电针推拿配合中药湿热敷治疗椎动脉型颈椎病32例

Treating 32 cases of cervical vertebral artery disease by electroacupuncture and massage plus TCM compression

目的:观察电针、推拿、中药湿热敷三法综合治疗椎动脉型颈椎病的临床疗效。方法:电针:用疏密波,留针20min,主穴取百会、风池、风府、天柱、颈1~4夹脊穴;配穴用针刺法,不留针,根据辨证分型取足三里、丰隆、阴陵泉、肝俞、肾俞、太溪、太冲、脾俞、三阴交、气海等,太冲、丰隆用泻法,其余配穴用补法。推拿:点按揉患者颈项部,依次按颈外侧、椎旁到颈后正中线顺序,从下至上、往返点按揉,将天柱穴、风池穴、风府作为重点,然后找到颈肩部敏感压痛点进行弹拨。之后进行开天门、分阴阳、拿五经手法,最后运耳轮、运眼眶、揉太阳穴结束,约10min。中药湿热敷:将配置好的中药浸泡、煮沸,然后将毛巾放置在药液浸泡,交替热敷于患者颈肩部,约20min。以上治疗10次为一个疗程,共治疗2个疗程,疗程中间休息2d。结果:32例全部有效,有效率为100%,其中临床治愈25例,显效5例,有效2例。结论:电针推拿配合中药湿热敷疗综合治疗椎动脉型颈椎病疗效显著,有很好的临床应用价值。

Objective:To observe the clinical efficacy of electroacupuncture,massage plus TCM compress on cervical vertebral artery disease.Methods:32 patients were treated by electroacupuncture in Baihui(百会),Fengchi(风池),Fengfu(风府),Tianzhu(天柱)and so on,massage plus TCM compress.10 times as a course,the time of treatment was two courses,with two days rest during the middle of two courses.Results:In 32 cases,the efficiency was 100%,with 25 cases of cured,5 cases of markedly effective and 2 cases of little effective.Conclusion:Electroacupuncture,massage plus TCM compress on cervical vertebral artery disease shows a significant effect and good clinical value.