百会长留针配合康复训练对气虚血瘀型缺血性卒中伴认知功能障碍的影响

目的观察百会长留针配合康复训练治疗气虚血瘀型缺血性卒中伴认知功能障碍的临床疗效。方法将70例气虚血瘀型缺血性卒中伴认知功能障碍患者随机分为治疗组和对照组,每组35例。对照组采用常规药物治疗配合康复训练,治疗组在对照组基础上采用针刺百会穴并长留针治疗。治疗8周后,观察两组治疗前后简明精神状态量表(MMSE)评分和中医症状分级量化评分的变化情况。结果两组治疗后MMSE评分和中医症状分级量化评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后MMSE评分和中医症状分级量化评分与对照组比较,差异均具有统计学意义(P<0.05)。结论百会长留针配合康复训练能提高气虚血瘀型缺血性卒中患者的认知功能,改善其临床症状。

Effect of acupuncture and tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy

Objective： To observe the effect of acupuncture, tuina plus rehabilitative therapy on lower limb motor dysfunction in infants with spastic cerebral palsy. Methods： A total of 60 infants with spastic cerebral palsy were randomly divided into a treatment group and a control group by random digital table, 30 cases in each group. The treatment group was treated with acupuncture, tuina therapy plus rehabilitative therapy of Western medicine. The control group was simply treated with rehabilitative therapy of Western medicine, as same as that for the treatment group. The assessment was respectively given to the sick infants before the treatment and after the treatment of six months, to evaluate lying and rolling scores in dimension A, to evaluate sitting score in dimension B, to evaluate crawling and kneeling scores in dimension C, and evaluate standing score in dimension D in the gross motor functions and determine the muscle tone of the gastrocnemius muscle by modified Ashworth scale （MAS）. Results： The differences were not statistically significant in comparison of the gross motor functions and the muscle tone of the gastrocnemius muscle between the two groups of sick infants before the treatment （P〉O.OS）; after the treatment of six months, the above items were obviously improved in the two groups （P〈O.01）, better in the treatment group than in the control group, with the statistical significance in the differences between the groups （P〈O.01）. Conclusion： Acupuncture, tuina plus rehabilitative therapy of Western medicine are remarkable in the therapeutic effects in the treatment of motor disorders of the lower limbs in the sick infants with spastic cerebral palsy. This therapeutic method is safe, simple and convenient and needs to be clinically popularized and applied.

Effect of long-time needle retaining at Baihui(GV 20) on cognitive impairment in post-stroke patients

Objective： To observe the clinical efficacy of long-time needle retaining at Baihui（GV 20） in treating post-stroke cognitive impairment. Methods： A total of 60 eligible patients with post-stroke cognitive impairment were randomized into a treatment group and a control group by random digital table, 30 cases in each group. The control group was intervened by basic treatment including routine therapy in Neurology department and Western medicine rehabilitation therapy, while the treatment group was intervened by same treatment in the control group combined with long-time needle retaining at Baihui（GV 20）. Mental state of patients was evaluated by National Institute of Health stroke scale（NIHSS） and mini-mental state examination（MMSE） after 4 weeks of treatment. Results： After 4-week treatment, the NIHSS score dropped in both groups, and intra-group comparisons showed statistical significances（both P〈0.05）, and the score in the treatment group was statistically lower than that in the control group（P〈0.01）; the MMSE score in the treatment group was significantly higher than that in the control group, there was a statistical inter-group difference（P〈0.01）; the total effective rate was 93.3%, and the marked effective rate was 50.0% in the treatment group, versus 76.7% and 20.0% in the control group, there were significant differences in the total effective rate and the marked effective rate between the two groups（all P〈0.05）. Conclusion： Long-time needle retaining at Baihui（GV 20） can produce a safe valid therapeutic efficacy in treating post-stroke cognitive impairment.

Observation on clinical efficacy of warm needling therapy for chronic lumbar strain

Objective： To observe the clinical efficacy of warm needling therapy for chronic lumbar strain. Methods： A total of 60 patients with chronic lumbar strain who met the inclusion criteria were randomized into a treatment group and a control group by the random number table, with 30 cases in each group. The treatment group was treated with warm needling therapy, while the control group was treated with ordinary acupuncture treatment. The treatments were both performed once every other day, and 7 times constituted a course of treatment. Visual analog scale （VAS） score was used to assess the degree of pain and the clinical efficacy was compared between the two groups. Results： The total effective rate of the treatment group was higher than that of the control group （P〈0.05）. There was no significant difference in VAS score between the two groups before treatment （P〉0.05）. After treatment, the VAS scores of both groups decreased significantly, and the intra-group differences were statistically significant （both P〈0.05）. The VAS score of the treatment group after treatment was statistically different from that in the control group （P〈0.05）. Conclusion： Warm needling therapy has a better curative effect than ordinary acupuncture in the treatment of chronic lumbar strain.

推拿功法易筋经对老年骨骼肌减少症者肌力的影响

目的探讨中医传统推拿功法易筋经对老年骨骼肌减少症者肌力的影响。方法将2015年1月-2016年12月浙江中医药大学附属嘉兴中医院针推康复科就诊的65例符合骨骼肌减少症诊断及纳入标准的老年患者按随机数字表法随机分成推拿功法易筋经锻炼组(33例)和空白对照组(32例),其中,易筋经锻炼组进行12周持续推拿功法易筋经锻炼干预,分别于易筋经锻炼前和锻炼4、8、12周时应用电子握力器及椅上坐起和蹲下站起测量的方法,对参与研究的患者分别进行左、右手握力和双下肢骨骼肌肌力的测量。空白对照组只进行相关知识的教育和指导,不参与易筋经锻炼,但与易筋经锻炼组同时进行相关数据的采集和记录,然后分别进行2组组内和组间数据的收集整理和对比统计分析。结果 2组组间干预前左右手握力、15s椅上坐起与蹲下站起次数相比差异均无统计学意义(均P>0.05);推拿功法易筋经锻炼组组内干预12周后与干预前相比左右手握力明显增加(均P<0.05),15 s椅上坐起与蹲下站起次数明显增加(均P<0.05);12周后2组组间相比,易筋经组双手握力与15s椅上坐起与蹲下站起次数均明显增加(均P<0.05);对照组组内4次试验测量结果经对比分析,差异均无统计学意义(均P>0.05)。结论持续推拿功法易筋经锻炼,可以明显改善老年人骨骼肌肌力,改善老年人的生活质量。

Tuina plus Ultrasonic Therapy for Infantile Muscular Torticollis

Objective: To observe the clinical efficacy of tuina plus ultrasonic therapy in treating infantile muscular torticollis. Methods: Seventy kids with muscular torticollis were intervened by tuina plus ultrasonic therapy, and the efficacy was evaluated after 8-month treatment. Results: After 8-month treatment, 41 subjects were cured, accounting for 58.6%, 27 were improved, occupying 38.6%, 2 failed, occupying 2.8%, and the total effective rate was 97.2%. Conclusion: Tuina plus ultrasonic therapy can produce a significant efficacy in treating infantile muscular torticollis, without adverse effects.

腹诊剑突肿痛的病机与辨证

腹诊是中医四诊在胸腹部的特殊运用,在中医临证中有着极强的指导作用。“剑突肿痛”是临证腹诊中重要的且易被忽略的表现之一,是多种疾病伴随的明显征象之一,其肿痛性质和疾病表现有着直接关联。文章从经络腧穴、气机升降、气街转输等方面对腹诊“剑突肿痛”的临床诊断应用进行了探析,为腹诊“剑突肿痛”的临床运用提供了一定的理论依据。