广泛性焦虑症80例临床观察

Objective To observe the clinical effect of abdominal Tuina and acupuncture in treating Swiss generalized anxiety disorder (GAD). Methods 80 patients of GAD caused by liver depression-qi stagnation were randomly recruited into a treatment group and a control group, 40 patients in each. The treatment group was treated with abdominal tuina & acupuncture; while the control group was treated with acupuncture exclusively. Clinical effects and hamilton anxiety scale (HAMA) score were observed in both groups before and after the treatment. Results ①There was significant difference in total efficacy between the two groups CP<0.05), and the treatment group was better than the control group. ②The HAMA score of the two groups after the treatment was lower than that before the treatment, and the difference was significant (P< 0.05). There was also significant difference of HAMA score between the two groups after the treatment (/><0.05), with the treatment group showing better results than the control group. Conclusion Abdominal tuina combined with acupuncture has sound effects in treating Swiss GAD due to liver depression-qi stagnation.     

腹部推拿配合针灸治疗瑞士人肝郁气滞型广泛性焦虑症80例临床观察

目的 观察腹部推拿治疗瑞士人广泛性焦虑症(GAD)的临床疗效.方法 将80例肝郁气滞型GAD瑞士患者随机分为两组各40例.对照组采用针灸治疗;治疗组在对照组治疗基础上配合腹部推拿,观察两组患者临床疗效、并进行治疗前后的汉密顿焦虑症量表(HAMA)评分.结果 ①治疗组的总有效率较对照组,差异有统计学意义(x2=4.50,P<0.05).②两组HAMA量表评分均降低,较治疗前差异均有统计学意义(P均<0.05),治疗后组间比较,差异有统计学意义(t2=2.27,P<0.05).结论 腹部推拿配合针灸可有效治疗瑞士人的广泛性焦虑症,疗效优于单纯针灸治疗.     

推拿整复肋椎关节错缝治疗胸椎病的临床研究

目的:观察推拿整复肋椎关节错缝治疗胸椎病的临床效果,探讨俯卧双掌按肋复位法作用机理。方法:将155例患者随机分为两组,治疗组78例,采用俯卧双掌按肋复位法配合冯氏胸椎复位法;对照组77例,单用冯氏复位法,随访1个月～1年。结果:治疗组急性63例中疗效优58例,占92.06%,与对照组急性疗效达优者有显著差异,P0.05。结论:俯卧双掌按肋复位法在治疗胸椎病中有协同冯氏胸椎复位法的作用,具有矫正肋骨小头关节、肋横突关节错位的效能,因而推拿整复肋椎关节错缝能缩短疗程,提高推拿治疗胸椎病的效果,值得推广。     

Clinical observation of electroacupuncture in treating depression

Purpose To observe the curative effect of electroacupuncture in treating depression.Method Two hundred and ten subjects were randomly divided into electroacupuncture group and medication group.Results and conclusion The results were evaluated by an international depression scale in both groups. After one-course treatment, the average score markedly decreased in both groups, and a t-test showed that there was a significant difference in curative effect between before and after treatment in each group (P<0.001); but there was no such a difference between the two groups (P<0.05). Electroacupuncture can be compared favorably with amitriptyline, an antidepressant. However, taking amitriptyline will produce some side effects. Therefore electroacupuncture is especially suitable for those who cannot take medicine. Author: ZHANG Hong (1967-), male, attending physician Translator: XIAO Yuan-chun     

Treatment of cervical spondylopathy in nerve root pattern by electroacupuncture plus Tuina therapy

In the treatment of 126 cases of cervical spondylopathy by electroacupuncture on Jiaji (Ex-B 2), Jianyu (LI 15), Quchi (LI 11) and Hegu (LI 4), in combination with Tuina therapy, the results showed cure in 74 cases, improvement in 49 cases, failure in 3 cases and the total effective rate in 97.6%, after four courses of the treatment. Author: GAO Jian-zhong (1969-), male, attending physician Translator: HUANG Guo-qi     

整复手法配合放血治疗胸椎小关节紊乱的临床研究

目的：探求应用整复手法配合三棱针放血治疗胸椎小关节紊乱的临床疗效。方法：将53例胸椎小关节紊乱患者随机分为治疗组27和对照组26例,治疗组采用整复手法配合三棱针放血治疗,对照组采用电针治疗。结果：经统计分析,治疗组疗效明显优于对照组,差异具有统计学意义（P〈O．05）。结论：应用整复手法配合三棱针放血治疗胸椎小关节紊乱临床疗效确切,可操作性及安全性好,具有临床广泛推广的价值。     

Clinical observation of Tuina in treating anorexia in 78 children

应用运内八卦,摩腹揉脐,分推腹阴阳,按揉足三里穴,捏脊等推拿手法治疗78例小儿厌食患者,结果治愈48例,好转27例,未愈3例.总有效率96.1%.     

