Clinical study on acupuncture in treating perimenopausal insomnia

Objective： To observe the clinical efficacy of acupuncture for insomnia in perimenopausal women. Methods： According to simple randomized controlled principle, sixty female patients with perimenopausal insomnia were randomized into two groups： 30 in the treatment group were intervened by acupuncture and the other 30 in the control group were intervened by taking sleeping pills. Therapeutic efficacies were compared between the two groups at the end of treatment. Results： The total effective rate was 100.0% in the treatment group versus 83.3% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion： Acupuncture has better therapeutic efficacy than taking sleeping pills in treating perimenopausal insomnia.     

柏子养心汤加减治疗中老年围绝经期失眠症

目的探讨柏子养心汤加减治疗中老年围绝经期失眠症临床效果,以期提高疗效。方法选取2011年6月-2015年6月124例中老年围绝经期失眠症患者为研究对象,分成2组,对照组63例,予西医治疗,观察组63例,辅助柏子养心汤加减治疗,观察治疗后在临床疗效和相关指标变化情况。结果疗效上,对照组临床痊愈率26.99%、总有效率77.78%,观察组临床痊愈率44.44%、总有效率93.65%,痊愈率和总有效率观察组显著高于对照组,2组比较差异显著(P<0.05);2组治疗后在性激素指标FSH、LH、E2和睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍、总分较治疗前均显著下降,治疗前后比较差异显著(P<0.05),观察组治疗后以上指标比对照组治疗后下降更加显著,2组治疗后比较差异显著(P<0.05)。结论柏子养心汤加减治疗中老年围绝经期失眠症以益气养阴,滋阴安神为治疗原则。     

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。     

电针治疗失眠症不同穴位组方的对照研究

目的:探讨电针治疗失眠症的最佳穴位组方.方法:将66例患者随机分为3组,第1组取四神聪、风池;第2组取百会、左神门;第3组取印堂、神庭.进行不同穴组治疗失眠症疗程与疗效的比较观察.结果:3组有效率分别为72.73%、77.27%、95.45%,第3组疗效明显优于第1、第2组(P＜0.01),第1组与第2组间疗效差异无显著性意义(P＞0.05).结论:电针印堂、神庭治疗失眠症疗效显著.     

电针对围绝经期失眠大鼠睡眠觉醒脑电图及血清性激素水平的影响

目的:观察电针对围绝经期失眠大鼠睡眠觉醒脑电图及血清性激素水平的影响。方法:取40只SD雌性大鼠,按照随机数字表法分为对照组、模型组、电针组和假电针组,每组10只。采用双侧卵巢切除术复制模型,四组大鼠均行脑电图记录电极埋置术,术后恢复10 d,按分组接受不同的干预处理。通过阴道涂片观察大鼠动情周期,利用睡眠生物解析系统客观监测大鼠24 h睡眠觉醒脑电图,ELISA法测定血清促卵泡素(FSH)、黄体生成素(LH)、雌二醇(E₂)水平。结果:与对照组比较,模型组、电针组和假电针组大鼠动情周期紊乱率显著增高(P<0.05,P<0.01),模型组和假电针组大鼠血清FSH、LH水平升高(P<0.01)、E₂水平降低(P<0.01),电针组大鼠血清FSH升高(P<0.05)、E₂水平降低(P<0.01); 模型组和假电针组大鼠24 h睡眠觉醒昼夜节律减弱,睡眠觉醒累积量在白天和全天觉醒增多、非快速动眼睡眠(NREMs)减少(均P<0.01),NREMs在白天和夜间睡眠片段化明显,短时程次数增多(P<0.05)、长时程次数减少(P<0.05,P<0.01),白天慢波睡眠到觉醒(S-W)之间的转换增多(P<0.05,P<0.01); 与模型组比较,电针组大鼠动情周期紊乱率显著降低(P<0.05),大鼠血清FSH、LH水平降低、E₂水平升高(均P<0.05),电针组大鼠24 h睡眠觉醒昼夜节律趋势接近对照组,在白天和全天觉醒减少、NREMs增多(P<0.05,P<0.01),白天和夜间短时程睡眠减少、长时程睡眠增多(P<0.05,P<0.01),白天 S-W之间的转换减少(P<0.05),睡眠维持稳定。结论:电针可改善围绝经期失眠大鼠的睡眠觉醒,通过减少觉醒时间,增加睡眠时间,并改善其睡眠结构,其机制可能与调节血清性激素水平有关。     

