Objective To observe the clinical therapeutic effect of knee osteoarthritis treated with electroacupuncture and acupoint injection. Methods Eighty-two cases were randomly divided into observation group and control group, 41 cases in each group. In observation group, electroacupuncture and Danggui （当归 Angelica Sinensis） injection therapy were applied, Dúbí（犊鼻 ST 35）, Nèixīyǎn（内膝 眼 EX-LE 4）, Liángqiū（梁丘 ST 34）, etc. were applied for electroacupuncture, and Liángqiū（梁丘 ST 34）, Xuèhǎi（血海 SP 10）, Yánglíngquán（阳陵泉 GB 34）, etc. were applied for acupoint injection. In control group, electroacupuncture therapy （same as that in observation group） was applied. After two courses treatment, knee function scale and clinical curative effects were compared. Results The improvements of scores of joint pain, range of activity, independent flexion-extension, walking ability, activities of daily living and total scores in two groups after treatment were more signif icant than those before treatment （all P0.05）, and the scores in observation group were superior to those in control group（all P0.05）. The total effective rate was 92.7% （38/41） in observation group, which was obviously superior to that of 73.2%（30/41） in control group （P0.05）. Conclusion The clinical therapeutic effect of knee osteoarthritis treated by electroacupuncture combined with acupoint injection is favorable, and superior to that by electroacupuncture therapy only.
目的:观察“任督配穴”隔姜灸法对肾阳亏虚型少弱精子症患者的精子质量和焦虑状态的影响。方法:将40例患者随机分配为艾灸组和药物组,每组各20例。艾灸组采用隔姜灸灸下列腧穴:①背部以督脉上命门、腰阳关为主,配合双侧足太阳膀胱经上的肾俞、关元俞;②腹部以任脉上气海、石门、关元、中极为主,配合双侧足少阴肾经上气穴、大赫和足阳明胃经上水道、归来。按照先腹部后背部的顺序进行,隔日1次,每周3次,共治疗12周。药物组口服维生素E软胶囊,100 mg/次,1 d 2次;辅酶Q 10软胶囊500 mg/次,1 d 1次,共治疗12周。在治疗前后对两组患者的精子总量、精子浓度、精子活力(PR+NP,%)、焦虑评分进行测量。结果:经治疗后,艾灸组患者的精子总量、精子浓度、精子总活力较治疗前有明显改善(P<0.05),且疗效优于药物组(P<0.05);艾灸组患者焦虑评分、焦虑状态较治疗前有明显下降(P<0.05),且疗效优于药物组(P<0.05),整个治疗过程中未发生不良事件。结论:“任督配穴”隔姜灸法可安全有效地提高肾阳亏虚型少弱精子症患者的精子质量,改善患者的焦虑状态,从而有助于间接提高患者的受孕概率。
