Evaluation of Clinical Efficacy of Combined Use of Acupuncture and Medicine in Treating Sleep Disorder in Patients with Anxiety Disorder

[Objectives]To evaluate the clinical efficacy of combined acupuncture and medicine in the treatment of sleep disorders in patients with anxiety disorders.[Methods]A total of 300 anxiety patients with sleep disorders were randomly selected and divided into a research group and a control group,with 150 cases in each group.The control group was administered with western medicine,and the research group was treated with acupuncture and medicine to compare their clinical treatment effects.[Results]The total effective rate of treatment in the research group was significantly higher than that in the control group;after treatment,both the PSQI and SAS scores of the two groups were significantly reduced,and the reduction degree of the research group was higher than that of the control group,the difference was statistically significant(P<0.05).[Conclusions]Combined use of acupuncture and medicine to treat sleep disorders in patients with anxiety disorders has better curative effect and fewer adverse reactions,so it has high clinical application value.

Clinical Observation on the Combined Use of Acupuncture and Herbal Medicine for Treatment of Chloasma

Objective:To observe the clinical effects of the combined use of acupuncture and herbal medicine for treatment of chloasma.Methods:Totally 60 patients were randomly divided into a treatment group of 30 cases,treated by acupuncture and herbal medicine,and a control group of 30 cases,administered Vitamin C and Vitamin E.The clinical effects were observed.Results:The total effective rate of the treatment group is 93.3%better than that of the control group(76.7%) ,the difference was significant(P<0.01) .Conclusion:Combined use of acupuncture and herbal medicine may yield definite therapeutic effects in treating chloasma patients.

Acupuncture, Moxibustion, and Combination Therapies for Insomnia

Insomnia, a common sleep disorder, affects general well-being, hastens the onset of other diseases, and impairs work performance. Hypnotic medications are efficacious in the short term but have obvious side effects. Acupuncture, often used to treat insomnia in traditional Chinese medicine (TCM), is considered to be beneficial in restoring the normal sleep-wake cycle by regulating and restoring the natural flow of qi (energy power). The three main TCM theories for treating insomnia by acupuncture are the tranquilization disturbance, zangfu disturbance (disequilibrium of internal organs), and imbalance of yin and yang theories. Moxibustion, another treatment for insomnia, is usually combined with acupuncture. Acupuncture and moxibustion with tuina (exercise massage), acupuncture with Chinese herbal injection, electroacupuncture, and acupuncture with medication or psychotherapy are other interventions. Some acupuncture-based methods such as needle-rolling acupuncture, auricular acupoint plaster therapy, phlebotomy, and acupoint catgut-embedding therapy are used as well. Although most clinical trials have shown that acupuncture and its combination therapies are significantly effective in insomnia, the beneficial effects may have been overvalued, because of small sample size, nonstrict inclusion and exclusion criteria, flawed methodology, short follow-up, or nonstandardized evaluation. Therefore, clinical studies of high methodological quality are needed to verify the efficacy of acupuncture, moxibustion, and other combination therapies in insomnia.

Clinical Observations on the Treatment of 90 Chronic Gastritis Patients by Combination of Acupuncture and Herbal Medicine

Objective： To investigate the clinical efficacy of combined acupuncture and herbal medicine based on Prof. QIN Liang-fu＇s experience in treating chronic gastritis. Methods： Ninety chronic gastritis patients were randomly divided into acupuncture, herbal medicine and acupuncture plus herbal medicine groups. The clinical effects were evaluated after 6 months. Results： After 6 months, the clinical effect was better in the acupuncture plus herbal medicine group than in the acupuncture group and in the herbal medicine group（P〈 0.05）. Conclusion： The curative effect on chronic gastritis was better in the acupuncture plus herbal medicine group than in the acupuncture group and in the herbal medicine group.

基于数据挖掘探析针药结合治疗哮喘的临床优势与针灸选穴规律

目的系统梳理针药结合治疗哮喘的临床研究文献,利用数据挖掘探讨其潜在的临床优势与针灸选穴规律。方法检索收录在中国知网、维普资讯中文期刊服务平台、万方数据知识服务平台、中国生物医学文献数据库及PubMed、Web of Science、Embase、Scoups等数据库中的近20年临床研究文献,建立“针药结合治疗哮喘数据库”,运用频数统计及SPSS Modeler 18.0、Gephi0.10.1软件进行文献挖掘分析。结果①针刺优势以靶器官功能与多项血生化指标(免疫功能指标、血清炎症因子)的调节为主;中药优势为能进一步增强肺通气功能;针刺与中药联合应用可显著提高哮喘患者临床疗效。②针刺治疗哮喘重要程度排名前5位的腧穴依次为肺俞、定喘、足三里、肾俞、膻中,关联规则分析显示定喘-肺俞支持度最高,其次为脾俞-肺俞;足太阳膀胱经与手太阴肺经为常用经脉。③体现针刺优势的腧穴处方重视局部选穴,循经选穴,上下配穴。结论针药结合治疗哮喘是提高疗效的主要原因,其临床优势在于局部与整体兼顾,“标本同治,从肺论治,局部选穴,远近配穴”的临床取穴规律是针刺优势的体现之一,这为针药结合的科学应用提供了新思路。

