目的:观察体位调整法辅助温针灸治疗椎间盘源性下腰痛的临床疗效.方法:80例按抽签法随机分成对照组及观察组各40例,两组均用常规体位调整方案,观察组联用温针灸治疗.结果:总有效率观察组95.00％,对照组80.00％,两组比较差异有统计学意义(P＜0.05).两组治疗前VAS、ODI评分差异无统计学意义(P＞0.05),两组治疗后VAS、ODI评分显著低于治疗前(P＜0.05)、但观察组评分更低(P＜0.05).两细JOA评分治疗前差异无统计学意义(P＞0.05)、治疗后评分均显著高于治疗前(P＜0.05),且观察组评分更高(P＜0.05).两组治疗前TNF-α、IL-1及IL-6表达比较差异均无统计学意义(P＞0.05),治疗后评分均显著低于治疗前(P＜0.05),且观察组评分更低(P＜0.05).结论:体位调整法辅助温针灸治疗椎间盘源性下腰痛效果较好,且不良反应少.

目的:观察针刺联合西药治疗颞下颌关节紊乱病的临床疗效.方法:选取48例颞下颌关节紊乱病患者随机分为治疗组和对照组,每组24例.对照组予口服布洛芬治疗,治疗组在对照组基础上联合针刺治疗,2组均治疗12d.比较2组患者治疗前后疼痛评分及最大张口度的变化情况,并评估临床疗效.结果:治疗组总有效率100％,明显优于对照组的66.67％(P=0.001);2组治疗后疼痛评分均较治疗前降低(P<0.05),治疗组评分明显低于对照组(P<0.05);2组治疗后最大张口度均较治疗前增加(P<0.05),治疗组改善情况明显优于对照组(P<0.05).结论:针刺联合常规西药治疗颞下颌关节紊乱病疗效显著,能改善患者疼痛症状,提高最大张口度,值得临床推广.

目的:观察药物穴位注射结合温针灸治疗颞下颌关节紊乱综合征的效果.方法:56例分为甲组和乙组各28例.甲组用药物穴位注射联合温针灸治疗,乙组用常规药物治疗.结果:总有效率乙组78.57％、甲组96.43％,两组比较差异有统计学意义(x2=4.082,P=0.043).VAS评分甲组(1.63±0.51)分、乙组(3.02±0.93)分,两组比较差异有统计学意义(t=6.935,P=0.000).结论:药物穴位注射结合温针灸治疗颞下颌关节紊乱综合征效果较好.

目的:观察应用中医针灸治疗慢性溃疡性结肠炎的临床疗效.方法:选取48例慢性溃疡性结肠炎患者作为研究对象,随机分为对照组和观察组各24例,观察组实施中医针灸的治疗方式,对照组实施常规西医的治疗方式,观察两组治疗效果及不良反应发生情况.结果:观察组治疗总有效率为100.0％,对照组总有效率为83.33％,差异具有统计学意义(P＜0.05),观察组不良反应发生率为4.17％,对照组为25.00％,差异具有统计学意义(P＜0.05).结论:中医针灸治疗慢性溃疡性结肠炎,取得了较好的效果,不良反应发生率较低,可在临床推广应用.

Objective To investigate the present situation of nurses'' low back pain in a level of first-class hospital,and analyze its factors,so as to provide theoretical basis for prevention of nurses'' low back pain.Methods Based on the cross-sectional survey,a total of 215 nurses from a first-class hospital were investigated with the nurses'' low back pain general information questionnaire.Results The incidence of low back pain in a month was 21.83%,and the incidence of low back pain in a year was 58.88%.The incidence of low back pain in a year was related to gender,working time,the average number of the nursed patient,duty type and handling tools.The female,the longer working time,the more nursed patient,the more frequent APN duty type and without handling tool,the higher incidence of low back pain (P≤0.05).Conclusions The nursing staff have a high incidence of low back pain,and there is a trend of getting yonger.The incidence of low back pain has a great deal with whether they have working protection.So nurses'' awareness about prevention of low back pain need to be improved and the nursing protection strategy of low back pain need to be enhanced.

目的:了解热敏灸对慢性咳嗽患者生活质量的影响.方法:将80例慢性咳嗽患者随机分为观察组(40例)和对照组(40例).2组患者均常规给予接受抗组胺药和糖皮质激素药治疗;氯雷他定10mg1日1次,曲安奈德鼻喷雾剂喷鼻,每日1次.治疗组同时还加用热敏灸治疗,2组患者经3个疗程的相应治疗后,采用莱彻斯特咳嗽生活质量问卷(LCQ)对其进行评分.结果:2组患者经治疗后,其LCQ均有不同程度的提高,与治疗前比,治疗后观察组LCQ评分显著提高(P<0.01),对照组LCQ评分有明显提高(P<0.05);经治疗后,观察组LCQ评分及改善程度显著优于对照组(P<0.01).结论:热敏灸有利于慢性咳嗽患者生活质量的改善.

目的:了解项丛刺配合电针治疗对脑卒中患者生存质量的影响.方法:将80例脑卒中患者随机分为观察组(40例)和对照组(40例).2组患者均常规给予神经内科药物治疗,治疗组同时还加用项丛刺配合电针治疗,2组患者经2个月的相应治疗后,采用由世界卫生组织推荐的QOL评定简表(WHOQOL-BREF)中文版分别对其QOL进行评定.结果:治疗前2组患者的QOL差异无统计学意义,与治疗前比,治疗后观察组QOL评分显著提高(P<0.01),对照组QOL评分有明显提高(P<0.05);经治疗后,观察组QOL评分及改善程度显著优于对照组(P<0.01).结论:项丛刺配合电针治疗有利于改善脑卒中患者的QOL水平.

Objective To observe the effect of patients with cervical spondylotic radiculopathy treated by balance acupuncture combined with traditional acupuncture needle.Methods 80 cases of cervical spondylotic radiculopathy were divided into two groups.Control group received traditional acupuncture needle.Treatment group received balance acupuncture combined with traditional acupuncture needle.The therapeutic course was ten days in two groups.The changes of symptoms,signs and function before and after treatment were evaluated by CASCS.The clinical effect was analyzed.Results CASCS score after treatment was obviously increased as compared with that before treatment(P<0.01),and CASCS score in treatment group was higher than that in control group(P<0.05).The total effective rate in treatment group(95.24%) was superior to that in control group(73.68%,P<0.05).Conclusion Balance acupuncture combined with traditional acupuncture needle can visibly relieve pain,improve clinical symptoms and has a definite effect.

Objective To investigate the curative effect of acupuncture combined with intermediate frequency pulse therapeutic apparatus on the treatment of facial neuritis.Methods 60 patients with facial neuritis were divided into control group(n=30),which was treated by acupuncture and treatment group(n=30),which was treated by acupuncture combined with intermediate frequency pulse therapeutic apparatus.The course was ten days in two groups.The changes of function of facial nerve and curative effect were evaluated after three courses in two groups.Results The facial nerve function after treatment were significantly improved in two groups(P<0.01),and the improvement of the treatment group was more than that of the control group(P<0.05).The total effective rate in treatment group(93.3%) was superior to that in control group(80.0%,P<0.05).Conclusion Acupuncture combined with intermediate frequency pulse therapeutic apparatus can significantly improve function of facial nerve,and has a definite effect on facial neuritis.