穴位敷贴联合自我管理治疗膝骨关节炎疗效观察

目的:观察穴位敷贴联合自我管理治疗膝骨关节炎的临床疗效。方法:70例患者随机分为治疗组和对照组,每组35例,对照组行基础治疗及自我管理,治疗组在对照组基础上给予穴位敷贴治疗,分别于治疗前、治疗6周后和治疗结束后6个月时采用WOMAC量表、SF-36问卷量表评定比较两组患者治疗前后的膝关节功能及生活质量。结果:治疗前、治疗6周后及治疗结束后6个月WOMAC评分、SF-36问卷评分比较:治疗6周后及治疗结束6个月后,两组患者WOMAC评分均显著低于治疗前(P<0.05),治疗组WOMAC评分显著低于对照组(P<0.05);治疗6周后及治疗结束6月后,两组患者SF-36问卷评分均明显高于治疗前(P<0.05),治疗组SF-36问卷评分显著高于对照组(P<0.05)。结论:穴位敷贴联合自我管理治疗膝骨关节炎疗效显著,可明显改善老年膝骨关节炎患者关节功能及生活质量。

远红外穴位敷贴联合温肺化痰活血法治疗小儿咳嗽疗效观察

目的:探究远红外穴位敷贴联合温肺化痰活血法治疗小儿咳嗽的临床疗效。方法:选择70例小儿咳嗽患儿,随机分为两组,对照组采取常规治疗+远红外穴位敷贴,观察组于对照组基础上联合温肺化痰活血法治疗,比较两组疗效。两组均于治疗前后测定T细胞亚群相关指标水平,评估两组免疫功能变化。结果:治疗后观察组总有效率为91.4%显著高于对照组(P<0.05);治疗前两组患儿中医证候总积分对比差异无统计学意义(P>0.05);治疗后观察组中医证候总积分显著低于对照组(P<0.05);治疗后观察组CD_8^+显著高于治疗前与对照组,CD_4^+/CD_8^+显著低于治疗前与对照组(P<0.05)。结论:采用远红外穴位敷贴联合温肺化痰活血法治疗小儿咳嗽,可有效缓解症状,疗效确切。

穴位贴敷联合利拉鲁肽治疗2型糖尿病肥胖32例

目的:观察中药贴敷联合利拉鲁肽对于2型糖尿病肥胖者腹围减少及生化改善的临床效果。方法:将我院确诊的70例患者随机分为两组,治疗组32例,对照组38例。对照组采用二甲双胍片治疗,治疗组在此基础上加用中药穴位贴敷联合利拉鲁肽治疗,2个月后观察两组治疗效果。结果:两组体质指标及部分生化指标均得到改善,且治疗组优于对照组。结论:中药贴敷联合利拉鲁肽能有效减少2型糖尿病肥胖腰围,改善临床表现。

清肺贴穴位贴敷联合西药治疗小儿急性支气管炎随机平行对照研究

[目的]观察清肺贴穴位贴敷联合西药治疗小儿急性支气管炎疗效。[方法]使用随机平行对照方法,将108例门诊患者按就诊顺序编号方法简单随机分为两组。对照组54例对症治疗,止咳、抗生素、抗病毒,营养支持。治疗组54例清肺贴(银花、前胡、紫菀、冬花、百部、浙贝、矮地茶、枳壳、鱼腥草等打成粉末,用凡士林制成药膏)穴位贴敷,将带有药膏的自粘性消毒敷料贴于双侧肺腧、膻中穴、天突、丰隆穴位,1次/d,4~6h/次;西药治疗同对照组。连续治疗5d为1疗程。观测临床症状、中医证候积分、咯痰、咳嗽、湿啰音消失时间、不良反应。治疗1疗程(5d),判定疗效。[结果]治疗组痊愈7例,显效31例,有效14例,无效2例,总有效率96.29%;对照组痊愈3例,显效27例,有效20例,无效4例,总有效率92.59%;两组间无明显差异(P>0.05)。中医证候积分两组均明显改善(P<0.01),治疗组改善优于对照组(P<0.01);咯痰、咳嗽、湿罗音消失时间治疗组均明显快于对照组(P<0.01)。[结论]清肺贴穴位贴敷联合西药治疗小儿急性支气管炎,疗效满意,无严重不良反应,值得推广。

