目的   观察超声引导下针刺蝶腭神经节治疗过敏性鼻炎的临床疗效。方法   将80例过敏性鼻炎患者随机分成干预组（40例）和对照组（40例），干预组采用超声引导针刺蝶腭神经节，对照组采用常规方法针刺蝶腭穴，每周2次，持续4周。结果   治疗4周后，干预组和对照组均显示出良好疗效。干预组的总有效率为92.50%，对照组的总有效率为82.50%，差异有统计学意义（P＜0.05）；干预组在鼻症状总分（TNSS）、非鼻症状总分（TNNSS）、视觉模拟量表（VAS）和鼻结膜炎生活质量问卷（RQLQ）等指标上的改善均优于对照组（P＜0.05）。结论   超声引导下针刺蝶腭神经节治疗过敏性鼻炎能有效改善患者的临床症状。

   Objective  To investigate the main clinical effect of acupuncture of pterygopalatine ganglion on patients with allergic rhinitis under the guidance of ultrasound．Methods  A total of 80 patients with allergic rhinitis were randomly divided into intervention group and control group．The intervention group was treated with ultrasound guided acupuncture of the sphenopalatine 

ganglion，the control group was treated with conventional acupuncture at sphenopalatine point．The clinical efficacy was determined after the course of treatment．Results  The total effective rate was 92.50% in the intervention group and 82.50% in the control group．The improvement of total nasal symptom score，total non-nasal symptom score，VAS and Arhinoconjunctivitis Quality of Life Questionnaire scores in the treatment group was significantly better the control group Conclusions  Ultrasound-guided acupuncture of the sphenopalatine ganglion can improves clinical symptoms of patients with allergic rhinitis．

目的 探讨与分析推拿联合补肾祛瘀针刺法治疗慢性腰肌劳损恢复期患者对腰部疼痛及表面肌电图的影响。方法 选择2019年9月—2022年4月我院收治的72例慢性腰肌劳损恢复期患者为研究对象,根据随机1∶1数字表法,分为联合组与对照组各36例。对照组给予推拿治疗,联合组在此基础上,给予补肾祛瘀针刺法治疗,2组均治疗并观察4周,评价腰部疼痛及表面肌电图变化情况。结果 治疗后联合组与对照组的总有效率分别为97.2%和75%,联合组高于对照组（P<0.05）;治疗前,2组患者的视觉类比疼痛评分法（VAPS）和下腰痛失能问卷（OPDG）评分比较差异无统计学意义,治疗后,2组患者的VAPS和OPDG评分均降低,且联合组低于对照组（P<0.05）;2组治疗后的腰椎前屈力度都高于治疗前（P<0.05）,且联合组更高（P<0.05）;2组治疗后的表面肌电图神经根振幅和潜伏期均低于治疗前（P<0.05）,且联合组更低（P<0.05）。联合组与对照组治疗后的血清5-HT含量均高于治疗前（P<0.05）,联合组更高（P<0.05）。结论 推拿联合补肾祛瘀针刺法在慢性腰肌劳损恢复期患者中的应用具有良好的安全性,有效改善患者的腰椎功能,缓解患者疼痛,提高整体治疗效果,也能改善患者的表面肌电图状况,促进血清5-HT的释放。

