Objectives:To observe the clinical effect on the sequela of peripheral facial paralysis treated with the penetrating-sticking-pulling technique of acupuncture.Methods:A total of 53 patients with the sequela of periphe...Objectives:To observe the clinical effect on the sequela of peripheral facial paralysis treated with the penetrating-sticking-pulling technique of acupuncture.Methods:A total of 53 patients with the sequela of peripheral facial paralysis were diagnosed and divided into an observation group(26 cases)and a control group(27 cases)according to the visiting sequence.In the observation group,the penetrating-sticking-pulling technique of acupuncture was adopted.The Sibai(四白ST 2),Quanliao(颧髎 SI 18)and Jiache(颊车ST 6)et al.were needling toward Dicang(地仓ST 4)separately.The combined acupoints were selected according to clinical symptoms of individual patient.In the control group,the routine acupuncture was used,in which,ST 2,EX-HN 5,ST 7,ST 6,and ST 4 as well as Hegu(合谷LI 4)on the healthy side were selected.The treatment was given once every two days and a 7-treatment made one course.There were 3 days at interval between the courses.After 2 courses of treatment,the facial nerve function,e.g.,Hourse-Brackmann(H-B)grading,Sunnybrook score and clinical effect were observed.Results:①After treatment,H-B grading and Sunnybrook score were better than those before treatment in either of the observation group or the control group(P<0.05,P<0.01).H-B grading and Sunnybrook score were(2.23±0.64)and(96.62±2.59),respectively,in the observation group after treatment and they were(3.21±0.43)and(80.33±3.16)respectively in the control group.H-B grading and Sunnybrook score in the observation group were better than the control group,indicating the significant differences(P<0.05,P<0.01).②The curative rate and the total effective rate were 69.23%and 96.15%,respectively,in the observation group and they were 37.04%and 81.48%,respectively,in the control group,presenting the significant differences(both P<0.05).Conclusion:The penetrating-sticking-pulling technique of acupuncture achieves the definite effect on the sequela of peripheral facial paralysis and this therapy deserves to be promoted in clinical practice.展开更多
Objective:To observe the effects of the thumb-tack needling therapy on knee joint pain and joint function in the elderly patients with knee osteoarthritis(KOA)and compared with medication.Methods:A total of 60 patient...Objective:To observe the effects of the thumb-tack needling therapy on knee joint pain and joint function in the elderly patients with knee osteoarthritis(KOA)and compared with medication.Methods:A total of 60 patients were randomized into a thumb-tack needling group and a medication group,30 cases in each one.In the thumb-tack needling group,the therapy with the thumb-tack needle retaining and waiting for qi was adopted.The acupoints were Hèdǐng(EX-LE2鹤顶),Nèixīyǎn(内膝眼EX-LE4),Dúbí(犊鼻ST35),Xuèhái(血海SP10),Liángqiū(梁丘ST34)and Ashi points on the affected side.The needles were retained for 24 h.This therapy was given once every two days,3 times a week.The treatment for 2 weeks was as one course and consecutive 2 courses of treatment were required.In the medication group,diclofenac sodium sustained release tablets were taken orally,75 mg each time,once daily,consecutively for 4 weeks.Successively,the score of visual analogue scale(VAS)at the affected knee before treatment,after treatment and 3 months after treatment as well as Lequesne indicator before and after treatment were evaluated.The clinical therapeutic effect was observed in the patients of the two groups after treatment.Results:(1)After treatment,VAS scores were reduced as compared with those before treatment in the patients of the two groups(both P<0.05).After treatment,VAS score in the thumb-tack needling group was lower than that in the medication group(P<0.05).(2)After treatment,the scores of all the items of Lequesne indices reduced as compared with those before treatment in the patients of the both groups,indicating significance differences(all P<0.05).After treatment,compared with the medication group,the score of pain,morning stiffness and walking ability as well as the total score were all lower in the thumb-tack needling group,indicating significant differences(all P<0.05).(3)The curative and remarkably effective rate and the total effective rate were 66.7%and 93.3%in the thumb-tack needling group,higher than 56.7%and 86.7%in the medication group respectively(both P<0.05).Conclusion:The thumb-tack needling therapy effectively relieves knee joint pain and improves joint function in the patients and the therapeutic effect is better than medication group.Hence,this therapy deserves to be promoted in clinical practice.展开更多