类风湿关节炎患者穴位贴敷联合专业护理的临床观察

类风湿关节炎属于免疫系统疾病,可导致患者肢体发生关节畸形,严重时可导致患者丧失关节功能,因此具有较高的致残率[1,2],本研究旨在探讨穴位贴敷联合专业护理对类风湿关节炎的临床效果,为此选择我院2014年3月至2015年3月84例类风湿性关节炎患者,报道如下。资料与方法1一般资料随机抽取我院2014年3月至2015年3月84例类风湿性关节炎患者,其中男45例,女39例,年龄26~73岁,病程1~8年,所有患者均符合相关诊疗标准[3]。

穴位敷贴Ⅰ方对小儿支气管哮喘的疗效观察

目的:探讨穴位敷贴Ⅰ方联合临床常规治疗对小儿支气管哮喘的临床疗效。方法:将72例支气管哮喘小儿患者随机分成A、B两组(n=36),并分别给予穴位敷贴法联合临床常规治疗和单独应用临床常规治疗小儿哮喘。记录A、B两组患儿的喘息、咳嗽、哮鸣音及痰鸣音四方面的持续时间及症状体征治疗效率,分析判断穴位敷贴I方的临床疗效情况。结果:A组患儿的总体治疗有效率(91.67%)明显高于B组(72.22%);两组于入院治疗前的喘息、咳嗽、哮鸣音及痰鸣音等症状或体征持续时间上的差异不大;A组患儿经相关治疗后的症状及体征改善情况明显优于B组。结论:穴位敷贴I方联合临床常规治疗对小儿支气管哮喘效果较好。

贴敷茶对戒烟疗效观察

目的:探讨中医综合疗法戒烟的临床疗效。方法:将80例吸烟者按1比1比例随机分为治疗组和对照组,以戒断率和尼古丁依赖测验量表评分为观察指标,观察中药药茶、中药穴位敷贴和耳穴贴压的综合疗法戒烟作用。结果:烟龄、尼古丁依赖程度与戒烟疗效呈负相关。烟龄越长,戒断率就越低;尼古丁依赖程度越高,戒断率和有效率也随之降低。治疗组40例疗程结束后6个月统计总有效率95%,戒断率52.5%;对照组40例疗程结束后6个月统计总有效率35%,戒断率5%。两组比较有明显差异(P<0.05)。结论:采用综合以上3种疗法治疗较之单用一种中药药茶加多酶片的方法疗效更好,也易于应用推广。

舒肺贴治疗慢性阻塞性肺疾病疗效观察

目的:观察温肺化痰类中药敷贴穴位治疗慢性阻塞性肺疾病稳定期的临床疗效。方法:采用舒肺贴(白芥子、芫花、延胡索、干姜、细辛、椒目、肉桂等)穴位敷贴治疗本病71例。并设对照组观察。结果:治疗组临床控制率及显效率明显高于对照组,两组疗效有显著性差异(P<0.01);治疗组治疗后咳嗽、咳痰、气喘、胸闷、气短症状较治疗前均明显减轻(P<0.01),在咳嗽、咳痰症状改善程度上治疗组明显高于对照组(P<0.01),在气喘、胸闷、气短症状改善程度上治疗组也优于对照组(P<0.05)。结论:本方法对本病有温肺化痰,扶正祛邪的功效。

Effect of acupoint application combined with microwave treatment on the intestine barrier functional disturbance of moderately severe acute pancreatitis

Objective: To explore and analyze the effect of acupoint application combined with microwave treatment on the intestinal barrier dysfunction with moderately severe acute pancreatitis. Methods: A convenient sample of 90 moderately severe acute pancreatitis was selected from March 2017 to December 2017 in the comprehensive hospital with third grade in Tianjin. The patients were divided into group A (acupoint application combined with microwave treatment), group B (acupoint application) and group C (routine nursing). Thirty patients were included in each group. This study need to get the informed consent of the patients. Acupoint application combined with microwave treatment was used, basing on routine nursing measures in group A. Acupoint application was used by the same way and the same traditional Chinese medicine ,basing on routine nursing measures in group B. Routine nursing used in group C. C-reactive protein and the score of intestinal function were measured on 3 th day, 7 th day and 10 th day, after intervention. To record the effective ratio of the treatment after 10 days of intervention. Results: There are significant statistical difference among the three group after intervention (P < 0.05). Conclusion: In some way, acupoint application combined with microwave treatment are able to decrease the time about the recovery of intestinal barrier dysfunction in moderately severe acute pancreatitis and to alleviate the suffering of patients.

