Therapeutic Efficacy Observation on Combining Foot Bath and Massage with Auricular Point Sticking for Community Senile Insomnia

Objective: To observe the therapeutic efficacy of combining foot bath and massage with auricular point sticking for community senile insomnia. Methods: A total of 210 cases treated in our community health center were randomized into an observation group and a control group by their visit sequence numbers, 105 cases in each group. Cases in the observation group were treated with foot bath and massage plus auricular point sticking, whereas cases in the control group were treated with auricular point sticking alone. After four courses of treatment, the therapeutic efficacies were evaluated. In addition, the sleep quality was also assessed using the Pittsburgh sleep quality index(PSQI). Results: The total effective rate in the observation group was 95.2%, versus 68.6% in the control group, showing a statistical significance(P<0.05). Conclusion: Combining foot bath and massage with auricular point sticking could obtain better effect for community senile insomnia than auricular point sticking alone.

Clinical Study on Tuina Combined with Auricular Point Sticking for Cervical Radiculopathy

Objective: To observe the clinical effect of tuina combined with auricular point sticking on cervical radiculopathy and evaluate in health economics. Methods: Using randomized single-blind controlled clinical design, a total of 72 cases with cervical radiculopathy were randomly allocated into an observation group or a control group by the ratio of 1:1, 36 in each group. Cases in the observation group were treated with tuina combined with auricular point sticking, whereas cases in the control group were treated with tuina alone. Then the clinical effects in the two groups were observed and the cost of health economics was evaluated. Results: The drop-out, recovery, improvement and failure cases, recovery rate and total effective rate in the observation group were 1, 15, 20, 0, 42.9% and 100% respectively, versus 2, 6, 23, 5, 17.6% and 85.3% in the control group, showing significant differences in recovery rate and total effective rate(P<0.05). As for health economics, the cost-effect in the observation group was better than that in the control group. Conclusion: Compared with tuina alone, tuina combined with auricular point sticking can obtain better effect and lower cost in health economics for cervical radiculopathy.

推拿联合耳穴贴压治疗失眠1例护理体会

本文总结1例失眠患者应用推拿联合失眠耳穴贴压的护理体会。在常规护理基础上,给予患者推拿联合耳穴贴压,并教会患者正确的耳穴按压方法,每日进行睡眠评分。经过10 d的干预后,患者睡眠时间延长,睡眠质量提升,失眠症状得到明显缓解。

中医辨治失眠概况

中医治疗失眠的历史悠久,临床治疗效果也得到广泛肯定,但也不能忽视其存在的不足。第一,目前中医药治疗失眠多数为个人经验,临床观察多数都为小样本的观察,难以用现代循证医学模式进行评估,即使有相关大样本的回顾性调查,也多停留于基础,缺乏系统的符合循证医学基本原则的证据,未能深度解释中医学治疗的临床实用性,不利于建立与国际接轨的中医特色失眠诊疗体系。第二,中医药复方及针灸作用机理的实验研究仍很匮乏,特别是与免疫学、分子生物学的学科交叉性探索很少,与西药相比,中药药理学作用优势体现在其多层次、多环节、多靶点的稳定作用,将来的研究仍有待进一步加深。第三,已有研究表明失眠具有显著的遗传性,针对压力的睡眠反应可能是导致睡眠障碍发展的一个重要危险因素。这一发现预示着发现这一特定基因可能为将来失眠症研究领域提供新的路径,也为中医"治未病"的理念提供了延伸的可能。基于"生物-心理-社会"模式的深入,认知行为疗法等非药物疗法逐渐被广泛接受,中医特色的情志疗法结合中药治疗用于缓解失眠患者的负性情绪有优势,也为对睡眠障碍前的一系列不良反应予以防治提供新的启迪。中医学不仅是补充替代医学的一部分,在充分认识中医治疗优势、探索潜在的相互作用和副作用的同时,整合医疗的方法可能对失眠患者,尤其是那些有催眠药物依赖史的人群,整体健康和生活质量极有裨益。

针灸结合头颈部经穴推拿、耳穴贴压技术治疗失眠36例疗效观察

目的评价针灸结合头颈部经穴推拿、耳穴贴压技术对失眠症患者睡眠质量的改善作用。方法将2015年8月~2016年8月在我院中医科和心理科的72例失眠患者作为研究对象。随机分为对照组和观察组,各36例,观察组给予针灸结合头颈部经穴推拿、耳穴贴压技术治疗;对照组单纯口服舒乐安定片。对比分析两组临床疗效、治疗前后匹兹堡睡眠质量指数(PSQI)及不良反应发生情况。结果观察组治疗有效率为94.44%,对照组治疗有效率为72.22%,两者比较差异有统计学意义(χ~2=12.865,P<0.05);对照组与观察组患者治疗后评分均显著低于治疗前[(8.76±2.05)vs(14.01±2.13)],[(5.12±2.56)vs(13.98±2.25)],差异有统计学意义(t=7.765,8.754,P<0.05)。且治疗后观察组患者评分显著低于对照组[(5.12±2.56)vs(8.76±2.05)],差异有统计学意义(t=9.686,P<0.05);观察组不良反应的发生率低于对照组(5.56%vs27.78%),差异有统计学意义(χ~2=10.863,P<0.05)。结论针灸结合头颈部经穴推拿、耳穴贴压技术不仅可显著改善失眠患者的睡眠质量和日间功能,而且安全性好,临床上值得进一步推广应用。

Therapeutic Observation on Treatment of Enuresis with Combined Auricular Pressure and Tuina

贴压耳穴肾、膀胱、肺、心、肝、神门、枕和皮质下,结合推拿疗法,治疗了92例遗尿症患者,经治疗后痊愈61例,好转28例,无效3例,有效率96.7%。