Objective:To explore the therapeutic effect of acupoint catgut embedding combined with gingerseparated moxibustion for sequelae of peripheral facial paralysis and whether surface electromyography(sEMG)can be an outcom...Objective:To explore the therapeutic effect of acupoint catgut embedding combined with gingerseparated moxibustion for sequelae of peripheral facial paralysis and whether surface electromyography(sEMG)can be an outcome to evaluate the effect of this disease.Methods:Thirty-five patients with sequelae of peripheral facial paralysis were treated with catgut embedding at the acupoints selected according to their individual symptoms and traditional Chinese medicine(TCM)differentiated syndromes.At the same time,the ginger-separated moxibustion was applied at Yifeng(翳风TE17)and Qianzheng(牵正EX-HN16)of the affected side.The catgut embedding was applied once every 15 days,one time of treatment is of one course,and a total of three courses were given.The moxibustion would be taken after 5 days of catgut embedding each time,once every other day,5 times as one course,a total of 3 courses are given.After treatment,the recovery of facial nerve functions was evaluated by House-Brackmann(H-B)facial nerve function evaluation grading system.Before and after treatment,the surface electromyography(sEMG)was used to detect the root-mean-square(RMS)of frontal muscles,cheek muscles,and orbicularis oris muscles to compare the RMS ratio of these muscles of affected side and healthy side.Results:After 3 courses of treatment,9 cases were cured,22 cases were effective,and 4 cases were ineffective.The total effective rate was 88.6%(31/35).After treatment,the RMS of frontal muscles,cheek muscles,and orbicularis oris muscles of the affected side were 31.56±4.25,34.13±4.28,and 7.46±1.53 respectively,significantly increased in comparing with 11.69±2.45,12.98±3.34,and 2.62±1.41 respectively before treatment(all P<0.05).After treatment,the RMS ratios of frontal muscles,cheek muscles,and orbicularis oris muscles of the affected side and healthy side were 0.73±0.09,0.71±0.11,and 0.68±0.08 respectively,greatly increased in comparing with 0.28±0.10,0.27±0.08,and 0.22±0.09 respectively before treatment(all P<0.05).Conclusion:Acupoint catgut embedding and ginger-separated moxibustion in combination can significantly improve the facial nerve functions,and sEMG used for evaluating the therapeutic effect can objectively reflect the effect of treatment.展开更多
文摘Objectives:To observe the clinical effect on the sequela of peripheral facial paralysis treated with the penetrating-sticking-pulling technique of acupuncture.Methods:A total of 53 patients with the sequela of peripheral facial paralysis were diagnosed and divided into an observation group(26 cases)and a control group(27 cases)according to the visiting sequence.In the observation group,the penetrating-sticking-pulling technique of acupuncture was adopted.The Sibai(四白ST 2),Quanliao(颧髎 SI 18)and Jiache(颊车ST 6)et al.were needling toward Dicang(地仓ST 4)separately.The combined acupoints were selected according to clinical symptoms of individual patient.In the control group,the routine acupuncture was used,in which,ST 2,EX-HN 5,ST 7,ST 6,and ST 4 as well as Hegu(合谷LI 4)on the healthy side were selected.The treatment was given once every two days and a 7-treatment made one course.There were 3 days at interval between the courses.After 2 courses of treatment,the facial nerve function,e.g.,Hourse-Brackmann(H-B)grading,Sunnybrook score and clinical effect were observed.Results:①After treatment,H-B grading and Sunnybrook score were better than those before treatment in either of the observation group or the control group(P<0.05,P<0.01).H-B grading and Sunnybrook score were(2.23±0.64)and(96.62±2.59),respectively,in the observation group after treatment and they were(3.21±0.43)and(80.33±3.16)respectively in the control group.H-B grading and Sunnybrook score in the observation group were better than the control group,indicating the significant differences(P<0.05,P<0.01).②The curative rate and the total effective rate were 69.23%and 96.15%,respectively,in the observation group and they were 37.04%and 81.48%,respectively,in the control group,presenting the significant differences(both P<0.05).Conclusion:The penetrating-sticking-pulling technique of acupuncture achieves the definite effect on the sequela of peripheral facial paralysis and this therapy deserves to be promoted in clinical practice.
