简介:Inthisstudy,61casesofischemicstrokepatientsarerandomlydividedintosurroundingneedlinggroup(n=31)andscalp-acupuncturegroup(n=30).TheischemicfocusofthebrainisdeterminedbyCTexamina-tion.Forpatientsofthesurroundingneedlinggroup,Gauge-29-30stainlesssteelfiliformneedlesareinsertedintothesurroundingscalpofthefocalprojectionregiononebyone,withtheneedle-tipstowardthecenterofthefocalprojec-tionarea,andcombinedwithotherbodyacupointsaccordingtosyndromedifferentiation.Forpatientsofscalp-acupuncturegroup,MotorArea(MS6)andSensoryArea(MS7)ofthecontralateralsideofthefocusareused.Thetreatmentisperformedoncedailyinbothgroups,with30sessionsbeingatherapeuticcourse.Afteronecourseoftreatment,insurroundingneedlingandscalp-acupuncturegroups,20and11casesarecuredbasically,10and15haveamarkedimprovement,1and4areeffective,thetherapeuticeffectoftheformergroupissignificantlysuperiortothatofscalp-acupuncturegroup.Aftertreatment,plasmaepinephrine(E)andnorepinephrine(NE)levelsofthetwogroupsdecreaseconsiderablycomparedwithpre-treatmentofeachgroup(P<0.01),andtheeffectsofsurroundingneedlingonEandNEaremoreevidentlythanthoseofscalp-acupuncture(P<0.05).ResultssuggestthatthetherapeuticeffectofacupuncturemayberelatedtothedeclineofplasmaEandNElevels.
简介:TheSuWen.TiaoJingLun(《素问·调经论》,PlainQuestions·TheoryofRegulatingMeridians)said,"Patientswithpaininbodyyetwithoutanyailmentaretreatedwithcontralateralshallowcollateralneedling;patientswithpainononesidewithailmentsontheothersidearetreatedwithcontralateraldeepcollateralneedling".Therefore,bothofthetwotherapiesareapplicabletopainsyndromes,and,forcontralateraldeep
简介:目的:评价齐刺法结合雷火灸治疗退行性膝关节炎的,临床疗效,以期更好地推广应用于临床方法:将98例退行性膝关节炎患者根据随机数字表分为观察组和对照组各49例,观察组选取犊鼻、内膝眼、阳陵泉、血海、梁丘、足三里、阴陵泉、膝阳关,针刺40min后各穴进行雷火灸20min。对照组只针刺,不进行雷火灸。治疗每日1次,共治疗4周。治疗前后两组均进行膝关节功能评分、膝关节僵硬程度评分并进行疗效评价。结果:治疗4周后,治疗组膝关节功能评分总有效率为93.9%(46/49),对照组总有效率为71.4%(35/49),观察组优于对照组(P〈0.05);观察组膝关节僵硬程度改善优于对照组(P〈0.01)。结论:齐刺法结合雷火灸治疗退行性膝关节炎临床有效,总体疗效明显优于单纯针刺,为一种更佳的治疗选择。
简介:目的:探讨经筋排刺法结合皮肤针对脑卒中后上肢偏瘫患者痉挛状态的影响。方法:将488例脑卒中后上肢痉挛患者按计算机随机法以1:1比例随机分为2组:经筋排刺法结合皮肤针疗法组(A组,244例)和西药组(B组,244例)。在必要康复治疗的基础上,A组给予经筋排刺法配合皮肤针疗法,取穴以五腧穴等特定穴位为主,其中手三阳经给予经筋排刺法,手三阴经采用七星针叩刺;B组给予常规西药治疗,采用脑复康注射液、脑蛋白水解物静脉滴注。2组患者均连续治疗3周后评定临床疗效,采用改良Asworth量表、Fud—Meyer上肢运动评分量表观察两组患者治疗前后上肢痉挛程度、运动功能。结果:Asworth评分方面,A组效果明显优于B组(3.04±1.29vs3.88±1.54,P〈0.05);Fugl-Meyer评分万面,A组效果亦明显优于B组(48.67±15.64vs42.96±14.72,P〈0.05);A组上肢关节运动状况缓解程度方面,眉关节内收缓解程度(90.5%)、前臂旋前缓解程度(70.7%)、肘关节屈曲缓解程度(73.1%)、腕关节屈曲缓解程度(80.9%)、手指屈曲缓解程度(88.1%)均优于B组(70.0%,60.O%,61.9%,57.4%,63.2%,均P〈0.05)。结论:经筋排刺法结合皮肤针能明显改善脑卒中后上肢痉挛患者的痉挛状态,临床疗效确切。