目的：研究多种针具针法组合治疗继发性闭经患者的临床疗效，探讨提高该病临床疗效的针具针法组合以及组合后的适应症。方法：将12年内用多种针具针法治疗的继发性闭经患者680例，按不同时间段，不同针具针法组合分成3组。 A组：2000年1月至2003年12月，以毫针刺法为主，共95例；B组：2004年1月至2007年12月，毫针刺法加“三重法”为主，共217例；C组：2008年1月至2011年12月，毫针刺法加“三重法”加神阙穴震颤闪罐法加火针法，共368例。15天为1个疗程，分别治疗2～4个疗程后统计痊愈率和有效率，观察3组在中医辨证分型、西医诊断、一般临床资料的疗效对比情况。结果：A组痊愈率11.58％，有效率32.64％；B组痊愈率29.96％，有效率70.09％；C组痊愈率49.46％，有效率87.78％。经统计学处理C 组的疗效显著优于A、B 两组（ P ＜0.01）， B 组亦优于A 组（ P ＜0.01）。结论：继发性闭经需多种针具针法组合才能提高疗效，且不同针具针法组合有其特异性适应症。
Objective To seek a better therapy for treating post-stroke dysphagia. Methods Patients with stroke and swallowing disorders were randomly divided into ordinary acupuncture group （group A, 58 cases） and swallowing neuromuscular electrical stimulation combined with acupuncture group （group B, 62 cases）. Two-group patients were given the same basic internal medical treatment. In addition, group A was given normal acupuncture treatment with the choice of local points： Junjin （金津 EX-HN 12）, Yuye（玉液 EX-HN 23）, Fengchi （风池 GB 20）, Yifeng （翳风 TE 17）, Lianquan （廉泉 CV 23）, Wangu （完骨 GB 12）. Group B was given swallowing neuromuscular electrical stimulation combined with acupuncture： GB 20, Fengfu （风夜 GV 16）, TE 17, Yiming （翳明 EX-HN 14）, Yamen （哑门 GV 15）, Tianrong（天容 SI 17）, Tianchuang （天窗 SI 16）, CV 23, the uniform reinforcing-reducing manipulation was used; EX- HN 12, EX-HN 13, the piercing and blood-letting method （1-2 mL blood） was used; at the same time, the swallowing neuromuscular electrical stimulation therapy device was used to electrically stimulate the nerves and muscles in the throat and neck at specific output pulse current （50-100 Hz）. Treatment was made twice a day, 30 minutes each time. Two weeks after the treatment, the patients were assessed in symptoms improvement and clinical efficacy. Results The total effective rate in group B was 91.4% and 75.8% in group A; in the total efficiency comparison in both groups, χ^2=5.232, P〈0.05. The difference in improvement of symptoms with post-stroke dysphagia treated with above mentioned combination treatment was statistically significant between both groups （P〈0.05）. Conclusion The above mentioned swallowing neuromuscular electrical stimulation combined with acupuncture treatment has a better clinical effect when compared with ordinary acupuncture.