Objective To explore and analyze the effects of massage combined with kidney tonifying and blood stasis removing acupuncture on lumbar pain and surface electromyography in patients with chronic lumbar muscle strain in the recovery period．Methods From September 2019 to April 2022, 72 cases of patients in the recovery period of chronic lumbar muscle strain treated in our hospital were selected as the research objects, and were divided into the combined group and the control group with 36 cases in each group by the random 1∶1 number table method．The control group were given massage therapy, and the combination group were given kidney tonifying and stasis removing acupuncture additionally．Results After treatment, the total effective rates of combined group and control group were 97.2% and 75%, respectively, and the combined group was significantly higher than the control group（P<0.05）．Before treatment, there was no significant difference in the visual analogue pain scale（VAPS）and Oswestry low pain & disability questionnaire（OPDG）scores between the two groups, but after treatment, the scores of the two groups were significantly decreased, and the combined group was significantly lower than the control group（P<0.05）．The lumbar flexion intensity after treatment was significantly higher in both groups than before treatment（P<0.05）, and higher in combination group（P<0.05）．The amplitude and latency of surface electromyogram nerve roots after treatment were significantly lower in both groups than before treatment（P<0.05）, and even lower in combination group（P<0.05）．The serum 5-HT content in combination group and control group after treatment was significantly higher than that before treatment（P<0.05）, and that in combination group was higher（P<0.05）．Conclusions The application of massage combined with kidney tonifying and blood stasis removing acupuncture in patients recovering from chronic lumbar muscle strain has good safety, which can improve the lumbar function of patients, relieve the pain of patients, improve the overall therapeutic effect, improve the surface electromyography of patients and promote the release of serum 5-HT．

目的 初步探究针刺数量对小儿脑瘫肌张力及粗大运动功能的影响。方法 选取我院2017年1月—2019年11月接收的脑瘫患儿78例,以随机数表法分组,常规针刺组39例,采用一般治疗加常规针刺穴位;增穴针刺组39例,在常规针刺组治疗基础上增加13个穴位治疗。对比2组患儿三个疗程后的肌张力及粗大运动功能。结果 治疗三个疗程后,常规针刺组肌张力评分稍低于增穴针刺组,粗大运动功能量表(GMFM-88)评分稍低于增穴针刺组,但差异没有统计学意义(P＞0.05)。结论 针刺疗法可以有效辅助脑瘫患儿治疗,但是增多穴位不一定能明显改善患儿肌张力和粗大运动功能。

Objective To explore the effect of acupuncture quantity on muscle tension and gross motor function in children with cerebral palsy. Methods From January 2017 to November 2019, 78 children with cerebral palsy who were treated in our hospital were collected. 78 children with cerebral palsy were randomly divided into two groups. The conventional acupuncture group (39 cases) were treated with general treatment and conventional acupuncture points. And the more-needle acupuncture group (39 cases) were treated with adding another 13 more acupuncture points. Muscle tension and gross motor function were compared between the two groups after three courses of treatment. Results After three courses of treatment, the muscle tension score of the conventional acupuncture group was slightly lower than that of the more-needle acupuncture group, and the gross motor function scale (GMFM-88) score was slightly lower than that of the more-needle acupuncture group, but the difference was not statistically significant (P>0.05). Conclusion Acupuncture therapy can effectively assist the treatment of children with cerebral palsy, but increasing acupoints may not improve the muscle tension and gross motor function of children with cerebral palsy.

目的 通过对医院保洁员针刺伤危害认知和相关知识问卷调查,检视保洁员自身和其管理者存在的问题,提出有针对性整改措施。方法 采用现场问卷调查的方法,对我院三个院区共304名病房保洁员进行调查,其中男保洁员82人(占27.0%),女保洁员222人(占73.0%)。上岗前接受针刺伤防护知识培训62人(占20.4%),没有接受培训242人(79.6%),P<0.05差异有统计学意义。结果 调查显示,保洁员在工作中曾发生过针刺伤共174人(占57.2%);发生针刺伤后没有上报107人(占35.2%);防护知识缺乏及自我防护意识欠缺,其中不知晓针刺伤的危害性101人(占33.2%);在处理锐器垃圾不戴手套有81人(占26.6%);处理锐器盒时机不正确220人(占72.4%);不知道发生针刺伤后如何处理91人(占29.9%),P<0.05差异有统计学意义。男性保洁员对针刺伤防护认知低于女性保洁员,其中不清楚针刺伤的危害性男性41人(占50.0%),女性占60人(占27.0%),处理锐器垃圾不戴手套男性30人(占36.6%),女性51人(占23.0%);两组比较,差异有统计学意义(P<0.05)。结论 医院保洁员在处理医疗垃圾工作中,针刺伤风险系数高。医院对保洁员上岗前针刺伤培训非常必要,但岗前培训不能完全让保洁员在工作中长期保持对针刺伤的安全认知和防范意识。医院应加强对保洁员工作岗位动态培训和监管,尤其对男性保洁员。管理者不断尝试运用新的管理手段,在思想上建立流程式思维和工作方法,日常工作中不断强化保洁员对针刺伤的防护意识,减少针刺伤的发生,从而保障了保洁员的身心健康。

