关节松动术结合功能针刺法治疗偏瘫肩痛症临床研究

目的：探讨关节松动术结合功能针刺法对偏瘫肩关节疼痛的临床疗效。方法：将30例脑卒中患者随机分成治疗组和对照组，每组各15例。对照组进行单纯的康复治疗，治疗组在对照组的基础上加用功能针刺法和肩关节关节松动术综合治疗。两组患者于治疗8周时上肢进行Fugl—Meyer运动功能评定，疼痛采用VAS疼痛评分标准评定。结果：治疗组偏瘫肩关节疼痛的改善明显优于对照组，两组比较差异有统计学意义（P〈0．05）。结论：关节松动术结合功能针刺法对偏瘫肩关节疼痛有明显的改善作用。

Clinical Studies of Joint Mobilization Combined with Function Acupuncture Manipulation in Treating Hemiplegia Omalgia

Objective ： To explore the clinical curative effect of acupuncture combined with auricular point sticking in treating insomnia. Methods：118 patients were divided into treatment group and control group according to random number table method,58 cases in each group. The treatment group was given acupuncture treatment combined with auricular point sticking and vitamin B12 injection 500 fig respectively into Foot Three Li or Crossroad of Three Yins,0.5 mL per acupuncture point. Foot Three Li and Crossroad of Three Yins were given alternate injection, 10 times as one course of treatment combined with Wangbuliuxing for auricular point：Shenmen,subcor-tex ,sympathesis,heart,kidney, brain. Change 1 time on alternate day, ears alteration, 10 times as one period of treatment. Give next course for interval of five days. The control group was given 2 mg oral estazolam, half an hour before sleep every night, Oryzanol 20 mg. Results：The effective rate was 86. 4% in control group and 93. 2% in treatment group. Compared the effective rate of two groups,the difference was statistically significant（P 〈 0.01）. Conclusion ： Acupuncture combined with auricular point sticking in treating insomnia has good curative effect with less adverse reaction.