Objective: To observe the clinical efficacy of Gao's nape acupuncture plus swallowing training in treating pharyngeal deglutition disorder after stroke. Methods: One hundred patients with post-stroke pharyngeal de...Objective: To observe the clinical efficacy of Gao's nape acupuncture plus swallowing training in treating pharyngeal deglutition disorder after stroke. Methods: One hundred patients with post-stroke pharyngeal deglutition disorder were randomized into a treatment group and a control group, with 50 cases in each group. The two groups both received routine neurological intervention. In addition, the treatment group was given Gao's nape acupuncture plus swallowing training, while the control group was intervened by swallowing training alone. After eight-week treatment, the two groups were observed in terms of the changes in repetitive saliva swallowing test (RSST), modified water swallowing test (MWST), standardized swallowing assessment (SSA) and swallowing-related quality of life (SWAL-QOL). The clinical efficacies of the two groups were also compared. Results: After treatment, the RSST grading, and scores of MWST, SSA and SWAL-QOL changed significantly in both groups (P<0.05 or P<0.01). The RSST grading, and scores of MWSX SSA and SWAL-QOL in the treatment group were significantly different from those in the control group after treatment (P<0.05 or P<0.01). The total effective rate and markedly effective rate were respectively 100.0% and 72.3% in the treatment group, versus 97.9% and 34.0% in the control group. There was a significant differenee in the markedly effective rate between the two groups (P<0.01). The differenee in the clinical efficacy between the two groups was statistically significant (P<0.01). Con elusion: Gao's n ape acupu ncture plus swallowi ng training is an effective approach for post-stroke phary ngeal deglutiti on disorder. Its therapeutic efficacy is more significant than that of swallowing training alone.展开更多
Objective： To observe the chmcal ettect ot luma tor stag necK. Methods： au oi 216 cases with stiff neck were randomly allocated into a tuina group （110 cases） and a control group （106 cases）. The patients in the...Objective： To observe the chmcal ettect ot luma tor stag necK. Methods： au oi 216 cases with stiff neck were randomly allocated into a tuina group （110 cases） and a control group （106 cases）. The patients in the tuina group were treated with ＂Three Parts, Four Points, Five Manipulation＂ tuina therapy, while those in the control group were treated with pucturing Wailaogong （Ex-UE 8）, Houxi （SI 3）, Jianjing （GB 21） and Ashi points in the affected side, Once a day, and 3 times constitute one treatment course. The effect was observed after 2-course treatments. Result： The effective rate in the tuina group and the control group was 93.64% and 83.02%, respectively, and there was statistical difference between the two groups （P 〈 0.05）. Conclusion： The tuina therapy of ＂Three Parts, Four Points, Five Manipulations＂ is better than simple acupuncture therapy in treating stiff neck.展开更多
To observe the clinical efficacy of nape cluster acupuncture in treating migraine. Methods： Fifty patients with confirmed diagnosis of migraine were intervened by using nape cluster acupuncture, and were evaluated at...To observe the clinical efficacy of nape cluster acupuncture in treating migraine. Methods： Fifty patients with confirmed diagnosis of migraine were intervened by using nape cluster acupuncture, and were evaluated at the outset and after 2-month treatment by the short-form of McGill pain questionnaire （SP-MPQ） and self-rating depression scale （SDS）. Results： After treatment, the number of positive words, sensory pain rating index （S-PRI）, affective pain rating index （A-PRI）, total pain rating index （T-PRI）, visual analogue scale （VAS）, and present pain intensity （PPI） were significantly changed （P〈0.01）; the SDS score was （56.42＋8.12） points before treatment versus （41.08＋5.73） points after treatment, and the difference was statistically significant （P〈0.01）. The total effective rate was 86.0%; the therapeutic efficacy of the patients with a shorter disease duration was superior to that of the patients with a longer one （P〈0.05）; the efficacy of mild-moderate migraine was superior to that of severe one （P〈0.01）; the total effective rate of patients without depression was higher than that with depression, but without a significant difference in comparing the therapeutic efficacy （P〈0.05）. Conclusion： Nape cluster acupuncture is effective in treating migraine, significantly improving headache and depression.展开更多
