低频脉冲穴位电疗法联合手法按摩治疗腰椎骨折术后便秘的疗效观察

目的探索低频脉冲穴位电疗法结合手法按摩治疗腰椎骨折术后便秘的疗效。方法选取骨科2015年1月-2018年1月住院腰椎骨折术后发生便秘的患者160例,将患者分为A、B、C、D组,每组40例,A组为对照组,进行常规护理宣教,B、C、D组为观察组分为低频脉冲穴位电疗组(B组)、手法按摩组(C组)和低频脉冲穴位电疗联合手法按摩组(D组),观察低频脉冲穴位电疗法、手法按摩以及低频脉冲穴位电疗联合手法按摩组对腰椎骨折术后便秘缓解的显效率与总有效率。结果观察组和对照组相比,观察组中的低频脉冲穴位电疗组、手法按摩组和低频脉冲穴位电疗联合手法按摩组的显效率与总有效率高于对照组,其中低频脉冲穴位电疗联合手法按摩组的显效率与总有效率高于低频脉冲穴位电疗组和手法按摩组,差异有统计学意义(P<0. 05)。结论在指导高纤维食物摄入,常规康复训练基础上使用低频脉冲穴位电疗法和手法按摩能显著改善腰椎骨折术后便秘症状,两者联合使用效果更佳。

穴位电疗法治疗癔症性失语效果观察

目的:观察穴位电疗法治疗癔症性失语的疗效及安全性,探讨其可能机制。方法:选择自2000年4月至2006年5月间在耳鼻喉科及精神科明确诊断为癔症性失语的患者86例,随机分为穴位电治疗组和心理暗示治疗组各43例,对症状消失时间、治疗2d后的治愈率进行统计学分析。结果:穴位电治疗组平均症状消失时间(1.047±0.305)d,治疗2d后治愈率97.27%;心理暗示治疗组平均症状消失时间(2.581±1.802)d,治疗2d后治愈率65.12%,经统计学检验两组差异有显著性意义(P<0.05)。结论:穴位电疗法能有效的治疗癔症性失语,值得临床推广。

中频治疗仪穴位电疗法预防产后出血及乳汁分泌不足临床观察

目的观察中频治疗仪穴位电疗法对预防产后出血及乳汁分泌不足的疗效。方法选择宁都县中医院妇产科2018年6月—2019年7月收治的产妇58例,按照随机数字表法,分为观察组和对照组,比较这2组产妇泌乳量、产后出血量、住院时间及疼痛指数。结果观察组产妇产后2 h、3 h、4 h的出血量均低于对照组(P<0.05),而泌乳量随着产后时间的增加逐渐增加,高于对照组(P<0.05),且观察组产妇的治疗效果优于对照组(P<0.05)。结论中频治疗仪穴位电疗法对预防产后出血及乳汁分泌不足的疗效明显,可刺激产妇产生催乳素使乳汁分泌,促进脑垂体分泌缩宫素而使子宫收缩,从而减少产后阴道出血量,避免严重并发症的发生。

低频脉冲穴位电疗法联合手法按摩治疗腰椎骨折术后便秘的疗效观察

探讨分析低频脉冲穴位电疗法联合手法按摩治疗腰椎骨折术后便秘的临床效果。方法:此次研究,选取我院于2019年至2020年收治的90例腰椎骨折术后便秘患者,遵照患者入院就诊号为基础进行分组研究,单数患者接受基础护理为对照组,双数患者接受低频脉冲穴位电疗法联合手法按摩为研究组,对两组患者最后临床结局进行探讨分析。结果:研究组患者的首次排气时间、以及首次排便时间,相对比对照组患者要明显较短,P<0.05;研究组患者的疼痛程度评分明显要优于对照组患者的评分结果,P<0.05;研究组患者的临床治疗有效率为95.56%,要明显高于对照组患者的临床有效率82.22%,P<0.05。结论:数据结果显示,腰椎骨折术后便秘患者接受低频脉冲穴位电疗结合手法按摩治疗,可以促进患者术后恢复效果,改善患者的疼痛程度,并提升患者的临床治疗有效率,临床价值明显。

