单纯性肥胖的针灸饮食运动治疗及护理干预的临床分析

目的:观测分析单纯性肥胖的针灸饮食运动治疗及护理干预的临床效果。方法:本组采用中医针灸刺激、行为干预、饮食和运动疗法,综合治疗单纯性肥胖,10d为一疗程,5个疗程后评定疗效。结果:本组62例,临床痊愈36例,占58.06%;显效12例,19.35%;有效11例,占17.74。总有效率95.16%。结论:应用中医针灸刺激脾胃经脉穴位,结合生活行为干预,饮食运动等治疗单纯性肥胖症,效果良好,值得借鉴。

Acupuncture treatment for depressive symptom in diarrhea-predominant irritable bowel syndrome:a randomized controlled study

Objective:To observe the clinical efficacy of acupuncture treatment for depressive symptom in diarrhea-predominant irritable bowel syndrome(IBS-D).Methods:A total of 70 patients with IBS-D accompanied by depressive symptom were randomized into a control group and an observation group,with 35 cases in each group.The control group was treated with oral intake of pinaverium bromide tablets,and the observation group was treated with regulating liver and spleen acupuncture treatment.The two groups were treated for 4 weeks.The scores of IBS symptom severity scale(IBS-SSS)and self-rating depression scale(SDS)were assessed before and after treatment.Results:After treatment,there were statistical significant differences in the scores of abdominal pain degree,abdominal pain frequency and defecation satisfaction level and the total score between the two groups(all P<0.05).The SDS score of the observation group was obviously decreased,and the improvement was significantly superior to that in the control group(P<0.05).Conclusion:Acupuncture treatment can significantly improve gastrointestinal symptom and depressive symptom in patients with IBS-D.

Therapeutic observation of cranial suture acupuncture in treating depression

Objective： To observe the clinical efficacy and safety of cranial suture acupuncture plus paroxetine in treating depression, and to discuss the action mechanism of this acupuncture method. Methods： One hundred depression patients were allocated to an observation group and a control group according to the random number table, with 50 cases in each group. The control group was intervened by oral administration of paroxetine tablets, 20 mg each time, once a day for successive 6 weeks; the observation group was additionally given cranial suture acupuncture, once a day for 6 weeks. They were scored by Hamilton depression scale-17 （HAMD-27） before the treatment and respectively after 1-week, 2-week, 4-week and 6-week treatment. The clinical efficacy and safety were also observed. Results： After 6-week treatment, the total effective rate was 94.0% in the observation group versus 78.0% in the control group, and the between-group difference was statistically significant （P〈0.01）. The HAMD-17 scores respectively after 1-week, 2-week, 4-week and 6-week treatment were significantly lower than the score before the treatment in the observation group （all P〈0.05）; the HAMD-17 scores respectively after 2-week, 4-week and 6-week treatment were significantly different from the score before the treatment in the control group （all P〈0.05）. There were significant differences in the HAMD-17 score between the two groups respectively after 4-week and 6-week treatment （both P〈0.05）. Conclusion： Cranial suture acupuncture plus paroxetine can ease the symptoms of depression, with faster onset and more significant therapeutic efficacy compared with paroxetine alone.

Clinical observation on regulating Conception Vessel and unblocking Governor Vessel by acupuncture combined with tuina for cerebral infarction

Objective：To observe the clinical effect of regulating Conception Vessel and unblocking Governor Vessel by acupuncture combined with tuina for cerebral infarction. Methods：A total of 61 eligible cases with cerebral infarction were treated with regulating Conception Vessel and unblocking Governor Vessel by acupuncture combined with tuina, once a day, 12 d for a course. There was a 3-day interval between two courses. These cases were treated for 3 courses. Before treatment, the infarction severity was graded using neurological deficit score. The score changes and correlation between infarction severity and therapeutic efficacy were evaluated after 1, 2 and 3 courses of treatment. Results：Before treatment, the neurological deficit score was （18.65±3.28）, versus （13.63±3.91）, （9.53±3.22） and （5.57±3.97） respectively after 1, 2 and 3 courses of treatment. When the third course was completed, 4 cases obtained almost full recovery, 33 cases obtained marked effect, 18 cases obtained improvement and 6 cases had no effect. The total effective rate was 90.2%. Conclusion：Regulating Conception Vessel and unblocking Governor Vessel by acupuncture combined with tuina can substantially improve limb function in patients with hemiplegia due to cerebral infarction.