Hijama is an alternative mode of treatment also known as cupping therapy. It involves removal of subcutaneous stagnant blood through suction cups after making superficial incisions at particular area of the body. This...Hijama is an alternative mode of treatment also known as cupping therapy. It involves removal of subcutaneous stagnant blood through suction cups after making superficial incisions at particular area of the body. This study was undertaken to evaluate the efficacy of hijama in sciatica pain at Aligarh Shifa hospital. 92 patients with the history of sciatica were selected randomly between 18 - 75 years of age and hijama cups were applied generally at C7, T2 and L5/S1 vertebrae, while two cups were also applied bilaterally on L4/L5 vertebrae, four cups were additionally applied on hip joint, back of thigh, knee and calf muscle, all cups were applied thrice at an interval of 15 days between each session. The decrease in sciatic pain was assessed after three sessions of Hijama by numeric pain rating scale there was overall significant reduction in pain with 67 percent patients showing relief in pain up to varying degree. Present study suggests that hijama has been found to be effective in relieving pain and improving quality of life in majority of the patient’s, hence may be used as effective alternative tool to alleviate pain.展开更多
目的 :观察倍他米松结合温针在坐骨神经病变患者中的应用效果。方法 :将58例根性坐骨神经痛患者按随机数字表法分为两组,各29例。对照组给予经椎间孔注射2%利多卡因5 m L+复方倍他米松注射液2 m L+维生素B12 0.5 mg+0.9%氯化钠注射液10 ...目的 :观察倍他米松结合温针在坐骨神经病变患者中的应用效果。方法 :将58例根性坐骨神经痛患者按随机数字表法分为两组,各29例。对照组给予经椎间孔注射2%利多卡因5 m L+复方倍他米松注射液2 m L+维生素B12 0.5 mg+0.9%氯化钠注射液10 m L,qwd;研究组在对照组基础上给予温针灸,6次/周;两组均治疗4周。观察治疗前后两组血流变指标、炎症因子水平,观察治疗前、治疗后3月、6月、12月两组疼痛视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)。结果 :两组治疗后全血高切黏度、全血中切黏度、全血低切黏度、血浆黏度与治疗前比较均显著降低(P<0.05),且研究组均显著低于同期对照组(P<0.05);两组治疗后红细胞变形指数与治疗前比较均显著升高(P<0.05),且研究组高于同期对照组(P<0.05)。两组治疗后白细胞介素(IL)-1β、IL-6、肿瘤坏死因子(TNF)-α水平与治疗前比较均显著降低(P<0.05),且研究组低于同期对照组(P<0.05)。两组治疗后3月、6月、12月VAS评分和ODI与治疗前比较均显著降低(P<0.05),且研究组低于同期对照组(P<0.05)。结论 :经椎间孔注射倍他米松联合温针灸具有协同作用,可改善血液循环,降低炎症反应程度,降低治疗后疼痛程度,且疗法易掌握,值得临床推广应用。展开更多
文摘Hijama is an alternative mode of treatment also known as cupping therapy. It involves removal of subcutaneous stagnant blood through suction cups after making superficial incisions at particular area of the body. This study was undertaken to evaluate the efficacy of hijama in sciatica pain at Aligarh Shifa hospital. 92 patients with the history of sciatica were selected randomly between 18 - 75 years of age and hijama cups were applied generally at C7, T2 and L5/S1 vertebrae, while two cups were also applied bilaterally on L4/L5 vertebrae, four cups were additionally applied on hip joint, back of thigh, knee and calf muscle, all cups were applied thrice at an interval of 15 days between each session. The decrease in sciatic pain was assessed after three sessions of Hijama by numeric pain rating scale there was overall significant reduction in pain with 67 percent patients showing relief in pain up to varying degree. Present study suggests that hijama has been found to be effective in relieving pain and improving quality of life in majority of the patient’s, hence may be used as effective alternative tool to alleviate pain.
文摘目的观察药线点灸联合针挑治疗坐骨神经痛的临床疗效及对患者血清相关炎症因子白介素-6(interleukin-6,IL-6)、白介素-1β(interleukin-1β,IL-1β)和肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平的影响。方法将72例坐骨神经痛患者随机分为对照组和联合组,每组36例。联合组采用药线点灸联合针挑疗法治疗,对照组予口服吲哚美辛片和速效坐骨神经痛丸治疗。观察并比较两组临床疗效、疼痛视觉模拟量表(visual analog scale,VAS)评分、腰椎功能评分以及IL-6、IL-1β和TNF-α水平。比较两组不良反应发生率。结果联合组治愈率高于对照组(P<0.05)。与对照组治疗后比较,联合组治疗后疼痛VAS评分和腰椎功能评分均降低(P<0.05)。联合组治疗后血清IL-6、IL-1β和TNF-α水平低于对照组(P<0.05)。联合组不良反应发生率低于对照组(P<0.05)。结论药线点灸联合针挑治疗可有效缓解坐骨神经痛,疗效优于口服药物治疗,这可能与调节炎症因子IL-6、IL-1β和TNF-α水平相关,且不良反应较少。
文摘目的 :观察倍他米松结合温针在坐骨神经病变患者中的应用效果。方法 :将58例根性坐骨神经痛患者按随机数字表法分为两组,各29例。对照组给予经椎间孔注射2%利多卡因5 m L+复方倍他米松注射液2 m L+维生素B12 0.5 mg+0.9%氯化钠注射液10 m L,qwd;研究组在对照组基础上给予温针灸,6次/周;两组均治疗4周。观察治疗前后两组血流变指标、炎症因子水平,观察治疗前、治疗后3月、6月、12月两组疼痛视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)。结果 :两组治疗后全血高切黏度、全血中切黏度、全血低切黏度、血浆黏度与治疗前比较均显著降低(P<0.05),且研究组均显著低于同期对照组(P<0.05);两组治疗后红细胞变形指数与治疗前比较均显著升高(P<0.05),且研究组高于同期对照组(P<0.05)。两组治疗后白细胞介素(IL)-1β、IL-6、肿瘤坏死因子(TNF)-α水平与治疗前比较均显著降低(P<0.05),且研究组低于同期对照组(P<0.05)。两组治疗后3月、6月、12月VAS评分和ODI与治疗前比较均显著降低(P<0.05),且研究组低于同期对照组(P<0.05)。结论 :经椎间孔注射倍他米松联合温针灸具有协同作用,可改善血液循环,降低炎症反应程度,降低治疗后疼痛程度,且疗法易掌握,值得临床推广应用。