体穴针刺治疗小儿脑性瘫痪异常姿势的临床疗效

目的探讨小儿脑性瘫痪异常姿势采取体穴针刺治疗的临床疗效分析。方法选择我院2012年3月至2014年2月收治的86例小儿脑性瘫痪异常姿势患儿为研究对象.随机分为对照组43例,实施常规中医康复治疗,包括中药蒸汽医疗、推拿疗法及生物肌电治疗仪、引导式训练、生物肌电治疗仪等治疗方察。观察组在对照组治疗基础上加体穴针刺疗法.对两组患儿临床治疗效果进行分析。结果观察组治疗总有效率为95.35%,对照组为79.07%,观察组显著较对照组高(P<0.05);治疗前.两组患儿的痉挛程度分值及DQ分值无明显差异(P>0.05).经治疗后,两组患儿均有改善,但是观察组显著优于对照组(P<0.05);结论小儿性脑瘫异常姿势行常规治疗基础上,加用体穴针刺方案。可以有效提高疗效.促进患儿痉挛程度分值降低.改善DQ发育,值得临床推广。

体穴针刺治疗小儿脑性瘫痪异常姿势70例

目的:观察体穴针刺治疗小儿脑性瘫痪(脑瘫)异常姿势的临床疗效。方法:将140例脑瘫患者随机分为对照组和治疗组,每组各70例。对照组常规给予综合康复治疗(头皮针针刺、作业疗法、石蜡疗法、中药蒸气浴治疗、运动疗法、生物肌电治疗仪、推拿疗法、经颅磁刺激治疗、引导式教育训练);治疗组在对照组的基础上加用体穴针刺治疗。结果:治疗组有效率为100.0%,对照组有效率为91.4%,两组有效率比较,具有显著性差异(P<0.05)。结论:体穴针刺治疗治疗小儿脑瘫异常姿势疗效确切。

耳穴揿针-体穴针刺治疗原发性高血压45例临床观察

[目的]观察耳穴揿针-体穴针刺治疗原发性高血压疗效。[方法]使用前瞻性设计方法,45例住院患者取单侧耳、体穴位,合谷、太冲、太溪、三阴交、降压沟、肝、肾、内分泌。常规消毒,分别用无菌针灸针和一次性无菌揿针,快速刺入,并按压片刻,以得气微胀为度,粘贴牢固。留针2d,每天定时按压,以增强刺激作用。2d后取下,换对侧穴位继续贴压。连续治疗30d为1疗程。观测临床症状、血压、不良反应。治疗1疗程,判定疗效。[结果]有效35例,无效10例。[结论]耳穴揿针-体穴针刺治疗原发性高血压,疗效满意,无严重不良反应,值得推广。

肌内效贴联合体穴针刺法在小儿脑性瘫痪异常姿势中的疗效观察

目的:分析肌内效贴联合体穴针刺法在脑性瘫痪异常姿势患儿中的应用价值。方法:98例脑性瘫痪异常姿势患儿,按照随机数字表法将其分为观察组与对照组,各49例。分别给予体穴针刺法治疗、联合肌内效贴治疗。将两组的临床效果、康复情况以及步态功能进行对比。结果:观察组的治疗总有效率(93.88%)较对照组(75.51%)高(P<0.05);治疗后,相比于对照组,观察组的CDE区评分明显升高(P<0.05)。结论:肌内效贴联合体穴针刺疗法明显改善了脑瘫患儿异常姿势情况。

耳针加体针与单纯体针治疗膈肌痉挛的疗效对比观察

目的:观察多种针灸取穴方法联合应用和单纯一种取穴方法在治疗膈肌痉挛时的疗效差异。方法:笔者将60例膈肌痉挛患者随机分成两组,每组30例,分别用耳针加体针和单纯体针进行治疗观察,对比疗效。结果:两组结果经χ2检验疗效无显著性差异,说明治疗膈肌痉挛不需要耳针和体针联合应用。

