针灸治疗基孔肯雅热关节炎14例临床观察

Acupuncture Treatment of 14 Cases of Chikungunya Arthritis Clinical Observation

［目的］观察针灸治疗基孔肯雅热关节炎疗效。［方法］采用前瞻性设计方法,对14例住院及门诊患者局部取穴配合辨证循经取穴。肩关节：阿是穴、肩髃、肩前、曲池;肘关节：阿是穴、曲池、尺泽、少海;腕关节：阿是穴、外关、合谷、中渚、阳池;膝关节：阿是穴、血海、膝眼、阳陵泉、阴陵泉;踝关节：阿是穴、悬钟、三阴交、昆仑、解溪、商丘、丘墟。每次每部位4个穴位。急性期电针治疗,针刺得气后接G9805-C低频脉冲治疗仪,用连续波,频率为1Hz,留针30min,1次/d,治疗5d。部分关节肿痛,络脉怒张,予刺络拔罐放血,三棱针在关节肿胀处、络脉怒张处点刺2 ～ 3下,火罐拔于点刺部位,留罐5 ～ 10min,针孔出血2 ～ 5mL,罐壁见蒸汽水珠为佳,隔天1次。急性期后,病程＞10d,治疗3 ～ 5次后关节仍肿胀、疼痛剧烈,且有明显重着感,加温针灸,予电针20min后卸去电极,留针,将温针艾条切成圆柱形,高约1.6cm,中间戳孔,点燃后置于针柄上燃烧,温热量,以患者耐受为度,5min/次,1次/d。连续治疗10d为1疗程。观测临床症状、关节症状积分、不良反应。连续治疗2疗程,疗程间间隔3d,判定疗效。［结果］痊愈3例,显效2例,有效9例,无效0例,总有效率100.00%。［结论］

[ Objective ] To observe the acupuncture treatment of chikungunya arthritis curative effect. E Methods ] 14 cases of outpatient service and local find hospitalized patients with syndrome differentiation tired to find out. Shoulder：o is hole, shoulder Yu, shoulder before, li 11 ;Elbow：o is acupuncture point, li 11, ＇jersey, little sea;Wrist：o is acupuncture point, outside, or valley, ZhongZhu, te 4 ;Knee：o is eye acupuncture point, blood, knee, gb 34, Yin ling spring;Ankle：o is hole, hanging bell, three vaginal intercourse, kunlun, st 41, shangqiu, destroyed. Each part 4 points. After the acute phase cupping therapy, acupuncture needling G9805-C low frequency pulse treatment, with continuous wave, frequency of 1 hz,retaining needle 30 min, 1/d, 5 d treatment. Part of joint swelling, collaterals engorgement, to stab winding, （ hijamah ）, triangular needle at the joint swelling, collaterals engorgement prick 2 ~ 3, cupping pull in some parts, leave a jar of 5 ~ 10 min, pinhole hemorrhage 2 - 5 ml, see steam water tank wall is beautiful, the next one. After acute period of duration〉 10 d, after treatment for 3 - 5 times joint still swelling, pain, and have obvious heavy feeling, warm acupuncture, including to 20 min after discharge electrode, retaining needle, will be cut into cylindrical, wen needle moxa roll is about 1.6 cm high, intermediate poke holes, lit on the needle handle after combustion, heat, temperature in patient tolerance for degrees, 5 min/times, 1 / d. Continuous treatment of 10 d to 1 course of treatment. Observation of clinical symptoms, joint symptoms integral, adverse reactions. For 2 course of treatment, the treatment interval between 3 d, judge curative effect. [ Results ] 3 were cured, 2 cases were markedly effective, effective 9 cases, 0 no effect, the total effective rate was 100.00%. [ Conclusion ] Acupuncture treatment effect is remarkable, chikungunya arthritis is worth promoting.