刺血加穴位注射治疗痤疮临床观察

目的探讨采用刺血加穴位注射治疗痤疮的疗效。方法对40例和36例痤疮患者,分别采用刺血加穴位注射治疗和西药治疗,观察两种疗法的治疗疗效。结果采用刺血加穴位注射治疗痤疮疗效明显优于西药治疗,且与西药治疗组对比有显著性差异。结论采用刺血加穴位注射治疗痤疮是较好的一种治疗方法。     

The NGF Point-Injection for Treatment of the Sound-Perceiving Nerve Deafness and Tinnitus in 68 Cases

Objective： To observe the therapeutic effects of the point-injection with nerve growth factor （NGF） for the sound-perceiving nerve deafness and tinnitus. Methods： The 140 cases in this series were randomly divided into a treatment group of 68 cases treated by NGF injection at the points of Yifeng （TE 17） and Wangu （GB 12）, and a control group of 72 cases orally taking Xibiling （西比灵） and adenosine triphosphate （ATP） and intramuscular injection with VB1 and VB12. Results： The total effective rate was 78.6% in the treatment group and 31.8% in the control group, with significant difference between the two groups （P〈0.05）. Conclusion： For treating nervous deafness and tinnitus, NGF point-injection may show good therapeutic effects, but inversely proportional to the illness course, age and the extent of hypoacusis.     

The NGF Point-Injection for Treatment of the Sound-Perceiving Nerve Deafness and Tinnitus in 68 Cases

To observe the therapeutic effects of the point-injection with nerve growth factor (NGF) for the sound-perceiving nerve deafness and tinnitus. Methods: The 140 cases in this series were randomly divided into a treatment group of 68 cases treated by NGF injection at the points of Yifeng (TE 17) and Wangu (GB 12),and a control group of 72 cases orally taking Xibiling (西比灵) and adenosine triphosphate (ATP) and intramuscular injection with VB1 and VB12. Results: The total effective rate was 78.6% in the treatment group and 31.8% in the control group,with significant difference between the two groups (P<0.05). Conclusion: For treating nervous deafness and tinnitus,NGF point-injection may show good therapeutic effects,but inversely proportional to the illness course,age and the extent of hypoacusis.     

穴位注射合并火针治疗复发性口腔溃疡326例临床观察

目的 :观察穴位注射合并火针疗法辨证治疗复发性口腔溃疡的临床疗效并探讨其疗效机制。方法 :将326例复发性口腔溃疡患者随机分为治疗组和对照组,治疗组根据不同证型选用中药注射液穴位注射,每周3次,共治疗2周;火针点刺溃疡面及周围黏膜,每日1次,共治疗3次。对照组口服维生素C 100 mg、维生素B220 mg,每日3次;肌肉注射转移因子,每次2 m L(3 mg),每周2次,共治疗2周。观察两组患者治疗前后症状体征积分、疼痛视觉模拟量表(VAS)评分的变化,以及治疗后溃疡愈合时间、溃疡复发情况,并比较两组临床疗效。结果:治疗组总有效率为94.48%,优于对照组的76.07%(P0.01)。治疗后治疗组症状体征积分及VAS疼痛评分较对照组明显减少,差异有统计学意义(P0.01)。治疗组溃疡愈合时间与对照组比较,差异有统计学意义(P0.01)。治疗组患者复发率与对照组比较,差异有统计学意义(P0.01)。结论:穴位注射配合火针疗法辨证治疗复发性口腔溃疡疗效优于口服维生素及肌肉注射转移因子,其止痛效果好、见效快,可改善相关症状,缩短溃疡愈合时间,降低复发率。     

