Objective To optimize acupuncture treatment programs for facial paralysis.Methods Sixty-three cases of facial paralysis were randomly grouped according to orthogonal design L9(3)4 table,and treated by different comb...Objective To optimize acupuncture treatment programs for facial paralysis.Methods Sixty-three cases of facial paralysis were randomly grouped according to orthogonal design L9(3)4 table,and treated by different combined programs of 4 factors,A(acupuncture opportunity),B(combination of points),C(stimulating quantity),D(electroacupuncture time) and 3 levels,and changes of the functional score of the facial nerve were observed,and the different combined programs of the 4 factors,A(acupuncture opportunity),B(combination of point),C(stimulating quantity),D(electroacupuncture time) and 3 levels influencing acupuncture therapeutic effect on facial paralysis were optimized.Results B(combination of points) and D(electroacupuncture time) were obvious factors(P0.05),among them,B(combination of points) was the most main influencing factor;among the 3 levels of B(combination of points) and D(electroacupuncture time),B3 (alternately needling two groups of acupoints) and D3 (electroacupuncture treatment at sparse-dense wave for 30 min) were the best.Conclusion Electroacupuncture at sparse-dense wave for 30 min,alternately needling two groups of acupoints is the best program for treatment of facial paralysis.展开更多
Objective:To observe the difference in clinical efficacy between acupuncture with point selection based on syndrome differentiation along the meridians and acupuncture at non-meridian and non-acupoint points for funct...Objective:To observe the difference in clinical efficacy between acupuncture with point selection based on syndrome differentiation along the meridians and acupuncture at non-meridian and non-acupoint points for functional dyspepsia(FD).Methods:A total of 74 FD patients were randomized into an observation group and a control group,with 37 cases in each group.Both groups received acupuncture treatment.Zusanli(ST 36)and Neiguan(PC 6)were selected in the observation group,with Taichong(LR 3)and Neiting(ST 44)added for excess syndrome,and Gongsun(SP 4)and Yinlingquan(SP 9)added for deficiency syndrome.Four non-meridian and non-acupoint points were selected in the control group.The treatments in both groups were performed once a day with a 2-day break after 5 consecutive treatments,which constituted one treatment course.A total of 4 courses were performed.The scores of Nepean dyspepsia index(NDI)and Leeds dyspepsia questionnaire(LDQ)were recorded before and after treatment,and during follow-up(8,12,16,20 and 24 weeks after recruitment)to assess the clinical efficacy.Results:The NDI scores in the two groups after treatment and at each time point during follow-up were higher than those before treatment(all P<0.05),and the LDQ scores were lower than those before treatment(all P<0.05).The NDI scores after treatment and at each time point during follow-up in the observation group were higher than those in the control group(all P<0.01);the total LDQ score and scores of upper abdominal pain,postprandial satiety and upper abdominal burning sensation after treatment and at each time point during follow-up in the observation group were significantly lower than those in the control group(P<0.01 or P<0.05)..Conclusion:Acupuncture with point selection based on syndrome differentiation along the meridians has a better curative effect than acupuncture at non meridian and non-acupoint points in the treatment of FD.展开更多
基金Supported by Scientific Research Item of Department of Public Health of Hainan Province:2005-92
文摘Objective To optimize acupuncture treatment programs for facial paralysis.Methods Sixty-three cases of facial paralysis were randomly grouped according to orthogonal design L9(3)4 table,and treated by different combined programs of 4 factors,A(acupuncture opportunity),B(combination of points),C(stimulating quantity),D(electroacupuncture time) and 3 levels,and changes of the functional score of the facial nerve were observed,and the different combined programs of the 4 factors,A(acupuncture opportunity),B(combination of point),C(stimulating quantity),D(electroacupuncture time) and 3 levels influencing acupuncture therapeutic effect on facial paralysis were optimized.Results B(combination of points) and D(electroacupuncture time) were obvious factors(P0.05),among them,B(combination of points) was the most main influencing factor;among the 3 levels of B(combination of points) and D(electroacupuncture time),B3 (alternately needling two groups of acupoints) and D3 (electroacupuncture treatment at sparse-dense wave for 30 min) were the best.Conclusion Electroacupuncture at sparse-dense wave for 30 min,alternately needling two groups of acupoints is the best program for treatment of facial paralysis.
文摘Objective:To observe the difference in clinical efficacy between acupuncture with point selection based on syndrome differentiation along the meridians and acupuncture at non-meridian and non-acupoint points for functional dyspepsia(FD).Methods:A total of 74 FD patients were randomized into an observation group and a control group,with 37 cases in each group.Both groups received acupuncture treatment.Zusanli(ST 36)and Neiguan(PC 6)were selected in the observation group,with Taichong(LR 3)and Neiting(ST 44)added for excess syndrome,and Gongsun(SP 4)and Yinlingquan(SP 9)added for deficiency syndrome.Four non-meridian and non-acupoint points were selected in the control group.The treatments in both groups were performed once a day with a 2-day break after 5 consecutive treatments,which constituted one treatment course.A total of 4 courses were performed.The scores of Nepean dyspepsia index(NDI)and Leeds dyspepsia questionnaire(LDQ)were recorded before and after treatment,and during follow-up(8,12,16,20 and 24 weeks after recruitment)to assess the clinical efficacy.Results:The NDI scores in the two groups after treatment and at each time point during follow-up were higher than those before treatment(all P<0.05),and the LDQ scores were lower than those before treatment(all P<0.05).The NDI scores after treatment and at each time point during follow-up in the observation group were higher than those in the control group(all P<0.01);the total LDQ score and scores of upper abdominal pain,postprandial satiety and upper abdominal burning sensation after treatment and at each time point during follow-up in the observation group were significantly lower than those in the control group(P<0.01 or P<0.05)..Conclusion:Acupuncture with point selection based on syndrome differentiation along the meridians has a better curative effect than acupuncture at non meridian and non-acupoint points in the treatment of FD.