目的分析腕踝针针刺联合口服低剂量塞来昔布在全髋关节置换术(total hip replacement,THA)患者围术期镇痛中的临床价值。方法选取2022年7月—2023年6月于永春县中医院行THA的30例患者作为研究对象,按镇痛模式的不同为A组(低剂量塞来昔布...目的分析腕踝针针刺联合口服低剂量塞来昔布在全髋关节置换术(total hip replacement,THA)患者围术期镇痛中的临床价值。方法选取2022年7月—2023年6月于永春县中医院行THA的30例患者作为研究对象,按镇痛模式的不同为A组(低剂量塞来昔布+腕踝针针刺)和B组(常规塞来昔布镇痛),各15例,比较2组患者的疼痛程度、应激反应、炎症反应、髋关节功能。结果疼痛程度比较,A组轻度疼痛占比高于B组(P<0.05);应激反应比较,A组去甲肾上腺素(norepinephrine,NE)、皮质醇(cortisol,Cor)水平低于B组,应激反应较轻(P<0.05);炎症反应比较,A组β内啡肽(β-endorphin human trifluoroacetate salt,β-EP)水平高于B组,A组前列腺素E2(prostaglandin E2,PGE2)、P物质(substance P,SP)水平低于B组,炎症反应较弱(P<0.05);髋关节功能比较,A组Harris髋关节评分系统(Harris hip score,HHS)评分高于B组,A组功能状态较好(P<0.05)。结论针对THA患者实施围术期低剂量塞来昔布联合腕踝针针刺,可有效缓解患者的疼痛,抑制应激反应和炎症反应,改善患者的髋关节功能,有临床应用价值。展开更多
Objective To observe the clinical effects of wrist-ankle acupuncture on external humeral epicondylitis. Methods Seventy-two cases diagnosed as external humeral epicondylitis were brought into the study. Horizontal nee...Objective To observe the clinical effects of wrist-ankle acupuncture on external humeral epicondylitis. Methods Seventy-two cases diagnosed as external humeral epicondylitis were brought into the study. Horizontal needling was used at upper area 3, upper area 4 and upper area 5 near wrists with long filiform needles. The frequency was once a day, and a course included 10 times. Results 27 cases got cured, 36 cases were marked effective, 5 cases were effective and 4 cases were failed after 1 course to 5 courses of treatment. The total effective rate was 94.5%. Conclusion Wrist-ankle acupuncture is a simple and effective therapy on external humeral epicondylitis.展开更多
Objective To observe the clinical effects of body acupuncture and wrist-ankle acupuncture on prolapse of lumbar intervertebral disc, Methods One hundred and eighty cases of prolapse of lumbar intervertebral disc were ...Objective To observe the clinical effects of body acupuncture and wrist-ankle acupuncture on prolapse of lumbar intervertebral disc, Methods One hundred and eighty cases of prolapse of lumbar intervertebral disc were randomly divided into body acupuncture and wrist-ankle acupuncture group （observation group） and simple body acupuncture group （control group）, 90 cases in each one. In observation group, body acupuncture was applied on Ahshi points of lumbar region, lumbar Jiájǐ （夹脊EX-B 2）, Dàchángshú（大肠俞 BL 25）, etc. and wrist-ankle acupuncture was applied on lower No. 4, 5 and 6 regions. In control group, simple body acupuncture was applied on the same points as observation group. Results The lumbar vertebral function and pain scale were improved in either group in comparison before and after treatment （P〈0.05）. Concerning pain improvement, the total effective rate was 95.6% in observation group, which was superior to that （86.7%） in control group （P〈0.05）. Concerning the improvement of lumbar vertebral function, the total effective rate was 90.0% in observation group and 93.3% in control group, without significant difference between two groups （P〉0.05）. Conclusion Combined therapy of body acupuncture and wrist-ankle acupuncture demonstrates apparent analgesia in prolapse of lumbar intervertebral disc.展开更多