电针治疗围绝经期综合征临床研究

目的:观察电针治疗围绝经期综合征的临床疗效并探讨其可能的效应途径.方法:将110例围绝经期综合征患者随机分为针灸A组(关元、三阴交)和针灸B组(内关、足三里),每组55例.治疗4星期后采用Kuppennan指数(Kupperman Menopausal Index,KMI)评估治疗效果,检测治疗前后血清雌二醇(Estradiol,E2)、促卵泡生成素(Follicle-stimulating Honnone,FSH)、黄体生成素(Luteinizing Hormone,LH)含量.结果:针灸A组Kupperman评分下降52.6%,针灸2组下降47.4%.针灸A组有效率为93.6%,针灸B组为85.7%,两组间差异无统计学意义(P>0.05).电针治疗4星期后两组血清E2水平均升高((P<0.05) JFSH、LH水平下降,但差异无统计学意义(P>0.05).结论:电针两组穴位均能明显降低KMI,且能有效升高围绝经期患者E2水平.     

针药并用治疗围绝经期妇女失眠验案

目前失眠问题广泛困扰着围绝经期妇女,其高发率已经严重影响了患者的身心健康及正常生活。现代医学治疗失眠常使用镇静催眠、抗抑郁类药物,不良反应大,不易被患者接受。笔者采用中医针刺疗法结合中药治疗围绝经期妇女失眠,疗效显著。     

Clinical study on acupuncture for primary insomnia

Objective

To observe the clinical effect of Acupuncture at Baihui (GV 20), Sishencong (EX-HN 1) and Anmian [Extra, locates at the midpoint between Yiming (EX-HN 14) and Fengchi (GB 20)] for primary insomnia.

Methods

A total of 112 patients with primary insomnia were randomized into an acupuncture group and a medication group according to the visiting sequence, 56 cases in each group. The acupuncture group was intervened by acupuncture at Baihui (GV 20), Sishencong (EX-HN 1) and Anmian [Extra, locates at the midpoint between Yiming (EX-HN 14) and Fengchi (GB 20)], and points selected based on syndrome differentiation, while the medication group was by oral intake of zopiclone tablet. The Pittsburgh sleep quality index (PSQI) was measured before and after treatment, and the clinical efficacy was compared after 1 month of treatment.

Results

After treatment, subscales of PSQI and global score in the acupuncture group were improved, and intra-group comparisons showed statistical differences (all P<0.05); subscales of sleep quality, sleep latency, sleep duration and global score of PSQI in the medication group were improved, showing statistical differences (all P<0.05). Inter-group comparison of global and subscales scores of PSQI showed statistical differences (all P<0.05). The total effective rate in the acupuncture group was 92.9%, higher than 67.9% in the medication group, and between-group comparison showed a statistical difference (P<0.05).

Conclusion

Acupuncture at Baihui (GV 20), Sishencong (EX-HN 1) and Anmian [Extra, locates at the midpoint between Yiming (EX-HN 14) and Fengchi (GB 20)] as the main treatment method can produce a better effect than oral intake of zopiclone tablet.

     

Clinical study on electroacupuncture treatment for post-stroke depression

目的：观察电针对中风后抑郁患者抑郁情绪及神经功能缺损程度的影响。方法：选择经临床、CT或MRHY-实的中风患者90例,按随机数字表分为3组,每组30例。三组患者均给予中风常规治疗,电针组加用电针,西药组加用氟西汀,对照组加用安慰剂,连续60d。结果：与对照组比较,电针组、西药组患者的汉密尔顿抑郁量表（Hamilton Depression Rating Scale,HAMD）和改良爱丁堡－斯堪的纳维亚评分（Modified Edinburgh—Scandinavia StrokeScale,MESSS）下降,Barthel指数评分上升（P〈0．05）;电针组、西药组总体疗效无显著差异,电针组、西药组总体疗效优于对照组。结论：电针能改善抑郁表现,促进神经功能康复。     

