耳穴埋针法治疗胃痞病(肝胃不和证)疗效观察

目的:观察耳穴埋针法对胃痞(肝胃不和证)患者应用的临床疗效及复发率。方法:选择脾胃病专科住院和门诊胃痞(肝胃不和证)患者96例,随机分为观察组和对照组各48例,观察组在口服中药的基础上加用耳穴埋针法治疗。对照组单纯口服中药。结果:观察组临床疗效优于对照组,且3个月后的复发率低于对照组,差异有统计学意义(P <0. 05)。结论:耳穴埋针法治疗胃痞能明显提高临床疗效及预防疾病的复发。并且操作简便,价格低廉,容易被病人接受。

耳穴埋针法配合排石仪治疗胆石病50例临床观察

2004年7月-2007年11月收治胆石病患者50例，随机分为耳穴埋针排石仪组和体针组进行观察。耳穴埋针排石仪组25例，男12例，女13例，病程1个月～4年；体针组25例，男10例，女15例，病程3个月～5年。两组一般资料差异均无显著性（P〉0．05），具有可比性。

耳穴埋针法配合治疗仪治疗胆石病50例临床观察

目的探讨耳穴埋针法配合排石仪共同治疗胆石病的疗效。方法通过对耳穴埋针排石仪法和体针法治疗胆石病的比较。结果耳穴埋针排石仪法效果较好,有效率为92%,体针组有效率为52%。结论耳穴埋针配合排石仪法治疗胆石症有显著疗效。

耳穴埋针法治疗失眠42例

笔者应用耳穴埋针法治疗失眠42例，取得显著疗效，现报道如下。 一般资料 本组共42例，均为2009～2011年收治的住院患者，其中男16例，女26例；年龄最小16岁，最大70岁；病程最短3个月，最长7年。既往曾用过中药、西药等方法，效果不佳。

电针耳廓穴区对子宫内膜异位症模型动物β-内啡肽及子宫活动影响的实验研究

耳穴埋针法治疗子宫内膜异位症(EMT)痛经总有效率达91.9％[1].为探讨耳穴埋针法治疗本病的作用机制,我们观察了电针耳廓穴区对子宫内膜异位症模型动物下丘脑、垂体β-EP含量的影响,以及对子宫活动的影响,现报告如下.

耳穴透穴埋针刺法治疗偏头痛的临床疗效及对血浆5-羟色胺含量的影响

目的:观察耳穴透穴埋针刺法治疗偏头痛的临床疗效及探讨其作用机制。方法:92例偏头痛患者按照就诊的先后顺序随机分为试验组和对照组,每组46例。试验组采用耳穴透穴埋针刺法,以额、颞、枕为主穴,伴有恶心、呕吐者加胃、交感,伴畏光者加眼,每次留针5 d,共埋针4次;对照组口服尼莫地平,40 mg/次,3次/d,连服4周。治疗结束后1个月和6个月分别评定两组近期疗效和远期疗效;采用荧光分光法检测两组治疗前后的血浆5-羟色胺(5-HT)含量。结果:治疗结束后1个月和6个月两组综合评分均低于治疗前(P<0.01);组间综合评分比较,试验组均低于对照组(P<0.01)。两组患者近期疗效比较,试验组总有效率82.61%(38/46),对照组总有效率67.39%(31/46),差异有统计学意义(P<0.05);两组患者远期疗效比较,试验组总有效率83.72%(36/43),对照组总有效率57.14%(24/42),差异有统计学意义(P<0.05)。治疗结束后两组血浆5-HT含量比较,试验组高于对照组(P<0.05)。结论:耳穴透穴埋针刺法是治疗偏头痛的一种有效方法,其作用机制可能与提高患者血浆5-HT含量有关。

Clinical observation of auricular needle-embedding therapy for primary insomnia

Objective:To observe the clinical efficacy of auricular needle-embedding therapy for treating primary insomnia.Methods:A total of 63 patients were randomly divided into a conventional acupuncture group and an auricular needleembedding group.The conventional acupuncture group received acupuncture at meridian points,while the auricular needle-embedding group received acupuncture at auricular points.Treatments were given once a day for 6 consecutive days,followed by a 1-day break,as a course of treatment.Both groups were treated for 2 courses.Before treatment,and after 1 course and 2 courses of treatment,the Pittsburgh sleep quality index(PSQI)score was assessed,and the efficacy was evaluated.Results:The cured and markedly effective rate and total effective rate of the auricular needle-embedding group were higher than those of the conventional acupuncture group,but there was no significant difference between the two groups(P>0.05).After 1 course of treatment,the PSQI global score and the scores of subjective sleep quality,sleep latency,sleep duration,habitual sleep efficiency,and daytime dysfunction of both groups decreased compared with those before treatment(P<0.01);there was no statistical significance in comparing the PSQI global score and individual component scores between the two groups(P>0.05).After 2 courses of treatment,the PSQI global score and the scores of sleep latency and habitual sleep efficiency of the auricular needle-embedding group decreased compared with those after 1 course of treatment(P<0.01 or P<0.05),while only the score of sleep latency of the conventional acupuncture group decreased compared with that after 1 course of treatment(P<0.05);the PSQI global score and the scores of subjective sleep quality and sleep latency of the auricular needle-embedding group were lower than those of the conventional acupuncture group(P<0.05).Conclusion:Both therapies can improve insomnia.Compared to conventional acupuncture,auricular needleembedding therapy demonstrates a therapeutic advantage in improving sleep latency and sleep quality,making it worthy of clinical promotion.