针刺颈段夹脊穴治疗突发性耳聋31例临床观察

目的:观察针刺颈段夹脊穴治疗突发性耳聋的临床疗效。方法:选取突发性耳聋患者61例,随机分为治疗组31例和对照组30例。观察两组患者治疗前后听力改变和椎动脉(VA)、基底动脉(BA)、小脑后下动脉(PICA)平均血流速度的变化。结果:治疗组痊愈10例,显效11例,有效4例,无效6例,总有效率为80.6%。对照组痊愈3例,显效7例,有效11例,无效9例,总有效率70%。两组相比,治疗组疗效优于对照组疗效(P<0.05)。治疗后两组间VA、BA、PICA血流速度比较,对照组血流速度均高于治疗组(P<0.05),治疗组疗效优于对照组。结论:针刺颈段夹脊穴治疗突发性耳聋临床疗效显著,值得临床推广应用。

针刺病变节段颈夹脊穴配合手法治疗颈型、神经根型颈椎病30例临床研究

目的:观察、评估针刺病变节段颈夹脊穴配合手法治疗颈型、神经根型颈椎病的疗效。方法:50例患者随机分为两组,治疗组30例采用针刺病变节段颈夹脊穴配合手法治疗,对照组20例口服舒颈汤合剂;借助临床评价量表、视觉模拟量表等评定两组之间的综合疗效、单项症状、时效指标。结果:治疗组总有效率100%,患者临床评价量表(CAS)积分显著上升,头、颈、肩部疼痛视觉模拟量表(VAS)值显著下降,且均优于对照组(P<0.01);而患者上肢疼痛改善与对照组差异无显著性(P>0.05);对于头、颈、肩部疼痛,治疗组止痛即刻起效时间、疼痛消除时间均显著优于对照组;对于上肢疼痛,治疗组止痛即刻起效时间显著优于对照组,而疼痛消除时间与对照组差异无显著性。结论:针刺病变节段颈夹脊穴配合手法是一种更完善的治疗颈型、神经根型颈椎病方案,值得推广应用。

中医点穴手法治疗颈椎病临床研究

各种类型颈椎病其发病机理不外乎外伤劳损、筋骨移位、淤血阻络、寒凝气滞、经脉失养 ,同时用中医点穴手法试治 1 81例 ,与传统门诊综合治疗组及骨病科住院常规治疗组进行对照观察。结果证明中医点穴手法处置快捷 ,并发症少 。

The effect of acupuncture at “Jǐng Jiājǐ”(颈夹脊) on auditory brainstem response threshold of guinea pigs with sensorineural hearing loss

Objective To explore the effect of acupuncture at ＂Jing Jiaji＂ （颈夹背） on sudden hearing loss by observing the changes of the threshold of auditory brainstem response （ABR） of deaf guinea pigs. Methods Sixty healthy guinea pigs were selected, with computer randomization, 20 were randomly divided into a normal control group （group A）, while the rest were randomly and equally divided into a model group （group B） and an acupuncture group （group C） when turned deaf after gentamycin sulfate and furosemide were administered. No treatment was administered for either the group A or the group B, while acupuncture at ＂Jing Jiaji＂ was given for the group C for 30 days. The ABR thresholds of each group were observed and recorded separately after the treatment for 15 days and 30 days. Results The ABR threshold in the group C was lower than that in the group B after the treatment of 15 days （P〈O.05）. After the treatment of 30 days, the ABR threshold in the group C was obviously lower than that in the group B （P〈0.01）, and was obviously lower than that before acupuncture （P〈0.01）. Conclusion Acupuncture at ＂Jing Jiaji＂ has definite effect on improving the hearing of deaf guinea pigs.

The effect of acupuncture at Jǐngjiājǐ(颈夹脊) on the repair and regeneration of cochlear hair cells of rats with sensorineural deafness

Objective： To observe the effect of acupuncture at Jǐngjiājǐ（颈夹脊）on the repair and regeneration of cochlear hair cells of guinea pigs with sensorineural deafness.Methods： Sixty healthy guinea pigs were selected, 20 guinea pigs were randomly assigned to the normal control group（group A）, and other guinea pigs were randomly divided into model control group（group B） and acupuncture treatment group（group C） after injection with gentamicin sulfate in order to induce deafness. No intervention was given to the guinea pigs in group A and group B, and acupuncture at Jǐngjiājǐ was given to the guinea pigs in group C for 30 days. ABR threshold, DPOAE amplitudes and hair cells counting of guinea pigs in each group were recorded after intervention for 30 days.Results： After intervention for 30 days, ABR threshold in group C was significantly lower than that in group B（38.46 ±7.36 vs 82.94 ±6.47, P〈0.01）. and the DPOAE amplitudes in group C were obviously higher than that in group B（28.06 ±5.64 vs 25.23 ±5.38, P〈0.01）. The number of cochlear hair cells in group C increased significantly, over 50% of the hair cells survived, accounting for 66.67% of the observation cases. The number of cochlear hair cells in the 3 rd and 4 th gyri was close to the normal level, and plenty of proliferous sustentacular cells can be seen. Compared with group B, the number of cochlear outer hair cells in each gyrus in group C significantly increased（36.76 ±1.97 vs 28.59±2.24, P〈0.01）, indicating that acupuncture at Jǐngjiajǐ can promote the repair and regeneration of cochlear hair cells.Conclusion： Acupuncture at Jǐngjiajǐ can promote the repair and regeneration of cochlear hair cells, thus improving the hearing of guinea pigs with deafness.