Clinical study on electroacupuncture for cervical intervertebral disc herniation

Objective： To compare the therapeutic efficacies between electroacupuncture （EA） and medication for cervical intervertebral disc herniation （ClDH）. Methods： Totally 420 patients with CIDH were randomized into two groups by random number table. 210 patients in the EA group were intervened by EA at Dazhui （GV 14）, Dazhu （BL 11） and Houxi （SI 3）, 210 patients in the medication group were treated by oral administration of Meloxicam tablets. Results： The average ranks of both short and long term efficacies in the EA group were significantly lower than that in the medication group （both P〈0.01）; there were significant differences in comparing the total effective rates of both short and long terms between the two groups （both P〈0.01）. It shows that EA group has better therapeutic efficacy than the medication group. Conclusion： EA is better than medication in comparing both short-term and long-term therapeutic efficacies in treating CIDH.     

柏子养心汤加味治疗围绝经期心脾两虚型失眠症临床观察

目的观察柏子养心汤加味治疗围绝经期心脾两虚型失眠症的临床疗效。方法将100例围绝经期心脾两虚型失眠症患者随机分为2组,治疗组50例予柏子养心汤加味治疗,对照组50例予常规治疗,2组均10 d为1个疗程,治疗2个疗程。比较2组疗效,观察2组治疗前后匹兹堡睡眠质量指数量表(PSQI)评分变化。结果治疗组总有效率88.0%,对照组62.0%,2组总有效率比较差异有统计学意义(P0.05),治疗组疗效优于对照组。治疗组治疗前后睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能评分及PSQI总分比较差异均有统计学意义(P0.05),治疗后均低于治疗前。2组治疗后睡眠质量、入睡时间、睡眠时间、睡眠效率、催眠药物、日间功能评分及PSQI总分比较差异均有统计学意义(P0.05),治疗组低于对照组,而睡眠障碍评分比较差异无统计学意义(P0.05)。结论柏子养心汤加味治疗围绝经期心脾两虚型失眠症疗效显著,对患者睡眠质量的改善作用明确,副作用较少。     

Clinical study on acupuncture plus auricular point sticking for insomnia

目的：探讨针刺配合耳压治疗失眠症临床疗效。方法：将156例患者随机分为观察组、针刺组、中药组,分别采用针刺配合耳压、针刺、中药治疗。结果：观察纽总有效率94．2％,针刺组和中药组总有效率分别为75．0％和78．8％,观察组疗效明显优于针刺组（P〈0．01）和中药组（P〈0．05）。结论：针刺配合耳压疗法治疗失眠症具有较好的临床疗效。     

电针治疗中风后抑郁症的临床研究

目的探讨电针治疗中风后抑郁患者抑郁情绪及神经功能缺损程度的疗效。方法选择中风病人90例,均经临床、CT或MRI证实,随机分为电针（简称电针组）30例,氟西汀治疗组（简称西药组）30例。不抗抑郁的基础治疗对照（简称对照组）30冽。三组患者均给予类似的中风治疗,而电针组加用电针,西药组加用氟西汀,对照组加用安慰剂,连续60d。结果电针组、西药组患者的HAMD和MESSS评分下降,Barthel指数评分上升比对照组快（P〈0．05）;电针组、西药组总体疗效优于对照组,电针组、西药组总体疗效相似。结论电针能改善抑郁表现,促进神经功能康复。     

Clinical study on acupuncture-moxibustion treatment for insomnia in heart-spleen deficiency

目的：观察赵氏雷火灸结合针刺治疗心脾两虚型失眠症的临床疗效。方法：将70例患者随机分为2组,治疗组35例,采用雷火灸及针刺治疗,对照组35例,采用单纯针刺治疗。结果：治疗组痊愈8例,显效15例,有效10例,无效2例,总有效率91．4％;对照组痊愈4例,显效11例,有效11例,无效9例,总有效率74．2％。两组总有效率比较,差异有统计学意义（P〈0．05）。结论：雷火灸结合针刺治疗心脾两虚型失眠症有较好疗效。     

头部电针透穴疗法治疗帕金森氏病的临床研究

目的:研究头部电针透穴疗法与药物治疗帕金森氏痛的临床疗效。方法:180例帕金森氏病患者随机分为头部电针透穴疗法治疗100例和口服美多巴药物治疗80例进行对照观察。同时对治疗前后肌电图(EMG)进行观测,头部穴取风池、悬厘、前项、悬颅等。结果:头部电针透穴疗法组有效率75.00％,优于对照组66.25％,具有显著性差异(P<0.05)。结论:头部电针透穴疗法治疗帕金森氏痛有肯定疗效。     

