齐刺电针疗法配合穴位注射治疗脊髓亚急性联合变性6例报告

目的:探索齐刺电针疗法配合穴位注射治疗脊髓亚急性联合变性的临床疗效。方法:采用齐刺电针疗法配合穴位注射治疗6例脊髓亚急性联合变性患者,并观察其疗效。结果:治疗1个月后,治愈2例,好转4例。结论:齐刺电针疗法结合穴位注射维生素B12治疗脊髓亚急性联合变性,是一种行之有效的方法。

齐刺温针疗法治疗肩周炎临床疗效观察

目的:观察齐刺温针疗法治疗肩周炎的临床疗效。方法:将60例患者随机分为2组各30例,齐刺温针组以齐刺温针疗法,电针组以电针疗法进行治疗。2组治疗均隔天1次,共治疗8次。观察治疗前后的变化。结果:总有效率齐刺温针组96.67%,电针组93.33%;愈显率齐刺温针组83.33%,电针组为50.00%,2组愈显率比较,差异有显著性意义(P<0.05)。2组肩关节疼痛评分、肩关节活动范围、肩关节各方向活动度治疗前后分别比较,差异均有显著性意义(P<0.05);治疗后,2组肩关节疼痛评分、肩关节活动范围分别比较,差异有显著性意义(P<0.05);2组治疗后肩关节各方向活动度比较,前屈、外展、后伸及内旋这四个方向上,差异均有显著性意义(P<0.05)。结论:齐刺温针疗法治疗肩周炎有良好效果,在改善关节疼痛、关节活动范围、关节活动度方面优于电针治疗。

中药薰蒸与夹脊穴齐刺对腰椎间盘突出症的止痛效果对比

目的对中药薰蒸与夹脊穴齐刺两种不同方法治疗腰椎间盘突出症的止痛效果进行对比,观察其止痛效果,起效时间及疗效。方法采用统一标准随机分组治疗进行对比观察,以2组患者治疗15d及随机分组治疗进行疗效评定。结果针刺组的止痛效果与中药薰蒸组有显著的差别(P<0.01)。并且针刺组的止痛时间与中药薰蒸组的止痛时间差异明显(P<0.05)。结论夹脊穴齐刺治疗腰椎间盘突出症止痛作用明显,起效快,而中药薰蒸的疗效稳定,无复发。

齐刺加温针灸治疗神经根型颈椎病临床观察

目的探究分析在神经根型颈椎病患者中采取齐刺联合温针灸夹脊穴治疗的效果。方法选取2018年1月—2020年9月江西省德安县中医院收治的70例神经根型颈椎病患者为主要研究对象,按照随机数字表法进行分组,试验组35例,采取齐刺联合温针灸夹脊穴治疗,对照组35例,采取直刺颈夹脊穴治疗,对比2组临床治疗效果。结果治疗前,2组疼痛分级指数评分、VAS疼痛评分差异无统计学意义(P>0.05);治疗后,试验组疼痛分级指数评分、VAS疼痛评分均明显低于对照组。治疗前,2组前屈、后伸、旋转等颈椎活动度差异无统计学意义(P>0.05);治疗后,试验组前屈、后伸、旋转等颈椎活动度明显大于对照组(P<0.05)。结论在神经根型颈椎病患者中采取齐刺联合温针灸夹脊穴治疗能够起到很好的治疗效果,患者颈椎活动度提升,能够很好地缓解颈椎疼痛感,值得推广应用。

不同针灸方法治疗棘上、棘间韧带损伤疗效观察

目的:观察比较齐刺、温针、刺络拔罐和火针疗法治疗棘上、棘间韧带损伤的临床疗效。方法:将120例患者随机分为齐刺组、温针组、刺络拔罐组和火针组各30例,分别采用齐刺、温针、刺络拔罐及火针疗法治疗。每2~3天治疗1次,治疗5次为1疗程。比较4组患者治疗前后疼痛视觉模拟评分(VAS),并评定4组疗效。结果:温针组脱落1例,余3组均全部完成观察。4组患者治疗后VAS较治疗前降低,差异均有统计学意义(P<0.01),提示4种疗法均可以改善患者疼痛程度;4组患者治疗后VAS比较,差异有统计学意义(P<0.01)。治疗后,齐刺组VAS与温针组比较,差异无统计学意义(P>0.05);刺络拔罐组VAS分别与齐刺组、温针组比较,差异均有统计学意义(P<0.01);火针组VAS分别与齐刺组、温针组、刺络拔罐组比较,差异均有统计学意义(P<0.01)。提示火针组疗效优于齐刺组、温针组和刺络拔罐组,刺络拔罐组疗效优于针刺组及温针组。火针组愈显率、总有效率均优于齐刺组、温针组和刺络拔罐组,差异均有统计学意义(P<0.01,P<0.05);刺络拔罐组总有效率优于齐刺组、温针组(P<0.01),愈显率与2组比较,差异均无统计学意义(P>0.05);齐刺组总有效率优于温针组(P<0.05)。结论:火针治疗棘上、棘间韧带损伤疗效优于齐刺、温针、刺络拔罐疗法,刺络拔罐疗法疗效优于齐刺和温针疗法。

