Objective: To observe the clinical efficacy of electroacupuncture (EA) plus Tanbo-plucking the trigger points for scapulohumeral periarthritis (SP). Methods:A total of 80 patients with SP were randomized into an obser...Objective: To observe the clinical efficacy of electroacupuncture (EA) plus Tanbo-plucking the trigger points for scapulohumeral periarthritis (SP). Methods:A total of 80 patients with SP were randomized into an observation group and an EA group by the random number table, with 40 cases in each group. The EA group was treated with EA therapy, and the observation group was treated with EA therapy plus Tanbo-plucking the trigger points. After treatment, the visual analog scale (VAS) and Melle scores of the two groups were compared to evaluate the improvement of shoulder pain and functional activity, and meanwhile the clinical efficacy was observed. Results: After treatment, the total effective rate of the observation group was 95.0% and the cure and markedly effective rate was 72.5%. The total effective rate of the EA group was 87.5% and the cure and markedly effective rate was 42.5%. There was no significant difference in the total effective rate between the two groups (P>0.05). The cure and markedly effective rate of the observation group was higher than that of the EA group, and the difference between the two groups was statistically significant (P<0.05). After treatment, the intra-group differences in VAS and Melle scores of both groups were statistically significant (bothP<0.001). The inter-group differences in the changes of the VAS and Melle scores after treatment were statistically significant (bothP<0.001). Conclusion: EA plus Tanbo-plucking the trigger points has a better curative effect than EA therapy alone in the treatment of SP.展开更多
目的观察头穴扬刺为主治疗频发性紧张型头痛的临床疗效。方法将66例频发性紧张型头痛患者随机分为观察组(33例)和对照组(33例),两组均脱落2例,最终纳入每组31例。观察组予头穴扬刺为主联合常规针刺治疗,对照组予常规针刺治疗。观察两组...目的观察头穴扬刺为主治疗频发性紧张型头痛的临床疗效。方法将66例频发性紧张型头痛患者随机分为观察组(33例)和对照组(33例),两组均脱落2例,最终纳入每组31例。观察组予头穴扬刺为主联合常规针刺治疗,对照组予常规针刺治疗。观察两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、头痛频率、持续时间、头痛指数、汉密顿焦虑量表(Hamilton anxiety scale,HAMA)评分、汉密顿抑郁量表(Hamilton depression scale,HAMD)评分和生存质量测定量表简表(World Health Organization quality of life brief,WHOQOL-BREF)评分以及双侧大脑前动脉(anterior communicating artery,ACA)、大脑中动脉(middle cerebral artery,MCA)和大脑后动脉(posterior cerebral artery,PCA)血流速度的变化,比较两组临床疗效和复发情况。结果治疗后和治疗后3个月随访时,两组疼痛VAS评分、头痛频率、持续时间、头痛指数、HAMA评分和HAMD评分均降低(P<0.05),WHOQOL-BREF评分均升高(P<0.05),两侧ACA、MCA和PCA血流速度均下降(P<0.05)。观察组治疗后和治疗后3个月随访时疼痛VAS评分、头痛频率、持续时间、头痛指数、HAMA评分和HAMD评分低于对照组(P<0.05),WHOQOL-BREF评分高于对照组(P<0.05),两侧ACA、MCA和PCA血流速度低于对照组(P<0.05)。观察组总有效率为90.3%,优于对照组的77.4%(P<0.05)。观察组复发率低于对照组(P<0.05)。结论在常规针刺治疗基础上,头穴扬刺为主治疗可提高频发性紧张型头痛的临床疗效,可进一步降低脑血流速度,减轻头痛程度,减少疼痛持续时间和发作频率,缓解焦虑和抑郁状态,提高患者生活质量,降低复发率。展开更多
目的观察激痛点火针疗法对腰背肌筋膜炎患者疼痛的影响。方法选取2021年3月—2023年3月在福建中医药大学附属三明市中西医结合医院康复科就诊的腰背肌筋膜炎患者65例,按随机数字表法分为对照组(n=32)与观察组(n=33)。对照组采用常规针...目的观察激痛点火针疗法对腰背肌筋膜炎患者疼痛的影响。方法选取2021年3月—2023年3月在福建中医药大学附属三明市中西医结合医院康复科就诊的腰背肌筋膜炎患者65例,按随机数字表法分为对照组(n=32)与观察组(n=33)。对照组采用常规针刺治疗,观察组采用针刺联合激痛点火针疗法。6周后评估2组患者疼痛评分、腰椎功能评分,观察腰背部红外成像结果。结果观察组患者视觉模拟评分法(visual analog scale,VAS)评分[(3.76±1.08)分vs.(5.28±1.55)分],Oswestry功能障碍指数问卷(Oswestry disability index,ODI)评分[(13.76±3.42)分vs.(11.50±4.58)分]及腰背部红外成像的平均温度[(30.21±3.03)℃vs.(33.31±3.16)℃]均显著低于对照组,差异有统计学意义(P<0.05)。结论针刺联合激痛点火针疗法可以有效缓解腰背肌筋膜炎患者疼痛,改善腰椎功能障碍。展开更多
Dry eye syndromes （DES） refer to discomfort in the eye region, visual disturbance, poor stability of lacrimal film, inflammation of eye surface and its potential injury due to many factors of abnormal lacrimation. P...Dry eye syndromes （DES） refer to discomfort in the eye region, visual disturbance, poor stability of lacrimal film, inflammation of eye surface and its potential injury due to many factors of abnormal lacrimation. Patients with this condition can experience a dry sensation in the eyes, foreign body sensation,展开更多