缪刺法加穴位中频电刺激治疗顽固性面瘫疗效观察

目的 :观察缪刺法结合穴位中频电刺激治疗顽固性面瘫的临床疗效。方法 :治疗组 4 5例 ,采用缪刺法加患侧穴位中频电刺激治疗 ;对照组 38例 ,采用电针加TDP治疗。结果 :治疗组有效率 93.3% ,对照组有效率 6 0 .5 %。两组疗效差异有非常显著性意义 (P <0 .0 1)。结论 :缪刺法结合穴位中频电刺激疗效明显优于电针加TDP治疗 ,且病程越短 ,疗效越佳。

三法联用治疗痹症的临床体会

三法联用治疗痹症的临床体会丁如根（浙江省上虞市章镇中心卫生院，３１２３６３）笔者自１９８８年以来，采用自拟中药细辛通痹汤、电疗法、穴位刺血疗法三法联用治疗痹症１７６例，收效显著，现介绍如下。一般资料收治１７６例痹症患者均系门诊及本院住院病人，其中男１...

SEGMENTAL DISTRIBUTION OF AFFERENT ELECTRO-ACUPUNCTURE SIGNALS FROM ACUPOINTS OF THE PERICARDIUM MERIDIAN IN THE RAT

Objective: To observe the segmental distribution of afferent Electroacupuncture (EA) signals from acupoints of the Pericardium (PC) Meridian and try to analyze the relative specificity of running route of PC Meridian.Methods: A total of 85 Wistar rats anesthetized with mixed solution of Chloralose (5 mg/100 g) and Urethane (42 mg/100g) were used in this study. Under microscopic observation, the micro-filaments of the distal end of the dorsal root were carefully separated after tearing the spinal pia mater to attach to a recording electrode. The reference electrode was placed beneath the skin of the incision. Two caudal and two rostral dorsal roots near the recorded one were cut off separately. Electrical activity of the isolated micro-filaments was observed before and after EA of "Daling" (PC 7) -"Jianshi" (PC 5), "Quze" (PC 3) of PC Meridian, "Yangchi"(TE 4)- "Zhigou" (TE 6), "Tianjing" (TE 10)-" Qin-glengyuan" (TE 11) of the Triple Energizer (TE) Meridian with electric current 1 mA and 2 mA and double pulses. Results: ① After EA (1 mA) of "Daling"(PC 7)-"Jianshi"(PC 5), the firing rates of 3 out of 10 (33.3%) micro-filaments in C5 segment, 5 out of 10 (50.0%) in C6, 7 out of 10 (70.0%) in 07, 3 out of 10 (30.0%) in C8 and 3 out of 13 (23. 1%) in T1 increased considerably；and after EA of "Quze" (PC 3), those of 3/10 of C5, 4/10 of C6, 6/10 of C7, 3/10 of C8, and 3/10 of T1 increased significantly. ② After EA (1 mA) of "Yangchi"(TE 4)- "Zhigou" (TE 6) and "Tianjing" (TE 10)- "Qinglengyuan" (TE 11). the firing rates of 2/10, 2/10 of micro-filaments In C5, 7/10, 3/10 of C6, 5/10 and 4/10 of C7, 1/10 and 1/10 of C8, and 2/13 and 1/10 of T1 increased significantly. It indicates that C7 dorsal root may play the first important role in conveying EA signals from PC Meridian acupoints to the spinal cord, while C6 and C7 may be mainly responsible for conveying EA signals from TE Meridian acupoints to the spinal cord. Conclusion: The peripheral afferent pathway for transmitting EA signals from PC Meridian acupoints probably has a relative specificity.

EFFECT OF DESTRUCTION OF NTS AND PVN ON NEIGUAN (PC6)- ELECTROACUPUNCTURE-I NDUCED IMPROVEMENT OF ISCHEMIC MYOCARDIAL CELLULAR MEMBRANE POTENTIALS IN RABBITS

