目的:观察子午流注纳子法杵针治疗肝肾亏虚型膝痹病的临床疗效。方法:选取2022年1—12月成都中医药大学附属医院骨伤科门诊收治的肝肾亏虚型膝痹病患者72例,按照随机数字表法分为对照组和观察组,每组36例。实际纳入研究的患者对照组33...目的:观察子午流注纳子法杵针治疗肝肾亏虚型膝痹病的临床疗效。方法:选取2022年1—12月成都中医药大学附属医院骨伤科门诊收治的肝肾亏虚型膝痹病患者72例,按照随机数字表法分为对照组和观察组,每组36例。实际纳入研究的患者对照组33例、观察组34例。两组患者按照膝痹病中医诊疗常规给予杵针治疗,对照组杵针治疗的时间根据患者每日来院的时间灵活安排,多为上午时段,观察组选择十二时辰中肾经流注最旺盛的酉时(17:00-19:00)实施杵针治疗。比较两组患者治疗前后疼痛视觉模拟评分(visual analogue score,VAS)、西安大略与麦克马斯特大学骨关节炎评分量表(the western ontario and mcmaster universities osteoarthritis index,WOMAC)评分及不良反应发生情况。结果:观察组治疗后WOMAC评分低于对照组,差异具有统计学意义(P<0.05);观察组治疗后VAS评分低于对照组,差异具有统计学意义(P<0.05);观察组患者有2例、对照组患者有1例出现杵针治疗后局部皮下瘀青,两组不良反应发生情况比较,差异无统计学意义(P>0.05)。结论:子午流注纳子法杵针治疗肝肾亏虚型膝痹病,选择肾经流注旺盛的酉时进行治疗,能有效缓解患者疼痛,改善患者症状和体征,安全性高。展开更多
Objective：To observe the clinical effect of pestle needle combined with Chinese herbal fumigation on cervical spondylosis and provide a safe effective therapy for this condition.Methods：A total of 54 cases were rand...Objective：To observe the clinical effect of pestle needle combined with Chinese herbal fumigation on cervical spondylosis and provide a safe effective therapy for this condition.Methods：A total of 54 cases were randomly allocated into two groups（27 cases in each group） according to their sequence of consultation.Patients in both groups were treated with the same Chinese herbal fumigation.Patients in the treatment group were additionally treated with pestle needle therapy on a unique set of Ba Zhen points around Dazhui（GV 14）,Fengfu（GV 16） and the distance between Naohu（GV 17） and Dazhui（GV 14） along the He Che pathway,whereas patients in the control group were additionally treated with routine acupuncture therapy.Then the short-term and long-term efficacies were observed and compared after treatment using the visual analog scale（VAS） and pain rating index（PRI）.Results：At the end of treatment,VAS scores were significantly decreased in both groups,and the VAS score in the treatment group was lower than that in the control group（P〈0.05）.The intra-group differences were statistically significant in VAS scores 1 month,3 and 6 months after treatment（all P〈0.05）.At the end of treatment,the sensory and total PRI scores in the treatment group were significantly lower than those in the control group,showing statistically significant differences（both P〈0.01）;and there was no significant between-group difference（P〈0.05） in the affective PRI score.At the end of treatment,the total effective rate was 85.2% in the treatment group,versus 65.4% in the control group,showing a statistical significance（P〈0.05）.The follow-up six months later showed that the total effective rate was 92.6% in the treatment group,versus 76.9% in the control group,showing a statistical significance（P〈0.05）.Conclusion：Pestle needle therapy is a stable and positive therapy for cervical spondylosis.展开更多
文摘目的:观察子午流注纳子法杵针治疗肝肾亏虚型膝痹病的临床疗效。方法:选取2022年1—12月成都中医药大学附属医院骨伤科门诊收治的肝肾亏虚型膝痹病患者72例,按照随机数字表法分为对照组和观察组,每组36例。实际纳入研究的患者对照组33例、观察组34例。两组患者按照膝痹病中医诊疗常规给予杵针治疗,对照组杵针治疗的时间根据患者每日来院的时间灵活安排,多为上午时段,观察组选择十二时辰中肾经流注最旺盛的酉时(17:00-19:00)实施杵针治疗。比较两组患者治疗前后疼痛视觉模拟评分(visual analogue score,VAS)、西安大略与麦克马斯特大学骨关节炎评分量表(the western ontario and mcmaster universities osteoarthritis index,WOMAC)评分及不良反应发生情况。结果:观察组治疗后WOMAC评分低于对照组,差异具有统计学意义(P<0.05);观察组治疗后VAS评分低于对照组,差异具有统计学意义(P<0.05);观察组患者有2例、对照组患者有1例出现杵针治疗后局部皮下瘀青,两组不良反应发生情况比较,差异无统计学意义(P>0.05)。结论:子午流注纳子法杵针治疗肝肾亏虚型膝痹病,选择肾经流注旺盛的酉时进行治疗,能有效缓解患者疼痛,改善患者症状和体征,安全性高。
基金supported by Key Project of Sichuan Provincial Education Department(Nature Science)[No.15ZA0398]~~
文摘Objective：To observe the clinical effect of pestle needle combined with Chinese herbal fumigation on cervical spondylosis and provide a safe effective therapy for this condition.Methods：A total of 54 cases were randomly allocated into two groups（27 cases in each group） according to their sequence of consultation.Patients in both groups were treated with the same Chinese herbal fumigation.Patients in the treatment group were additionally treated with pestle needle therapy on a unique set of Ba Zhen points around Dazhui（GV 14）,Fengfu（GV 16） and the distance between Naohu（GV 17） and Dazhui（GV 14） along the He Che pathway,whereas patients in the control group were additionally treated with routine acupuncture therapy.Then the short-term and long-term efficacies were observed and compared after treatment using the visual analog scale（VAS） and pain rating index（PRI）.Results：At the end of treatment,VAS scores were significantly decreased in both groups,and the VAS score in the treatment group was lower than that in the control group（P〈0.05）.The intra-group differences were statistically significant in VAS scores 1 month,3 and 6 months after treatment（all P〈0.05）.At the end of treatment,the sensory and total PRI scores in the treatment group were significantly lower than those in the control group,showing statistically significant differences（both P〈0.01）;and there was no significant between-group difference（P〈0.05） in the affective PRI score.At the end of treatment,the total effective rate was 85.2% in the treatment group,versus 65.4% in the control group,showing a statistical significance（P〈0.05）.The follow-up six months later showed that the total effective rate was 92.6% in the treatment group,versus 76.9% in the control group,showing a statistical significance（P〈0.05）.Conclusion：Pestle needle therapy is a stable and positive therapy for cervical spondylosis.