Objective：To observe effects of wrist-ankle acupuncture （WAA） onβ-endorphin （EP）, nitric oxide （NO） in uterus tissue and prostaglandin F2α （PGF2α）, substance P （SP） in serum of rats with primary dysmenor...Objective：To observe effects of wrist-ankle acupuncture （WAA） onβ-endorphin （EP）, nitric oxide （NO） in uterus tissue and prostaglandin F2α （PGF2α）, substance P （SP） in serum of rats with primary dysmenorrhea. Methods：A total of 45 non-pregnant Wistar rats were randomly divided into a control group, a model group and a WAA group, 15 rats in each group. Rats in the model group and the WAA group received continuous abdominal subcutaneous injection of Diethylstilbestrol to establish dysmenorrhea rat models. On the first day after modeling, rats in the WAA group began to receive acupuncture on Point Lower 1 and Point Lower 2, once a day for 10 d. The control group and the model group didn’t receive any treatment. Writhing latencies and frequencies were recorded.β-EP and NO in uterus tissue homogenates and PGF2α, SP in serum were detected. Results：In the model group,β-EP and NO levels were the lowest among the groups, the serum PGF2α level was the highest, and serum SP level was the lowest. These measurements showed significantly difference between the model group and the control group （P〈0.05）. PGF2α in the WAA group was lower than that in the model group;β-EP, NO and SP levels were higher than those in the model group, with inter-group statistically significant differences （P〈0.05）. Conclusion： WAA may achieve analgesic effect through decreasing PGF2α, increasingβ-EP, NO and SP to relieve uterine cramps, increase blood flow and promote functional improvement.展开更多
Objective： To observe the therapeutic efficacy of superficial needling in treating hemifacial spasm. Methods： Eighty patients with facial spasm were randomized into two groups by the random number table, 40 cases in...Objective： To observe the therapeutic efficacy of superficial needling in treating hemifacial spasm. Methods： Eighty patients with facial spasm were randomized into two groups by the random number table, 40 cases in each group. The observation group was intervened by superficial needling at local Ashi points and wrist-ankle acupuncture at the Upper 1, Upper 2 and Upper 3 points; while the control group was by ordinary acupuncture. For both groups, the treatment was given once a day, 7 times as a treatment course, and the therapeutic efficacy was evaluated after 3 courses. Results： The total effective rate and recovery rate were respectively 97.5% and 57.5% in the observation group versus 85.0% and 37.5% in the control group, and the differences were statistically significant （P〈0.05）. Conclusion： Superficial needling can produce a more significant efficacy in treating hemifacial spasm than ordinary acupuncture.展开更多
文摘目的分析腕踝针针刺联合口服低剂量塞来昔布在全髋关节置换术(total hip replacement,THA)患者围术期镇痛中的临床价值。方法选取2022年7月—2023年6月于永春县中医院行THA的30例患者作为研究对象,按镇痛模式的不同为A组(低剂量塞来昔布+腕踝针针刺)和B组(常规塞来昔布镇痛),各15例,比较2组患者的疼痛程度、应激反应、炎症反应、髋关节功能。结果疼痛程度比较,A组轻度疼痛占比高于B组(P<0.05);应激反应比较,A组去甲肾上腺素(norepinephrine,NE)、皮质醇(cortisol,Cor)水平低于B组,应激反应较轻(P<0.05);炎症反应比较,A组β内啡肽(β-endorphin human trifluoroacetate salt,β-EP)水平高于B组,A组前列腺素E2(prostaglandin E2,PGE2)、P物质(substance P,SP)水平低于B组,炎症反应较弱(P<0.05);髋关节功能比较,A组Harris髋关节评分系统(Harris hip score,HHS)评分高于B组,A组功能状态较好(P<0.05)。结论针对THA患者实施围术期低剂量塞来昔布联合腕踝针针刺,可有效缓解患者的疼痛,抑制应激反应和炎症反应,改善患者的髋关节功能,有临床应用价值。
文摘Objective To observe the clinical effects of wrist-ankle acupuncture on external humeral epicondylitis. Methods Seventy-two cases diagnosed as external humeral epicondylitis were brought into the study. Horizontal needling was used at upper area 3, upper area 4 and upper area 5 near wrists with long filiform needles. The frequency was once a day, and a course included 10 times. Results 27 cases got cured, 36 cases were marked effective, 5 cases were effective and 4 cases were failed after 1 course to 5 courses of treatment. The total effective rate was 94.5%. Conclusion Wrist-ankle acupuncture is a simple and effective therapy on external humeral epicondylitis.
