男性不育者不同诱导射精法获得的精液质量分析

目的:探讨不同诱导射精方法对男性不育者精液质量影响。方法:1733例不育者分别采用手淫法取精和电按摩法取精,并检测精液体积、精子浓度、精子存活率、前向运动百分率(PR)、非前向运动百分率(NP)、不活动百分率(IM)、曲线速度(VCL)、直线运动速度(VSL)、平均路径速度(VAP)。结果:手淫组1033例不育者与电按摩组700例不育者经非参数检验,精液体积、精子浓度、精子存活率、PR、IM、VCL、VSL、VAP差异有统计学意义(Z分别为-2.77、-2.71、-4.88、-4.45、-3.89、-2.33、-2.25、-2.37,P<0.01,P<0.05),而两组在NP上无统计学差异(Z为-0.43,P>0.05)。结论:不同诱导射精方法对男性不育者精液质量有影响,电按摩法获得的精液质量比手淫法获得的精液质量高,且电按摩法可用于部分不射精症患者取精。

Treatment by Electro-Acupuncture and Massage in 172 Cases of Cervical Spondylopathy

The authors have treated 172 cases of cervical spondylopathy by electro-acupuncture and massage in recent 6 years. The results were satisfactory as reported in the following.

Traditional Chinese medicine treatment selection for straightened cervical curvature and therapeutic observation

Objective：To observe the clinical efficacy of different therapies in treating straightened cervical curvature. Methods：A hundred patients with straightened cervical curvature were randomized into 5 groups to receive corresponding treatment. The clinical efficacies and the changes of cervical curvature in the five groups were compared. Results：Different therapies all produced certain effectiveness in treating cervical spondylosis patients. The total effective rates in the acupuncture group and tuina group were both 100%, and the rates in the traction group, oral medication group and Chinese medicinal application group were all lower than the rates in the acupuncture group and tuina group （P〈0.05）. It was shown that the more significant the change of cervical curvature, the more significant the clinical efficacy. Conclusion：Correcting the straightened cervical curvature is a way to swiftly release pain brought by cervical spondylosis; the optimization of different therapies ensures the achievement of long-term effectiveness; acupuncture and tuina are both effective in restoring the cervical curvature.

Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo

Objective： To observe the clinical efficacy and action mechanism of Jin＇s three-needle acupuncture plus Long＇s chiropractic tuina manipulations in treating cervical vertigo. Methods： By adopting a randomized controlled method, 80 eligible patients were randomized into an observation group of 41 cases and a control group of 39 cases. The control group was intervened by Jin＇s cervical three-needle acupuncture plus acupuncture at the vertigo-pain points and Fengchi （GB 20）; the observation group was by Long＇s chiropractic tuina manipulations in addition to the treatment given to the control. For both groups, the intervention was given once a day, 7 sessions as a treatment course, with a 1-day interval after a course, for 2 courses in total. The therapeutic efficacy was evaluated after the first session and the second treatment course, at the 3-month and 6-month follow-ups. Results： After the first session, the recovery plus markedly effective rate of the observation group was significantly higher than that of the control group （P〈0.01）; the rate was markedly higher in the observation group than that in the control group after 2 treatment courses （P〈0.01）; at the 3-month follow-up, the relapse rate was 2.5% in the observation group versus 23.5% in the control, and the between-group difference was statistically insignificant （P〉0.05）; the 6-month follow-up study showed that the relapse rate was 5.0% in the observation group versus 21.6% in the control group, and the between-group difference was statistically significant （P〈0.05）; at the 6-month follow-up, the total relapse rate was 7.5% in the observation group versus 35.1% in the control group, and the inter-group difference was statistically significant （P〈O.01）. Conclusion： The two treatment protocols are both effective in treating cervical vertigo. However, due to its more significant efficacy, more efficient action and lower relapse rate compared to acupuncture alone, acupuncture plus tuina can be regarded as a verified protocol for cervical vertigo.

Clinical observation on electroacupuncture plus tuina for chronic tension-type headache

