中药穴位注射治疗动眼神经麻痹228例临床观察

目的观察中药穴位注射治疗动眼神经麻痹的临床疗效。方法按信封法随机纳入3个中心456例动眼神经麻痹患者,治疗组和对照组各228例,治疗组主穴选取患侧睛明、阳白、四白、瞳子髎穴以及双侧肝俞穴,主药采用复方当归注射液进行穴位注射;对照组常规西医治疗。两组均连续治疗36天后统计疗效,并观察两组患者治疗前后中医证候积分、患眼眼球运动度、眼裂及瞳孔的变化。结果治疗组总有效率91.7%,对照组总有效率73.7%,两组比较差异有统计学意义(P<0.05)。两组患者中医证候积分均较治疗前明显减少(P<0.0或P<0.01),治疗组的降低值较对照组更大(P<0.05);两组患者治疗后患眼眼球运动度及眼裂均增加(P<0.05或P<0.01),瞳孔均缩小(P<0.05),其中治疗组眼裂及眼球运动度内直肌的改善优于对照组(P<0.05)。结论中药穴位注射疗法治疗动眼神经麻痹疗效确切。     

中药穴位注射治疗动眼神经麻痹的疗效评价及机理探讨研究

目的:评价中药穴位注射治疗动眼神经麻痹的临床疗效.方法:采用多中心、随机、对照、单盲临床试验,将三个中心的456例动眼神经麻痹患者分为治疗组(228例)和对照组(228例),治疗组采用中药穴位注射疗法,对照组常规西医治疗,36天统计疗效.结果:有效率比较P<0.05;眼球运动度恢复比较 内直肌下直肌的恢复两组分别比较均为P<0.05;眼裂P<0.05;有统计学意义.结论:中药穴位注射疗法治疗本病疗效确切.     

中药穴位注射治疗动眼神经麻痹的疗效评价及机理探讨研究

目的：评价中药穴位注射治疗动眼神经麻痹的临床疗效.方法：采用多中心、随机、对照、单盲临床试验,将三个中心的456例动眼神经麻痹患者分为治疗组（228例）和对照组（228例）,治疗组采用中药穴位注射疗法,对照组常规西医治疗,36天统计疗效.结果：有效率比较P〈0.05;眼球运动度恢复比较 内直肌下直肌的恢复两组分别比较均为P〈0.05;眼裂P〈0.05;有统计学意义.结论：中药穴位注射疗法治疗本病疗效确切.     

穴位注射治疗后天性外展神经麻痹疗效观察

目的 探索本病中药和针灸有机结合且简便易行的有效疗法.方法 将76例外展神经麻痹患者随机分为治疗组和对照组,治疗组以患侧睛明、阳白、四白、瞳子髎、肝俞(双)为基础穴,复方当归注射液为主药,再据辨证分型配合相应的腧穴和注射药物.对照组采用常规西医治疗.治疗36天统计疗效.结果 治疗组总有效率94.7%,对照组76.3%,两组比较P＜0.05,差异有统计学意义;眼球运动度比较,外直肌的恢复两组比较P＜0.05差异有统计学意义.结论 中药穴位注射后天性外展神经麻痹的疗效确切,疗效优于常规西药治疗.     

针刺治疗动眼神经麻痹的临床研究

目的 观察针刺治疗动眼神经麻痹的客观疗效。方法 运用针刺治疗动眼神经麻痹，测定治疗前后眼裂，瞳孔变化值以及眼球运动范围值，结果与结论 针刺治疗动眼神经麻痹疗效显著，并且针刺可促使麻痹神经肌肉功能恢复正常，眼裂大小，瞳孔大小及眼球运动恢复正常。     

