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热性针灸治疗冈上肌钙化性肌腱炎的临床研究 被引量:9
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作者 王德凤 蔡琳 《北京中医药大学学报》 CAS CSCD 北大核心 2019年第7期611-616,共6页
目的观察热性针灸治疗冈上肌钙化性肌腱炎的临床疗效并探讨其作用机制。方法将60例冈上肌钙化性肌腱炎的患者随机分为热性针灸组(观察组)和电针组(对照组),每组30例。观察组于双侧太冲、阳陵泉、血海和丰隆穴施以平补平泻;于患侧肩髎、... 目的观察热性针灸治疗冈上肌钙化性肌腱炎的临床疗效并探讨其作用机制。方法将60例冈上肌钙化性肌腱炎的患者随机分为热性针灸组(观察组)和电针组(对照组),每组30例。观察组于双侧太冲、阳陵泉、血海和丰隆穴施以平补平泻;于患侧肩髎、巨骨施以温针,4~5 d治疗1次,经2~4次治疗,症状减轻后于患侧肩髎和钙化灶附近的阿是穴加施火针,1次/周,共治疗8次。对照组的取穴同观察组,但于巨骨和肩髎穴施以电针,其他穴位均施以与观察组相同的平补平泻手法,4~5 d治疗1次,共治疗8次。比较两组患者治疗前后肩关节疼痛视觉模拟量表(VAS)评分、肩关节综合功能Constant系统评分,比较治疗前和治疗后3周影像检查钙化灶的变化情况。结果经过8次治疗,两组治疗后与治疗前相比,VAS评分均有下降(P<0.05), Constant评分均有提高(P<0.05),观察组优于对照组(P<0.05)。钙化灶的改变,观察组治疗后25例钙化灶消失,占83.3%;4例钙化灶减小,占13.3%。对照组治疗后,钙化灶消失0例;钙化灶减小6例,占20%,提示热性针灸消除钙化灶的功效远远超过电针。观察组的愈显率为96.6%,高于对照组的20%,差异有统计学意义(P<0.05)。结论温针和火针相结合的热性针灸治疗冈上肌钙化性肌腱炎,疗程短、无创伤、费用低、疗效好。 展开更多
关键词 冈上肌钙化性肌腱炎 热性针灸 温针 火针
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Therapeutic observation on heat-sensitive acupoint for treatment of Irishmen with discogenic low back pain 被引量:4
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作者 杨贤海 赵晓成 +1 位作者 王化文 王江 《World Journal of Acupuncture-Moxibustion》 2010年第4期43-47,共5页
Objective To observe the therapeutic difference in treatment of Irishmen with discogenic low back pain (arthritis of cold-damp syndrome type) between heat-sensitive acupoint and acupuncture. Methods Eighty-two patie... Objective To observe the therapeutic difference in treatment of Irishmen with discogenic low back pain (arthritis of cold-damp syndrome type) between heat-sensitive acupoint and acupuncture. Methods Eighty-two patients were randomly assigned to the heat-sensitive group (43 cases) and the acupuncture group (39 cases). Corresponding heat-sensitive points in the lumbosacral area were selected in the heat-sensitive group. Then moxibustion was performed at the heat-sensitive acupoint, thus conducting the moxibustion sensation. The treatment was ended when the sensation conduction was finished. If there appeared no moxibustion sensation, moxibustion at the corresponding painful point was lasted for 30 min. Needling was performed in the acupuncture group at corresponding Jiájǐ(夹 脊 EX-B 2), Back-shu point, Wěizhōng (委中 BL 40); matching points included Huántiào (环跳 GB 30), Fēngshì(风市 GB 31), Yánglíngquán (阳陵泉 GB 34), Zhìbiān (秩边 BL 54), etc. The waste was irradiated with TDP after needling, with the maintaining time of 30 min. The treatment was carried out twice weekly, four weeks as one therapeutic course. The therapeutic effect was statistically calculated after 8-week treatment. Results Nineteen cases were clinically cured, 20 improved, 4 failed, and the effective rate 90.7%(39/43) in the heat-sensitive group, while 9 clinically cured, 25 improved, 5 failed, and the effective rate 87.2%(34/39) in the acupuncture group. Signif icant difference was shown in the clinically cured case by 2 test (P0.05). Conclusion Heat-sensitive acupoint was superior to traditional acupuncture in treatment Irishmen with discogenic low back pain. 展开更多
关键词 Discogenic Low Back Pain Acupuncture Therapy Heat-sensitive Acupoint
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