Objective To observe the efficacy of electroacupuncture(EA)in treating dry eye syndromes(DES)and its regulatory effects on patient’s quality of life(QOL),anxiety,and depression.MethodsBy following a randomized contro...Objective To observe the efficacy of electroacupuncture(EA)in treating dry eye syndromes(DES)and its regulatory effects on patient’s quality of life(QOL),anxiety,and depression.MethodsBy following a randomized controlled study design,eligible DES patients were allocated to an EA group(EAG)or an acupuncture group(AG).Patients in the AG were intervened by acupuncture alone,while in the EAG,electrical stimulation was applied to Cuanzhu(BL2)and Taiyang(EX-HN5)in addition to the same treatment in the AG.Changes in clinical manifestations,ocular surface disease index(OSDI),Schirmer tear test-1(STT-1),tear-film break-up time(TF-BUT),cornea fluorescein staining(CFS),and corneal sensitivity(CS)were observed,as well as changes in the short-form 36-item health survey(SF-36)and hospital anxiety and depression scale(HADS)scores.ResultsThe scores of clinical symptoms,OSDI,and CFS decreased significantly in both EAG and AG when compared with the baseline values(P<0.05),respectively,while the TF-BUT and CS increased significantly(P<0.05),and the tear secretion of patients in the EAG increased(P<0.05).Compared with those before treatment,the scores of physical role functioning,general health perception,emotional role functioning,and mental health of patients in both EAG and AG showed significant increases after treatment(P<0.05),together with a marked decrease in the score of anxiety(P<0.05).Compared with the AG,the EAG obtained a more significant increase in STT-1(P<0.05).ConclusionDES patients respond well to both EA and acupuncture treatments,manifested by prolonged TF-BUT and improvement of CS.Meanwhile,the two approaches can improve QOL and reduce anxiety.Furthermore,EA appears more effective in increasing tear secretion than acupuncture alone.展开更多
目的观察环跳穴不同针刺深度对气滞血瘀型腰椎间盘突出症临床疗效的影响。方法招募150例气滞血瘀型腰椎间盘突出症患者,用随机数字表法分为深刺组(75例)和浅刺组(75例)。深刺组采用芒针深刺环跳穴治疗,浅刺组采用毫针针刺环跳穴治疗。...目的观察环跳穴不同针刺深度对气滞血瘀型腰椎间盘突出症临床疗效的影响。方法招募150例气滞血瘀型腰椎间盘突出症患者,用随机数字表法分为深刺组(75例)和浅刺组(75例)。深刺组采用芒针深刺环跳穴治疗,浅刺组采用毫针针刺环跳穴治疗。分别在治疗前、治疗1个疗程后、治疗后和随访时,观察两组疼痛视觉模拟量表(visual analog scale,VAS)评分、日本骨科协会(Japanese Orthopaedic Association,JOA)腰椎评分、肌力评分和患侧膝踝反射评分的变化。比较两组临床疗效。结果深刺组治愈率高于浅刺组(P<0.05)。两组各时间点VAS评分、JOA腰椎评分、肌力评分和患侧膝踝反射评分比较,差异有统计学意义(P<0.05)。治疗后和随访时,深刺组VAS评分均低于浅刺组(P<0.05);治疗1个疗程后、治疗后和随访时,深刺组JOA腰椎评分和肌力评分均优于对照组(P<0.05)。结论环跳穴深刺治疗气滞血瘀型腰椎间盘突出症的临床疗效优于浅刺,可更有效地缓解疼痛,改善症状,提高肌力。展开更多
文摘Objective: To observe the clinical efficacy of electroacupuncture (EA) plus Tanbo-plucking the trigger points for scapulohumeral periarthritis (SP). Methods:A total of 80 patients with SP were randomized into an observation group and an EA group by the random number table, with 40 cases in each group. The EA group was treated with EA therapy, and the observation group was treated with EA therapy plus Tanbo-plucking the trigger points. After treatment, the visual analog scale (VAS) and Melle scores of the two groups were compared to evaluate the improvement of shoulder pain and functional activity, and meanwhile the clinical efficacy was observed. Results: After treatment, the total effective rate of the observation group was 95.0% and the cure and markedly effective rate was 72.5%. The total effective rate of the EA group was 87.5% and the cure and markedly effective rate was 42.5%. There was no significant difference in the total effective rate between the two groups (P>0.05). The cure and markedly effective rate of the observation group was higher than that of the EA group, and the difference between the two groups was statistically significant (P<0.05). After treatment, the intra-group differences in VAS and Melle scores of both groups were statistically significant (bothP<0.001). The inter-group differences in the changes of the VAS and Melle scores after treatment were statistically significant (bothP<0.001). Conclusion: EA plus Tanbo-plucking the trigger points has a better curative effect than EA therapy alone in the treatment of SP.