醒脑开窍针刺法治疗脑卒中后动眼神经麻痹的临床观察

[目的] 观察醒脑开窍针刺法治疗脑卒中后动眼神经麻痹的临床疗效。[方法] 将60例急性脑卒中后动眼神经麻痹患者随机分为两组,A组采用基础治疗+常规针刺法治疗,B组采用基础治疗+醒脑开窍针刺法治疗,治疗2个疗程后比较两组间瞳孔大小、眼裂大小、眼球运动情况及综合疗效。[结果] 各组治疗后瞳孔大小、眼裂大小、眼球运动情况均较治疗前明显好转(P<0.05),且在3项指标及综合疗效组间比较显示,B组较A组疗效更为显著(P<0.05)。[结论] 醒脑开窍针刺法治疗脑卒中后动眼神经麻痹的临床疗效优于常规针刺法。     

眼周穴位艾灸联合五官超短波治疗糖尿病性眼肌麻痹临床观察

目的观察眼周穴位艾灸联合五官超短波治疗糖尿病性眼肌麻痹的临床疗效。方法将61例糖尿病性眼肌麻痹患者按照随机数字表法分为2组。对照组30例予西医常规治疗;治疗组31例在对照组治疗基础上加用眼周穴位艾灸联合五官超短波治疗。2组均10次为1个疗程,每个疗程结束后休息2~3 d,治疗3个疗程。比较2组临床疗效;观察2组治疗前后眼球运动度及复视角度变化;观察2组治疗前后症状评分变化;比较2组治愈时间情况。结果治疗组总有效率87.10%,对照组总有效率73.33%,治疗组疗效优于对照组(P0.05)。2组治疗后眼球运动度较本组治疗前升高(P0.05),复视角度降低(P0.05);治疗后治疗组眼球运动度高于对照组(P0.05),复视角度低于对照组(P0.05)。2组治疗1、2、3个疗程症状评分均较本组治疗前降低(P0.05),且治疗组治疗1、2、3个疗程症状评分均低于对照组治疗同期(P0.05)。治疗组治愈时间较对照组短(P0.05)。结论眼周穴位艾灸联合五官超短波治疗糖尿病性眼肌麻痹疗效确切,能明显改善患者眼球运动度、复视角度及临床症状,缩短治愈时间。     

滞针动法结合电针治疗糖尿病性动眼神经麻痹的临床研究

目的观察滞针动法结合电针治疗糖尿病性动眼神经麻痹的临床效果。方法将50例糖尿病性动眼神经麻痹患者随机分为2组,对照组25例给予常规西医对症治疗,观察组25例在西医治疗基础上联合滞针动法结合电针治疗,连续治疗4周。观察2组治疗后复视角度、睑裂高度、瞳孔直径及生活质量(SF-36评分)的改善状况,统计2组治疗后临床总有效率及治疗期间不良反应发生情况。结果 2组治疗后复视角度均显著缩小(P均0.05),瞳孔直径均显著缩短(P均0.05),睑裂高度均显著增加(P均0.05),且观察组改善程度均明显优于对照组(P均0.05);观察组总有效率为92.0%,显著高于对照组的68.0%(P0.05);2组治疗后SF-36评分均显著升高(P均0.05),且观察组治疗后SF-36评分显著高于对照组(P0.05);2组治疗期间均未发生严重不良反应(P0.05)。结论滞针动法配合电针能明显改善糖尿病性动眼神经麻痹患者的临床症状,增加患侧眼球睑裂高度,减小瞳孔直径,降低复视角度,改善患者生活质量。     

中药穴位注射治疗后天性外展神经麻痹临床观察

目的：探索中药和针灸有机结合治疗外展神经麻痹的有效疗法。方法：将76例外展神经麻痹患者随机分为穴位注射组和西药组，穴注组以患侧睛明、阳白、四白、瞳子醪，双侧肝俞为基础穴，复方当归注射液为主药，再据辨证分型配合相应的腧穴和注射药物。西药组采用常规西医治疗。治疗36天统计疗效。结果：穴位注射组总有效率为94．7％，西药组为76．3％，经统计学分析，疗效差异有显著性意义（P〈0．05）；眼球运动度、外直肌的恢复2组比较，P〈0．05。结论：中药穴位注射治疗后天性外展神经麻痹疗效确切，疗效优于常规西药治疗。     

