队列人群中风危险因素综合针法干预疗效观察

目的对具有中风危险因素人群通过综合针法(体针、腹针、耳穴、刺络放血、穴位贴敷等)干预疗效观察。方法选择符合标准的440例具有中风危险因素的对象,治疗组228例,对照组212例,治疗组采用一般治疗方法外加综合针法干预治疗,对照组仅用一般治疗方法治疗,观察两组干预后的效果。结果治疗组平均收缩压、舒张压、空腹血糖、餐后血糖、体重经综合针法干预后治疗组的各危险因素水平值均有所下降,血压与体重在干预后治疗组和对照组比较差异有显著性意义(P<0.05),血糖变化两组之间比较无显著性差异意义(P>0.05),但治疗组和对照组自身比较在干预前后差异均有显著性意义(P<0.05)。治疗组累积的中风发病率(6%)明显低于对照组(9%)。结论综合针法干预治疗中风危险因素人群比单用一般治疗方法干预效果显著。

综合针法联合言语训练治疗小儿脑瘫言语障碍60例临床观察

目的:观察针灸联合言语训练治疗小儿脑瘫言语障碍的临床疗效。方法:将脑瘫合并伴随言语障碍的患者60例随机分为治疗组30例和对照组30例,治疗组采用综合针法联合言语训练治疗,对照组采用单纯的言语训练治疗。结果:治疗组总有效率为76.67%,对照组总有效率为63.33%,两组比较,P<0.05。结论:针灸联合言语训练治疗小儿脑瘫言语障碍有较好疗效。

健脾益肾综合针法对围绝经期综合征患者生活质量的影响

目的探讨健脾益肾综合针法对围绝经期综合征患者生活质量的影响。方法180例围绝经期综合征患者随机分为A组、B组和C组,每组各60例。采用单盲法,研究结束时共172例患者完成临床观察,共脱落8例,其中A组56例、B组59例、C组57例。A组采用温针治疗,B组采用耳针治疗,C组采取健脾益肾综合针,即A组+B组的综合治疗方法。采用更年期生活质量评定量表(MRS)、改良Kupperman量表(KPS)评定治疗前后两组患者的生活质量及躯体症状,并进行评分变化的比较。结果A、B、C三组围绝经期综合征患者的MRS评分及改良KPS评分均随着治疗时间的增加而明显下降(P<0.05),且C组下降最为明显(P<0.05),A组次之,B组下降幅度最小;同时,MRS评分、改良KPS评分的分组效应和时间效应之间的交互作用具有统计学意义(P<0.05),表明不同疗法的疗效具有差异。治疗结束后1个月随访,MRS评分、改良KPS评分均较治疗刚结束时有所上升,但其他两组的上升程度明显高于C组,差异有统计学意义(P<0.05)。结论健脾益肾综合针法能够显著改善围绝经期综合征患者的躯体症状和生活质量,近期及远期疗效均佳。

综合针法配合运动疗法治疗中风偏瘫疗效观察

目的:观察综合针法配合运动疗法治疗中风偏瘫的疗效。方法:59例分为两组,治疗组30例采用综合针法配合运动疗法,对照组29例采用单纯体针配合运动治疗,10天为一疗程,治疗3个疗程。结果:综合针法配合运动治疗对中风偏瘫患者运动功能及日常生活活动能力的改善优于单纯体针(P<0.01)。结论:综合针法配合运动疗法改善中风偏瘫患者运动功能及日常生活能力优于单纯体针。

综合针法治疗中风偏瘫100例

我院自1994年以来,应用综合针法治疗中风偏瘫患者100例,收到良好的效果。现报告如下:1 临床资料本组100例患者,男61例,女39例。其中50岁以下者14例,51～60岁45例,61～70岁28例,70岁以上者13例。经头颅CT检查诊断为缺血性脑中风63例,出血性脑中风37例。合并有高血压病史4...