Objective To investigate the problems of cleaners and their managers,and put forward targeted rectification measures through questionnaire survey on the hazard cognition and related knowledge of needle stick injuries of cleaners in hospitals. Methods On-site questionnaire survey was used to investigate a total of 304 ward cleaners in our hospital. Among them,82 were male cleaners (27.0%) and 222 were female cleaners (73.0%). 62 people (20.4%) were trained in acupuncture protection before taking up work,and 242 people (79.6%) were not trained. There was statistically significant P<0.05. Results The survey showed that a total of 174 cleaning staffs had acupuncture injuries (57.2%)); 107 people (35.2%) were not reported after acupuncture injuries. For lack of knowledge and self-protection awareness,of which 101 people (33.2%) were not aware of the dangers of acupuncture injuries; There were 81 people (26.6%) didn't wear gloves when handling sharps trash;and 220 people (72.4%) had incorrect timing of sharps boxes; 91 people (29.9%) did not know how to handle after a needle stick injury. Male cleaners had a lower awareness of needle stick injuries than female.There were 30 male cleaners (36.6%) and 51 females (23.0%) who did not wear gloves when handling sharps. 41 men (50.0%) and 60 women (27.0%) were not aware of the harmfulness of needle stick injuries. Those difference between the two groups was statistically significant (P<0.05). Conclusion The risk of needle stick injuries is high for hospital cleaners in the treatment of medical waste. It is very necessary to take acupuncture injuries for the cleaning staffs before they take up their posts,but the pre-job training cannot completely keep the cleaning staffs' awareness and prevention awareness of acupuncture injuries for a long-term. Hospitals should strengthen the dynamic training and supervision of cleaning staff,especially for male cleaners. Managers need to constantly try use new management methods to establish process-type thinking and working methods in their minds. In daily work,they continuously strengthen the cleaning consciousness of needle stick injuries and reduce the incidence of needle stick injuries,thereby protecting the physical and mind health of the cleaning workers.

目的 探讨颈性眩晕应用针刺解结法治疗的临床疗效。方法 选取广东省中医院进修期间2016年3月—2016年9月收治的60例颈性眩晕患者,按照随机数字表法均分为两组。对照组:予以常规针刺治疗;观察组:在此基础上,行针刺解结法治疗。记录比较两组治疗前后基底动脉(BA)、左侧椎动脉(LVA)、右侧椎动脉(RVA)等部位的血流速度,改良颈性眩晕症状与功能评估量表(ESCV)总评分,临床疗效。结果 两组治疗后BA、LVA及RVA部位的血流速度,均明显高于治疗前(P<0.05);与对照组治疗后比较,观察组TCD检测参数改善幅度更为显著(P<0.01);与治疗前相比,两组治疗后改良ESCV总评分均显著更高(P<0.01);且观察组改善情况显著优于对照组(P<0.01);观察组总有效率为96.7%较对照组的76.7%相比,明显更高(P<0.05)。结论 颈性眩晕应用针刺解结法治疗更能有效改善脑部血液循环,缓解临床症状,提高生活质量,疗效显著,具有较高临床推广价值。