颈部夹脊电针治疗颈源性失眠临床观察

目的：观察颈部夹脊电针治疗颈源性失眠的临床疗效。方法：运用颈部夹脊电针治疗颈源性失眠患者63例。结果：痊愈37例,显效16例,有效6例,无效4例,总有效率为93.65%。结论：颈部夹脊电针治疗颈源性失眠能减轻失眠的症状,改善睡眠质量,无不良反应,值得临床应用。     

Tuina for leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation

Objective： To observe theclinical effect of tuina reduction manipulation on leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation. Methods： A total of 60eligible cases were randomly allocated into an observation group and a control group, 30 in each group. Cases in the observation group were treated with conventional tuina plus reduction manipulation of sacroiliac joint subluxation; whereas cases in the control group were treated with conventional tuina plus acupuncture. The clinical effects were observed after 10 times of treatment. In addition, the relapse rates were observed 2 months after treatment. Results： The total effective rate in the observation group was 80.0%, versus 50.0% in the control group, showing a statistically significant difference （P＆lt;0.05）. The relapse rate of lumbosacral pain in the observation group was 12.5%, versus 66.7% in the control group, showing a statistically significant difference （P＆lt;0.01）. The relapse rate of leg length discrepancy in the observation group was 16.7%, versus 80.0% in the control group, showing a statistically significant difference （P＆lt;0.01）. Conclusion： Tuina reduction manipulation can obtain substantial therapeutic effect for leg length discrepancy and lumbosacral pain due to sacroiliac joint subluxation, coupled with a low relapse rate.     

Clinical Observation of Tuina Therapy in Treating 47 Cases of Vertigo

为观察推拿治疗眩晕的临床疗效，以推拿头部三焦经及胆经为主，治疗眩晕患者47例，结果痊愈36例，好转11例，总有效率100％。     

推拿治疗颈椎病经筋机制生物力学研究

目的:揭示推拿治疗颈椎病患者经筋作用生物力学机制。方法:2008年8月至2009年12月,采用简单随机方法,根据DAS 2.1.1版软件生成随机数字表,将65例颈椎病患者随机分为治疗组(微调手法组:包括理筋手法和颈椎关节调整手法)与对照组(牵引组),治疗组30例,男10例,女20例;年龄30-65岁,平均(42.31±13.23)岁;平均病程(12.40±6.23)月;平均体质量(61.21±10.23)kg。牵引组30例,男11例,女19例;年龄30-65岁,平均(45.54±14.35)岁;平均病程(13.25±6.06)月;平均体质量(62.31±10.45)kg。应用BiodexⅢsystem等速测试系统测试颈部肌群力学性能,治疗前和疗程结束后各测试1次。结果:两组治疗前峰力矩(PT)、平均功率(AP)、屈肌峰力矩/伸肌峰力矩比值(F/E)比较没有统计学差异,治疗后PT、AP、F/E比较,治疗组优于对照组(P<0.05);治疗组治疗前后PT、AP、F/E比较有统计学差异(P<0.05)。结论:推拿手法可以改善颈椎病患者颈部肌群收缩力量、做功效率,改善颈部肌群屈肌群和伸肌群的协调能力,从而有利于恢复颈椎病患者颈部经筋的生物力学性能。     

推拿手法治疗膝骨性关节炎临床疗效及安全性Meta分析

目的:应用Meta分析方法评价推拿手法治疗膝骨性关节炎(KOA)的临床疗效及安全性。方法:检索国内外大型文献数据库中关于推拿手法治疗KOA的随机对照试验(RCT)文献,采用Cochrane系统评价的方法,以RevMan5.3软件对数据进行分析,GRADE系统对所得文献进行证据质量评价。结果:最终纳入17篇文献,共计1387例。Meta分析结果表明推拿手法治疗组和西药对照组在治疗KOA的VAS评分、不良反应方面无统计学差异(P>0.05)。与西药对照组、针刺对照组和中药对照组相比,推拿手法治疗组的有效率较高[(MD=2.30,95%CI (1.65,3.22),P<0.0001]。与西药对照组相比,推拿手法治疗组的WOMAC评分改善更为明显[MD=-9.04,95%CI(-16.71,-1.36),P=0.02]。GRADE证据质量评价系统显示文献总体质量偏低。结论:推拿手法治疗KOA有一定临床疗效,推拿手法与西药相比,在VAS评分、不良反应方面疗效相当,但在改善WOMAC评分方面疗效优于西药,在提高有效率方面推拿手法治疗组优于各对照组。同时研究表明推拿手法存在一定的不良反应,临床应用时应注意。