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改良青龙摆尾针刺法治疗带状疱疹后遗神经痛疗效研究 被引量:3
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作者 蔡海鑫 萨仁 +2 位作者 刘道龙 曾令慧 杨敏 《针灸临床杂志》 2023年第12期37-41,共5页
目的:观察改良青龙摆尾针刺法治疗带状疱疹后遗神经痛疗效。方法:将本院收治的91例带状疱疹后遗神经痛患者(2020年2月—2022年6月)纳入研究,以随机数字表法将纳入患者分为针刺组(46例)与常规组(45例),常规组患者采取常规疗法(甲钴胺+维... 目的:观察改良青龙摆尾针刺法治疗带状疱疹后遗神经痛疗效。方法:将本院收治的91例带状疱疹后遗神经痛患者(2020年2月—2022年6月)纳入研究,以随机数字表法将纳入患者分为针刺组(46例)与常规组(45例),常规组患者采取常规疗法(甲钴胺+维生素+吲哚美辛肠溶片)治疗,针刺组治疗方法在常规组基础上结合改良青龙摆尾针刺法治疗,比较治疗效果、治疗前后患者中医证候积分变化、血清炎症因子水平变化及疼痛评分(VAS)变化与睡眠质量(PSQI)评分变化、皮肤病生活质量评估量表(DLQI)评分变化、不良反应和6个月疾病复发率。结果:针刺组患者与常规组治疗总有效率分别为95.65%(44/46)、82.22%(37/45),针刺组更高,差异具有统计学意义(P<0.05);两组患者治疗前中医证候积分、白介素-6(IL-6)及C反应蛋白(CRP)、肿瘤坏死因子α(TNF-α)等血清炎症因子水平、VAS评分、PSQI评分和DLQI评分比较,差异无统计学意义(P>0.05),治疗后各组患者中医证候积分、血清炎症因子水平(IL-6、CRP及TNF-α)、VAS评分、PSQI评分和DLQI评分均改善,针刺组患者治疗后各指标均优于常规组,差异具有统计学意义(P<0.05);针刺组患者不良反应率为4.35%(2/45),与常规组的4.44%(2/46)比较,差异无统计学意义(P>0.05);针刺组患者6个月内疾病复发率为0.00%(0/46)低于常规组的8.89%(4/45),差异具有统计学意义(P<0.05)。结论:带状疱疹后遗神经痛患者采取改良青龙摆尾针刺法治疗甚佳,患者症状明显改善,疼痛缓解,睡眠与生活质量佳,不良反应较少,且6个月内疾病复发率较低,值得应用。 展开更多
关键词 带状疱疹 后遗神经痛 改良青龙摆尾针刺法 不良反应 复发率
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李思康运用针灸治疗肩关节周围炎经验 被引量:1
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作者 戴瑶 李思康 《河南中医》 2022年第12期1844-1846,共3页
李思康主任认为,肩关节周围炎病机有二,一是肩部气血阻滞,运行不畅,不通则痛;二是年老体弱,气血亏虚,筋脉得不到气血濡养,不荣则痛,日久不愈,终使肩关节屈伸不利。提出“一清二温三补”的治疗原则,“一清”即通过运用青龙摆尾针刺法调... 李思康主任认为,肩关节周围炎病机有二,一是肩部气血阻滞,运行不畅,不通则痛;二是年老体弱,气血亏虚,筋脉得不到气血濡养,不荣则痛,日久不愈,终使肩关节屈伸不利。提出“一清二温三补”的治疗原则,“一清”即通过运用青龙摆尾针刺法调节肩关节局部的气机,疏通经络,清除局部瘀血;“二温”为对肩前(经外奇穴)、肩髃(手阳明经穴)、肩髎(手少阳经穴)三穴施以温针灸法;“三补”为针刺手四针穴,即曲池、合谷、外关、后溪。李主任重视传统复式针刺手法的运用,采用青龙摆尾针刺法,坚持以气血立论,把“一清二温三补”原则贯彻到肩关节周围炎的诊治中,取得良好疗效。 展开更多
关键词 肩关节周围炎 青龙摆尾针刺法 “一清二温三补” 李思康
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OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE TREATMENT OF 123 CASES OF SCAPULOHUMERAL PERIARTHRITIS 被引量:2
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作者 老锦雄 李子勇 +1 位作者 赖新生 邓聪 《World Journal of Acupuncture-Moxibustion》 2003年第1期34-37,共4页
Objective: To observe the therapeutic effect of Qinglong Bai Wei Zhen Fa (Green Dragon Shaking Tail Needling) in the treatment of scapulohumeral periarthritis. Methods: A total of 231 cases of scapulohumeral periarthr... Objective: To observe the therapeutic effect of Qinglong Bai Wei Zhen Fa (Green Dragon Shaking Tail Needling) in the treatment of scapulohumeral periarthritis. Methods: A total of 231 cases of scapulohumeral periarthritis patients were randomized into treatment group (n=123) and control group (n=108). In treatment and control groups, Jianyu (LI 15), Jianqian and Jianhou were used as the main acupoints and stimulated with Green Dragon Shaking Tail Needling and conventional needling separately. Additionally, in control group, Waiguan (TE 5) and Binao (LI 14) were supplemented. The treatment was given once daily, with 10 days being a therapeutic course, 2 courses altogether. Results: After the first course of treatment, in treatment and control groups, the cured, the markedly improved, the effective and ineffective cases were 49 and 12, 61 and 33, 11 and 40, 2 and 23, with the total effective rates being 98.4% and 78.7% respectively. There was a marked difference between two groups in the therapeutic effect (P<0.05). Following 2 courses of treatment, the cured, the markedly improved, the effective and ineffective cases were 66 and 21, 47 and 41, 10 and 39, 0 and 7, with the total effective rates being 100% and 93.5% separately. No significant difference between two groups in the total effective rates, but the cure rate of treatment group was strikingly higher than that of control group. Conclusion: Green Dragon Shaking Tail Needling is significantly superior to that of conventional needling in the treatment of scapulohumeral periarthritis. 展开更多
关键词 Scapulohumeral periarthritis Green Dragon Shaking Tail Needling Therapeutic effect
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