推拿联合针刺治疗椎动脉型颈椎病随机平行对照研究

Cervical Vertebral Artery Disease Randomized Parallel Group Study of Acupuncture and Massage Therapy

[目的]观察推拿联合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150例住院患者按病志号抽签法简单随机分为两组。对照组75例针刺,昆仑、后溪、天柱、合谷、大椎、百会、风府、风池;快刺缓进,直刺和斜刺,中强刺激,得气后留针30min,隔5min紧提慢按1次,1次/d。治疗组75例推拿,端坐位,头稍前屈,揉、滚、拿等手法放松颈背部肌群和韧带(斜方肌、胸锁乳突肌、项韧带),对头部施以牵引,使头部缓慢左右旋转;对颈部施以旋转复位法,以拨正外偏颈椎棘突,纠正椎体小关节错位;20min/次,1次/d;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,判定疗效。[结果]治疗组痊愈20例,显效24例,有效21例,无效10例,总有效率86.67%。对照组痊愈7例,显效19例,有效28例,无效21例,总有效率72.00%。治疗组疗效优于对照组(P<0.05)。[结论]推拿联合针刺治疗椎动脉型颈椎病疗效满意,无严重不良反应,值得推广。

[Objective]Acupuncture and massage treatment of vertebral artery type of cervical spondylosis. [Methods] using random parallel control method, 150 cases of hospitalized patients by disease Zhi No. ballot method is simple and randomized into two groups. The control group 75 cases of acupuncture, acupoints Kunlun, after the river, Tianzhu, gu, Ojo, Baihui, wind House, the wind pool; thorn needles fast jog, piercing and obliquely, the strong stimulation, after the gas needle 30 min, separated by a 5min tight to mention the slow times, 1 times / d. Massage therapy group 75 cases, sitting position, head slightly flexion, knead, roll, take relaxation techniques such as neck and back muscles and ligaments（trapezius, sternocleidomastoid, nuchal ligament）, the head impose traction, slow rotation around the head; impose on the neck rotation reduction method to dial a positive external bias cervical spine, correcting vertebral facet joint dislocation; 20 min / times, 1 times / d; acupuncture treatment with the control group. 7d is a continuous course of treatment. Observation of clinical symptoms, dizziness, headache, adverse reactions. Continuous treatment for 3 courses, to determine efficacy. [Results]The cure 20 cases, effective in 30 cases, effective in 19 cases, 12 cases, the total efficiency of 84.00%. In the control group healed seven cases were cured, 19 cases, effective 28 cases, ineffective in 21 cases, the total efficiency of 72.00%. Treatment group than the control group（P〈0.05）. [Conclusion] acupuncture and massage therapy cervical vertebral artery disease effect is significant, it is worth promoting.