醒脑开窍针刺法配合黄芪桂枝五物汤治疗卒中后动眼神经麻痹临床研究

目的:观察醒脑开窍针刺法配合黄芪桂枝五物汤治疗卒中后动眼神经麻痹的临床疗效。方法:选取2010年5月—2013年5月92例卒中后动眼神经麻痹患者为研究对象,随机分为对照组和观察组各46例,对照组予常规西医治疗,观察组给予醒脑开窍针刺法配合黄芪桂枝五物汤治疗,观察两组患者治疗前后相关指标变化情况。结果:对照组治愈率为17.39%,显效率为32.61%,有效率为78.26%;观察组治愈率为28.26%,显效率为41.3%,有效率为93.48%,两组比较差异均有统计学意义(P0.05);两组患者治疗后眼裂大小、瞳孔大小、眼球运动、复视评分比较差异有统计学意义(P0.05),组间比较差异有统计学意义(P0.05)。结论:醒脑开窍针刺法配合黄芪桂枝五物汤能改善卒中后动眼神经麻痹症状,疗效显著。     

Electroacupuncture combined with auricular acupressure in the treatment of nervous tinnitus

ObjectiveTo observe the clinical efficacy of electroacupuncture combined with auricular acupressure in treatment of nervous tinnitus.MethodsOne hundred and four patients with nervous tinnitus were randomly divided into a group A and a group B according to the method of random number table, with 52 patients in each group. In the group A, acupuncture at Yìfēng (

TE 17), Tīnggōng (

SI 19), Tīnghuì (

GB 2), Ěrmén (

TE 21) and Fēngchí (

GB 20) combined with auricular acupressure, such as Shènshàngxiàn (

TG 2p), Jiāogăn (

AH_6a), Nèifēnmì (

CO₁₈), NèiĚr (

LO 6), WàiĚr (

TG_1u), Shèn (

CO₁₀) and Gān (

CO₁₂) were applied; in the group B, intravenous injection with compound Dānshēn (

Radix et Rhizoma Salviae Miltiorrhizae) dissolved in 250 mL of 0.9% NaCI injection were applied, combined with oral administration of 10 mg of Vitamin B1 and 0.5 mg of mecobalamin tablets. After treatment for three courses in the two groups, efficacy was evaluated based on Reference Standards of Severity, Assessment and Efficacy Evaluation of Tinnitus.ResultsIn the group A (75 ears with nervous tinnitus), 30 ears were cured, markedly effective was seen in 21 ears, and effective in 22, and the total effective rate was 97.4%; in the group B (76 ears with nervous tinnitus), 17 ears were cured, markedly effective was seen in 20 ears, and effective in 23, and the total effective rate was 79.0%. The total effective rate in the group A was obviously superior to that in the group B, and the difference between the two groups was statistically significant (P<0.05). Compared before the treatment, the score of tinnitus severity both reduced in two groups (both P<0.05), and the reducing amplitude of score in the group A was greater than that in the group B (P<0.05). Conclusion Electroacupuncture combined with auricular acupressure in treatment of nervous tinnitus is worthy of clinical promotion and application since it has significant efficacy, which is obviously superior to drug therapy, and without adverse effect.     

电刺激吞咽神经肌肉联合针刺治疗脑卒中后吞咽障碍疗效观察

ObjectiveTo seek a better therapy for treating post-stroke dysphagia.MethodsPatients with stroke and swallowing disorders were randomly divided into ordinary acupuncture group (group A, 58 cases) and swallowing neuromuscular electrical stimulation combined with acupuncture group (group B, 62 cases). Two-group patients were given the same basic internal medical treatment. In addition, group A was given normal acupuncture treatment with the choice of local points: Jīnjīn (

EX-HN 12), Yùyè (

EX-HN 13), Fēngchí (

GB 20), Yìfēng (

TE 17), Liánquán (

CV 23), Wángŭ (

GB 12). Group B was given swallowing neuromuscular electrical stimulation combined with acupuncture: GB 20, Fēngfŭ (