The clinical effect observation of gastrointestinal function after colorectal cancer surgery with integrated of Chinese and western medicine nursing methods

Objective: To observe the clinical effect of warm moxibustion therapy and acupoint application therapy on recovery of gastrointestinal functions in postoperative patients with colorectal cancer. Methods: Eighty patients with colorectal cancer were admitted to Department of Gastrointestinal surgery Tianjin Nankai Hospital. A retrospective analysis of 20 cases as control group. 60 patients near admitted and the use of randomly divided into three treatment groups, 20 cases of each group. The control group received conventional therapy and nursing, and three treatment groups respectively received warm moxibustion therapy, acupoint application therapy and both the two methods above together additionally. Then compared the intervention effect of them. Results: General information on four groups of comparison, there was no statistics significance (P > 0.05), between the four groups were comparable. Analysis of variance of repeated measures indicated that the interaction effect of intervention time and grouping had significant influence on Chinese medicine symptom. Two groups of the Chinese medicine symptom integral changing are inconsistent (P < 0.01). Chinese medicine symptom efficacy total effective rate of treatment group was superior to the control group (P < 0.01). And first postoperative exhaust time, defecating time and eating time were earlier than control group (P < 0.01). Conclusion: Warm moxibustion therapy and acupoint application therapy had certain clinical effect on the recovery of gastrointestinal function in patients with colorectal cancer after operation, and worthy of further application in clinical practice.

Effect of moxibustion combined with acupoint application on enteral nutrition tolerance in patients with severe acute pancreatitis

Objective: To explore and analyze the effect of moxibustion combined with acupoint application on enteral nutrition tolerance, nutritional status and comfort in patients with severe acute pancreatitis. Methods: Ninety-six patients who were hospitalized in a third-grade class-A general hospital in Tianjin were selected and divided into three groups: A, B, and C, each with 32 cases. Group A uses usual treatment and care methods, group B implements acupoint application treatment, group C was treated with moxibustion on the basis of acupoint application. Intervention time is from the first day of the enteral nutrition to the 7th day, the tolerance of enteral nutrition in patients 7 days during the intervention and the level of serum albumin and pre-protein in the nutritional indicators of patients on day 3 of intervention and intervention on day 7, as well as the comfort level of the patients on the 7th day of intervention were observed and recorded. Results:(1) The difference in the incidence of enteral nutrition intolerance among the three groups was significantly statistical (P < 0.05). The incidence of enteral nutrition intolerance in group C was lower than that in group B (P < 0.05) and group A (P < 0.05). There was no significant difference between group B and group C (P > 0.05).(2) Nutritional index levels of three groups of patients, on the third day of intervention, the serum albumin and serum pre-protein were significantly statistical (P < 0.05). Comparing the two groups, the serum albumin level in group A was significantly different from that in group B (P < 0.05). There was significant difference between group A and group C (P < 0.05). There was no significant difference between the group and the group C (P > 0.05). On the 7th day of intervention, the difference between group A and group B was statistically significant (P < 0.05). There was a statistically significant difference between group A and group C (P < 0.05), group B and group C (P < 0.05). Pre-protein levels in three groups, there was a significantly statistical difference between intervention days 3 and 7 (P < 0.05), further comparison was made between the two groups. On the third day of intervention, there were significant differences between group A and group B, group A and group C, group B and group C (P < 0.05). On the 7th day of intervention, there were significant differences between group A and group B, group A and group C, group B and group C (P < 0.05).(3) On the 7th day of intervention, the comfort level of the three groups was significantly different (P < 0.05). Further comparison between the two groups was made. The comfort score of group C was higher than that of group B and group A (P < 0.05), and the score of group B was higher than group A (P < 0.05). Conclusion: Moxibustion combined with acupoint application can effectively improve the tolerance level of enteral nutrition and improve the nutritional status of patients and increase patient comfort.

Study on the timing of intervention of gastrointestinal function recovery in patients after laparoscopic cholecystectomy with acupoint application of traditional Chinese medicine

Objective: To explore the optimal timing of drug application for the recovery of gastrointestinal function in patients after laparoscopic cholecystectomy. Methods: Ninety patients undergoing laparoscopic cholecystectomy were randomly divided into three groups: control group, intervention group 1 and intervention group 2. All three groups received routine perioperative nursing. Intervention group 1 and group 2 were given acupoint application of Chinese medicine at 0.5 h and 6 h after operation, and the waveform was monitored by electrogastrogram on the 1st day before operation and 3 d after operation. The first anal exhaust time, defecation time, abdominal distension and electrogastrogram changes were analyzed and compared in the three groups. Results: Compared with the first exhaust time and defecation time after operation, the intervention group 1 was earlier than the intervention group 2, and the intervention group 2 was earlier than the control group, the difference was statistically significant (P < 0.05). The average frequency, waveform response area and average amplitude of the intervention group 1 were better than those of the intervention group 2, and the intervention group 2 was better than the control group (P < 0.05). Conclusion: Administration of Chinese medicine acupoint application within 0.5 hours after operation can promote the recovery of gastrointestinal function and improve gastric motility in patients undergoing abdominal surgery, and the curative effect is significant and safe.

