针刺并埋线治疗肌筋膜疼痛综合征的疗效

肌筋膜疼痛综合征（MPS）是一种慢性全身性的疼痛性疾病，主要是肌肉和筋膜因无菌性炎症而产生粘连，并有激发点形成。多见于成年人和老年人，青年人少见，女性多于男性，病因较多。MPS是引起腰背痛和颈肩痛以及关节周围痛的一个常见病，病人常会因为疼痛而睡眠质量不高，工作效率减低，

针刺穿线胆囊悬吊与传统经脐单孔腹腔镜胆囊切除术临床对比分析

目的:探讨针刺穿线胆囊悬吊经脐单孔腹腔镜胆囊切除术的临床价值。方法:选取200例良性胆囊疾病患者,按随机数字表法分为观察组和对照组,各100例。观察组给予针刺穿线胆囊悬吊经脐单孔腹腔镜胆囊切除术,对照组给予传统经脐单孔腹腔镜胆囊切除术,观察两组患者手术情况。结果:观察组手术情况及恢复情况均优于对照组(P<0.05);观察组术后CRP水平、疼痛指数及凝血功能均优于对照组(P<0.05)。结论:针刺穿线胆囊悬吊经脐腹腔镜胆囊切除术具有创伤小、恢复快等优点,具有较好的应用前景。

针刺结合穴位埋线治疗围绝经期妇女抑郁状态的临床研究

目的探讨针刺结合穴位埋线治疗对围绝经期妇女抑郁状态的改善效果。方法 150例围绝经期抑郁妇女,结合就诊时间先后分为对照1组(给予针刺治疗)、对照2组(给予药物治疗)、观察组(给予针刺结合穴位埋线治疗),各50例。比较三组患者的治疗效果、抑郁改善情况、生存质量。结果观察组患者治疗有效率92.0%高于对照1组72.0%及对照2组40.0%,对照1组治疗有效率高于对照2组,差异均具有统计学意义(P<0.05)。治疗前,三组患者的抑郁自评量表(SDS)评分、围绝经期生存质量量表(MENQOL)评分两两比较,差异均无统计学意义(P>0.05);治疗第4、8、12周,观察组患者的SDS评分、MENQOL评分均低于对照1组及对照2组,差异均具有统计学意义(P<0.05);对照1组及对照2组患者的SDS评分、MENQOL评分比较,差异均无统计学意义(P>0.05)。结论针刺结合穴位埋线治疗围绝经期妇女抑郁状态相较于常规药物治疗和单纯针刺治疗效果更好,对患者抑郁状态的改善效果更为显著,患者生存质量明显提高,值得临床推广。

针刺配合埋线治疗中风后偏瘫肩痛的临床疗效观察

目的探讨针刺配合埋线治疗中风后偏瘫肩痛的临床疗效。方法将中风后偏瘫肩痛患者99例随机分为3组，分别采用常规治疗、常规治疗加针剌、常规治疗加针剌配合埋线进行治疗。结果三组间总疗效、治疗前后肩痛程度积分、肌力比较，经统计学处理显示：治疗后三组相比具有显著性差异（P〈0．01）；常规治疗加针刺组与常规治疗组之间有显著性差异（P〈0．05）；针剌配合埋线组与常规治疗加针剌组之间有显著性差异（P〈0．05）。结论针刺配合埋线治疗中风后偏瘫肩痛具有良好疗效，比常规治疗加针刺效果更佳。

长针透刺埋线对痰湿体质肥胖患者胰岛素抵抗和氧化应激指标的影响

目的:观察长针透刺埋线对痰湿体质肥胖患者胰岛素抵抗和氧化应激指标的影响。方法:选择符合入组条件的痰湿体质肥胖患者60例,随机分为两组,对照组给予饮食、起居、情志、运动等健康调养指导,治疗组在对照组基础上进行长针透刺埋线治疗。治疗前后分别检测其痰湿质转化分、身体质量指数、稳态模型胰岛素抵抗指数(HOMA Insulin Resistance Index,HOMA-IR)、总抗氧化能力(Total Antioxidative Capacity,T-AOC)、超氧化物歧化酶(Superoxide Dismutase,SOD)。结果:长针透刺埋线能有效改善痰湿体质和胰岛素抵抗,增强机体T-AOC、SOD活性,从而增强机体抗氧化能力,且治疗组的改善程度均优于对照组。结论:长针透刺埋线法对于痰湿体质肥胖可能是通过改善机体抗氧化能力及胰岛素抵抗达到治疗效果的。