Objective: To observe the influence of electrolytic destruction of nucleus soli tary tract (NTS) and hypothalamic paraventricular nucleus (PVN) on the effect of electroacupuncture (EA) in improving ischemic myocardia cellular transmembrane action potential (TMAP). Methods: 38 Japanese breed big-ear wh ite rabbits (ane sthetized with 20% Urethane, 4 mL/kg) were randomly divided into acute myocardia l ischemia (AMI) group (n=8), PVN destruction group ( n=12) and PVN+NTS destructio n group (n=18). AMI model was established by occlusion of the descending anterio r branch (DAB) of the coronary artery. TMAP of myocytes was recorded by using a glass microelectrode which was fixed to a suspending spring silver wire. Bilater al "Neiguan"(PC 6) in all the 3 groups were punctured and stimulated electri call y by using parameters of continuous waves, frequency of 7 Hz, intensity of 6 mA a nd duration of 30 minutes. Results: After AMI, ECG-ST elevated significantly whil e APA lowered, APD50 and APD90 shortened clearly in comparison with those of pre -AMI in the 3 groups. Compared with AMI group, ECG-ST values of PVN destructi on group and PVN+NTS destruction group were significantly higher (P <0.05～0.01), whi le APA, APD50 and APD90 all significantly lower in all the recording time course s(P<0.05). The facts displayed that electrolytic destru ction of PVN and PVN+NT S could produce ischemic myocardial injury and reduce the protective effect of E A on ischemic myocardial cells. Comparison between PVN destruction and PVN+NTS g roups showed that all the 4 indexes of the later group were evidently worse than those of the former group (P<0.05), suggesting after des truction of these two n uclei, the effect of EA was worsened further. Conclusion: Electrolytic destru ction of PVN and NTS weakens the protective effect of EA on ischemic myocardial cells, both NTS and PVN take part in the effect of EA of "Neiguan"(PC 6) Point i n improving ischemic myocardium.

Overview of reported transcutaneous electrical acupoint stimulation effects on pain mediators

Literatures on pain intervention with transcutaneous electrical acupoint stimulation(TEAS)were collected by searching the databases both in Chinese and English,and summarized to understand the research progress of TEAS effects on pain mediators in recent years.This will provide a more objective and scientific theoretical basis for clinical practice of TEAS to treat pain syndrome,thus promoting the clinical application of TEAS.Our literature analysis indicated that TEAS effectively regulated the release levels of various pain factors such as prostaglandin,5-hydroxytryptamine,interleukins,substance P and tumor necrosis factor-αto achieve the analgesic effects by affecting the conduction pathways.TEAS is a safe,non-invasive and effective treatment for pain syndrome.However,further research is necessary due to the lack of rigor of the current clinical trial design.

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.

Effect of acupuncture-like transcutaneous electrical nerve stimulation on labor pain in nulliparous women:a randomized controlled trial

Objective To examine the effect of acupuncture-like transcutaneous electrical nerve stimulation(ACUTENS)on labor pain in nulliparous women.Methods This randomized clinical trial was conducted at Razi Hospital in Qazvin,Iran between January and July 2018.After the screening process,144 out of 184 pregnant women were selected by convenience sampling and assigned to an intervention group or a control group by the block randomization method.The intervention group received ACUTENS at Hegu(LI4),Shenmen(HT7),Sanyinjiao(SP6),and Neimadian(Extra)during various stages of delivery in addition to routine labor care at the delivery room.For the control group,the same routine labor care was performed alone.The severity of pain was assessed in the two groups using the visual analog scale(VAS).The data were analyzed using R software(ver.4.0.2)and repeated measurement analysis of variance.Results ACUTENS reduced the mean score of pain intensity in the first stage of labor in the intervention group more than that in the control group(P<0.001).Also,the mean scores of pain intensity in the second stage of labor,episiotomy,and one hour after delivery in the intervention group were significantly lower than those in the control group(P<0.001).Conclusion ACUTENS at Hegu(LI4),Shenmen(HT7),Sanyinjiao(SP6),and Neimadian(Extra)can decrease the intensity of labor pain in nulliparous women.It can be used as a non-pharmacological method for reducing pain in and after labor.

Warm needling moxibustion versus electroacupuncture for simple obesity due to yang deficiency of the spleen and kidney: a controlled clinical trial

