摘要
目的:观察调肝养血针刺法治疗椎动脉型颈椎病的临床疗效。方法:将60例符合纳入标准的患者按随机数字表法分为观察组和对照组,每组30例。观察组接受调肝养血针刺法,取穴为颈3-7夹脊穴,肝俞和膈俞;对照组予普通针刺,取穴为颈3-7夹脊穴。两组均每星期治疗5次,休息2 d,治疗4星期后观察两组症状及体征评分变化,并评价临床疗效。结果:观察组总有效率为90.0%,对照组为73.3%,两组差异有统计学意义(P<0.05)。治疗后两组症状、体征评分均较本组治疗前下降,组内差异有统计学意义(P<0.05);组间比较,观察组眩晕、椎旁压痛点及旋颈试验改善情况优于对照组,组间差异有统计学意义(均P<0.05),而头痛、恶心呕吐改善情况两组差异无统计学意义(均P>0.05)。结论:调肝养血针刺法治疗椎动脉型颈椎病疗效确切,能明显改善患者的临床症状和体征。
Objective: To observe the clinical effect of liver-regulating and blood-tonifying acupuncture in the treatment of cervical spondylosis of vertebral artery type. Methods: A total of 60 cases meeting the inclusion criteria were randomized into an observation group and a control group, 30 cases in each group. Cases in the observation group received liver-regulating and blood-tonifying acupuncture, in which Jiaji (EX-B 2) points of C3_C7, Ganshu (BL 18) and Geshu (BL 17) were used; cases in the control group received routine acupuncture treatment in which jiaji (EX-B2) points of C3.C7 were used. Both groups received 5 times of treatment in a week with a 2-day rest, symptoms evaluation was done after 4 weeks of treatment, and then therapeutical effect was evaluated. Results: The total effective rate was 90.0% in the observation group, 73.3% in the control group, and inter-group comparison showed a statistical significance (P〈0.05). After treatment, the symptoms and signs scores in both groups all substantially dropped, showing statistical significances (both P〈0.05); inter-group comparison showed that the improvements in subscales of dizziness, pressing pain along vertebrae and revolve-cervix test in the observation group were superior than those in the control group, showing statistical significances (all P〈0.05), while the inter-group comparisons of subscales of headache and vomiting and nause didn't show any statistical significances after treatment (both P〉0.05). Conclusion: Liver-regulating and blood-tonifying acupuncture is effective in treating cervical spondylosis of vertebral artery type, and it can significantly improve patients' symptoms and signs.
基金
supported by Research and Development Project of Region Public Institution in Science and Technology Plan of Nanshan District of Shenzhen, No. 2015052~~
关键词
针刺疗法
椎关节强硬
颈椎病
眩晕
穴位
颈部
穴
肝俞
穴
膈俞
Acupuncture Therapy
Spondylosis
Cervical Spondylosis
Dizziness
Points, Cervical
Point, Ganshu (BL 18)
Point, Geshu (BL 17)