目的观察穴位注射配合药物治疗带状疱疹后遗神经痛的临床疗效。方法将64例带状疱疹后遗神经痛患者随机分为治疗组和对照组,每组32例。治疗组采用夹脊穴注射丹参注射液配合口服加巴喷丁片治疗,对照组采用单纯口服加巴喷丁片治疗。两组如...目的观察穴位注射配合药物治疗带状疱疹后遗神经痛的临床疗效。方法将64例带状疱疹后遗神经痛患者随机分为治疗组和对照组,每组32例。治疗组采用夹脊穴注射丹参注射液配合口服加巴喷丁片治疗,对照组采用单纯口服加巴喷丁片治疗。两组如疼痛严重可加服盐酸曲马多缓释片治疗。观察两组治疗前后视觉模拟评分法(visual analogue scale, VAS)评分、SF-36健康量表(the MOS 36-item short-form health survey,SF-36)各项评分的变化情况,并比较两组不同时间点服用加巴喷丁片和盐酸曲马多缓释片的剂量及各项不良反应的发生率。结果两组治疗后不同时间点(治疗1周、3周、6周、12周、24周后)VAS评分与同组治疗前比较,差异均有统计学意义(P<0.01)。治疗组治疗后不同时间点VAS评分与对照组比较,差异具有统计学意义(P<0.01)。两组治疗3周、6周、12周、24周后加巴喷丁片和盐酸曲马多缓释片的服用剂量比较,差异均具有统计学意义(P<0.05)。两组治疗12周、24周后SF-36各项评分(PF、RP、BP、GH、VT、SF、RE、MH)与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗12周、24周后SF-36中PF、RP、BP、VT、MH评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组治疗后头晕、嗜睡、恶心的发生率分别为6.7%、3.3%和3.3%,对照组分别为24.1%、17.2%和20.7%,两组比较差异均具有统计学意义(P<0.05)。结论穴位注射配合药物是一种治疗带状疱疹后遗神经痛的有效方法,能减少服用加巴喷丁片的剂量,从而减少不良反应。展开更多
Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number...Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number table, 30 in each group. The observation group was intervened by warm needling moxibustion at the points from the Governor Vessel on the back and Jiaji （EX-B 2） points, while the control group was by regular acupuncture. Results： After intervention, the morning stiffness, joint pain index, joint swelling index and erythrocyte sedimentation rate （ESR） were significantly improved in both groups （P〈0.01）; the inter-group difference was also statistically significant （P〈0.05）. The total effective rate was 93.3% in the observation group versus 76.6% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Warm needling moxibustion at points from the Governor Vessel on the back and Jiaji （EX-B 2） points can produce a higher efficacy than regular acupuncture in treating RA.展开更多
Objective To observe the clinical efficacy of warm needling moxibustion plus lumbar traction for lumbar disc herniation(LDH)and its effect on Oswestry disability index(ODI)score,present pain intensity(PPI)score,and th...Objective To observe the clinical efficacy of warm needling moxibustion plus lumbar traction for lumbar disc herniation(LDH)and its effect on Oswestry disability index(ODI)score,present pain intensity(PPI)score,and the degree of straight leg raising.Methods A total of 146 patients with LDH were randomized into a combination group and a control group by the random number table method,with 73 cases in each group.The control group was treated with lumbar traction,and the combination group was treated with lumbar traction plus warm needling moxibustion.The curative efficacy of the two groups was compared.Also,the lumbar function,pain,straight leg raising degree,and inflammatory factor levels before and after treatment were compared.Results The total effective rate of the combination group was 93.2%,which was higher than 78.1%of the control group(P<0.05).After treatment,the lumbar ODI score,the PPI scores of lumbar pain and lower-limb pain,tumor necrosis factor(TNF)-αand interleukin(IL)-6 levels,and straight leg raising test score in both groups were significantly decreased(P<0.05).The Japanese Orthopaedic Association(JOA)score significantly increased(P<0.05).The improvements of the above items in the combination group were all superior to those in the control group(P<0.05).Conclusion Warm needling moxibustion plus lumbar traction in the treatment of LDH can improve lumbar function,relieve pain,and reduce inflammatory response of the body.展开更多