文摘Objective To observe the clinical effects of body acupuncture and wrist-ankle acupuncture on prolapse of lumbar intervertebral disc, Methods One hundred and eighty cases of prolapse of lumbar intervertebral disc were randomly divided into body acupuncture and wrist-ankle acupuncture group （observation group） and simple body acupuncture group （control group）, 90 cases in each one. In observation group, body acupuncture was applied on Ahshi points of lumbar region, lumbar Jiájǐ （夹脊EX-B 2）, Dàchángshú（大肠俞 BL 25）, etc. and wrist-ankle acupuncture was applied on lower No. 4, 5 and 6 regions. In control group, simple body acupuncture was applied on the same points as observation group. Results The lumbar vertebral function and pain scale were improved in either group in comparison before and after treatment （P〈0.05）. Concerning pain improvement, the total effective rate was 95.6% in observation group, which was superior to that （86.7%） in control group （P〈0.05）. Concerning the improvement of lumbar vertebral function, the total effective rate was 90.0% in observation group and 93.3% in control group, without significant difference between two groups （P〉0.05）. Conclusion Combined therapy of body acupuncture and wrist-ankle acupuncture demonstrates apparent analgesia in prolapse of lumbar intervertebral disc.
基金supported by Hebei Tangshan Science and Technology Project No.121302118b~~
文摘Objective：To observe effects of wrist-ankle acupuncture （WAA） onβ-endorphin （EP）, nitric oxide （NO） in uterus tissue and prostaglandin F2α （PGF2α）, substance P （SP） in serum of rats with primary dysmenorrhea. Methods：A total of 45 non-pregnant Wistar rats were randomly divided into a control group, a model group and a WAA group, 15 rats in each group. Rats in the model group and the WAA group received continuous abdominal subcutaneous injection of Diethylstilbestrol to establish dysmenorrhea rat models. On the first day after modeling, rats in the WAA group began to receive acupuncture on Point Lower 1 and Point Lower 2, once a day for 10 d. The control group and the model group didn’t receive any treatment. Writhing latencies and frequencies were recorded.β-EP and NO in uterus tissue homogenates and PGF2α, SP in serum were detected. Results：In the model group,β-EP and NO levels were the lowest among the groups, the serum PGF2α level was the highest, and serum SP level was the lowest. These measurements showed significantly difference between the model group and the control group （P〈0.05）. PGF2α in the WAA group was lower than that in the model group;β-EP, NO and SP levels were higher than those in the model group, with inter-group statistically significant differences （P〈0.05）. Conclusion： WAA may achieve analgesic effect through decreasing PGF2α, increasingβ-EP, NO and SP to relieve uterine cramps, increase blood flow and promote functional improvement.
文摘Objective： To observe the therapeutic efficacy of superficial needling in treating hemifacial spasm. Methods： Eighty patients with facial spasm were randomized into two groups by the random number table, 40 cases in each group. The observation group was intervened by superficial needling at local Ashi points and wrist-ankle acupuncture at the Upper 1, Upper 2 and Upper 3 points; while the control group was by ordinary acupuncture. For both groups, the treatment was given once a day, 7 times as a treatment course, and the therapeutic efficacy was evaluated after 3 courses. Results： The total effective rate and recovery rate were respectively 97.5% and 57.5% in the observation group versus 85.0% and 37.5% in the control group, and the differences were statistically significant （P〈0.05）. Conclusion： Superficial needling can produce a more significant efficacy in treating hemifacial spasm than ordinary acupuncture.