穴位注射对实验性肝郁脾虚动物模型的影响

报告了应用清开灵Ⅰ号注射液和丹参注射液混合穴位注射，对肝郁脾虚型动物血浆巯基含量、肝糖元含量、ＡＬＴ活性、ＡＭＳ活性和ＡＬＰ活性等生化指标的影响。结果表明：注射肝胆经穴位能够使实验动物前３项指标恢复正常。注射脾胃经穴位能够使实验动物血浆巯基含量和ＡＬＴ及ＡＬＰ活性恢复正常。肌肉注射对上述５项指标，肝胆经穴注射对ＡＬＰ、活性和ＡＭＳ活性，脾胃经穴注射对血浆巯基含量和ＡＭＳ活性等指标均有促进其恢复的倾向，但其疗效尚难以完全肯定（与正常组相比Ｐ＜０．０５或与正常组相比Ｐ＞０．０５，但与模型组相比，仍然Ｐ＞０．０５）。说明肝胆和脾胃经穴位注射疗法对肝郁脾虚型实验动物的疗效，优于肌肉注射疗法。     

梅花针叩刺拔罐治疗配合甲钴胺穴位注射带状疱疹后遗神经痛疗效观察

目的观察梅花针叩刺拔罐治疗配合甲钴胺穴位注射带状疱疹后遗神经痛（PHN）疗效。方法将80例患者随机分为梅花针叩刺拔罐组和梅花针叩刺拔罐配合甲钻胺穴位注射组各40例。2组疗程均为20d。结果梅花针叩刺拔罐配合甲钴胺穴位注射组与梅花针叩刺拔罐组均能有效的治疗PHN,但梅花针叩刺拔罐组的总有效率明显低于梅花针叩刺拔罐配合甲钴胺穴位注射组;经统计学分析,差异具有显著性（P〈0．01）,梅花针叩刺拔罐配合甲钴胺穴位注射组与梅花针叩刺拔罐组治疗前VAS评分比较（P〉0．05）,无显著性差异,二者具有可比性。梅花针叩刺拔罐配合甲钴胺穴位注射组与梅花针叩刺拔罐组治疗前后情况对比均有显著性差异（P〈0．01）治疗后梅花针叩刺拔罐配合甲钴胺穴位注射组与梅花针叩刺拔罐组比较有显著性差异（P〈0．01）。结论说明梅花针叩刺拔罐配合甲钴胺穴位注射组治疗PHN明显优于梅花针叩刺拔罐组。说明二者均可有效的治疗带状疱疹后遗神经痛;说明梅花针叩刺拔罐配合甲钴胺穴位注射组在治疗带状疱疹后遗神经痛的疼痛程度方面明显优于梅花针叩刺拔罐组,可有效消除患者的疼痛。     

Observations on Curative Effect of High-frequency Electric Sparkle and Point-injection Therapy on Knee Osteoarthritis

Objective: To observe the curative effect of high-frequency electric sparkle and point-injection therapy (HESPT) on knee osteoarthritis (KOA). Methods: Two hundred and five patients were randomly divided into a warming needle moxibustion group (68 cases), a HESPT group (68 cases) and a point-injection group (69 cases). In the warming needle moxibustion group, the main points of Xuehai (SP 10), Neixiyan (EX-LE4), Waixiyan (EX-LE5), Dubi (ST 35), Zusanli (ST 36) and Yanglingquan (GB 34), and the adjunct points of Yinlingquan (SP 9) and Sanyinjiao (SP 6), on the affected side, were chosen for stimulation. In the HESPT group, tenderness points, the main points of Liangqiu (ST 34), Xuehai (SP 10), Neixiyan (EX-LE4), Waixiyan (EX-LE5) and Zusanli (ST 36), and the adjunct points of Yinlingquan (SP 9), Weizhong (BL 40) and Chengshan (BL 57), were chosen. After proper manipulation, Corydalis decumbens Pers. liquid was injected into the points and a high-frequency electric sparkle was applied to stimulate the needles for 30 seconds. In the point-injection group, point injection was performed with the same method, but the patients did not receive electric stimulation. The Western Ontario and McMaster University Osteoarthritis Index (WOMAC), the Lysholm Knee Score Scale (LKSS) and the ROM (Range of Motion) scale were used to evaluate the severity of KOA and the function of knee joints before treatment and 4 weeks after treatment. Finally, the Nimodipine method was used to assess the total curative effect. Results: After HESPT treatment, the scores for pain, morning stiffness and swelling were significantly lower (P<0.01) and LKSS index and ROM were much higher (P<0.01 and P<0.05 respectively) compared to the two other groups. The obviously effective rate and total effective rate were also significantly higher in the HESPT group than in the two other groups (P<0.01 or P<0.05). Conclusion: HESPT can improve joint function in KOA patients, and the curative effect is better than for warming needle moxibustion or point-injection only.     