通关利窍针刺法治疗中风后吞咽障碍的临床研究

目的:观察通关利窍针刺法治疗中风后吞咽障碍的临床疗效。方法:收集30例中风后吞咽障碍住院患者,在脑血管病常规治疗的基础上,予以通关利窍针刺法,每日1次,2周为1疗程,共治疗2个疗程,于治疗前、1个疗程、2个疗程后采用洼田饮水试验评定量表、藤导一郎吞咽疗效评价量表、SWAL-QOL量表评分,并进行统计。结果:治疗前后,患者洼田饮水试验评分、藤岛一郎吞咽疗效评价评分及SWAL-QOL评分均有显著性差异(P<0.01);第2疗程结束后与第1疗程结束时比较,洼田饮水试验评分、藤岛一郎吞咽疗效评价评分及SWAL-QOL评分均有差异(P<0.05)。结论:通关利窍针刺法能够明显改善中风后吞咽障碍。

近24年来单纯性肥胖症的针灸治疗

针灸减肥具有简便、经济、有效无副作用等优点 ,愈来愈受到世界的关注与重视。本文对近 2 4年 (1980～ 2 0 0 3)来针灸治疗单纯性肥胖症作综合论述 ,其中逐一介绍各种针灸减肥方法 ,即 :体针减肥、耳穴减肥、穴位埋线减肥、特种针法减肥 。

ADVANCES OF EXPERIMENTAL RESEARCH ON ACUPUNCTURE AND MOXIBUSTION FOR TREATMENT OF WOMEN'S CLIMACTERIC SYNDROME

To introduce the advances of experimental research on acupuncture and moxibustion for treatment of Women＇s Climacteric Syndrome.The recent years experimental research literature of acupuncture and moxibustion for treatment of Women＇s Climacteric Syndrome were reviewed.The research literatures on acupuncture treatment were major,focusing on the field of acupuncture and moxibustion regulating hypothalamic-pituitary-gonad axis and nerval-endocritic-immune net.Acupuncture and moxibustion could regulate the endocrine environment of menopausal women.Taking advantage of combination biomedicine with multi-sciences,to improve the acupuncture and moxibustion curative effct and probe the mechanism of menopausal pathology and acupuncture and moxibustion function to Women＇s Climacteric Syndrome,is the research direction afterward.

The Combined Use of Acupuncture and Chinese Medicines for Treatment of Menopausal Syndrome——A Clinical Report of 63 Cases

Objective: To evaluate therapeutic effects of the combined use of acupuncture and Chinese medicines in 63 cases of menopausal syndrome. Methods: Ninety-three cases of menopausal syndrome were randomly divided into 2 groups. Sixty-three cases of the treatment group were treated by the combined use of acupuncture and Chinese medicines. Thirty cases in the control group were only given Western medicines. Results: The total effective rate was 96.83% in the treatment group, and 73.33% in the control group. Conclusions: The combined use of acupuncture and Chinese medicines is more effective for treating menopausal syndrome.

Electric Acupuncture in the Treatment of 36 Cases of Female Urethral Syndrome

Since 1999, the authors have used electricacupuncture to treat 36 cases of female urethralsyndrome with good therapeutic effects as comparedto that of the routine treatment. The following is areport of it.

Clinical Study on Therapeutic Effect of Acupuncture on Behcet's Disease

Forty-six cases of Behcet's disease were randomly divided into two groups. The 26 cases in the treatmentgroup were treated by acupuncture and the 20 cases in the control group with the drugs. The level ofL-chain (κ) of IgM and the level of the trace element Zn were determined before and after treatment inthe treatment group. The results showed that the recurrence rate in the treatment group was significantlylower than that in the control group (P＜0.01), and the differences in the level of L-chain (κ) of IgM andlevel of Zn in the treatment group before and after treatment were very significant (P＜0.01). These twoindexes tended to become normal after treatment.

CLINICAL STUDY ON SPLEEN-STOMACH-REINFORCING MOXIBUSTION TREATMENT OF DIARRHEA-TYPE IRRITABLE BOWEL SYNDROME

In the present paper, the therapeutic effect of spleen- stomach- reinforcing moxibustion for treatment of irritable bowel syndrome (IBS) is observed and its underlying mechanisms on immunity are analyzed. A total of 72 IBS patients are randomly divided into moxibustion group (n= 46) and acupuncture group (control group, n = 26). Acu-points used are Zhongwan (CV 12), Qihai (CV 6) and Zusanli (ST 36), etc. Serum IgG, IgA and IgM contents, blood T-lympocytes (T3+, T4+, T8+) counts, T4+ /T8+, cancer embryonic antigen (CEA) content, serum IL-2 and slL-2R contents are assayed for evaluating changes of the immunocompetence. After two courses of treatment (24 sessions), results show that in moxibustion group, 25 cases (54.35%) are cured, 17 experience improvement in clinical symptoms and 4 have no apparent changes, with an effective rate of 91.30% ; in control group, 8 cases (30. 78%) are cured, 12 experience improvement and 6 have no marked improvement, with an effective rate of 76.92% . The therapeutic effect of moxibustion is significantly superior to that of acupuncture (P<0.01). In addition, moxibustion can effectively rectify abnormal immune function and stabilize human's immunity. This research provides a reliable experimental basis for clinical application of 'principal prescription of moxibustion for reinforcing the spleen and stomach'.

