辨证针刺治疗椎动脉型颈椎病随机平行对照研究

Differentiation of Acupuncture in the Treatment of Vertebral Artery Type of Cervical Spondylosis Random Parallel Control Study

[目的]观察辨证针刺治疗椎动脉型颈椎病疗效。[方法]使用随机平行对照方法，将117例门诊患者按掷骰子法随机分为两组。对照组58例常规针刺，取穴百会、风池及夹脊穴针灸，刺针消毒刺入；得气后行小幅度提插捻转针刺法至局部产生酸胀感；留针30min，期间行针2～3；L，1次／d。治疗组59例辨证针刺：头痛眩晕加刺太冲；气血不畅加刺合谷；常规针刺同对照组。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗3疗程，疗程间隔3d，判定疗效。[结果]治疗组痊愈39例，有效19例，无效1例，痊愈率66．10％。对照组痊愈26例，有效28例，无效4例，痊愈率44．83％。治疗组疗效优于对照组（P〈0．05）。[结论]辨证针刺治疗椎动脉型颈椎病效果显著，值得推广。

[ Objective ] To observe the differentiation of acupuncture treatment of curative effect on cervical spondylosis of vertebral artery type. [ Methods ] Using random parallel control method, 117 cases of clinic patients were randomly divided into two groups according to roll the dice method. 58 cases of normal control group acupuncture, find, wind pool, and clip ridge point acupuncture, the needle disinfection Pierce ; Small lift plug twisting after acupuncture needling method to local produce acid bilges feeling; 30 min, retaining needle stitches during 2 - 3 times, 1/（t. In 59 differentiation acupuncture treatment group：headache dizziness and stab lr 3 ; Poor blood and thorn valley ; Conventional acupuncture and the control group. Continuous treatment of 7 d for 1 course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment 3 period of treatment, treatment interval of 3 d, determine the curative effect. [ Results ] The treatment group 39 cases cured, effective 19 cases, 1 had no effect, total effective rate was 66.10%. The control group recovered 26 cases, 28 cases effective, 4 had no effect, the total effective rate was 44.83%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . [ Conclusion ] Syndrome acupuncture in the treatment of vertebral artery type of cervical spondylosis effect is remarkable, is worth promoting.