Research on laws of effect of different acupuncture-moxibustion therapies based on data mining

Different acupuncture-moxibustion therapies can produce different clinical effects, that is, the effect has specificity, which is significantly important in obtaining acupuncture-moxibustion efficacy. In this study, the clinical application laws of fire needle, acupoint injection, catgut embedment, acupoint application, moxibustion therapy and filiform needle acupuncture were summarized in the aspects of category of disease, efficacy and related prescriptions （such as medication and acupoint selection） based on the result of data mining, and the general applicable categories of disease of acupuncture-moxibustion treatment methods were further screened, so as to guide the clinical application and give play to the best efficacy.

Observation of therapeutic effect of acupoint application on constipation

Objective To explore the efficacy and safety of acupoint application in treatment of constipation. Methods Sixty-two cases were randomly divided into 2 groups, named acupoint application group （32 cases） and Chinese herb group （30 cases）. In the acupoint application group, Chinese herbal plaster was applied on Tianshu （天枢 ST 25）, Gufnyuan （关元 CV 4） and Qihai （气海 CV 6）. In the Chinese herb group, Congrong Tongbian Koufuye （苁蓉通便口服液） was administered orally. The efficacy was observed after 7 days treatment. Results The total effective rate was 81.3% （26/32） in the acupoint application group and was 60.0% （18/30） in the Chinese herb group, indicating significant statistical difference in comparison （P〈0.05）. The significant difference presented in the time of the first defecation after treatment between two groups （P〈0.05）. The defecation promotion in the acupoint appli- cation group was superior to that in the Chinese herb group. The significant difference resulted in the comparison of clinical symptom integral before and after treatment in two groups （P〈0. 05）. The group comparison did not present significant difference. Conclusion Acupoint application of Chinese herbs has definite efficacy on constipation. It is convenient in operation, no pain and less toxic side effect and good in compliance.

Therapeutic effect on windstroke combined with obesity treated with acupoint application

Objective To explore the influences on functional rehabilitation of affected extremities after suffering windstroke and recurrence rate by weight control. Methods One hundred and seven cases of windstroke were randomized into acupoint application with puncture group （55 cases） and puncture group （52 cases）. The total effective rate, the National Institutes of Health Stroke Scale （NIHSS） scores, Barthel index score and recurrence rates within one year were observed before and after treatment in two groups. Results The total effective rate was 81.8% in acupoint application with puncture group and 44.2% in puncture group, with statistical significant difference （P〈0 01） ; the significant differences were presented statistically in comparison of NIHSS and Barthel between the two groups after treatment, and in both groups before and after treatment （P〈0.01）, and presented as well in comparison of recurrence rates within one year between the two groups （P〈0.05）. Conclusion Weight intervention helps to not only recover the function of affected extremities, but also probably be good for reducing recurrence rate of windstroke.

Clinical observation on Tui-pushing the Large Intestine Meridian plus point sticking at Tianshu(ST 25) in prevention of post-stroke constipation

Objective： To observe the prevention effect of Tui-pushing the Large Intestine Meridian plus point sticking at Tianshu（ST 25） for post-stroke constipation. Methods： Seventy eligible patients with post-stroke constipation were randomized into a treatment group and a control group, 35 cases in each group. Both groups were intervened by conventional treatment and care in Western medicine, while the treatment group was also by Tui-pushing the Large Intestine Meridian and point sticking at Tianshu（ST 25）. The treatment lasted for 14 d. Therapeutic efficacy was evaluated by the first defecation time, constipation incidence and Chinese stroke scale（CSS） score. Results： After treatment, the first defecation time was（1.86 ± 0.74） d in the treatment group, shorter than（2.77 ± 0.83） d in the control group; constipation incidence was 14.3% in the treatment group, significantly lower than 37.1% in the control group, and the between-group differences in the two items were statistically significant（both P〈0.05）. CSS score in both groups dropped significantly after treatment（both P〈0.05）; the improvement in the treatment group was better than that in the control group, and the inter-group difference was statistically significant（P〈0.05）. Conclusion： Tui-pushing the Large Intestine Meridian plus point sticking at Tianshu（ST 25） can effectively prevent post-stroke constipation, and can also promote the rehabilitation of nerve functions.

