针刺联合推拿手法治疗椎动脉型颈椎病随机平行对照研究

Acupuncture combined with Massage Therapy Cervical Vertebral Artery Disease Parallel Randomized Controlled Study

[目的]观察针刺联合推拿手法治疗椎动脉型颈椎病疗效。[方法]使用随机平行对照方法,将120例住院及门诊患者按抛硬币法随机分为两组。对照组40例1-1.5寸毫针,针刺治疗,选取：百会穴、风池穴、风府穴、大椎穴、天柱穴、肩井穴、颈百劳穴、列缺穴等,平补平泻,1次d,留针30min。治疗组80例1-1.5寸毫针,针灸治疗,选取：百会穴、风池穴、风府穴、天柱穴、肩井穴、颈夹脊、列缺穴等,平补平泻,1次/d,留针30min,再进行颈部按摩治疗30min患者取坐位,用握拳磙法松解颈项部三线,风池→肩井、风府→大椎,冈上肌以及背部竖脊肌;一指禅推痛点,推按风池、大椎,按揉颈项部两侧大筋,由上而下数遍。摇颈椎,拔伸颈椎。直擦颈项部项韧带以及两侧肌肉,以透热为度,30min/次,1次/d。两组均连续治疗1周为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组治愈28例,显效22例,有效21例,无效9例,总有效率88.89%。对照组治愈11例,显效9,有效5例,无效15例,总有效率62.50%。治疗组疗效优于对照组（P〈0.05）。[结论]针刺联合推拿手法治疗椎动脉型颈椎病效果显著,值得推广。

[ Objective ] Acupuncture combined with massage therapy vertebral artery type of cervical spondylosis. [ Method ] Using random parallel control method, 120 cases of inpatient and outpatient method by coin toss randomized into two groups. Control group, 40 cases of a - 1.5-inch needle, acupuncture therapy, select：Baihui, the wind pool points, Fengfu, Dazhui, Tianzhu points, Jianjing, neck hundred workers hole, missing points, etc., flat fill-reducing, 1 d, needle 30min. Treatment group 80 cases of a - 1.5- inch needle, acupuncture, select：Baihui, the wind pool points, Fengfu, Tianzhu points, Jianjing, JIAJI, missing points, etc., reinforcing diarrhea, a times / d, needle 30min, 30min then neck massage therapy patient was sitting, loosen the neck with a three-wire method fist drums, wind pool →shoulder well, wind House →Ojo, supraspinatus muscle and back erector spinae ; one finger Zen push the pain points, pushed by the wind pool, Ojo, rubbing neck, large tendons on both sides, from the top down a few times. Shake the cervical spine, pulling the cervical spine. Straight rub on both sides of the neck muscles and ligaments entry to degree of heat penetration, 30min / times, 1 times / d. Both groups were continuous treatment one week for a course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment of two courses, determine efficacy. [ Results ] treatment group were cured 28 cases, effective in 22 cases, effective in 21 cases, 9 cases, the total efficiency of 88.89%. In the control group were cured 11 cases, effective 9, effective 5 cases, 15 cases ineffective, the total effective 62.50%. Treatment group than the control group （P 〈0.05 ） . [ Conclusion ] Acupuncture combined with massage therapy cervical vertebral artery disease effect is significant, it is worth promoting.