水穴电针治疗非酒精性脂肪肝的疗效观察及对肝脏CT值的影响

目的:观察水穴电针治疗非酒精性脂肪肝的疗效及对肝脾电子计算机断层扫描(Computed Tomography,CT)值的影响。方法:选取符合标准的患者124例,随机均分2组,治疗组采用水穴电针治疗,对照组采用用辛伐他汀片(20 mg口服,1次/d),水飞蓟宾葡甲胺片(200 mg口服,3次/d)。观察干预前后中医症状指标,血清总胆固醇(Serum Total Cholesterol,TC)、甘油三酯(Triglyceride,TG)、低密度脂蛋白(Low Density Lipoprotein-cholesterol,LDL-C)、高密度脂蛋白(High Density Lipoprotein-cholesterol,HDL-C),血清谷丙转氨酶(Alanine Rransaminase,ALT),B型超声多谱勒仪(B-type Ultrasonic inspection,简称:B超)情况计分、肝CT值、肝/脾CT比值,统计其临床疗效。结果:治疗组、对照组临床疗效总有效率分别为90.32%、75.81%,比较有显著性差异(P<0.05)。治疗组治疗后中医症状总积分、B超情况计分、血TC、TG、LDL-C、ALT水平低于对照组,血HDL-C、肝CT值、肝/脾CT比值水平高于对照组,比较均有显著性差异(P<0.05)。结论:水穴电针能较好地改善非酒精性脂肪肝患者临床症状,对血清TC、TG、LDL-C、ALT具有明显减低作用,对血清HDL-C、肝CT值、肝/脾CT比值具有明显升高作用。

Observation on therapeutic effect of electroacupuncture plus acupoint-injection for nerve root sciatica

Objective：To observe the clinical effects of electroacupuncture （EA） plus acuoint-injection for nerve root sciatica. 〈br〉 Methods：A total of 114 cases were randomly divided into an observation group and a control group, 57 cases in each group. The observation group was given EA plus acupoint-injection therapy with Cobamamide. The control group was given oral administration of Diclofenac Sodium Sustained-release Tablets plus muscular injection of Cobamamide. After one-course treatment, the clinical effects were compared between the two groups. 〈br〉 Results：The total effective rate was 96.5%in the observation group and 91.2%in the control group, without a statistical significance in the difference between the two groups （P〉0.05）. The curative rate was 57.9%in the observation group and 21.1% in the control group, with a statistical significance in the difference between the two groups （P〈0.05）. In the follow-up on the fourth day after the treatment, the recurrence rate was 23.1%in the observation group and 47.9%in the control group, with statistical difference between the two groups （P〈0.05）. 〈br〉 Conclusion： EA plus acupoint-injection therapy for sciatica of nerve roots is remarkable in the clinical effect and needs promotion in clinic.

Clinical observation on electroacupuncture plus hydro-acupuncture for low back pain caused by compression fractures

Objective： To observe the effect of electroacupuncture （EA） at Jiaji （EX-B 2） points plus hydro-acupuncture with sinomenine hydrochloride for low back pain caused by compression fractures in the elderly. Methods： Ninety-five elderly in-patients with low back pain caused by compression fractures were randomly divided into an observation group and an EA group according to the visit sequence. Both groups received the same basic treatment. In the EA group, 48 cases were treated with EA at Jiaji （EX-B 2） points plus the basic therapy; 47 cases in the observation group received the basic treatment plus EA and hydro-acupuncture with sinomenine hydrochloride at Jiaji （EX-B 2） points. The levels of osteoprotegerin （OPG） and interleukin-1β（IL-1β） in peripheral blood were measured by enzyme-linked immunosorbent assay （ELISA） before and at the 21st day of treatment in both groups. Oswestry disability index （ODI） and visual analog scale （VAS） scores were used to analyze the clinical efficacy. Results： After treatment, the OPG content in the observation group was higher with statistical significance compared with that before treatment in the observation group and after the treatment in the EA group, respectively （both P〈0.05）; the content of IL-1β, ODI and VAS scores were lower than those before treatment in the observation group and after treatment in the EA group with statistical significances （all P〈0.05）. Conclusion： The combination of EA and hydro-acupuncture with sinomenine hydrochloride at Jiaji （EX-B 2） points is effective for low back pain caused by compression fractures in the elderly, and is superior to EA at Jiaji （EX-B 2） points alone.