针刺督脉、夹脊穴为主配合电针治疗中风偏瘫痉挛状态的临床疗效观察

分析中风偏瘫痉挛状态应用针刺督脉、夹脊穴为主结合电针共同治疗产生的效果,使中风治疗能够获得操作更加简单、方便快捷,效果更加确切的诊治方法。方法:研究对象共60例,为本院收治的中风偏瘫痉挛患者,以随机分组为原则,将其纳入对照组(共30例)和治疗组(共30例)中,前者接受常规诊疗方法,后者接受针刺督脉、夹脊穴为主结合电针共同治疗的方法,所有研究对象均经过4周的治疗后,对其相关临床指标做出评价。结果:本次研究各项量表评定结果显示,治疗组的Ashworth痉挛级别显著下降(P<0.05),Fugl-Meyer分值治疗组增高幅度明显较对照组更高(P<0.01);Barthel指数对比结果显示,对照组显著较治疗组更低(P<0.01)。各量表均有显著性差异。结论:利用针刺督脉、夹脊穴为主并联合电针共同治疗的方式能够对促进中分后偏瘫痉挛状态进行良好改善,使之运动功能得到提升,日常生活活动能力显著改善。

Clinical observation of warm needling moxibustion for rheumatoid arthritis

Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number table, 30 in each group. The observation group was intervened by warm needling moxibustion at the points from the Governor Vessel on the back and Jiaji （EX-B 2） points, while the control group was by regular acupuncture. Results： After intervention, the morning stiffness, joint pain index, joint swelling index and erythrocyte sedimentation rate （ESR） were significantly improved in both groups （P〈0.01）; the inter-group difference was also statistically significant （P〈0.05）. The total effective rate was 93.3% in the observation group versus 76.6% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Warm needling moxibustion at points from the Governor Vessel on the back and Jiaji （EX-B 2） points can produce a higher efficacy than regular acupuncture in treating RA.