Objective: To compare the therapeutic efficacy between warm needling moxibustion and electroacupuncture (EA) in the treatment of simple obesity due to yang deficiency of the spleen and kidney. Methods: Seventy patients with simple obesity due to yang deficiency of the spleen and kidney were randomly divided into a warm needling moxibustion group and an EA group, with 35 subjects in each group. Same major acupoints were selected for the two groups, including Shuifen (CV 9), Guanyuan (CV 4), Daheng (SP 15), Shuidao (ST 28), Shousanli (LI 10), Zusanli (ST 36), Sanyinjiao (SP 6) and Taixi (KI 3). The warm needling moxibustion group received warm needling moxibustion, while the EA group received EA treatment. The interventions were performed once every other day, with 15 treatments as one course. The therapeutic efficacy, body weight and body mass index (BMI) were then observed and compared. Results: The total effective rate in the warm needling moxibustion group was 85.7% versus 77.1% in the EA group, and the between-group difference was statistically significant (P<0.05). The warm needling moxibustion was remarkably superior to the EA in weight loss and lowering BMI, both with statistical significance (P<0.05, P<0.01). At the three-month follow-up, the body weight and BMI further decreased in the warm needling moxibustion group (both P<0.05), and the levels were lower than those in the EA group (P<0.05, P<0.01). Conclusion: Warm needling moxibustion can produce reliable and consistent efficacy in the treatment of simple obesity due to yang deficiency of the spleen and kidney. Compared with EA, warm needling moxibustion shows advantage in both short-term and long-term efficacies, and thus is worth promotion in clinical practice.

Effect of electroacupuncture on electrogastrogram and gastric antrum ghrelin in rats with diabetic gastroparesis

Objective： To observe the effect of electroacupuncture（EA） on the electrogastrogram and gastric antrum ghrelin in rats with diabetic gastroparesis（DGP）.Methods： Fifty Sprague-Dawley（SD） rats were randomly divided into group A, group B, group C, group D and group E,10 rats in each group. Group A was the blank control group without intervention. Group B, Group C, Group D and Group E were treated with single dose intraperitoneal injection of 2% streptozotocin（STZ）, combined with 8-week high glucose and high fat diet to establish DGP rat models. Group B was the model group without treatment. Group C was the EA at acupoint group, was treated with EA at Zusanli（ST 36）, Liangmen（ST 21） and Sanyinjiao（SP 6）. Group D was the EA at non-acupoint group, was treated by EA at the control points of Zusanli（ST 36）, Liangmen（ST 21） and Sanyinjiao（SP 6）. Rats in the metoclopramide control group received 1.7% metoclopramide solution [10 mL/（kg·bw）] by gavage. Rat＇s blood glucose level was measured by blood glucose meter; gastric emptying rate was detected using phenol red as a marker; the electrogastrogram was detected by BL-420 F biological function system; the protein level of ghrelin was detected by enzyme-linked immunosorbent assay（ELISA）; the expression of ghrelin mRNA was detected by real-time polymerase chain reaction（RT-PCR）.Results： Compared with group A, the blood glucose of group B, C, D and E were significantly increased before and after the treatment（all P〈0.01）; after treatment, the gastric emptying rate of group B was significantly decreased（P〈0.01）,the migration rates of small intestine in group B, C, D and E were significantly lower（all P〈0.01）, and the protein content of ghrelin in group C was significantly decreased（P〈0.01）; the expressions of ghrelin mRNA were significantly increased in group B, C, D and E（all P〈0.01）, the mean amplitudes of electrogastrogram in group B and D were significantly decreased（both P〈0.01）. After treatment, compared with group B, the blood glucose of group C was significantly decreased（P〈0.05）, the gastric emptying rate and small intestine migration rate were significantly increased in group C and E（P〈0.05, P〈0.01）, the small intestinal migration rate was significantly increased in group D（P〈0.05）, the expression of ghrelin in protein and mRNA in group C was significantly lower（P〈0.01）, the expression of ghrelin mRNA in group E was significantly lower（P〈0.05）, and the mean amplitude of electrogastrogram in group C was significantly increased（P〈0.05）. After treatment, compared with group D, the protein and mRNA expressions of ghrelin in group C were significantly decreased（P〈0.01）. After treatment, compared with group E, the protein expression of ghrelin in group C was significantly decreased（P〈0.01）.Conclusion： EA at Zusanli（ST 36）, Liangmen（ST 21） and Sanyinjiao（SP 6） could regulate the blood glucose level of DGP model rats, enhance electrogastrogram activity, promote gastric emptying, and regulate ghrelin expression in protein and mRNA.