Clinical observation on warm needling moxibustion plus acupoint sticking therapy for cervical radiculopathy

Objective: To observe the clinical effect of warm needling moxibustion plus acupoint sticking therapy for cervical radiculopathy. Methods: A total of 120 cases were allocated into an observation group, a warm needling group and an acupoint sticking group according to the random number table, with 40 cases in each group. Cases in the observation group received warm needling moxibustion plus acupoint sticking therapy;cases in the warm needling group received the same warm needling moxibustion in the observation group;cases in the acupoint sticking group received the same acupoint sticking therapy in the observation group. The scores of Japanese Orthopaedic Association (JOA) and visual analog scale (VAS) were recorded before and after treatment. Results: The total effective rate was 95.0% in the observation group, versus 77.5% in the warm needling group and 75.0% in the acupoint sticking group (both P<0.05). Inter-group differences in JOA and VAS between the observation group and the other two groups were statistically significant (all P<0.05). Conclusion: Warm needling moxibustion plus acupoint sticking therapy is effective in treating cervical radiculopathy, and it can significantly alleviate pain and enhance clinical efficacy, and thus is worth clinical popularization.

Observation on clinical effects of acupuncture plus external medicine application for cervical radiculopathy

Objective： To observe the clinical effects of acupuncture plus external medicine application for cervical radiculopathy. Methods： A total of 98 patients with cervical radiculopathy were randomly divided into an observation group and a control group based on the random digital table. The observation group （50 cases） was treated by acupuncture plus external medicine application and the control group （48 cases） was treated by acupuncture alone. The patients received the treatment every day. Ten sessions made a course. Cervical spondylosis symptom scale was used to assess the cases before and after the treatment. The clinical efficacy was compared between the two groups after the treatment. Results： The total effective rate was 98.1% in the observation group versus 87.6% in the control group with a statistically significant difference between the two groups （P〈0.05）. The cure rate was 52.0% in the observation group versus 18.8% in the control group with a significant difference between the two groups （P〈0.05）. There was no significant difference in the score of cervical spondylosis symptom scale between the two groups before the treatment （P〉0.05）. It increased with a significant difference in both groups after the treatment （both P〈0.05）, while a significant difference was found in the results between the two groups after the treatment （P〈0.05）. Conclusion： Acupuncture plus external medicine application is more effective than acupuncture alone for treating cervical radiculopathy. The method also effectively improves the clinical symptoms.

Influence of Acupoint Application Therapy on Biochemical Indexes of Asthma Patients in Remission Period

Objective： To observe the influence of acupoint application therapy on serum eosinophilic granulocyte cationic protein （ECP）, 6 keto prostaglandin F 1 （6-keto-PGF 1） and thromboxane B2 （TXB2）. Methods： 300 cases of asthma out-patients in a remission period were divided into a treatment group （150 cases） and a control group （150 cases）. The control group was given the basic treatment, and the treatment group was given external application on the acupoints in July and December every year, as well as the basic treatment of the control group, with continuous treatment for 2 years as one course. ECP, 6-keto-PGF 1, and TXB2 were checked every year in the patients of the two groups, and an Asthma Control Test Table was filled in for comparative analysis. Results： After the external application on the acupoints, the frequency of seizures, dyspnea and frequency of medication administration of the patients had been more reduced than those in the control group, indicating that the levels of ECP in inflammation of air passage and of 6-eto-GF 1 and TXB2 were obviously improved （P〈0.05）. Conclusion： The herbal application on the acupoints is effective and positively influential to the improvement of the symptoms in the asthma patients and to ECP, 6-keto-PGF 1, and TXB2 remarkably.

Prevention and Treatment for Chronic Pharyngitis by Acupoint Sticking Therapy:A Report of 100 Cases

Chronic pharyngitis is a clinically common and frequent-occurring disease, termed as ＂chronic throat Bi-Impediment syndrome＂ in Chinese medicine, and mostly occurs in winter and spring[1-2]. Based upon the theory of traditional Chinese medicine to support the anti-pathogenic ability and expel pathogen, chronic pharyngitis was prevented and treated by acupoint sticking therapy from 2007 in our clinic. Now, the report is given as follows.