温针灸治疗类风湿性关节炎临床观察

目的：观察温针灸背部腧穴对类风湿性关节炎(rheumatoid arthritis, RA)的临床疗效。方法：将60例RA患者按随机数字表随机分为2组，每组30例。观察组采用温针灸背部督脉穴及夹脊穴治疗，对照组采用常规针刺治疗。结果：治疗后，两组患者晨僵、关节疼痛指数、关节肿胀指数及红细胞沉降率(erythrocyte sedimentation rate, ESR)都有明显改善，与本组治疗前差异均有统计学意义(P＜0.01)；观察组与对照组亦有统计学差异(P＜0.05)。观察组总有效率为93.3%，对照组为76.6%，两组总有效率差异有统计学意义(P＜0.01)。结论：温针灸背部督脉穴及夹脊穴治疗RA的疗效优于常规针刺治疗。

隔姜灸对慢性非细菌性前列腺炎患者免疫细胞因子的影响

目的：观察隔姜灸对慢性非细菌性前列腺炎患者免疫细胞因子的影响。方法：将慢性非细菌性前列腺炎患者80例，按就诊顺序随机分为两组，每组40例。观察组予口服盐酸坦索罗辛缓释胶囊(哈乐)(Tamsulosin Hydrochloride Sustained Release Capsules, Harnal)，每次0.2 mg，每日1次；隔姜灸气海、关元、中极及双侧足三里、三阴交、膀胱俞、上髎、次髎、中髎和下髎治疗,每日1次。对照组仅口服盐酸坦索罗辛缓释胶囊，剂量及服用方法与观察组相同。两组均治疗28 d。治疗前、后检测患者外周血中CD3+、CD4+、CD8+、CD4+CD25+、CD4+CD25+Foxp3+、转化生长因子-β1(transforming growth factor-β1, TGF-β1)、免疫球蛋白(immuneglobulin, Ig) A、IgE、IgG 和 IgM，并进行美国国立卫生研究院慢性前列腺炎症状指数(National Institutes of Health chronic prostatitis symptom index, NIH-CPSI)评分。结果：观察组总有效率90.0%；对照组总有效率72.5%，两组总有效率差异有统计学意义(P＜0.05)。治疗后，两组患者CD3+、CD4+、CD8+、CD4+CD25+、CD4+CD25+Foxp3+、TGF-β1、IgA 、IgG及IgM均明显提高，与本组治疗前差异有统计学意义(P＜0.05)；观察组CD3+、CD4+、CD8+、CD4+CD25+、CD4+CD25+Foxp3+、TGF-β1、IgA、IgG、IgE、IgM、NIH-CPSI总分及疼痛与不适评分与对照组有统计学差异(P＜0.05)。结论：隔姜灸可通过提高免疫功能改善慢性非细菌性前列腺炎患者的临床症状。

经筋排刺配合皮肤针疗法对脑卒中后上肢痉挛患者认知功能及生活质量的影响

目的：：观察经筋排刺配合皮肤针疗法对脑卒中后上肢痉挛患者认知功能及生活质量的影响。方法：将488例脑卒中后上肢痉挛患者随机分为治疗组和对照组,每组244例,在必要康复治疗的基础上,治疗组给予经筋排刺配合皮肤针疗法,对照组给予常规西药治疗。两组均连续治疗3星期后观察疗效。采用功能综合评定量表(functional comprehensive assessment, FCA)和简易精神状态检查量表(mini-mental state examination, MMSE)评价患者认知功能；采用健康状况调查问卷(36-item short-form health survey, SF-36)中文版评价患者的生活质量。结果：治疗后,两组FCA、MMSE评分均较治疗前有明显改善(P＜0.05),且治疗组改善情况均优于对照组,两组间差异均有统计学意义(P＜0.05)。治疗组患者各项生活质量评分均明显高于对照组,差异有统计学意义(P＜0.05, P＜0.01)。结论：经筋排刺配合皮肤针疗法能明显改善脑卒中后上肢痉挛患者的认知功能,提高其生活质量。

针刺配合康复训练对膝关节半月板损伤术后步行功能的影响

目的：观察针刺配合康复训练对膝关节半月板损伤关节镜术后患者步行功能的影响。方法：将60例半月板损伤关节镜术后患者按随机数字表法分为两组，每组30例。观察组予针刺结合常规康复训练治疗，对照组仅采用与观察组相同的常规康复训练治疗。于治疗前及治疗1个月、2个月后对患者膝关节能量、支撑力矩及摆动力矩进行测量比较。结果：治疗前，两组膝关节能量、支撑力矩及摆动力矩差异均无统计意义(P＞0.05)。治疗1个月及2个月后，两组患者膝关节能量、支撑力矩及摆动力矩均明显改善，与本组治疗前有统计学差异(P＜0.05)；两组间亦有统计学差异(P＜0.05)。结论：针刺配合康复训练可增加膝关节半月板损伤关节镜术后患者下肢运动过程中膝关节能量、支撑力矩与摆动力矩，提高其步行功能。