针刺穴位埋线法加服癫痫散治疗癫痫4000例

<正> 自1970年以来,我们运用针刺穴位埋线法加服癫痫散治疗癫痫4000例,获良好疗效。现报道如下: 一、临床资料 在本组4000例中,男2259例,女1741例。年龄最小者8个月,最大者75岁;其中89％以上是在30岁前发病。病程最短者5个月,最长者35年。大发作2243例,小发作395例,精运性发作361例,混合性发作517例。

穴位埋线配合以痛为腧针刺法治疗癌性疼痛的效果分析

目的:探讨穴位埋线配合以痛为腧针刺法治疗癌性疼痛的效果。方法:选择2015年6月-2016年11月癌性疼痛患者90例根据治疗方法分组。对照组给予单一三阶梯镇痛治疗,观察组则给予三阶梯镇痛联合穴位埋线配合以痛为腧针刺法治疗。比较两组癌性疼痛控制率;疼痛缓解时间;治疗前后患者癌性疼痛评分、生活质量指数QLI、卡氏评分。结果:观察组癌性疼痛控制率高于对照组,P <0. 05;观察组疼痛缓解时间短于对照组,P <0. 05;治疗前两组癌性疼痛评分、生活质量指数QLI、卡氏评分相近,P> 0. 05;治疗后观察组癌性疼痛评分、生活质量指数QLI、卡氏评分优于对照组,P <0. 05。结论:三阶梯镇痛联合穴位埋线配合以痛为腧针刺法治疗癌性疼痛的应用效果确切,可有效减轻癌性疼痛,改善患者健康水平和生活质量,值得推广应用。

穴位埋线治疗卒中后肩关节半脱位临床疗效及对血清肿瘤坏死因子-α、白细胞介素-6因子水平的影响研究

目的探讨对卒中后肩关节半脱位患者采用穴位埋线治疗的临床效果。方法选取我院收治的卒中后肩关节半脱位患者78例,随机分为A组、B组和C组,各26例。3组均给予康复训练,其中A组单纯采用康复训练的方式,B组在康复训练的基础上给予针刺治疗,而C组在康复训练的基础上给予穴位埋线治疗,对比3组治疗效果。结果治疗前,A组、B组和C组上肢运动功能评分、肩关节疼痛评分以及血清肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)水平对比无明显差异(P>0.05);治疗后,C组上肢运动功能评分高于A组和B组,肩关节疼痛评分、TNF-α和IL-6水平低于和B组(P<0.05)。结论穴位埋线可以有效减轻卒中后肩关节半脱位患者的疼痛症状,在提高上肢运动功能的同时降低机体的炎性反应,临床治疗效果显著。

燃煤电厂电除尘稳定运行技术改造方法研究

电除尘器因具有除尘效率高、适应范围广、运行费用低、可靠性高、使用方便且无二次污染等独特优点,在燃煤机组中是应用最广的除尘设备。目前,国家已经出台更为严格的粉尘排放标准,这给电除尘器技术带来了挑战,也带来了机遇。该文分析了电除尘器存在的问题,然后探究了电除尘器改造主要技术方法。

Path prediction of flexible needles based on Fokker-Planck equation and disjunctive Kriging model

Path prediction of flexible needles based on the Fokker-Planck equation and disjunctive Kriging model is proposed to improve accuracy and consider the nonlinearity and anisotropy of soft tissues.The stochastic differential equation is developed into the Fokker-Planck equation with Gaussian noise,and the position and orientation probability density function of flexible needles are then optimized by the stochastic differential equation.The probability density function obtains the mean and covariance of flexible needle movement and helps plan puncture paths by combining with the probabilistic path algorithm.The weight coefficients of the ordinary Kriging are extended to nonlinear functions to optimize the planned puncture path,and the Hermite expansion is used to calculate nonlinear parameter values of the disjunctive Kriging optimization model.Finally,simulation experiments are performed.Detailed comparison results under different path planning maps show that the kinematics model can plan optimal puncture paths under clinical requirements with an error far less than 2 mm.It can effectively optimize the path prediction model and help improve the target rate of soft tissue puncture with flexible needles through data analysis and processing of the mean value and covariance parameters derived by the probability density and disjunctive Kriging algorithms.