GV 16), TE 17, Yìmíng (

EX-HN 14), Yămén (

GV 15), Tiānróng (

SI 17), Tiānchuāng (

SI 16), CV 23, the uniform reinforcing-reducing manipulation was used; EX-HN 12, EX-HN 13, the piercing and blood-letting method (1-2 mL blood) was used; at the same time, the swallowing neuromuscular electrical stimulation therapy device was used to electrically stimulate the nerves and muscles in the throat and neck at specific output pulse current (50-100 Hz). Treatment was made twice a day, 30 minutes each time. Two weeks after the treatment, the patients were assessed in symptoms improvement and clinical efficacy.ResultsThe total effective rate in group B was 91.4% and 75.8% in group A; in the total efficiency comparison in both groups, χ²=5.232, P<0.05. The difference in improvement of symptoms with post-stroke dysphagia treated with above mentioned combination treatment was statistically significant between both groups (P<0.05).ConclusionsThe above mentioned swallowing neuromuscular electrical stimulation combined with acupuncture treatment has a better clinical effect when compared with ordinary acupuncture.     

Clinical research on insomnia treated by acupuncture at back-shu points

ObjectiveTo observe the clinical therapeutic effect on insomnia treated with acupuncture at back-shu points.MethodsSixty-four cases of insomnia were selected and divided randomly into a back-shu points group (group A) and a conventional acupoints group (group B) by a computer generated allocation list, 32 cases in each one. In the trial group, acupuncture was applied at Xīnshū (

BL 15), Gānshū (

BL 18), Píshū (

BL 20) and Géshū (

BL 17). In the control group, acupuncture was applied conventionally to Nèiguān (

PC 6), Shénmén (

HT 7), Sānyīnjiāo (

SP 6), B?ihuì (

GV 20) and Sìshéncōng (

EX-HN 1). Ten treatments made a session. The efficacy was analyzed statistically after 3 sessions of treatment.ResultsThere were significant differences between the two groups in the relief of sleep disorders after the treatment (P<0.01). The improvement in sleep efficiency was different significantly (P<0.05), The difference in sleep difficulty was significant in Chinese medicine (TCM) symptom score (P<0.05).ConclusionThe clinical efficacy is achieved by either acupuncture at back-shu points or by acupuncture at conventional acupoints. The improvements of sleep efficiency and sleep disorder scores in PSQI, and sleep difficulty in TCM as well as the long-term efficacy are superior in group A as compared with those in group B.     

电针配合TDP治疗慢性盆腔炎45例

目的:观察电针配合TDP照射治疗慢性盆腔炎的疗效.方法:45例慢性盆腔炎患者采用电针与TDP治疗,针刺取穴关元、中极、水道、归来、足三里、三阴交、太冲,分别于同侧水道、归来接G9805-C低频治疗仪治疗,留针30 min,同时将TDP治疗头直接照射在患者下腹部.隔日治疗1次,5次为一疗程,3个疗程后观察疗效.结果:痊愈10例,显效18例,有效17例,治疗过程中所有患者均无不良反应及并发症发生.结论:电针配合TDP是治疗慢性盆腔炎的有效方法.     

