摘要
Objective： To observe the clinical effect of acupuncture therapy to support yang and consolidate the constitution for cervical spondylosis of vertebral artery type （CSA）. Methods： A total of 72 patients with CSA were randomly divided upon the random digital table into an acupuncture- moxibustion group and an acupuncture group, 36 cases in each group. The acupuncture-moxibustion group was treated by electroacupuncture （EA） at bilateral Fengchi （GB 20） and C4-6 Jiaji （EX-B 2）, in combination of moxibustion at Baihui （GV 20）, Shenshu （BL 23） and Mingmen （GV 4） to support yang and consolidate constitution. The acupuncture group was given by routine EA at bilateral Fengchi （GB 20）, cervical Jiaji （EX-B 2）, Tianzhu （BL 10）, Jianjing （GB 21）, Houxi （SI 3）, Hegu （LI 4） and Waiguan （TE 5）. The treatment was given once every day and continuous six sessions made one course. After 2-course treatment, the improved situation of clinical symptoms and clinical effect were observed in the two groups. Results： The total effective rate was 91.7% in the acupuncture-moxibustion group and 61.1% in the acupuncture group. The difference of the total effective rate between the two groups was statistically significant （P〈0.05）. After treatment, the scores of the clinical symptoms in the two groups were obviously decreased than those of the same group before treatment （P〈0.01）. The differences in the scores between the two groups were statistically significant （P〈0.05）. Conclusion： Acupuncture-moxibustion treatment to support yan~ and consolidate constitution is better than the routine acupuncture therapy in the therapeutic effect for CSA.
目的:观察扶阳固本针灸疗法治疗椎动脉型颈椎病(cervical spondylosis of vertebral artery type,CSA)的临床疗效。方法:将72例C SA患者按随机数字表随机分为针灸组和针刺组,每组36例。针灸组予电针双侧风池、C4-6夹脊配合艾灸百会、肾俞、命门的扶阳固本针灸疗法治疗。针刺组予电针双侧风池、颈夹脊、天柱、肩井、后溪、合谷、外关的常规针刺治疗。每日治疗1次,连续6次为1疗程,治疗2个疗程后观察两组患者临床症状改善情况及临床疗效。结果:针灸组总有效率为91.7%,针刺组为61.1%,两组总有效率差异有统计学意义(P<0.05)。治疗后,两组临床症状评分均较本组治疗前明显下降(P<0.01);两组评分差异亦有统计学意义(P<0.05)。结论:扶阳固本针灸疗法治疗C SA的疗效优于常规针刺疗法。