针刺“肩三针”治疗肩周炎研究进展

肩周炎是一种临床多发疾病,针刺“肩三针”在减轻肩周疼痛、改善肩关节功能方面疗效显著,但临床研究较少,且缺乏对相关手法术式以及临床研究的归纳总结。因此,试通过检索知网、维普、PubMed、Web of Science数据库,就针刺“肩三针”为主治疗肩周炎的操作方法以及临床研究做一综述,为今后针刺“肩三针”为主治疗肩周炎的试验研究和临床运用提供一定的参考。

96例失眠患者的临床特点及中医疗法回顾性分析

目的 探讨失眠患者的临床特点及中医疗法,旨在提高临床医生对失眠的认知和诊治水平。方法 回顾性分析2011年11月至2022年11月我院96例失眠患者的临床病例资料,包括就诊年龄、性别、病程、治疗时间、治疗方法、慢性疾病及诊断类型。采用单因素和多因素Logistic回归分析影响失眠患者治疗效果的因素,并绘制受试者工作特征(ROC)曲线,遴选出能预测影响失眠治疗效果的指标。结果 患者的就诊年龄主要集中在41~70岁,≤30岁及81~90岁的患者较少,不同年龄段的女性患者占比均高于男性。就诊年龄是影响失眠治疗效果的危险因素,而治疗时间和中药联合针灸治疗是影响失眠治疗效果的保护因素(P<0.05)。结论 就诊年龄是影响失眠治疗效果的危险因素,而治疗时间和中药联合针灸疗法是影响失眠治疗效果的保护因素。临床应根据患者的综合特征,科学地将非药物治疗与中医药疗法相结合,从而提高睡眠质量。

近10年针灸治疗失眠伴抑郁障碍的临床研究进展

针灸治疗失眠伴抑郁障碍的方式多种多样,如毫针、电针、耳穴等。本文对近10年针灸(含中西医结合)治疗失眠伴抑郁障碍现代文献进行分类综述,肯定了针灸疗法治疗失眠伴抑郁障碍的临床疗效,客观分析了目前研究的问题与不足。希望能引起同道的一些注意,为今后的临床治疗及科研提供决策。

温补针法配合药物治疗糖尿病性动眼神经麻痹疗效观察

目的观察温补针法配合药物治疗以动眼神经麻痹为首发症状的糖尿病患者的临床疗效。方法将40例糖尿病性动眼神经麻痹患者随机分为治疗组和对照组,每组20例。治疗组采用温补针法配合药物治疗,对照组采用单纯药物治疗。观察两组治疗前后主症积分变化情况,并比较两组临床疗效。结果治疗组总有效率为90.0%,对照组为45.0%,两组比较差异具有统计学意义(P<0.01)。两组治疗后主症积分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后主症积分与对照组比较,差异具有统计学意义(P<0.05)。结论温补针法配合药物是一种治疗糖尿病性动眼神经麻痹的有效方法。

针灸加中药治疗糖尿病神经源性膀胱疗效观察

目的观察针灸加中药治疗糖尿病神经源性膀胱的疗效。方法60例患者随机分为针药组30例,药物组30例,两组基础治疗相同,针药组针刺关元、气海、肾俞、膀胱俞、水道、中极、三阴交;加服中药益肾汤(自拟),每日1剂。药物组采用弥可保500μg肌肉注射,每日1次,并训练定期排尿。结果针药组有效率90.0%,明显优于药物组(P<0.05);且针药组在排尿次数和膀胱残余尿量的减少方面优于药物组。结论针灸加中药是治疗糖尿病神经源性膀胱的有效方法。

针药并用治疗椎-基底动脉供血不足的疗效观察

目的观察针药并用治疗椎-基底动脉供血不足的临床疗效。方法将60例椎-基底动脉供血不足的患者随机分为治疗组30例,采用针刺艾灸及药物治疗;对照组30例,仅采用药物治疗。结果治疗组经治疗后总有效率为96.7%,对照组为73.3%,两者比较差异具有统计学意义(P<0.01)。结论针灸配合药物治疗椎-基底动脉供血不足有显著疗效。