INFLUENCE OF THE FIVE ELEMENT THEORY ON ACUPUNCTUROLOGY

In the present paper, the authors make a simple comment on the influence of the theory of five elements of TCM on the acupuncturology from ① its influence on the meridian-collateral theory and acupoint system; ② its influence on acu-moxibustion therapeutics including the application of mother and son points for reinforcing and reducing, the application of the five element theory to the midnight-noon ebb-flow needling, and guiding point selection in different seasons; and ③ its influence on acupuncture techniques.

Effect of acupuncture combined with medicated thread moxibustion of Zhuang medicine on insomnia rats injected with orexin in lateral ventricle

Objective To explore the effect of acupuncture combined with medicated thread moxibustion of Zhuang medicine on insomnia rats. Methods Sixty SPF Wistar rats were randomly divided into four groups, including a normal control group （control group）, a sham operation group, a model group and a treatment group, with 15 rats in each group. In the model group and treatment group, insomnia model were established by injecting orexin into lateral ventricle of rats. In the sham operation group, artificial cerebrospinal fluid was injected into lateral ventricle of rats, and the rats in control group were not treated. On the basis of modeling, the rats in treatment group were treated by acupuncture combined with medicated thread moxibustion of Zhuang medicine which was conducted once a day, and the treatment lasted for 14 days. The expression of orexin mRNA and orexin content were detected, and the changes of associated receptors, including orexin 1 receptor （OX I R） and orexin 2 receptor （OX 2 R） were observed. Results The expression of orexin mRNA in model group （6.54 ± 1.21） significantly increased when compared with control group （0.66±0.12, P〈0.01）, and orexin content in model group [（i 156.35±126.88） pg/mL] significantly increased when compared with control group [（427.12_± 32.54） pg/mL, P〈O.OI]. The expression of orexin mRNA in treatment group （0.87 ± 0.26） significantly reduced when compared with the model group （P〈0.01）, and orexin content in the treatment group [（585.23 ± 89.21） pg/mL] significantly reduced when compared with the model group （P〈O.01）. The percentage of OX I R positive cells in the model group （0.64±0.15） significantly increased when compared with the control group （0.21±0.03, P〈0.01）, and the percentage of OX 2 R positive cells in the model group （0.76±0.18） significantly increased when compared with the control group （0.24±0.01, P〈O.01）. The percentage of OX 1 R positive cells in the treatment group （0.36_±0.08） significantly reduced when compared with the model group （P〈0.01）. The percentage of OX 2 R positive cells in treatment group （0.25_± 0.03） significantly reduced when compared with model group （P〈0.01）. Conclusion It might be an effective link of acupuncture combined with medicated thread moxibustion of Zhuang medicine in treatment of insomnia that the treatment could inhibit the awakening promotion effect of orexin by affecting orexin, OX I R and OX 2 R.

Effect of acupuncture on hippocampal mitochondrial proteome expression in SAMP8 mouse model with Alzheimer disease

Objective：To observe the effect of acupuncture on the expression of mitochondrial proteome in hippocampus of senescence-accelerated mouse prone g （SAMPg） mice models with Alzheimer disease （AD）,and to explore the possible protective mechanism of acupuncture on mitochondria.Methods：Sixty 6-month-old male SAMP8 mice were randomly divided into an acupuncture at acupoint group,an acupuncture at non-acupoint group and a model group,20 mice in each group.The 20 male senescence-accelerated mouse/resistance 1 （SAMR1） mice of the same age were used as a normal control group.Shenshu （BL 23）,Baihui （GV 20）,Xuehai （SP 10） and Geshu （BL 17） were selected for acupuncture intervention in acupuncture at acupoint group.After an 8-week intervention,mitochondrial tissues were extracted from the hippocampus.Differentially expressed proteins were identified by subcellular organelle proteomics.Western blot was used to verify the expressions of some related proteins in hippocampal mitochondria.Results：Compared with the model group,there were 13 differentially expressed protein spots in the acupuncture at acupoint group,of which,9 were up-regulated,including neurofilament light polypeptide （NFL）,actin （cytoplasmic 1,database ID：ACTB）,tubulin beta-2A chain （TBB2A）,tropomodulin-2 （TMOD2）,pyruvate dehydrogenase E1 component subunit beta （PDHE1-β）,NADH-ubiquinone oxidoreductase 75 kDa subunit （database ID：NDUS1）,heat shock cognate 71 kDa protein （HSC71）,pyruvate dehydrogenase E1 component subunit alpha （PDHE1-α） and ATP synthase beta subunit （ATP-β）;4 were down-regulated,including glial fibrillary acidic protein （GFAP）,pyruvate dehydrogenase phosphatase 1 （PDP1）,mitochondrial-processing peptidase subunit alpha （MMP-α） and adenosine kinase （ADK）.According to the information provided in the protein database,most of the differentially expressed proteins involve the regulation of mitochondrial function and structure.The expression levels of NFL and TBB2A in the normal control group and the acupuncture at acupoint group were significantly higher than those in the acupuncture at non-acupoint group （P〈0.05）.ATP-β and NDUS1 expression levels were significantly higher in the acupuncture at acupoint group than those in the acupuncture at non-acupoint group （P〈0.05）;there was no significant difference between the acupuncture at non-acupoint group and the model group （P〉0.05）.Conclusion：Acupuncture may achieve the potential therapeutic effect on AD by regulating the structure and functional proteins of hippocampal mitochondria.

