消痞五穴针刺疗法联合推拿夹脊穴在老年功能性消化不良中的应用

目的分析老年功能性消化不良(FD)患者采用消痞五穴针刺疗法联合推拿夹脊的干预效果。方法选择120例老年FD患者,依据掷骰子法分为观察组与对照组各60例;对照组采用常规护理干预,观察组在对照组基础上采用消痞五穴针刺疗法联合推拿夹脊穴进行干预,均连续干预4 w;干预前、干预4 w,比较两组中医证候积分(主症:脘腹痞闷、胃胀痛、食少纳呆)、生存质量[依据功能性消化不良生存质量量表(FDDQL)评估]。结果干预4 w,两组各主症中医证候积分及总分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05,P<0.001);干预4 w,两组FDDQL各维度及总分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论消痞五穴针刺疗法联合推拿夹脊穴可有效减轻老年FD患者症状,改善患者胃动力,有助于患者生存质量的提高。

辛开苦降法联合推拿夹脊穴治疗功能性消化不良寒热错杂证临床研究

目的:探讨辛开苦降法联合推拿夹脊穴治疗功能性消化不良寒热错杂证的临床疗效。方法:将128例功能性消化不良寒热错杂证患者随机分为观察组和对照组各64例。对照组采用马来酸曲美布汀胶囊,每次0.1 g,每天3次,于餐前30 min口服。观察组采用辛开苦降法联合推拿夹脊穴治疗。疗程均为4周,并进行2个月随访。治疗前后餐后饱胀不适、早饱、上腹痛和上腹灼热4个主要症状和寒热错杂评分并进行安全性评价。结果:观察组疾病疗效有效率为93.75%,对照组有效率为81.25%,观察组显著优于对照组(χ2=4.571,P<0.05);观察组中医证候疗效有效率为96.88%,对照组中医证候疗效有效率为79.69%,观察组显著优于对照组(χ2=9.137,P<0.01);两组治疗后餐后饱胀不适、早饱、上腹痛和上腹灼热4个主要症状评分较治疗前均显著下降(P<0.01),观察组治疗后主要症状评分均显著低于对照组(P<0.01);对照组不良反应发生率为14.06%,观察组不良反应发生率为6.25%,观察组不良反应发生率低于对照组,但差异无统计学意义(χ2=2.146,P>0.05)。结论:辛开苦降法联合推拿夹脊穴治疗功能性消化不良寒热错杂证,能显著减轻症状,临床使用安全有效。

Clinical observation on acupuncture at Jiaji(EX-B 2) points plus tuina in treating thoracic facet joint disorder

Objective： To observe the clinical effects of acupuncture at Jiaji （EX-B 2） points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder. Methods： Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji （EX-B 2） points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments. Results： After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups （P〈0.01}; the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference （P〈0.05）. The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups （P〈0.05）. Conclusion： In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.

Tuina plus Cupping Therapy for 60 Cases of Infantile Cough

Objective： To observe the clinical effect oftuina plus cupping therapy for infantile cough. Methods： Sixty subjects were mainly treated with pinching and pushing the spine, coordinating with the tuina manipulations and cupping therapy based on syndrome differentiation. Results： Among the 60 patients, 40 cases were cured and 20 cases got improved, the total effective rate was 100%. Conclusion： Tuina plus cupping therapy works effectively on infantile cough and without adverse reactions.

Clinical observation on acupuncture combined with tuina manipulation for thoracic facet joint disorder

Objective： To observe the clinical effect of acupuncture combined with tuina manipulation for thoracic facet joint disorder. Methods： A total of 93 eligible cases were randomly allocated into an observation group and a control group. Patients in the observation group （n=46） were treated with acupuncture combined with tuina manipulation, whereas patients in the control group （n=47） were treated with tuina manipulation alone. The treatment was done once a day, for a total of 3 times. Therapeutic efficacies were then evaluated according to scores on signs and symptoms. Results： After treatment, there were intra-group statistically significant differences in scores of eight signs and symptoms （all P〈0.01）; and the between-group differences were statistically significant in scores of eight signs and symptoms （all P〈0.05）. After three times of treatment, the recovery rate in the observation group was 54.4%, versus 25.4% in the control group, showing a statistical significance （P〈0.05）. Conclusion： Acupuncture combined with tuina manipulation can obtain better effects than tuina manipulation alone for thoracic facet joint disorder and is therefore worth further clinical application.