经尿道前列腺电切术结合中医特色疗法及加速康复外科理念对血流变学、炎性因子、T细胞亚群变化的影响

目的探讨经尿道前列腺电切术结合中医特色疗法及加速康复外科理念对血流变学、炎性因子、T细胞亚群变化的影响。方法经尿道前列腺电切术的患者80例,摸球法随机分为两组,每组40例。常规组采用经尿道前列腺电切术采用常规护理,特色组在常规组的基础上加用耳穴压豆、体穴针刺中医特色康复治疗。观察两组患者术后首次肛门排气时间、术后并发症发生情况、术后住院天数。术前、术后7天抽晨起静脉血检测血流变学,白介素-6、白介素-8、白介素-10、白介素-17、肿瘤坏死因子-α、C反应蛋白水平及T细胞亚群变化。所获数据采用方差分析、t检验及Ridit分析。结果两组术后12 h疼痛指数、术后膀胱痉挛率、首次排气时间、住院天数比较P<0.05~0.0005。同组及两组术前、后血浆黏度、高切黏度、中切黏度、低切黏度、红细胞聚集指数、纤维蛋白原变化比较,P均>0.05。两组术后7天血浆黏度、高切黏度、中切黏度、低切黏度、红细胞聚集指数、纤维蛋白原变化比较,P均>0.05。两组同组术前、术后第7天白介素-6、白介素-8、白介素-10、白介素-17、肿瘤坏死因子-α、C反应蛋白水平比较,P均<0.0005。两组术后第7天白介素-6、白介素-8、白介素-10、白介素-17、肿瘤坏死因子-α、C反应蛋白水平比较,P均<0.0005~0.001。常规组术前、术后7天CD_3^+、CD_4^+、CD_8^+、CD_4^+/CD_8^+、CD_4^+CD25+、CD_4^+CD_(25)^-水平变化,P均<0.05~0.0005。特色组术前、术后7天CD_3^+、CD_4^+、CD_8^+、CD_4^+/CD_8^+、CD_4^+CD25+、CD_4^+CD_(25)^-水平变化,P均<0.05~0.0005;特色组术前、术后7天CD_4^+/CD_8^+水平变化,P>0.05。两组术后7天CD_3^+、CD_8^+·、CD_4^+CD25+、水平变化,P均<0.05~0.0005;两组术后7天CD_3^+、CD_8^+、CD_4^+CD_(25)^-水平变化,P均>0.05。结论经尿道前列腺电切术围术期应用耳穴压豆、体穴针刺可加速患者康复、减少术后并发症、缩短住院时间,对血流变学影响不大,对炎性因子影响较明显,对T细胞亚群有一定的影响。

Assessment of the operation standard and safety on the individualized deep acupuncture at Tiānshū (天枢 ST 25) under CT

Objective To discuss the individualized operation standard and its safety on the deep acupuncture at Tianshu （天枢 ST 25）. Methods Acupuncture was applied to Tianshu （天枢 ST 25）） in 39 patients. The individualized standard depth of insertion at the acupoint was determined as the penetrating the peritoneum with needle by 1 to 2 mm. The regression analysis was adopted to analyze the impacts of abdominal circumference （AC, cm） on the peritoneal position via CT cross-section scanning and image survey. Results The formula of rational needling depth at Tianshu （天枢 ST 25） with individualized deep acupuncture was： depth=-0.562＋0.045. AC. Conclusion The depth of insertion at Tianshu （天枢 ST 25）, determined as penetrating the peritoneum with needle by 1 to 2 mm is safe and feasible, which may be applicable and have the guidance significance for the assessment of clinical operation and safety on the deep acupuncture at the other acupoints on the abdominal region.

Participation of local exosomes of acupoints in the initiation of acupuncture analgesic effect

Objective: To investigate the local initiation role of local exosomes of acupoints in acupuncture analgesic effect.Methods: Thirty-two rats with adjuvant arthritis were randomly divided into model group(Group CFA),model + electroacupuncture group(Group EA), model + antagonist + electroacupuncture group(Group GW4869 + EA), and model + dimethyl sulfoxide + electroacupuncture group(Group DMSO + EA), with 8 rats in each group. The model rat s of adjuvant arthritis were prepared by intradermal injection of 0.1 mL of Freund’s adjuvant complete into the metatarsal of the right posterior foot to induce inflammation.No intervention was given in Group CFA, while electroacupuncture was performed in the other three groups at 'Zúsānlǐ(足三里 ST 36, bilaterally)' and 'Huántiào(环跳 GB 30, bilaterally)' of the rats with the following electroacupuncture parameters: dilatational wave with a frequency of 2/10 Hz, an intensity of 5/10/15(0.76/1.53/2.3 mA), a duration of 30 min, and an intensity increasing every 10 min. In Group DMSO + EA, DMSO(with a concentration of 0.2%, 50μL/acupoint) was injected at bilateral 'ST 36' of the model rats one hour before electroacupuncture, while GW4869(with a concentration of 3 mg/mL,50μL/acupoint) was injected at bilateral ST 36 of the model rats one hour before electroacupuncture in Group GW4869 + EA. The paw withdrawal latency(PWL) was used as the therapeutic effect index.Results: The PWL of rats in each group at Hour 24 after modeling was significantly lower than that before modeling, indicating that the models were successfully established. After the electroacupuncture treatment, the PWL of rats showed an increasing trend in all groups. The PWL of Group GW4869 + EA(6.74 ±1.09)s was lower than that of Group EA(7.72 ±1.54)s on Day 1 after injection, but the difference was not statistically significant(P> 0.05). The PWL values of Group GW4869 + EA(7.72 ±0.70)s,(7.87 ± 0.58)s were significantly lower than those of Group EA(9.96 士 0.94)s,(9.66 ±0.96)s(both P< 0.05)on Days 2 and 3 after injection, and the differences were statistically significant.Conclusion: It was preliminarily found that acupuncture analgesic effect was significantly reduced after local exosomes of acupoints were blocked, indicating that local exosomes of acupoints may be involved in the initiation process of acupuncture effect.