针灸在急救中的作用与思考

针灸可救治急性心脑血管疾病并改善预后,在缓解急性疼痛、治疗运动系统急性损伤等方面疗效明显,推广中医的针灸急救手段,可更好、更快地挽救患者或改善预后,并与现代急救学优势互补,促进现代急救学的发展。加强针灸在急救领域的研究和科普工作,扩大其在赛场和军队中的应用,构建具有中国特色的中西医结合急救医疗体系,警惕国外针灸“去中国化”的倾向,对把握中医急救的话语权,具有重要的意义。

中西医结合疗法对产后尿潴留临床疗效观察

目的:观察探讨中西医结合疗法对产后尿潴留的临床疗效。方法:将128例患者随机分成两组,两组在年龄、分娩方式、胎儿体重、孕周及产程上均无显著性差异(P>0.05)。对照组64例,采用按摩膀胱、指导教育、热敷、热熏、新斯的明肌肉注射等;治疗组64例,采用法国杉山的盆底功能障碍治疗仪Phenix U4的低频脉冲电刺激,日2次,每次40 min,连续治疗3 d,并同时给予针刺关元、中极、三阴交、阴陵泉、足三里5个穴位和艾灸疗法。结果:两组治疗后第1次小便自解情况进行比较,治疗组明显优于对照组,具有显著性差异(P<0.05)。结论:中西医结合疗法对于产后尿潴留治疗有明显疗效,值得临床推广和使用。

隔姜灸配合中药治疗肝肾不足型斑秃疗效观察

目的观察隔姜灸配合中药治疗肝肾不足型斑秃的临床疗效。方法将78例肝肾不足型斑秃患者随机分为治疗组40例、对照组38例,治疗组采用隔姜灸配合中药口服治疗,对照组采用养血生发胶囊口服,并配合外搽生发酊。两组均分别于1个月、2个月、3个月各观察疗效1次。结果治疗组总有效率为95.0%,对照组总有效率为76.3%,两组疗效比较差异有统计学意义(P<0.05);在斑秃皮损区评分方面,治疗组治疗1个月、2个月、3个月均较治疗前有显著下降(P<0.05,P<0.01);对照组治疗2个月、3个月也较治疗前显著下降(P<0.01);治疗组治疗2个月、3个月斑秃皮损区评分显著低于对照组(P<0.01),说明治疗组起效时间早于对照组,且疗效优于对照组。结论隔姜灸配合中药治疗斑秃疗效确切。

隔物温和灸对类风湿关节炎患者血小板的影响

目的观察隔物温和灸联合甲氨蝶呤对类风湿关节炎(rheumatoid arthritis,RA)患者血小板的影响,并探讨其可能机制,为隔物温和灸治疗疾病的机理研究提供一种思路,同时为RA的治疗提供一种有效的方法。方法将40例患者随机分为治疗组和对照组,每组20例。对照组口服甲氨蝶呤,治疗组采用隔物温和灸联合药物治疗,药物治疗同对照组。对患者治疗前后临床症状及血小板计数(PLT)、血小板压积(PCT)、血小板平均体积(MPV)、血小板分布宽度(PDW)进行观察评估。结果共37例患者最终完成试验,治疗组19例,对照组18例。治疗3个月后,治疗组和对照组的临床症状和实验室指标差异有统计学意义(P<0.05)。治疗组19例患者中,7例患者血小板计数异常升高;对照组18患者中,5例患者血小板计数异常升高。治疗3个月后,两组患者血小板参数水平均降低,但治疗组降低程度较对照组显著。结论隔物温和灸联合甲氨喋呤治疗RA疗效明显,可较快地控制疾病的发展。隔物温和灸可能有降低患者异常升高血小板的作用。

隔药饼灸治疗慢性肾功能衰竭疗效观察

目的观察隔药饼灸对慢性肾功能衰竭(CRF)的临床疗效。方法将60例CRF患者随机分成治疗组和对照组,每组30例。对照组采用药物治疗及饮食控制,治疗组在对照组治疗基础上采用隔药饼灸肾俞、脾俞或肝俞治疗。治疗3个月后观察两组治疗前后血肌酐(Scr)、血尿素氮(BUN)、内生肌酐清除率(Ccr)、24 h尿蛋白定量的差异,并比较两组临床疗效。结果治疗组显效率和总有效率分别为46.7%和86.7%,对照组分别为20.0%和46.6%,两组比较差异均具有统计学意义(P<0.05)。两组治疗后Scr、BUN、Ccr及24 h尿蛋白定量与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后Scr、BUN及24 h尿蛋白定量与对照组比较,差异均具有统计学意义(P<0.05)。结论隔药饼灸是一种治疗慢性肾功能衰竭的有效方法 。