Clinical Study on Thread-embedding Therapy for Insomnia Due to Heart-spleen Deficiency

Objective： To observe the clinical effect of thread-embedding therapy in treating insomnia due to heart-spleen deficiency. Methods： Sixty patients were randomized into an acupuncture group and a thread-embedding group, 30 in each. The acupuncture group was managed by acupuncture therapy, and the thread-embedding group was treated by thread-embedding therapy. Pittsburgh Sleep Quality Index （PSQI） was adopted for evaluation before and after treatments. Results： The total effective rate was 86.7% in the acupuncture group versus 96.7% in the thread-embedding group. After treatment, the PSQI scores were significantly different from those before treatment in both groups （P〈0.01）; the scores in both two groups were mai＇kedly different from each other after treatment （P〈0.01）. Conclusion： Both acupuncture and thread-embedding therapies can effectively improve sleep quality of the patients, while thread-embedding therapy is comparatively less time-consuming, more convenient and with longer stimulation.

Effect of manual acupuncture on bowel motility in normal kunming mouse

OBJECTIVE:To observe the effects of acupuncture on motility of jejunum and distal colon at different acupoints on normal Kunming mice.METHODS:The jejunal and colorectal motor activity of forty Kunming mice were recorded by the intra-intestinal capsule.The capsules contained with distilled water were placed into the cavities of jejunum and distal colon.The changes of bowel were compared with the background activity recorded before any stimulation.The chosen acupoints were as follows:Zusanli(ST 36) on the lower legs,Tianshu(ST 25) on the mid-lower abdomen.RESULTS:Manual acupuncture(MA) at Zusanli(ST36) significantly promoted the motility of jejunum and distal colon(manifested as increased change rate of average amplitude and increased change rate of mean area under the contractile curve) of normal Kunming mice(P < 0.01).MA atTianshu(ST25) significantly inhibited the motility of jejunum(manifested as decreased change rate of average amplitude,decreased change rate of mean area under the contractile curve,and the reduced frequency) of normal Kunming mice(P < 0.01),while significantly increased the distal colonic motility(manifested as increased amplitude and increased mean area under the contractile curve) of normal Kunming mice(P < 0.01).CONCLUSION:MA at specific acupoints[Zusanli(ST 36),Tianshu(ST 25)]has different effects on the motility of jejunum and distal colon,which might involve the segmental innervations of the related nerve.

Treatment of Temporomandibular Joint Dysfunction Syndrome by Acupuncture,Taiyi Moxa-cigar Plus Tuina

Summary： Fouty-five cases of temporomandibular joint dysfunction syndrome were diagnosed by Xray, excluding the organic diseases. The acupoints Xiaguan （ST 7）, Jiache （ST 6）, Yifeng （TE 17） and Hegu （LI 4） on the affected side were punctured first, after removal of needles, 5-7 layers of cotton cloth was placed on the above acupoints, then moxibustion with moxa-roll made of Chinese medicine was performed. Finally Dian-finger pressing, An-pressing and Rou stationary circular pressing with finger belly of the thumb were applied to the local region around the mandible joint for 3-5 min. After 1-2 courses of treatments, 45 cases all got effect.