肘压调整术结合齐刺下电针治疗腰3横突综合征的疗效观察

目的:探讨肘压调整术结合齐刺下电针治疗腰3横突综合征的临床疗效。方法:将64例腰3横突综合征患者随机分为观察组和对照组各32例,观察组采用肘压调整术结合齐刺下电针治疗,对照组则采用常规推拿、针刺治疗,观察两组临床疗效及VAS、ODI评分改善情况。结果:观察组VAS、ODI评分改善程度均显著优于对照组(P<0.05);观察组临床疗效显著优于对照组(P<0.05)。结论:肘压调整术结合齐刺下电针治疗腰3横突综合征疗效确切,具有推广意义。

Electroacupuncture plus external application of Chinese medicine for knee osteoarthritis

Objective： To reveal the action mechanism and efficacy of electroacupuncture（EA） plus external application of Wei Ling Xian（Radix Clematidis） extract in treating knee osteoarthritis（KOA）, for providing theoretical evidence and novel plan for the treatment of KOA. Methods： Totally 284 inpatients were divided into an EA group and an observation group by the random number table, 142 cases in each group. The EA group was intervened by EA, ultrashort waves, and oral administration of Glucosamine Hydrochloride capsules; while the observation group was by external application of Wei Ling Xian（Radix Clematidis） extract at topical area in addition to the treatment given to the EA group. The intervention lasted 14 d in both groups. X-ray examination of knee joint was ordered before and after treatment, as well as the detection of positive expression of matrix metalloproteinase-1（MMP-1） in cartilage of knee joint, hyaluronic acid（HA） and interleukin-1β（IL-1β） in the inflammatory effusion; the Western Ontario and McM aster Universities osteoarthritis index（WOMAC） and visual analogue scale（VAS） were adopted to evaluate the clinical efficacy. Results： In the observation group, the X-ray examination result of knee joint was significantly improved, the positive expressions of MMP-1 and IL-1β content were significantly decreased, the level of HA was increased, WOMAC and VAS scores dropped, and the total effective rate was 91.5%, which were significantly different from those in the EA group（P〈0.05）. Conclusion： EA plus external application of Wei Ling Xian（Radix Clematidis） extract can produce a more significant efficacy in treating KOA compared to ordinary EA treatment.

Triple needling plus moxibustion and Tanbo-plucking tender points for the third lumbar vertebra transverse process syndrome

Objective：To observe the clinical efficacy of triple needling plus moxibustion and Tanbo-plucking tender points in treating the third lumbar vertebra transverse process syndrome. Methods： Totally 108 patients with the third lumbar vertebra transverse process syndrome were randomized into two groups, 56 cases in the observation group were intervened by triple needling method plus moxibustion and Tanbo-plucking tender points; 52 cases in the control group were by acupuncture plus moxibustion. The pain rating index（PRI）, visual analogue scale （VAS）, and present pain intensity （PPI） from the short-form McGill pain questionnaire （SF-MPQ） were observed before and after intervention for comparing the therapeutic efficacy. Results： The total effective rate was 96.4% in the observation group versus 76.9% in the control group, and the difference was statistically significant （P〈0.05）. After intervention, the sensory-PRI, affective-PRI, totaI-PRI, VAS, and PPI scores were markedly changed in both groups （P〈0.05）. The difference in comparing the change of clinical sign score was statistically significant between the two groups （P〈0.05）. The follow-ups performed 4 weeks and 8 weeks after treatment showed that there were significant differences in comparing the relapse rate between the two groups （P〈0.05）. Conclusion： Triple needling plus moxibustion and Tanbo-plucking tender points can produce a better efficacy in treating the third lumbar vertebra transverse process syndrome than acupuncture plus moxibustion alone, and the relapse rate is relatively low.