Effect of Acupuncture plus Small Dosage of Herba Epimedii on Improving the Life Quality of Climacteric Postmenopausal Women

Objective： To investigate the effects of acupuncture and combined acupuncture and medicine on the quality of life and the genital endocrine level in postmenopausal women. Methods： Forty-seven patients were randomly assigned to acupuncture and acupuncture plus medicine groups, 23 cases in the acupuncture group and 24 cases in the acupuncture plus medicine group. The observed course of treatment was 3 months. A Chinese concise SF 36 questionnaire was used to evaluate the quality of life in the different groups of patients before and after treatment. Meanwhile, radioimmunoassay was used to observe the differences in serum genital hormones： follicle stimulating hormone （FSH）, luteinizing hormone （LH） and estradiol （E2） contents between pretreatment and posttreatment in both groups. Results： After treatment, there was a significant difference in quality of life between the two groups and it was better in the acupuncture plus medicine group than in the acupuncture group（P〈 0.01）. E2 content increased more markedly in the acupuncture plus medicine group than in the acupuncture group（P〈 0.05）. There were no significant differences in FSH and LH contents between the two groups（P 〉 0. 05）. Conclusion. Both acupuncture and acupuncture plus medicine can improve the quality of life and increase obviously low E2 content in postmenopausal women. Acupuncture plus medicine raises the patients＇ quality of life and E2 content more markedly than acupuncture. It is suggested that both acupuncture and acupuncture plus medicine can improve the symptoms, signs, and physical and mental health, raise the quality of life and ameliorate genital-endocrine environment in postmenopausal women, but a combination of acupuncture and medicine has a better effect.

针灸配合药物治疗抑郁症临床观察

目的观察针灸配合药物治疗抑郁症的临床疗效。方法 80例抑郁症患者随机分为药物组30例,采用单纯SSRI类药物治疗;针药组25例,采用针刺配合SSRI类药物治疗;灸药组25例,采用针刺加艾灸配合SSRI类药物治疗。分别观察三组治疗前和治疗后1、2、4、6星期HAMD量表总评分情况,采用HAMD量表评定疗效。结果灸药组、针药组总有效率均为100.0%,与药物组总有效率(83.3%)比较差异均有统计学意义(P<0.01)。灸药组和针药组在治疗1、2、4、6星期HAMD总分改善明显优于药物组(P<0.01)。灸药组在第2星期起HAMD减分率大于针药组和药物组,减分率比较差异均有统计学意义(P<0.05)。结论针刺加艾灸配合SSRI类药物治疗抑郁症疗效优于单用SSRI类抗抑郁药,且起效速度快。针刺配合SSRI类药物的治疗也有类似的疗效,但针刺加艾灸配合药物治疗对改善患者抑郁情绪、减少HAMD量表积分具有一定的优越性。

针药并用治疗特发性肺纤维化疗效观察

目的观察中西医结合治疗特发性肺间质纤维化的临床疗效。方法将确诊为特发性肺间质纤维化患者随机分为联合组和激素组,联合组采用中药、针灸和激素联合治疗,激素组只采用激素治疗,观察两组临床症状、胸部X线摄片和肺功能的变化。结果联合组临床疗效及肺功能FVC、FEV1、PaO2均明显高于激素组。结论联合组能显著改善患者的肺功能,并在一定程度上改善呼吸困难症状。

针灸治疗脑卒中后抑郁研究进展

针灸治疗脑卒中后抑郁的方法主要有:单纯针刺疗法、针药结合疗法、针刺联合特色疗法、艾灸疗法。目前,关于针灸治疗脑卒中后抑郁的研究还存在一些不足:①临床报道的样本量均偏小,缺少多中心、大样本的随机对照研究,研究结果可能存在一定的偏倚。②西药对照组的设立不统一,不同的抗抑郁西药作用靶点不同,疗效和安全性亦存在差异,作为对照给深入研究带来较大的困惑。③辨证论治是中医特色,但不少临床研究对该病未进行分型治疗。④大多数临床研究的观察时间为4～8周,缺少长期随访的结果。因此,在今后的研究中,应更加完善实验设计方案,扩大样本量,延长观察随访时间,使用具有充分循证医学证据的西药作为对照,同时结合中医辨证论治,将分型和治疗方案进一步细化,逐步形成较完备的诊疗方案。