Objective：To observe the clinical efficacy of electroacupuncture （EA） combined with tuina for chronic tension-type headache （CTTH）. Methods：A total of 97 CTTH cases were randomly allocated into an observation group （n=52） and a control group （n=45）. Patients in the observation group were treated with EA plus tuina based on pattern identification, whereas patients in the control group were treated with oral amitriptyline and oryzanol. Patients in both groups were treated for 8 weeks. A follow-up was conducted 3 months after the treatment. The intensity, duration, and frequency of the headache were recorded and compared before and after the treatment. Additionally, the patients＇ psychological state and quality of life （QOL） were compared between the two groups. Results：There were intra-group statistically significant differences in headache intensity score, headache duration, and headache frequency after the treatment and during the follow-up compared with those before the treatment （allP〈0.05）; and there were between-group statistically significant differences during the same time frame （allP〈0.05）. The Hamilton depression scale-17 items （HAMD-17） and Hamilton anxiety scale （HAMA） scores were significantly reduced in both groups after the treatment or during the follow-up （allP〈0.01）; and there were no between-group statistical significances during the same time frame （allP〉0.05）. The World Health Organization quality of life-BREF （WHOQOL-BREF） scores were significantly reduced in both groups after the treatment or during the follow-up （allP〈0.05）; and the scores in the observation group were significantly lower than those in the control group （allP〈0.05） during the same time frame. The total effective rate was 88.0% in the observation group, versus 71.4% in the control group, showing a significant difference （P〈0.05）. Conclusion：EA combined with tuina can significantly decrease the frequency of chronic tension-type headache, alleviate headache intensity, shorten headache duration, and improve the patients＆#39; wellness. It is better than amitriptyline plus oryzanol.

Treatment of 116 Cases of Vertebral Artery Type of Cervical Spondylopathy by Electroacupuncture plus Tuina

One hundred and sixteen cases of vertebral artery type of cervical spondylopathy were treated by electroacupuncture on Fengchi （GB 20） and Jiaji （Ex-B 2, C2-5）, cupping plus manipulation of pulling the rotated neck. The result showed 89 cases were cured, 21 cases were improved and 6 cases failed with the total effective rate of 94.8%.

Clinical observation on acupoint pressure therapy plus electroacupuncture for post-traumatic knee osteoarthritis

Objective： To investigate the clinical efficacy of Zhang＇s acupoint pressure therapy plus electroacupuncture（EA） in treating post-traumatic knee osteoarthritis.Methods： A total of 98 eligible patients with post-traumatic knee osteoarthritis were divided into group A and B by the random number table, 49 cases in each group. Group A was intervened by Zhang＇s acupoint pressure therapy plus EA; group B was given medicinal fumigation. The clinical efficacies of the two groups were compared. Results： The markedly effective rate of group A was significantly higher than that of group B. Conclusion： Zhang＇s acupoint pressure therapy plus EA can produce a satisfactory clinical efficacy in treating post-traumatic knee osteoarthritis, and is worth promotion.

Observation on therapeutic effect of electroacupuncture plus Tanbo-plucking the trigger points for scapulohumeral periarthritis

Objective: To observe the clinical efficacy of electroacupuncture (EA) plus Tanbo-plucking the trigger points for scapulohumeral periarthritis (SP). Methods:A total of 80 patients with SP were randomized into an observation group and an EA group by the random number table, with 40 cases in each group. The EA group was treated with EA therapy, and the observation group was treated with EA therapy plus Tanbo-plucking the trigger points. After treatment, the visual analog scale (VAS) and Melle scores of the two groups were compared to evaluate the improvement of shoulder pain and functional activity, and meanwhile the clinical efficacy was observed. Results: After treatment, the total effective rate of the observation group was 95.0% and the cure and markedly effective rate was 72.5%. The total effective rate of the EA group was 87.5% and the cure and markedly effective rate was 42.5%. There was no significant difference in the total effective rate between the two groups (P>0.05). The cure and markedly effective rate of the observation group was higher than that of the EA group, and the difference between the two groups was statistically significant (P<0.05). After treatment, the intra-group differences in VAS and Melle scores of both groups were statistically significant (bothP<0.001). The inter-group differences in the changes of the VAS and Melle scores after treatment were statistically significant (bothP<0.001). Conclusion: EA plus Tanbo-plucking the trigger points has a better curative effect than EA therapy alone in the treatment of SP.

Electroacupuncture combined with traction and tuina for lumber intervertebral disc herniation

Objective： To observe the effect of electroacupuncture （EA） combined with traction and modified oblique Ban-pulling manipulation on lumber intervertebral disc herniation （LIDH）. 〈br〉 Methods：A total of 90 eligible cases were randomly allocated into three groups, 30 in each group. Cases in group A were treated with EA, traction and tuina of modified oblique Ban-pulling manipulation; cases in group B were treated with traction and tuina （same as group A）;and cases in group C were treated with traction alone （same as the other two groups）. Then the therapeutic efficacies in the three groups were evaluated using the Japanese Orthopedic Association （JOA） score rating system. 〈br〉 Results：The results after treatment and 1-month follow up showed that JOA scores in all three groups were improved （P〈0.01）; the total effective rate in Group A was 96.7%, versus 90.0% in group B and 70.0% in group C, showing a significantly better effect than the other two groups （P〈0.01）. 〈br〉 Conclusion： EA combined with traction and modified oblique Ban-pulling manipulation can obtain better effect than traction alone and traction combined with modified oblique Ban-pulling manipulation for LIDH.