目的 观察热敏灸联合针刺对面神经炎急性期患者的影响.方法 将84例面神经炎急性期(风寒证)患者作为研究对象,按随机数字表法将患者分为两组各42例.对照组采用西医常规治疗;观察组采用热敏灸联合针刺治疗.观察两组患者治疗效果、面神经功能、疼痛持续时间、面部和耳后温差以及不良反应情况.结果 观察组总有效率95.24％明显高于对照组的78.57％(P＜0.05).治疗后观察组患者中医症状积分均低于对照组(P＜0.05).观察组H-B评分大于对照组,疼痛持续时间短于对照组,面部和耳后温差小于对照组(P＜0.05).两组不良反应发生率差异无统计学意义(P＞0.05).结论 热敏灸联合针刺疗法对面神经炎急性期(风寒证)患者治疗效果较好,能明显改善患者临床症状和面神经功能,缩短疼痛时间,减少面部和耳后温差,且不良反应少,安全性高.

目的 观察辨经刺井结合"三风一针"对无先兆偏头痛患者急性期即时镇痛及脑血流速的影响.方法 将60例无先兆偏头痛急性期患者随机分为治疗组和对照组.观察组采用辨经刺井穴结合"三风一针"透刺治疗,对照组予以常规针刺治疗.对比分析两组患者治疗前和治疗后各时间节点视觉模拟评分(VAS)评分值.对比分析两组无先兆偏头痛急性期经络辨证分型头痛治疗前及治疗后30 min时间节点VAS评分值.对比分析两组患者治疗前后基底动脉(BA)、双侧椎动脉颅内段(VA)、双侧大脑中动脉(MCA)、双侧大脑前动脉(ACA)、双侧大脑后动脉(PCA)的平均流速值(MFV).结果 观察组患者各时间节点VAS评分均低于对照组(P<0.05).观察组各经头痛VAS分值均低于对照组(P<0.05).观察组患者MCA、PCA、BA、VA的MFV改善显著优于对照组(P<0.05),对ACA的MFV改善方面两者差异无统计学意义(P>0.05).结论 辨经刺井结合"三风一针"透刺法对急性期无先兆偏头痛患者有较好即时镇痛作用,并可改善患者脑血流速度.

目的 观察热敏灸治疗常年变应性鼻炎的临床疗效,为相关患者提供临床治疗新方法 .方法 将80例常年变应性鼻炎患者随机分为观察组(40例)、对照组(40例),观察组采用热敏灸上印堂、肺俞及关元穴,对照组采用地氯雷他定片联合曲安奈德鼻喷雾剂治疗,对比两组患者症状、血清IgE水平、生活质量、临床疗效.结果 治疗后观察组患者症状评分明显低于对照组(P=0.001);治疗后6个月随访,观察组患者症状评分仍明显低于对照组(P<0.001);治疗后观察组血清IgE水平明显低于对照组(P=0.004);治疗后6个月随访,观察组血清IgE水平仍明显低于对照组(P<0.001);治疗后观察组生活质量评分明显低于对照组(P<0.001);治疗后6个月随访,观察组生活质量评分明显低于对照组(P<0.001);观察组治愈率及总有效率明显高于对照组(P<0.05).结论 热敏灸治疗常年变应性鼻炎临床疗效显著.

目的:观察针刺井穴为主治疗偏头痛的临床疗效.方法:将60例随机分为治疗组和对照组各30例.治疗组用针刺井穴为主疗法,对照组口服尼莫地平治疗.结果:总有效率治疗组93.3％、对照组63.3％,两组比较差异有统计学意义(P＜0.05).治疗前后两组TCD检查均有显著改善,而治疗组改善更显著(P＜0.05).结论:针刺井穴为主治疗偏头痛效果显著.

Objective To observe the clinical efficacy of acupuncture at the nine acupoints on nape in treating vertebrobasilar ischemia (VBI). Methods Totally 100 VBI patients were randomized into a treatment group and a control group, 50 in each group. The treatment group was intervened by acupuncture at Fengfu (GV 16), Fengchi (GB 20), Wangu (GB 12), Tianzhu (BL 10), and Jiaji (EX-B 2, C3);while the control group was by oral administration of Nimodipine tablets. The parameters in Transcranial Doppler (TCD) and Dizziness Assessment Rating Scale (ADRS) were observed before and after intervention, and the clinical efficacies were compared. Results The TCD parameters were significantly changed in the treatment group after intervention (P<0.05). The TCD parameters [Vs (RVA), Vd (BA, LVA), Vm (BA, RVA), PI (BA)] were significantly changed in the control group after intervention (P<0.05). After intervention, there were significant differences in comparing the TCD parameters [Vs (BA, LVA, RVA), Vd (BA, RVA), Vm (BA, LVA), PI (BA)] between the two groups (P<0.05). The DARS average scores were significantly changed in both groups after 7-day treatment (P<0.01). The DARS average scores after the whole intervention were significantly different from that after 7-day treatment in both groups (P<0.01). There were significant differences in comparing the DARS average scores between the two groups after 7-day intervention and after the whole intervention (P<0.01). The recovery-markedly effective rate and total effective rate were respectively 76.0%and 98.0%in the treatment group versus 44.0%and 96.0%in the control group, and there was a significant difference in comparing the recovery-markedly effective rate (P<0.05). Conclusions Acupuncture at the nine nape acupoints is an effective method in treating VBI.

<正>偏头痛是由于神经、血管性功能失调所引起的疾病,以一侧头部疼痛反复发作,常伴恶心、呕吐及对光及声响过敏等为特点。本病与遗传有关,部分患者可在头痛、脑外伤后出现,以年轻的成年女性居多,疼痛程度多为中、重度。头痛多为一侧,常局限