腕踝针针刺联合低剂量塞来昔布口服在全髋关节置换术围术期镇痛中的临床价值探讨

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。

腕踝针针刺对老年甲状腺射频消融术患者术后恶心、呕吐、疼痛、满意度的影响

目的观察腕踝针针刺对老年甲状腺射频消融术患者术后恶心、呕吐、疼痛、满意度影响。方法研究纳入老年甲状腺射频消融术患者共计70例,随机分为局麻组与腕踝针组各35例,局部组入室后监测生命体征,行局麻,治疗期内面部疼痛评分(VAS)>3分或血压波动大于基础血压的30%,血压>160/100 mmHg,心率增加>20次/min,即追加舒芬太尼0.15μg/kg;腕踝针组入室前行双侧上肢1.2.3区腕踝针灸法,行局部浸润麻醉,视情况追加舒芬太尼0.15μg/kg。比较两组镇痛及镇静效果、追加舒芬太尼平均剂量、恶心及呕吐等不良反应情况、麻醉前后血流动力学指标变化。结果腕踝针组镇痛及镇静效果均明显优于局麻组;追加舒芬太尼平均剂量明显少于局麻组,恶心及呕吐等不良反应发生率低于局麻组(P<0.05);麻醉前各组舒张压(DBP)、收缩压(SBP)及血氧饱和度(SPO 2)等血流动力学指标差异无统计学意义(P>0.05),麻醉后局麻组DBP、SBP、SPO 2水平较麻醉前明显降低(P<0.05),而腕踝针组DBP、SBP、SPO 2水平无明显变化(P>0.05)。结论腕踝针针刺对老年甲状腺射频消融术患者具有积极影响,具有较好镇痛与镇静效果,还可降低麻醉对患者血流影响,降低麻醉恶心及呕吐等不良反应,减少阿片类药物舒芬太尼的使用。

壮医莲花针拔罐逐瘀疗法联合腕踝针针刺对带状疱疹后遗神经痛的临床疗效研究

观察壮医莲花针拔罐逐瘀疗法联合腕踝针针刺对带状疱疹后遗神经痛的护理效果。方法 60例分为两组,各30例。对照组行药物治疗联合带状疱疹常规护理;实验组在对照组的基础上行莲花针拔罐联合腕踝针针刺、健康教育。结果 观察组患者干预后的VAS、SDS、SAS评分显著低于对照组(P<0.05)。结论 壮医莲花针拔罐逐瘀疗法联合腕踝针针刺能有效缓解带状疱疹后遗神经痛患者的疼痛程度,改善患者不良情绪,临床值得推广。

腕踝针针刺治疗髋部骨折疼痛的护理疗效研究

分析腕踝针针刺治疗髋部骨折疼痛的护理疗效研究。方法 在本院收治的髋部骨折患者中,选择2022.11.01-2023.10.31期间的141例,将其中采用常规护理的71例纳入对照组,而采用常规护理联合腕踝针针刺的70例纳入观察组,比较两组不同时间点疼痛程度(VAS)、临床疗效、炎症因子(IL-6、SP、TNG-α)及生活质量(SF-36)。结果 相较于对照组,观察组治疗有效率更高(P<0.05)。观察组在护理1d、3d、7d后及出院时VAS评分均低于对照组(P<0.05)治疗后,观察组血清炎症指标(IL-6、SP、TNG-α)水平更低(P<0.05)。干预后,相较于对照组观察组患者生活质量评分更高(P<0.05)。结论 在髋部骨折疼痛患者中采用腕踝针针刺治疗临床疗效理想,可以改善患者疼痛程度,减轻炎症水平,利于预后恢复,值得临床推广运用。

针刺结合腕踝针治疗中风后痉挛性偏瘫的疗效分析

目的对针刺结合腕踝针治疗中风后痉挛性偏瘫的疗效进行分析。方法选取我院收诊的风后痉挛性偏瘫患者78例,采用随机数字表法,均分为两组,每组39例,给予对照组常规药物治疗,观察组采用针刺结合腕踝针的疗法。于治疗前后对两组患者的临床痉挛指数(CSI)及运动功能评分(FAM)行统计分析。结果治疗后,观察组39例患者的CSI指数(7.26±2.1)及FAM评分(80.37±2.12)均显著优于对照组(P<0.05)。结论针刺结合腕踝针治疗中风后痉挛性偏瘫,对于改善患者的痉挛情况,提升患者的肢体运动功能均具有积极意义,应当在临床进行广泛应用。

腕踝针用于烧伤换药镇痛的可行性研究

目的 探讨腕踝针针刺疗法用于烧伤创面换药镇痛的有效性。方法 将 100例Ⅱ度烧伤病人随机分为五组,各20例。观察 1组使用腕踝针后即刻换药,换药结束后5 min取针;观察 2组使用腕踝针后即刻换药,换药结束后病人疼痛消失时取针;观察3组使用并留置腕踝针后12 h换药,换药结束后5 min取针;观察4组使用并留置腕踝针12 h后换药,换药结束后病人疼痛消失时取针;对照组换药过程中未使用腕踝针。比较五组换药前及换药过程中10、20 min,换药后10、20、30 min疼痛评分。结果 疼痛评分换药前五组差异无显著性意义(均P>0.05),换药后观察各组各时段评分显著低于对照组(均P<0.01);观察组间比较,换药后各时段观察4组评分均显著低于其他三组(P<0.05,P<0.01)。结论 腕踝针针刺疗法可有效地缓解烧伤创面换药引起的疼痛,留针时间越长,镇痛效果越好。

腕踝针联合温灸改善老年肱骨近端骨折术后肩关节功能疗效观察

目的观察腕踝针联合温灸改善老年肱骨近端骨折术后肩关节功能的临床疗效。方法将山东省文登整骨医院急诊创伤科单侧老年肱骨近端骨折术后患者68例,按照随机数字表法分为针灸组35例和电疗组33例。在基础治疗的同时,2组术后均给予康复治疗,电疗组术后采用YS4004-DJ电脑骨创伤治疗仪治疗,针灸组术后采用腕踝针联合温灸治疗。2组均治疗2周为1个疗程,观察肩关节肿胀程度、疼痛视觉模拟评分(VAS)及肩关节运动功能Constant评分变化情况。结果治疗后第3、7、14天及3个月,2组肩关节肿胀程度及疼痛VAS与本组治疗前比较均降低(P<0.05),Constant评分均升高(P<0.05),且针灸组肩关节肿胀程度、疼痛VAS、Constant评分改善程度均优于电疗组(P<0.05)。结论腕踝针联合温灸有助于老年肱骨近端骨折术后肩关节功能的康复,其疗效优于电治疗仪治疗。

Seventy-two cases of external humeral epicondylitis treated by wrist-ankle acupuncture

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.

Observation of efficacy on prolapse of lumbar intervertebral disc treated with body acupuncture and wrist-ankle acupuncture

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.

Effects of wrist-ankle acupuncture on associated factors in uterus tissue and serum in rats with primary dysmenorrhea

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.

Therapeutic observation of superficial needling for hemifacial spasm

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.