文摘Objective: To observe the clinical efficacy of Gao's nape acupuncture plus swallowing training in treating pharyngeal deglutition disorder after stroke. Methods: One hundred patients with post-stroke pharyngeal deglutition disorder were randomized into a treatment group and a control group, with 50 cases in each group. The two groups both received routine neurological intervention. In addition, the treatment group was given Gao's nape acupuncture plus swallowing training, while the control group was intervened by swallowing training alone. After eight-week treatment, the two groups were observed in terms of the changes in repetitive saliva swallowing test (RSST), modified water swallowing test (MWST), standardized swallowing assessment (SSA) and swallowing-related quality of life (SWAL-QOL). The clinical efficacies of the two groups were also compared. Results: After treatment, the RSST grading, and scores of MWST, SSA and SWAL-QOL changed significantly in both groups (P<0.05 or P<0.01). The RSST grading, and scores of MWSX SSA and SWAL-QOL in the treatment group were significantly different from those in the control group after treatment (P<0.05 or P<0.01). The total effective rate and markedly effective rate were respectively 100.0% and 72.3% in the treatment group, versus 97.9% and 34.0% in the control group. There was a significant differenee in the markedly effective rate between the two groups (P<0.01). The differenee in the clinical efficacy between the two groups was statistically significant (P<0.01). Con elusion: Gao's n ape acupu ncture plus swallowi ng training is an effective approach for post-stroke phary ngeal deglutiti on disorder. Its therapeutic efficacy is more significant than that of swallowing training alone.
基金Scientific Research Fund for Chinese medicine of Shanghai Municipal Health Bureau
文摘Objective： To observe the chmcal ettect ot luma tor stag necK. Methods： au oi 216 cases with stiff neck were randomly allocated into a tuina group （110 cases） and a control group （106 cases）. The patients in the tuina group were treated with ＂Three Parts, Four Points, Five Manipulation＂ tuina therapy, while those in the control group were treated with pucturing Wailaogong （Ex-UE 8）, Houxi （SI 3）, Jianjing （GB 21） and Ashi points in the affected side, Once a day, and 3 times constitute one treatment course. The effect was observed after 2-course treatments. Result： The effective rate in the tuina group and the control group was 93.64% and 83.02%, respectively, and there was statistical difference between the two groups （P 〈 0.05）. Conclusion： The tuina therapy of ＂Three Parts, Four Points, Five Manipulations＂ is better than simple acupuncture therapy in treating stiff neck.
基金supported by Shanghai Leading Academic Discipline Project~~
文摘To observe the clinical efficacy of nape cluster acupuncture in treating migraine. Methods： Fifty patients with confirmed diagnosis of migraine were intervened by using nape cluster acupuncture, and were evaluated at the outset and after 2-month treatment by the short-form of McGill pain questionnaire （SP-MPQ） and self-rating depression scale （SDS）. Results： After treatment, the number of positive words, sensory pain rating index （S-PRI）, affective pain rating index （A-PRI）, total pain rating index （T-PRI）, visual analogue scale （VAS）, and present pain intensity （PPI） were significantly changed （P〈0.01）; the SDS score was （56.42＋8.12） points before treatment versus （41.08＋5.73） points after treatment, and the difference was statistically significant （P〈0.01）. The total effective rate was 86.0%; the therapeutic efficacy of the patients with a shorter disease duration was superior to that of the patients with a longer one （P〈0.05）; the efficacy of mild-moderate migraine was superior to that of severe one （P〈0.01）; the total effective rate of patients without depression was higher than that with depression, but without a significant difference in comparing the therapeutic efficacy （P〈0.05）. Conclusion： Nape cluster acupuncture is effective in treating migraine, significantly improving headache and depression.