中西药物穴位注射治疗腰椎间盘突出症168例

目的探讨穴位注射对腰椎间盘突出症疗效的观察,以寻求尽快通过非手术疗法解决患者的痛苦。方法将168例腰椎间盘突出症患者随机分成两组,对照组接受常规疗法（针灸、按摩、牵引）及护理,治疗组除接受常规疗法外,予以中西药物（丹香注射液、当归注射液、利多卡因、山莨菪碱、安痛定,剂量随症状轻重加减。）穴位注射,观察两组疗效情况。结果治疗组的疗效明显高于对照组（P〉0.05）。结论采取了穴位注射能有效提高治疗效果。腰椎间盘突出症又称＂腰椎间盘纤维环破裂症,腰椎间盘髓核突出症＂,属中医学＂腰腿痛＂、＂痹证＂的范畴,是一种常见的腰腿痛疾病,始发于青壮年,常有急慢性损伤史,儿童罕见,老年人极少发生,给病人正常生活带来极大的困难,如何改善病人的生活质量,提高临床疗效,是我们当前所面临的重要课题,探讨其治疗方法,尽早解除其痛苦。从2006年1月至2010年12月,应用该疗法治疗此病,取得了明显效果,现将此报告如下,以求同行斧正。     

四物汤配合穴位注射治疗小儿频繁瞬目120例

目的:观察四物汤配合穴位注射治疗小儿频繁瞬目120例疗效。方法:以四物汤加减每日水煎分两次口服,配合双侧鱼腰穴位注射维生素B12。结果:经两个疗程后,治愈49例,显效46例,好转24例,无效1例,总有效率为98.3%。结论:四物汤配合维生素B12穴位注射治疗小儿频繁瞬目临床疗效显著。     

Observations on curative effect of high-frequency electric sparkle and point-injection therapy on knee osteoarthritis

Objective: To observe the curative effect of high-frequency electric sparkle and point-injection therapy (HESPT) on knee osteoarthritis (KOA).Methods: Two hundred and five patients were randomly divided into a warming needle moxibustion group (68 cases),a HESPT group (68 cases) and a point-injection group (69 cases).In the warming needle moxibustion group,the main points of Xuehai (SP 10),Neixiyan (EX-LE4),Waixiyan (EX-LE5),Dubi (ST 35),Zusanli (ST 36) and Yanglingquan (GB 34),and the adjunct points of Yinlingquan (SP 9) and Sanyinjiao (SP 6),on the affected side,were chosen for stimulation.In the HESPT group,tenderness points,the main points of Liangqiu (ST 34),Xuehai (SP 10),Neixiyan (EX-LE4),Waixiyan (EX-LE5) and Zusanli (ST 36),and the adjunct points of Yinlingquan (SP 9),Weizhong (BL 40) and Chengshan (BL 57),were chosen.After proper manipulation,Corydalis decumbens Pers.liquid was injected into the points and a high-frequency electric sparkle was applied to stimulate the needles for 30 seconds.In the point-injection group,point injection was performed with the same method,but the patients did not receive electric stimulation.The Western Ontario and McMaster University Osteoarthritis Index (WOMAC),the Lysholm Knee Score Scale (LKSS) and the ROM (Range of Motion) scale were used to evaluate the severity of KOA and the function of knee joints before treatment and 4 weeks after treatment.Finally,the Nimodipine method was used to assess the total curative effect.Results: After HESPT treatment,the scores for pain,morning stiffness and swelling were significantly lower (P＜0.01) and LKSS index and ROM were much higher (P＜0.01 and P＜0.05 respectively) compared to the two other groups.The obviously effective rate and total effective rate were also significantly higher in the HESPT group than in the two other groups (P＜0.01 or P＜0.05).Conclusion: HESPT can improve joint function in KOA patients,and the curative effect is better than for warming needle moxibustion or point-injection only.