Acupuncture for irritable bowel syndrome: A blinded placebo-controlled trial

AIM:Irritable bowel syndrome (IBS) is a common disorder and many patients fail to find adequate relief from conventional therapies for their symptoms. This study tests the claim that acupuncture is effective for a majority of these patients. METHODS: A prospective, blinded, sham acupuncture-controlled trial of traditional Chinese acupuncture was performed at a single postgraduate teaching hospital in Europe. Sixty patients with well-established IBS were recruited. The blinded comparator was sham acupuncture administered by the second of two acupuncturists who alone was aware of the randomization, and who otherwise followed the prescription of the first. The primary end-point was a defined fall in the symptom score at 13 wk (by intention to treat). The prior expectation was a 30% placebo response, and a response rate of 70% from acupuncture, for which the study was adequately powered. RESULTS: Patients in treated and sham groups improved significantly during the study-mean improvement in scores being equal (minus 1.9) and significant for both (P<0.05; one-tailed t test). There was a small numeric but nonsignificant difference between the response rate in patients receiving acupuncture (40.7%) and sham treatment (31.2%). Several secondary end-points marginally favored active treatment, but an improved symptom score of any degree of magnitude occurred more often with sham therapy (65.6% vs 59.2%). For no criterion was statistical significance approached. CONCLUSION: Traditional Chinese acupuncture is relatively ineffective in IBS in the European hospital setting, and the magnitude of any effect appears insufficient to warrant investment in acupuncture services.

Piriformis Syndrome Treated by Triple Puncture with-the Bai Hu Yao Tou Maneuver

Piriformis syndrome is often seen in patients of middle and senior ages. It is manifested by pain in the hip with limited motion of the lower limbs.Prolonged course of the disease may lead to atrophy of muscles of the legs.

Acupuncture for Treatment of Climacteric Syndrome—A Report of 35 Cases

To evaluate the effects of acupuncture for treatment of climacteric syndrome.Methods:The 65 cases in this series were randomly assigned to the acupuncture group (N=35) and the control group (N=30), with the former treated by acupuncture and the latter by medication respectively.The therapeutic effects were evaluated by means of the clinical outcome,improvement in the symptom scores and the results of radioimmunoassays.Results:In the acupuncture group,12 cases were cured,16 cases markedly effective,and 6 cases improved,the total effective rate being as high as 97.14%.The decrease in the symptom scores,and especially the elevation of the decreased E_2 level and the decrease of the increased FSH and LH levels, demonstrated that acupuncture therapy was superior to medication.Conclusion:Acupuncture for regulating the mental activities and reinforcing the kidney is an effective therapy for climacteric syndrome.

CLINICAL OBSERVATION ON THERAPEUTIC EFFECTS OF COMBINED TREATMENT OF NONINSULIN DEPENDENT DIABETES

Objective: To observe the therapeutic effect of combined treatment of diabetes mellitus (DM) and its complications. Methods: 30 cases of noninsulin dependent diabetes were treated by electroacupuncture (EA)of Tianzhu (天柱 BL 10), Dashu (大杼 BL 11), Fengmen (风门 BL 12), Jueyinshu (厥阴俞 BL 14), etc, massage at the acupoints along the Bladder Meridian, point injection of Vitamin B1, B6, B 12plus lidocaine at Neiguan (内关 PC 6) and Sanyinjiao (三阴交 SP 6, once every 3 days), cupping and physiotherapy comprehensively. The therapeutic effect was analyzed after 40 treatments. Results: After treatment, of the 30 cases, 23 (76.7%) experienced remarkable improvement in their symptoms and the rest 7 (23.3%) had improvement, with the total effective rate being 100%. Conclusion: The abovementioned combined treatment method works well in improving clinical symptoms of type Ⅱ DM patients.