不同针灸取穴方法用于椎动脉型颈椎病治疗的临床分析

Clinical analysis of different acupuncture methods for vertebral artery type of cervical spondylosis

目的观察不同针灸取穴方法治疗椎动脉型颈椎病的疗效,为临床工作提供参考。方法选择我院2009年10月～2010年9月收治的椎动脉型颈椎病患者108例,随机分为对照组和观察组各54例。对照组患者常规取穴百会、风府、风池、天柱、夹脊穴针灸;观察组患者在此取穴基础上加合谷、太冲穴针灸。5d为1个疗程,2个疗程之间休息3d。连续治疗3个疗程,观察并比较两组患者临床疗效的差异。结果经过3个疗程治疗后,对照组显效23例,有效26例,无效5例,总有效率为90.74%;观察组显效25例,有效27例,无效2例,总有效率为96.30%。两组患者总有效率比较,观察组明显优于对照组,差异有统计学意义(P<0.05)。结论采用针灸治疗椎动脉型颈椎病可以取得良好的临床疗效,以常规取穴加合谷、太冲穴针灸效果较好,值得推广应用。

Objective Observe the effects of different acupuncture methods of vertebral artery type of cervical spondylosis. Methods Choose 108 cases with vertebral artery type cervical spondylopathy in our hospital from Oct. 2009 to Sep. 2010, randomly divided into 2 groups with 54 cases each. Control group treated with conventional acupuncture at Baihui, Fengfu, Tianzhu, Jiaji points acupuncture; Observation group plus acupuncture Hegu, Taichong. Continuous 3 courses, observe and compare the clinical efficacy of the two groups. Results After 3 courses, Control group heal in 23 cases, effective in 26 cases, ineffective in 5 cases, total rate was 90.74%; observation group heal in 25 cases, effective in 27 cases, ineffective in 2 cases, total rate was 96.30%. Observation group was better than control group, the difference was statistically significant （P〈0.05）. Conclusion Acupuncture treatment can obtain good clinical effect, with conventional acupuncture Taichong and Hegu, with better effect, is worth promoting the application.