Efficacy of transcutaneous electrical acupoint stimulation(TEAS)for menopausal insomnia and its effect on serum hormone levels

Objective:To explore the therapeutic efficacy and mechanism of transcutaneous electrical acupoint stimulation(TEAS)for menopausal insomnia.Methods:A total of 80 patients with menopausal insomnia were randomly divided into a control group and an observation group,with 40 cases in each group.The patients in the control group received conventional Western medication treatment,and the patients in the observation group received TEAS on the basis of conventional Western medication treatment.The treatment for both groups lasted for 4 weeks.Before and after treatment,Pittsburgh sleep quality index(PSQI)and modified Kupperman scale were evaluated,and the serum levels of estradiol(E2)and follicular stimulating hormone(FSH)were measured.The therapeutic efficacy was evaluated after treatment.Results:After treatment,the total effective rate of the observation group was significantly higher than that of the control group(P<0.05);in the control group,the improvement of PSQI score was significant(P<0.05),while the change of modified Kupperman score was insignificant(P>0.05);the PSQI and Kupperman scores in the observation group were significantly improved after treatment(both P<0.05),and there were significant differences between the observation group and the control group in PSQI and Kupperman scores(both P<0.05).After treatment,the serum E2 and FSH levels in the control group were not statistically different from those before treatment(both P>0.05);the serum E2 level was significantly increased(P<0.05),and the FSH level was decreased(P<0.05)in the observation group after treatment,and the between-group differences in serum levels of E2 and FSH were significant(both P<0.05).Conclusion:TEAS plus conventional Western medication in treating menopausal insomnia is effective,and can significantly improve the symptoms of insomnia and menopause,which may be related to the regulation of serum E2 and FSH levels.

Observation on therapeutic effect of half puncture plus transcutaneous acupoint electric stimulation for infantile facial paralysis

Objective：To observe the clinical effects of half puncture plus transcutaneous acupoint electric stimulation in the treatment of infantile facial paralysis. Methods：A total of 60 patients with infantile facial paralysis were divided into a treatment group and a control group by the random digital table, 30 cases in each group. The treatment group was treated with half puncture plus transcutaneous acupoint electric stimulation. The control group was treated with routine acupuncture. Before and after treatment, House-Brackmann （H-B） grading was used to evaluate the sick children respectively. The total effective rates were compared between the two groups after treatment. Results：After 6-course treatments, the total effective rate was 96.5% in the treatment group and 80.0% in the control group, there was a statistical difference between the two groups （P〈0.05） in comparison of the total effective rate. After 6-course treatments, H-B scores were all elevated than those before treatment in the two groups （P〈0.05）; there was a statistical difference between the two groups （P〈0.05）. Conclusion：Half puncture plus transcutaneous acupoint electric stimulation is better than routine acupuncture in curative effect for infantile facial paralysis.

Electroacupuncture combined with iontophoresis of Chinese medicine for lumbar intervertebral disc herniation

Objective：To observe the clinical efficacy of electroacupuncture （EA） combined with iontophoresis of Chinese medicine for lumbar intervertebral disc herniation （LIDH）. Methods： A total of 80 LIDH cases were randomly allocated into a treatment group and a control group by the random number table, 40 in each group. Cases in the treatment group were treated with EA combined with iontophoresis of Chinese medicine, whereas cases in the control group were treated with EA alone. Cases in both groups were treated once a day, 10 times for one course and there was a 3-day interval between two courses. The therapeutic efficacies in two groups were assessed after two courses of treatment. The short-form McGill pain questionnaire （SF-MPQ） and Japanese Orthopedic Association （JOA） low back pain evaluation questionnaire were used for the scoring system before treatment, after the first treatment and 2 courses of treatment. Results： After two courses of treatment, the total effective rate was 95.0% in the treatment group, versus 87.5% in the control group, showing a statistical difference （P〈0.05）. The therapeutic efficacy in the treatment group was significantly better than that in the control group after the first treatment and 2 courses of treatment. The score of SF-MPQ in the treatment group was more significantly decreased and the JOA score in the treatment group was more significantly increased, showing statistical differences （P〈0.01）. Conclusion： EA at Jiaji （EX-B2） points combined with iontophoresis of Chinese medicine is better than EA alone in alleviating low back and leg pain and improving functions of the low back and leg as well as the quality of life of LIDH patients .

Acupuncture-moxibustion Treatment for Polycystic Ovary Infertility:A Report of 20 Cases

The incidence rate of polycystic ovary syndrome （PCOS） is about 5%-10% in the women of childbearing age and accounts for 30%-60% in the patients with anovulatory infertility. From 2005 to 2008, I treated 20 cases of polycystic ovary infertility by acupuncture-moxibustion plus acupressure along the meridians. Now, the report is given as follows.