Objective To analyze the clinical effect of curing cervical vertigo with acupuncture thrawing method. Methods To select 60 patients with cervical vertigo in Cantonese Chinese Medicine Hospital from March 2016 to September 2016 as the research objects. According to the random number table method, they were randomly divided into the control group and the study group. The control group: treated with normal acupuncture; The observation group: plus with acupuncture thrawing method. We recorded and compared the blood flow velocity in the basilar artery(BA), the left vertebral artery(LVA) and the right vertebral artery(RVA), the overall score of the improved cervical Evaluation Scale for Cervical Vertigo(ESCV), and the clinical therapeutic effect of the two groups. Results After treatment, the blood flow velocity of the two groups in the basilar artery(BA), the left vertebral artery(LVA) and the right vertebral artery(RVA) was obviously higher than before treatment (P<0.05). Compared with the control group, the improvement level of TCD verifying arguments in the observation group was more significant (P<0.01). Compared with before treatment, the overall score of the improved ESCV in the two groups after treatment was significantly higher (P<0.01). And the improved conditions in the observation group were better than in the control group. The total effective rate 96.7% in the observation group was apparently higher than that of 76.7% in the control group (P<0.05). Conclusion Curing cervical vertigo with acupuncture thrawing method may improve the brain blood circulation, relieve clinical symptoms, enhance the living quality, which is a good way with evident clinic efficacy and higher clinical popularization value.

目的 探讨经针刺治疗爆裂性眶壁骨折伴眼球运动障碍的临床疗效及安全性。方法 选取2013年10月—2015年9月在我院接受治疗的70例(70只眼)爆裂性眶壁骨折致眼球 运动障碍患者,按照治疗方式的不同分为常规组和针刺组,每组各35例,其中常规组给予常规药物治疗,针刺组除了接受常规治疗外,依据眶壁骨折部位的不同选取相应临近眼外肌穴进行针刺,每日1次,每次留针30 min,15天为一个疗程,两组患者均持续治疗两个疗程。对比分析两组患者治疗前后的角膜缘移动范围、眼球运动障碍级别以及临床疗效。结果 经过治疗后,两组患者的角膜缘移动范围均较治疗前明显改善,且与常规组患者相比,针刺组患者改善得更显著(P<0.05);经过治疗后,针刺组0级、I级、II级、III级的眼数分别为14、15、3、3只眼,其中0级的眼数明显多于常规组患者,差异有统计学意义(P<0.05);针刺组的治疗总有效率高达91.43%,明显高于常规组的62.86%,差异有统计学意义(P<0.05)。结论 针刺眼外肌穴有助于改善爆裂性眶壁骨折伴眼球运动障碍患者的角膜缘移动范围,促进患者眼外肌功能的恢复而降低眼球运动障碍级别,明显提高治疗总有效率,在临床上值得推广应用。

Objective To explore the clinical effect of eye-acupuncture on eye movement disorders caused by orbital blowout fracture and its security. Methods 70 eyes movement disorder patients with burst orbital wall fracture treated in our hospital from October 2013 to September of 2015 were selected and divided into two groups, each group contains 35 cases. The routine group was given routine drug treatment, beside this, we gave the therapy of eye-acupuncture for 30 minutes to the acupuncture group according to the type to select the corresponding extraocular muscle holes. Both with 15 days was for a course of treatment. After two courses, compared the eye movement disorder level changes and the limbus range of movement of the two groups before and after treatment, we evaluated the efficacy based on efficacy standard. Results After treatment, the corneal limbus range of movement were significantly improved of both groups, and the acupuncture group were better than that of the routine group(P<0.05);after treatment, the eye movement disorder rating of the acupuncture group was as follows: the number of level 0,1,2,3 was 14,15,3,3,respectively, among which the number of level 0 was significantly higher than that of the routine group(P<0.05);The total effective rate of the acupuncture group was 91.43 %, which was significantly higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion Eye-acupuncture may improve the corneal limbus range of movement in patients with eye movement disorders caused by orbital blowout fracture. It could promote the recovery of extraocular muscles function and thus lower the level of eye movement disorders. It significantly improves the total efficiency and is worthy of popularization and application clinically.

