针刺结合推拿治疗椎动脉型颈椎病40例

Observations on the Effects of Acupuncture plus Massotherapy in the Treatment of Vertebroarterial Cervical Spondylopathy

目的 观察比较针刺结合推拿治疗椎动脉型颈椎病与药物治疗的临床疗效。方法 临床随机分为针推组4 0例 ,药物组 31例。针推组采用针刺颈夹脊穴、大椎、百会、后溪为主 ,颈肩部推拿手法为辅 ;药物组以口服培他啶片 ,静滴脉络宁注射液为主。结果 针推组治愈率为 5 5 .0 % ,总有效率 95 .0 % ,药物组治愈率为 2 9.0 % ,总有效率74 .2 %。两组比较其疗效差异有显著性意义 ( P<0 .0 5 )。

Purpose To compare the effects of acupuncture plus massotherapy and medicine in the treatment of vertebroarterial cervical spondylopathy. Methods To patients were randomly divided into an acupuncture plus massotherapy group of 40 cases and a medication group of 31 cases. The acupuncture plus massotherapy group was treated by needling cervical Jiaji points, Dazhui, Baihui and Houxi as a main method and massaging the nape and shoulder as a subsidiary method. The medication group was treated by oral administration of betahistine and intravenous drip of Mailuoning as a main method. Results The cure rate and the total effective rate were 55.0% and 95.0%, respectively, in the acupuncture plus massotherapy group and 29.0% and 74.2%, respectively, in the medication group. The was a significant difference in curative effect between the two group ( P <0.05). Conclusion The curative effect was better in the acupuncture plus massotherapy group than in the medication group.