文摘目的 观察头穴丛刺长留针法治疗偏头痛的临床疗效。方法 将88例偏头痛患者随机分为观察组(44例,脱落2例)和对照组(44例,脱落3例)。观察组采用常规针刺联合头穴丛刺长留针法治疗,对照组采用常规针刺方法治疗。比较两组临床疗效,观察两组治疗前后的视觉模拟量表(visual analog scale, VAS)评分、偏头痛特异性生活质量问卷(migraine-specific quality of life questionnaire, MSQ)、血清5-羟色胺(5-hydroxytryptamine, 5-HT)浓度。结果 观察组总有效率为92.9%,高于对照组的78.0%,差异有统计学意义(P>0.05)。两组治疗后VAS评分较治疗前降低(P<0.05),两组随访时VAS评分较治疗前和治疗后降低(P<0.05);观察组治疗后及随访时,VAS评分均低于对照组(P<0.05)。两组治疗后MSQ评分较治疗前升高(P<0.05),两组随访时MSQ评分较治疗前和治疗后升高(P<0.05);观察组治疗后及随访时,MSQ评分均高于对照组(P<0.05)。两组治疗后血清5-HT浓度均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论 在常规针刺基础上,头穴丛刺长留针法治疗偏头痛临床疗效优于常规针刺方法,且在减轻偏头痛患者疼痛程度,改善其生活质量及提高5-HT浓度方面优于常规针刺方法。
文摘目的观察头穴扬刺为主治疗频发性紧张型头痛的临床疗效。方法将66例频发性紧张型头痛患者随机分为观察组(33例)和对照组(33例),两组均脱落2例,最终纳入每组31例。观察组予头穴扬刺为主联合常规针刺治疗,对照组予常规针刺治疗。观察两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、头痛频率、持续时间、头痛指数、汉密顿焦虑量表(Hamilton anxiety scale,HAMA)评分、汉密顿抑郁量表(Hamilton depression scale,HAMD)评分和生存质量测定量表简表(World Health Organization quality of life brief,WHOQOL-BREF)评分以及双侧大脑前动脉(anterior communicating artery,ACA)、大脑中动脉(middle cerebral artery,MCA)和大脑后动脉(posterior cerebral artery,PCA)血流速度的变化,比较两组临床疗效和复发情况。结果治疗后和治疗后3个月随访时,两组疼痛VAS评分、头痛频率、持续时间、头痛指数、HAMA评分和HAMD评分均降低(P<0.05),WHOQOL-BREF评分均升高(P<0.05),两侧ACA、MCA和PCA血流速度均下降(P<0.05)。观察组治疗后和治疗后3个月随访时疼痛VAS评分、头痛频率、持续时间、头痛指数、HAMA评分和HAMD评分低于对照组(P<0.05),WHOQOL-BREF评分高于对照组(P<0.05),两侧ACA、MCA和PCA血流速度低于对照组(P<0.05)。观察组总有效率为90.3%,优于对照组的77.4%(P<0.05)。观察组复发率低于对照组(P<0.05)。结论在常规针刺治疗基础上,头穴扬刺为主治疗可提高频发性紧张型头痛的临床疗效,可进一步降低脑血流速度,减轻头痛程度,减少疼痛持续时间和发作频率,缓解焦虑和抑郁状态,提高患者生活质量,降低复发率。
文摘目的观察激痛点火针疗法对腰背肌筋膜炎患者疼痛的影响。方法选取2021年3月—2023年3月在福建中医药大学附属三明市中西医结合医院康复科就诊的腰背肌筋膜炎患者65例,按随机数字表法分为对照组(n=32)与观察组(n=33)。对照组采用常规针刺治疗,观察组采用针刺联合激痛点火针疗法。6周后评估2组患者疼痛评分、腰椎功能评分,观察腰背部红外成像结果。结果观察组患者视觉模拟评分法(visual analog scale,VAS)评分[(3.76±1.08)分vs.(5.28±1.55)分],Oswestry功能障碍指数问卷(Oswestry disability index,ODI)评分[(13.76±3.42)分vs.(11.50±4.58)分]及腰背部红外成像的平均温度[(30.21±3.03)℃vs.(33.31±3.16)℃]均显著低于对照组,差异有统计学意义(P<0.05)。结论针刺联合激痛点火针疗法可以有效缓解腰背肌筋膜炎患者疼痛,改善腰椎功能障碍。
基金The Key Laboratory of Acupuncture-immune Effects of State Administration of Traditional Chinese MedicineShanghai Leading Academic Discipline Project (S30304)
文摘Dry eye syndromes （DES） refer to discomfort in the eye region, visual disturbance, poor stability of lacrimal film, inflammation of eye surface and its potential injury due to many factors of abnormal lacrimation. Patients with this condition can experience a dry sensation in the eyes, foreign body sensation,