        目的   观察急性期脑卒中患者早期针刺结合康复训练的临床疗效。方法   采用单盲、分层、区组随机设计分组，随机分成针康组与康复组。针康组35例，康复组35例，按5 d为一个疗程，共4个疗程。采用Fug-Meyer运动功能评分法（FMA）、巴氏指数（BI）、脑卒中专用生活质量量表（SS-QOL）对治疗前及治疗后4周末、出院后8周末及随访期3个月、6个月末的死亡率、残疾率、复发率评估，比较两组的疗效。结果   两组基线比较差异无统计学意义（P＞0.05）。组间比较：4周末 FMA、BI评分两组相比差异均无统计学意义（P＞0.05），8周末则具有统计学意义（P＜0.01）。SS-QOL评分在第4周末和第8周末相比差异无统计学意义（P＞0.05）。随访3个月、6个月末的死亡率、致残率和复发率差异均无统计学意义（P＞0.05）。组间多重比较，两组4、8周末 FMA、 BI和SS-QOL评分较治疗前比较差异有统计学意义（P＜0.01）。针刺康复组8周末疗效优于4周末（P＜0.01），康复组8周末与4周末相比差异无统计学意义（P＞0.05）。针刺康复组4、8周末SS-QOL评分显著高于治疗前（P＜0.01），8周末与4周末相比差异无统计学意义（P＞0.05），康复组各时间点SS-QOL评分两两比较差异有统计学意义（P＜0.01）。结论   对急性脑卒中患者进行早期针刺结合康复训练，可明显改善其肢体运动功能和日常生活活动能力。

       Objective  To observe the clinical efficacy of early acupuncture combined with rehabilitation training in acute-phase stroke patients．Methods  Single-blind，stratified，zone group randomized design grouping was adopted，and  randomly divided into acupuncture rehabilitation group and rehabilitation group．There were 35 cases in the acupuncture rehabilitation group and 35 cases in the rehabilitation group，received 4 courses，5 days in each course．Fugl-Meyer Assessment（FMA），Barthel Index（BI），Stroke Specific Quality of Life Scale（SS-QOL） scores and mortality，disability and recurrence rates at the end of 3 and 6 months of follow-up were used to compare the efficacy of the two groups．Results  Comparing the basic conditions of the two groups，the difference was not significant（P＞0.05）．Comparison between groups：differences FMA and BI scores between two groups at the end of 4 weekends were not significant（P＞0.05），while differences were significant（P＜0.01）at the end of 8 weekends．SS-QOL scores at the end of 4 weekends and the end of 8 weekends were not significant different between two groups（P＞0.05）．Mortality，disability and  recurrence  rates at the end of 3 and 6 months of follow-up were not significantly different（P＞0.05）．Multiple comparisons between groups：there were significant differences in FMA，BI and SS-QOL scores at the end of 4 and 8 weeks between the two groups compared with the pre-treatment period（P＜0.01）．The efficacy of the acupuncture rehabilitation group at the end of 8 weekends was significantly better than that at the end of 4 weekends（P＜0.01），and there was no statistically significant difference between the rehabilitation group at the end of 8 weekends and that at the end of 4 weekends（P＞0.05）．The SS-QOL scores at the end of 4 and 8 weekends in the acupuncture rehabilitation group were significantly higher than those before treatment（P＜0.01），and there was no statistically significant difference at the end of 8 weekends compared with that at the end of 4 weekends（P＞0.05），and there was a statistically significant difference in the two-by-two comparisons of SS-QOL scores at each time point in the rehabilitation group（P＜0.01）．Conclusions  Early acupuncture combined with rehabilitation training for acute stroke patients can significantly improve their extremities motor function and daily vitality．