电温灸器的研制及临床使用效果观察

目的 研制并探讨电温灸器与艾灸治疗效果差异。方法 对 97例痛经和 70例胃脘痛患者进行了前瞻性研究。运用电温灸器内电能产生热能 ,并加热药液 ,通过在人体相关穴位进行药物、热刺激起效 ,与传统艾灸作对照。结果 两组患者痛经、胃脘痛治疗效果无显著性差异 ,均 P>0 .0 5。结论 电温灸器能恒温 ,调温 ,安全 ,使用方便 ,不污染空气 ,同时可灸多个穴位 ,弥补了传统艾条、艾绒的缺点。疗效与艾灸无显著性差异。

火针与温针配合关节腔内注射玻璃酸钠治疗膝骨关节炎的疗效对比研究

目的观察并比较火针与温针配合关节腔内注射玻璃酸钠治疗膝骨关节炎的临床疗效及对白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)的影响。方法将136例膝骨关节炎患者随机分为A组65例和B组71例。A组采用火针配合关节腔内注射玻璃酸钠治疗,B组采用温针配合关节腔内注射玻璃酸钠治疗。观察两组治疗前后日常生活活动能力(activity of daily living, ADL)量表评分及视觉模拟评分法(visual analogue scale,VAS)评分的变化情况,并比较两组临床疗效。同时在治疗前后采用RT-PCR和Elisa法检测患者全血中IL-6和TNF-α的表达。结果两组治疗后ADL评分、VAS评分、IL-6及TNF-α水平与同组治疗前比较,差异均具有统计学意义(P<0.05,P<0.01)。A组治疗后ADL评分、VAS评分、IL-6及TNF-α水平与B组比较,差异具有统计学意义(P<0.05,P<0.01)。A组总有效率为95.4%,B组为77.5%,两组比较差异具有统计学意义(P<0.05)。结论火针配合关节腔内注射玻璃酸钠治疗膝骨关节炎的疗效优于温针配合关节腔内注射玻璃酸钠治疗,能明显减轻患者疼痛及疼痛导致的日常活动能力受限,并能提升患者全血中IL-6和TNF-α的水平,有利于提升机体抗炎能力。

温和灸治疗痰湿型阻塞性睡眠呼吸暂停低通气综合征的临床研究

目的观察温和灸治疗痰湿型阻塞性睡眠呼吸暂停低通气综合征的临床疗效。方法将80例痰湿型阻塞性睡眠呼吸暂停低通气综合征患者随机分为对照组和观察组,每组40例。对照组予持续气道正压通气,观察组在对照组治疗基础上联合温和灸治疗。观察两组呼吸暂停低通气指数(AHI)、最低血氧饱和度(LSaO2)、氧减指数(ODI)、Epworth日间嗜睡量表(ESS)评分、血清白介素(IL)-6、IL-23、肿瘤坏死因子(TNF)-α、超氧化物歧化酶(SOD)、丙二醛(MDA)、氧化低密度脂蛋白(ox-LDL)水平的变化,并比较两组临床疗效。结果观察组总有效率高于对照组,差异具有统计学意义(P<0.05)。两组治疗后AHI、LSaO2、ODI、ESS评分及血清IL-6、IL-23、TNF-α、SOD、MDA、ox-LDL水平均较治疗前改善(P<0.05),且观察组治疗后优于对照组(P<0.05)。结论在持续气道正压通气基础上,温和灸治疗痰湿型阻塞性睡眠呼吸暂停低通气综合征能改善患者夜间打鼾、呼吸暂停、低氧血症、白天嗜睡的临床症状,可降低炎症因子水平,改善氧化应激指标水平。

针灸配合穴位注射治疗顽固性面瘫32例

目的:观察比较综合针灸疗法和单纯针灸治疗顽固性面瘫的临床疗效。方法:治疗组采用针刺配合艾条灸、穴位注射治疗,对照组采用单纯针灸治疗。结果:治疗组32例,总有效率达96.9%,较单纯针刺治疗(有效率为53.6%)差异有显著性意义。结论:针灸、穴位注射综合治疗,有助于提高顽固性面瘫的疗效。

针灸治疗癌因性疲乏的临床研究进展

恶性肿瘤患者常会出现疲乏的症状,严重影响了其生活质量,除抗肿瘤相关治疗,提高恶性肿瘤患者的生活质量也是肿瘤治疗中重要的一部分。其中针灸作为中医的特色疗法,包含针刺、灸法、耳穴等,无论是单一应用,还是联合中医方剂,在临床上对缓解癌因性疲乏均有着较好疗效。本文就近年来针灸治疗癌因性疲乏的文献进行整理,以期为临床提供参考。

Therapeutic observation of thin-cotton moxibustion plus surround needling for herpes zoster