基金This study was supported by the Research Projects of Shanghai Municipal Health Bureau(上海市卫生健康委员会项目,No.202040249,No.201940130)Shanghai Leading Talent Program(上海领军人才项目,No.060)Shanghai Sailing Program(上海市青年科技英才扬帆计划项目,No.19YE1445000).
文摘Objective To observe the efficacy of electroacupuncture(EA)in treating dry eye syndromes(DES)and its regulatory effects on patient’s quality of life(QOL),anxiety,and depression.MethodsBy following a randomized controlled study design,eligible DES patients were allocated to an EA group(EAG)or an acupuncture group(AG).Patients in the AG were intervened by acupuncture alone,while in the EAG,electrical stimulation was applied to Cuanzhu(BL2)and Taiyang(EX-HN5)in addition to the same treatment in the AG.Changes in clinical manifestations,ocular surface disease index(OSDI),Schirmer tear test-1(STT-1),tear-film break-up time(TF-BUT),cornea fluorescein staining(CFS),and corneal sensitivity(CS)were observed,as well as changes in the short-form 36-item health survey(SF-36)and hospital anxiety and depression scale(HADS)scores.ResultsThe scores of clinical symptoms,OSDI,and CFS decreased significantly in both EAG and AG when compared with the baseline values(P<0.05),respectively,while the TF-BUT and CS increased significantly(P<0.05),and the tear secretion of patients in the EAG increased(P<0.05).Compared with those before treatment,the scores of physical role functioning,general health perception,emotional role functioning,and mental health of patients in both EAG and AG showed significant increases after treatment(P<0.05),together with a marked decrease in the score of anxiety(P<0.05).Compared with the AG,the EAG obtained a more significant increase in STT-1(P<0.05).ConclusionDES patients respond well to both EA and acupuncture treatments,manifested by prolonged TF-BUT and improvement of CS.Meanwhile,the two approaches can improve QOL and reduce anxiety.Furthermore,EA appears more effective in increasing tear secretion than acupuncture alone.
文摘目的观察环跳穴不同针刺深度对气滞血瘀型腰椎间盘突出症临床疗效的影响。方法招募150例气滞血瘀型腰椎间盘突出症患者,用随机数字表法分为深刺组(75例)和浅刺组(75例)。深刺组采用芒针深刺环跳穴治疗,浅刺组采用毫针针刺环跳穴治疗。分别在治疗前、治疗1个疗程后、治疗后和随访时,观察两组疼痛视觉模拟量表(visual analog scale,VAS)评分、日本骨科协会(Japanese Orthopaedic Association,JOA)腰椎评分、肌力评分和患侧膝踝反射评分的变化。比较两组临床疗效。结果深刺组治愈率高于浅刺组(P<0.05)。两组各时间点VAS评分、JOA腰椎评分、肌力评分和患侧膝踝反射评分比较,差异有统计学意义(P<0.05)。治疗后和随访时,深刺组VAS评分均低于浅刺组(P<0.05);治疗1个疗程后、治疗后和随访时,深刺组JOA腰椎评分和肌力评分均优于对照组(P<0.05)。结论环跳穴深刺治疗气滞血瘀型腰椎间盘突出症的临床疗效优于浅刺,可更有效地缓解疼痛,改善症状,提高肌力。
