【作者】 王玉琳； 马帅； 秦鸿宇； 屈媛媛； 张思琪； 孙忠人； 杨添淞；

【Author】 Wang Yulin;Ma Shuai;Qin Hongyu;Qu Yuanyuan;Zhang Siqi;Sun Zhongren;Yang Tiansong;The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine;Heilongjiang University of Traditional Chinese Medicine;The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine;

【机构】 黑龙江中医药大学附属第二医院； 黑龙江中医药大学； 黑龙江中医药大学附属第一医院；

【摘要】 目的:观察头针配合夹脊穴治疗视神经脊髓炎谱系疾病恢复期的临床疗效及复发性。方法:选择黑龙江中医药大学附属第二医院针灸科经全国名老中医孙申田教授诊治的在2016年3月至2019年3月收治的16例视神经脊髓炎谱系疾病恢复期患者为对象,进行回顾性研究,按照随机对照的方法,将16例患者分为治疗组和对照组,其中治疗组8例,对照组8例。对照组在急性期过后立即给予泼尼松日30mg口服,同时予硫唑嘌呤日2.5mg/kg联合治疗,治疗组在对照组相同用药的基础上,采用针刺头针运动区、情感区、足运感区,配合夹脊穴治疗,观察患者的临床疗效及复发性。结果:治疗后与对照组比较,治疗组有效率较高且残疾状态的改善情况明显优于对照组(p<0.05);治疗组在恢复期对使用激素依赖程度明显低于对照组,同时治疗组复发率明显低于对照组。结论:头针配合夹脊穴治疗视神经脊髓炎谱系疾病恢复期对于改善患者的神经功能状态,提高生活质量,减少激素依赖,降低该病的复发率及致残率具有显著疗效,值得临床推广应用。更多还原

【Abstract】 Objective: To observe the clinical efficacy and recurrence of scalp acupuncture combined with Jiaji points in the recovery of optic neuromyelitis lineage disease.Methods: Sixteen patients with recovery period of optic neuromyelitis lineage disease who were admitted to the Department of Acupuncture and Moxibustion, the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, from March 2016 to March 2019,were retrospectively reviewed. In the study, 16 patients were divided into a treatment group and a control group according to the randomized controlled method, including 8 in the treatment group and 8 in the control group. In the control group, 30 mg of prednisone was given orally immediately after the acute phase, and a combination of azathioprine and 2.5 mg/kg was given.The treatment group was treated with the needle-needle movement area and emotional area on the basis of the same medication in the control group. The sacral area was treated with Jiaji points to observe the clinical efficacy and recurrence of the patients. Results: After treatment,compared with the control group, the treatment group was more effective and the improvement of disability status was significantly better than the control group(p<0.05). The treatment group was significantly less dependent on hormones during the recovery period than the control group.The group recurrence rate was significantly lower than the control group. Conclusion: The treatment of optic neuromyelitis spectrum disease recovery period with scalp acupuncture combined with Jiaji points has significant curative effect on improving neurological status,improving quality of life, reducing hormone dependence, reducing the recurrence rate and disability rate of the disease. It is worthy of clinical application..更多还原