Therapeutic efficacy observation on combined taijiquan and auricular point sticking for perimenopausal insomnia

Objective： To observe the clinical effect of combined taijiquan exercise and auricular point sticking for perimenopausal insomnia. Methods： A total of 170 cases who met the inclusion criteria were randomized into two groups, 85 in each group. Patients in the observation group practiced simplified taijiquan besides receiving auricular point sticking, while patients in the control group only received auricular point sticking. The therapeutic efficacies were evaluated after 8 weeks. Results： The total effective rate in the observation group was 96.5%, versus 67.1% in the control group, showing a statistically significant difference （P〈0.01）. Conclusion： Combined simplified taijiquan and auricular point sticking works accurately for perimenopausal insomnia, and the total effective rate is better than that of auricular point sticking alone.     

Clinical study on electroacupuncture for post-withdrawal anxiety-depression mood in heroin addicts

目的：研究电针对海洛因依赖者脱毒后焦虑抑郁情绪的干预效应。方法：将120例海洛因依赖者按随机数字表法随机分入针刺1组（夹脊穴、肾俞）、针刺2组（四肢穴）、模拟组和对照组,观察治疗前及治疗4、8、10星期SAS和sDs的变化。结果：在治疗4、8、10星期,针刺1组、针刺2组的SAS、SDS积分与对照组相比,差异均有统计学意义（P＜0．01,P〈0．05）。针刺1组与针刺2组的SAS差异有统计学意义,而SDS积分差异无统计学意义。结论：电针可明显改善吸毒者脱毒后的焦虑和抑郁情绪,电针夹脊穴在改善焦虑症状方面明显优于四肢穴位,在改割印郁症状方面与四肢穴比较差异无统计学意义。     

Clinical observation on acupuncture for perimenopausal depression

目的：观察针刺治疗围绝经期抑郁症临床疗效。方法：将90例患者按就诊顺序随机分为治疗组（60例）和对照组（30例）。治疗组给予针刺治疗，隔日1次，10次为1疗程；对照组口服倍美力片和安宫黄体酮片，共观察3个月经周期。结果：治疗组总有效率为95．0％，对照组为87．7％（P〈O．05）；两组治疗后HAMD因子评分明显降低，且治疗组优于对照组（P〈O．05或P〈0．01）。结论：针刺治疗围绝经期抑郁症有较好疗效，     

Clinical observation on acupuncture for perimenopausal syndrome

Objective： To observe the clinical efficacy of acupuncture for perimenopausal syndrome. Methods： A total of 40 perimenopausal syndrome cases who met the inclusion criteria were randomized into an observation group and a control group, 20 in each group. Acupuncture combining with ginger-partitioned moxibustion was used in the observation group, whereas acupuncture was used in the control group. Modified Kupperman Index （KI） was evaluated respectively before and after treatment. In addition, the clinical efficacies in the two groups were compared. Results： The total effective rate in the observation group was higher than that in the control group （P〈0.05）. After treatment, KI in both groups were significantly reduced （P〈0.01） and there was a statistical difference between the two groups （P〈0.01）. Conclusion： Acupuncture combining with ginger-partitioned moxibustion could obtain a higher total effective rate for perimenopausal syndrome than acupuncture alone. Furthermore, it was also superior to acupuncture alone in improving hot flushes, insomnia, melancholia and arthralgia or myalgia.     

穴位埋线治疗心脾两虚型失眠症的临床研究

目的:观察穴位埋线治疗心脾两虚型失眠症的临床疗效.方法:将60例患者随机分为针刺组和埋线组,每组30例.针刺组予针刺治疗,埋线组予穴位埋线治疗.治疗前及治疗1个疗程后采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)量表进行评分.结果:针刺组总有效率86.7％,埋线组总有效率96.7％.治疗后,两组PSQI评分与治疗前均有统计学差异(P＜0.01);治疗后两组比较也有统计学差异(P＜0.01).结论:针刺和穴位埋线法均能有效改善患者的睡眠质量,但穴位埋线法耗时少、刺激持久、方便易行.