头针、体针配合康复训练治疗中风后偏瘫肩痛疗效观察

目的:评价头针、体针配合康复训练治疗中风后偏瘫肩痛的疗效.方法:60例患者随机分为针康组(33例)和常规治疗组(27例).两组均采用康复训练治疗,针康组采用头针配合体针治疗,体针穴取脾俞、胃俞、足三里、丰隆、血海等,并随症配穴;头针穴取百会、四神聪、头穴运动区和血管舒缩区.常规治疗组以西药常规治疗,甘露醇脱水降颅压,调控血压,并给予脑细胞保护剂,肩痛以醋酸确炎舒松药液或醋酸考的松药液封闭治疗.每日治疗1次,4周为一疗程,共治疗4个疗程.比较两组血液流变学指标和临床疗效.结果:针康组有效率为90.9％(30/33),优于常规治疗组的70.4％ (19/27)(P＜0.05);针康组治疗后全血黏度低中切、血浆黏度、血细胞比容各指标较治疗前均明显降低(均P＜0.05);常规治疗组治疗后全血黏度、血浆黏度亦降低(均P＜0.05);针康组治疗后全血粘度低中切、血浆粘度、血细胞比容各指标较常规治疗组降低更明显(均P＜0.05).结论:头针、体针结合康复训练治疗在改善中风后偏瘫肩痛患者肢体运动、感觉和血液流变学方面,具有良好的临床疗效,优于常规西医治疗.     

Study on effects of acupuncture on menstruation and endocrine in patients of normal body weight with polycystic ovary syndrome

ObjectiveTo observe the effects of acupuncture on menstruation and endocrine in patients of normal body weight with polycystic ovary syndrome.MethodsTwenty-seven patients were treated with acupuncture and moxibustion for six months. Guānyuān (

CV 4), Zhōngjí (

CV 3), and Z

gōng (

EX-CA 1) on the abdomen and Sānyīnjiāo (

SP 6), Zúsānl

(

ST 36), Yīnlíngquán (

SP 9), Fēnglóng (

ST 40), Xiáxī (

GB 43), Tàichōng (

LR 3) were punctured. CV 3 on the abdomen and EX-CA 1 on both sides were manipulated by moxisbustion. The menstrual frequency, B ultrasound examination of uterus and adnexa uteri, luteinizing hormone (LH), follicle stimulating hormone (FSH), testosterone (T), prolactin (PRL), progesterone (PROG) and estradiol (E₂) were recorded.ResultsMenstrual cycles were restored in twenty-six patients after six-month treatment. The total frequencies of menstruation were 105, of which 79 with normal ovulation accounting for 75.23%. The testosterone level of (109.65 ± 43.38) ng/dL before treatment were reduced to (53.7 ± 19.24) ng/dL after treatment, LH/FSH ratio of 4.15 ± 1.38 before treatment were reduced to 1.75 ± 1.09 after treatment. The differences were statistically significant (both P<0.05).ConclusionAcupuncture can promote normal ovulation and menstrual cycles in patients with PCOS by regulating endocrine level.     

A case of functional rehabilitation after replantation of a severed limb

A patient with functional impairment after replantation of severed limb was treated by electroacupuncture in combination with rehabilitation training, and needling was carried out on Qūchí (

LI 11), Sh

usānl

(

LI 10), Wàiguān (

TE 5), Yángxī (

LI 5), Yángchí (

TE 4), Yángg? (

SI 5), Hég? (

LI 4), Bāxié (

EX-UE 9), Wàiláogōng (

EX-UE 8) and Yèmén (

TE 2). Electroacupuncture was carried out on TE 5, EX-UE 8, LI 11 and LI 4. After treatments for four months, except the opposition of thumb was not satisfactory, the active exercises of the remaining four fingers almost recovered.     

A case of amyotrophic cervical spondylosis

A case of amyotrophic cervical spondylosis was healed by using acupuncture in combination with electroacupuncture, needling was carried out on Fēngchí (

GB 20), Tiānzhù (

BL 10), Dàzhuī (

GV 14), Jiānj

ng (

GB 21), Zhìyang (

GV 9), Jiānzhēn (

SI 9), Jiānyú (

LI 15), Sh

usānl

(

LI 10), Hòuxī (

SI 3), Kūnlún (

BL 60) and Shùg? (

BL 65). BL 10 on the left side and LI 10 on the right side, GB 20 on the right side and GV 9 were connected for electroacupuncture, once a day, 12 treatments as one treatment course, a interval of 5 days was set between two treatment courses, and totally 6 treatment courses were carried out. The patient was clinically healed after the treatment and the disease did not recur during the follow-up for six months.