文摘目的观察穴位注射配合药物治疗带状疱疹后遗神经痛的临床疗效。方法将64例带状疱疹后遗神经痛患者随机分为治疗组和对照组,每组32例。治疗组采用夹脊穴注射丹参注射液配合口服加巴喷丁片治疗,对照组采用单纯口服加巴喷丁片治疗。两组如疼痛严重可加服盐酸曲马多缓释片治疗。观察两组治疗前后视觉模拟评分法(visual analogue scale, VAS)评分、SF-36健康量表(the MOS 36-item short-form health survey,SF-36)各项评分的变化情况,并比较两组不同时间点服用加巴喷丁片和盐酸曲马多缓释片的剂量及各项不良反应的发生率。结果两组治疗后不同时间点(治疗1周、3周、6周、12周、24周后)VAS评分与同组治疗前比较,差异均有统计学意义(P<0.01)。治疗组治疗后不同时间点VAS评分与对照组比较,差异具有统计学意义(P<0.01)。两组治疗3周、6周、12周、24周后加巴喷丁片和盐酸曲马多缓释片的服用剂量比较,差异均具有统计学意义(P<0.05)。两组治疗12周、24周后SF-36各项评分(PF、RP、BP、GH、VT、SF、RE、MH)与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗12周、24周后SF-36中PF、RP、BP、VT、MH评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组治疗后头晕、嗜睡、恶心的发生率分别为6.7%、3.3%和3.3%,对照组分别为24.1%、17.2%和20.7%,两组比较差异均具有统计学意义(P<0.05)。结论穴位注射配合药物是一种治疗带状疱疹后遗神经痛的有效方法,能减少服用加巴喷丁片的剂量,从而减少不良反应。
文摘Objective： To observe the clinical efficacy of warm needling moxibustion at points on the back in treating rheumatoid arthritis （RA）. Methods： Sixty RA patients were randomized into two groups by the random number table, 30 in each group. The observation group was intervened by warm needling moxibustion at the points from the Governor Vessel on the back and Jiaji （EX-B 2） points, while the control group was by regular acupuncture. Results： After intervention, the morning stiffness, joint pain index, joint swelling index and erythrocyte sedimentation rate （ESR） were significantly improved in both groups （P〈0.01）; the inter-group difference was also statistically significant （P〈0.05）. The total effective rate was 93.3% in the observation group versus 76.6% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion： Warm needling moxibustion at points from the Governor Vessel on the back and Jiaji （EX-B 2） points can produce a higher efficacy than regular acupuncture in treating RA.
文摘Objective To observe the clinical efficacy of warm needling moxibustion plus lumbar traction for lumbar disc herniation(LDH)and its effect on Oswestry disability index(ODI)score,present pain intensity(PPI)score,and the degree of straight leg raising.Methods A total of 146 patients with LDH were randomized into a combination group and a control group by the random number table method,with 73 cases in each group.The control group was treated with lumbar traction,and the combination group was treated with lumbar traction plus warm needling moxibustion.The curative efficacy of the two groups was compared.Also,the lumbar function,pain,straight leg raising degree,and inflammatory factor levels before and after treatment were compared.Results The total effective rate of the combination group was 93.2%,which was higher than 78.1%of the control group(P<0.05).After treatment,the lumbar ODI score,the PPI scores of lumbar pain and lower-limb pain,tumor necrosis factor(TNF)-αand interleukin(IL)-6 levels,and straight leg raising test score in both groups were significantly decreased(P<0.05).The Japanese Orthopaedic Association(JOA)score significantly increased(P<0.05).The improvements of the above items in the combination group were all superior to those in the control group(P<0.05).Conclusion Warm needling moxibustion plus lumbar traction in the treatment of LDH can improve lumbar function,relieve pain,and reduce inflammatory response of the body.