Objective: To observe the therapeutic effect of acupuncture plus psychological intervention for postpartum depression.
Methods: By random number table, 85 patients with postpartum depression were divided into a treatment group and a control group. Forty-three cases in the treatment group were treated by acupuncture plus psychological intervention, once every day, five sessions per week, and rest at weekend. Forty-two cases in the control group were treated by oral administration of Fluoxetine Hydrochloride, 20 mg, once per day. The two groups were treated continuously for six weeks. The change of the score in Hamilton depression scale (HAMD) was observed and the therapeutic effect was summarized.
Results:The total effective rate was 90.7%in the treatment group and 90.5% in the control group. The difference in the total effective rate between two groups was not statistically significant (P>0.05). In the intra-group comparisons of HAMD scores two, four and six weeks after treatment in both groups with those before treatment, the differences were statistically significant (all P<0.05). In comparison between the two groups at the same time point, the differences in HAMD scores were not statistically significant (all P>0.05). Regarding the adverse events, 5 cases had nausea, 3 cases had dizziness, and 6 cases had poor appetite in the control group; no obvious adverse events happened in the treatment group.
Conclusion:Acupuncture plus psychological intervention for postpartum depression is as same as oral administration of Fluoxetine Hydrochloride in therapeutic effects, but it does not have adverse reaction.

Objective: To observe the efficacy of tuina manipulations for fibromyalgia syndrome (FMS).
Methods:Sixty eligible FMS patients were randomized into two groups, 30 in each group. Patients in the observation group were intervened by tuina manipulations to the corresponding segment of the spine based on the detection of disorders of the spine-related bones and tendons;patients in the control group were directed to practice functional exercises. Before and after intervention, the fibromyalgia impact questionnaire (FIQ) and visual analogue scale (VAS) were adopted for evaluation.
Results:After intervention, the FIQ and VAS scores dropped significantly in both groups (all P<0.05), and there were significant differences between the two groups (both P<0.05). The total effective rate was 86.7%in the observation group versus 63.3% in the control group, and the difference was statistically significant (P<0.05).
Conclusion:Spinal tuina manipulations are effective and safe in treating FMS, for significantly promoting the quality of life of the FMS patients.

Objective:To observe the clinical efficacy of tuina plus ultrasonic therapy in treating infantile muscular torticollis.
Methods:Seventy kids with muscular torticollis were intervened by tuina plus ultrasonic therapy, and the efficacy was evaluated after 8-month treatment.
Results: After 8-month treatment, 41 subjects were cured, accounting for 58.6%, 27 were improved, occupying 38.6%, 2 failed, occupying 2.8%, and the total effective rate was 97.2%.
Conclusion: Tuina plus ultrasonic therapy can produce a significant efficacy in treating infantile muscular torticollis, without adverse effects.

Objective:To observe the clinical efficacy of acupuncture-moxibustion in treating Alzheimer’s disease (AD).
Methods: Forty-eight eligible AD patients were enrolled to receive acupuncture plus herb-partitioned moxibustion. Mini-mental state examination (MMSE) was adopted for evaluation before and after intervention, and the therapeutic efficacy was observed.
Results: After intervention, the MMSE score changed significantly (P<0.01), and the total effective rate was 83.3%.
Conclusion: Acupuncture-moxibustion can significantly improve the cognitive function of AD patients, beneficial to the general promotion of the quality of life.

Objective: To observe the effect of acupoint massage in relieving pain after ureteroscopic holmium laser lithotripsy.
Methods: Ninety-two patients undergone ureteroscopic holmium laser lithotripsy were enrolled and randomized into a treatment group and a control group, 46 in each group. Patients in the control group were given regular nursing care, while patients in the treatment group were intervened by acupoint massage in addition to the regular nursing care. The pain was evaluated by visual analogue scale (VAS) at 6 h, 12 h, and 24 h after operation, and compared between the two groups.
Results:There was no significant difference in comparing the VAS score at 6 h after operation between the two groups (P>0.05). The VAS scores in the treatment group at 12 h and 24 h after operation were significantly lower than those in the control group (both P<0.05). Fewer patients in the treatment group used analgesics compared with those in the control group.
Conclusion: Acupoint massage can effectively relieve the pain after ureteroscopic holmium laser lithotripsy, reduce the use of analgesics, and promote the recovery.

Objective: To observe the effect of balancing yin-yang needling manipulation on post-stroke upper limb spasticity and changes of electromyography (EMG) after treatment.
Methods: A total of 60 eligible cases were randomly allocated into an observation group and a control group, 30 in each group. Based on routine medication, cases in the control group were treated with conventional needling manipulation, whereas cases in the observation group were treated with balancing yin-yang manipulation. After the courses of treatment were completed, the therapeutic efficacies were evaluated using modified Ashworth scale and clinical spasticity index (CSI), coupled with the integrated electromyography (IEMG) and root mean square (RMS) value of biceps in passive flexion of the elbow joint during isokinetic testing recorded with the surface EMG.
Results: The total effective rate in the observation group was 86.7%, versus 53.3% in the control group, showing a statistical significance (P < 0.05). After treatment, there was between-group statistical significance in severity of elbow spasticity (P<0.05); there were intra-group (P<0.01, P<0.05) and inter-group (P<0.05) statistical significances in CSI index;and there were intra-group (P<0.01, P<0.05) and inter-group (P<0.01, P<0.05) statistical significances in IEMG and RMS values.
Conclusion:Balancing yin-yang and conventional needling manipulations can both improve upper limb spasm and reduce CSI as well as IEMG and RMS values in stroke patients;however, balancing yin-yang manipulation is better than conventional manipulation in clinical effect.