基金Supported by Fujian Natural Science Foundation Project:No.2017J01350。
文摘Objective:To observe the effects of the thumb-tack needling therapy on knee joint pain and joint function in the elderly patients with knee osteoarthritis(KOA)and compared with medication.Methods:A total of 60 patients were randomized into a thumb-tack needling group and a medication group,30 cases in each one.In the thumb-tack needling group,the therapy with the thumb-tack needle retaining and waiting for qi was adopted.The acupoints were Hèdǐng(EX-LE2鹤顶),Nèixīyǎn(内膝眼EX-LE4),Dúbí(犊鼻ST35),Xuèhái(血海SP10),Liángqiū(梁丘ST34)and Ashi points on the affected side.The needles were retained for 24 h.This therapy was given once every two days,3 times a week.The treatment for 2 weeks was as one course and consecutive 2 courses of treatment were required.In the medication group,diclofenac sodium sustained release tablets were taken orally,75 mg each time,once daily,consecutively for 4 weeks.Successively,the score of visual analogue scale(VAS)at the affected knee before treatment,after treatment and 3 months after treatment as well as Lequesne indicator before and after treatment were evaluated.The clinical therapeutic effect was observed in the patients of the two groups after treatment.Results:(1)After treatment,VAS scores were reduced as compared with those before treatment in the patients of the two groups(both P<0.05).After treatment,VAS score in the thumb-tack needling group was lower than that in the medication group(P<0.05).(2)After treatment,the scores of all the items of Lequesne indices reduced as compared with those before treatment in the patients of the both groups,indicating significance differences(all P<0.05).After treatment,compared with the medication group,the score of pain,morning stiffness and walking ability as well as the total score were all lower in the thumb-tack needling group,indicating significant differences(all P<0.05).(3)The curative and remarkably effective rate and the total effective rate were 66.7%and 93.3%in the thumb-tack needling group,higher than 56.7%and 86.7%in the medication group respectively(both P<0.05).Conclusion:The thumb-tack needling therapy effectively relieves knee joint pain and improves joint function in the patients and the therapeutic effect is better than medication group.Hence,this therapy deserves to be promoted in clinical practice.
文摘Objective:To explore the therapeutic effect of acupoint catgut embedding combined with gingerseparated moxibustion for sequelae of peripheral facial paralysis and whether surface electromyography(sEMG)can be an outcome to evaluate the effect of this disease.Methods:Thirty-five patients with sequelae of peripheral facial paralysis were treated with catgut embedding at the acupoints selected according to their individual symptoms and traditional Chinese medicine(TCM)differentiated syndromes.At the same time,the ginger-separated moxibustion was applied at Yifeng(翳风TE17)and Qianzheng(牵正EX-HN16)of the affected side.The catgut embedding was applied once every 15 days,one time of treatment is of one course,and a total of three courses were given.The moxibustion would be taken after 5 days of catgut embedding each time,once every other day,5 times as one course,a total of 3 courses are given.After treatment,the recovery of facial nerve functions was evaluated by House-Brackmann(H-B)facial nerve function evaluation grading system.Before and after treatment,the surface electromyography(sEMG)was used to detect the root-mean-square(RMS)of frontal muscles,cheek muscles,and orbicularis oris muscles to compare the RMS ratio of these muscles of affected side and healthy side.Results:After 3 courses of treatment,9 cases were cured,22 cases were effective,and 4 cases were ineffective.The total effective rate was 88.6%(31/35).After treatment,the RMS of frontal muscles,cheek muscles,and orbicularis oris muscles of the affected side were 31.56±4.25,34.13±4.28,and 7.46±1.53 respectively,significantly increased in comparing with 11.69±2.45,12.98±3.34,and 2.62±1.41 respectively before treatment(all P<0.05).After treatment,the RMS ratios of frontal muscles,cheek muscles,and orbicularis oris muscles of the affected side and healthy side were 0.73±0.09,0.71±0.11,and 0.68±0.08 respectively,greatly increased in comparing with 0.28±0.10,0.27±0.08,and 0.22±0.09 respectively before treatment(all P<0.05).Conclusion:Acupoint catgut embedding and ginger-separated moxibustion in combination can significantly improve the facial nerve functions,and sEMG used for evaluating the therapeutic effect can objectively reflect the effect of treatment.