Objective： To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster （HZ）. Methods： Eighty-three HZ patients were divided into two groups according to their admission sequence, 41 cases in the thin-cotton moxibustion group and 42 cases in the Western medication group. The thin-cotton moxibustion group received thin-cotton moxibustion on the surface of lesions plus surround needling around the lesions, once a day. The Western medication group was intervened by Acyclovir intravenous injection, 0.25 g per dose, once a day, along with external application of Acyclovir cream 3-5 times a day. After 10-day treatment, the blister-healing time, crusting time, pain-reducing time, onset time of action, lesion-healed time, and occurrence of post-herpetic neuralgia （PHN） were compared. Results： During the study, a case dropped out in the thin-cotton moxibustion group, and 2 cases dropped out in the Western medication group. The recovery and markedly-effective rate was 92.5% and total effective rate was 97.5% in the thin-cotton moxibustion group, versus 72.5% and 87.5% in the Western medication group, and the between-group differences were statistically significant （P^0.05）. The blister-healing time, crusting time, pain-reducing time, onset time of action and lesion-healed time in the thin-cotton moxibustion group were significantly shorter than those in the Western medication group （P〈0.05）. The occurrence rate of PHN was 2.07% in the thin-cotton moxibustion group, significantly lower than 9.19% in the Western medication group （P〈0.01）. Conclusion： Thin-cotton moxibustion plus surround needling can produce a more significant efficacy than Acyclovir in treating HZ, and it can markedly reduce the occurrence of PHN.

Clinical observation on wheat grain-sized cone moxibustion combined with fire needle for dorsal wrist ganglion

Objective：To observe the clinical effect of wheat grain-sized cone moxibustion combined with fire needle therapy in the treatment of dorsal wrist ganglion （DWG）. Methods：A total of 63 patients with DWG were randomized into a treatment group （n=32） and a control group （n=31）. Cases in the control group were treated with fire needle therapy. Based on the therapy given to the control group, cases in the treatment group were additionally given wheat grain-sized cone moxibustion therapy. Then the therapeutic efficacies and recurrence rate were evaluated. Results：After treatment, the overall effective rate was 93.8% in the treatment group, versus 77.4% in the control group, and the between-group comparison showed a statistical significance （P〈0.05）; 6 months after the treatment, the recurrence rate in the treatment group was obviously lower than that in the control group （P〈0.05）. Conclusion：The long-term and short-term effects of wheat grain-sized cone moxibustion combined with fire needle therapy in the treatment of DWG are better than those of fire needle therapy alone, and therefore, worth popularizing.

Clinical regularities in acupuncture-moxibustion treatment of cancer pain in recent 30 years

Objective: To explore the clinical regularities in acupuncture-moxibustion treatment of cancer pain by reviewing the re leva nt studies published betwee n 1985 and 2017. Methods: Based on the Chinese Medicine Acupuncture-moxibustion Information Database, quantitative analysis, correlation an alysis and Chi-square test were applied to an a lyze the comm only used acupoi nts, meridia n affiliatio ns and body regi on distributi ons, comm only used methods and acupoi nt correlati ons, treatme nt method correlati ons, the efficacy of acupuncture- moxibusti on plus the three-step an algesic ladder for can cer pain, and in dicators. Results: Zusanli (ST 36), Ashi point and Sanyinjiao (SP 6) ranked the top on the list of frequency;points from Bladder Meridian of Foot Taiyang and Stomach Meridian of Foot Yangming were often used;points from the lower limbs and back had high frequencies. The most commonly used treatment method was acupuncture-moxibustion plus medication. Acupuncture-moxibusti on plus the three-step an algesic ladder showed certai n adva ntage compared with the two methods used separately, and among the integrated methods, acupoint application plus the three-step analgesic ladder produced the most significant efficacy. It took (44.77±55.54) min for the analgesic effect to act and the effect lasted for (12.81±14.59) h. Numerical rati ng scale (NRS), visual an alog scale (VAS) and Kar nofsky performa nee status (KPS) scores all showed sign ifica nt changes after interventions (all P<0.01);there was no significant change in the score of quality of life (QOL) after interventions (P>0.05). Conclusion: Zusa nli (ST 36), Ashi point and Sanyin jiao (SP 6) are comm only selected in acup un cture-moxibusti on treatment of cancer pain;acupuncture and acupoint application are often used;acupuncture-moxibustion plus the three-step an algesic ladder can boost the treatme nt efficacy.

“百病生于气”疾病观的针灸临床应用

"百病生于气"见于《素问·举痛论》,几千年来始终是中医临床认识疾病、防治疾病的重要理论依据之一。对气的含义及气机失调致病的机制进行了梳理,得出了"百病生于气"的基本含义可以概括为气机失调是疾病发生的基本病机的结论,情志因素、精神心理是导致疾病发生的重要内因。分析认为"百病生于气"的理论对于针灸临床有重要指导意义,针灸诊疗过程中应注重"调气""调神",这是针灸取得佳效的根本保障。