针刀配合颈椎整复手法治疗颈源性头痛的临床疗效观察

目的探讨针刀配合颈椎整复手法治疗颈源性头痛的临床疗效。方法选择望京医院骨科门诊2014年7月至2015年11月收治的颈源性头痛患者41例,随机分为治疗组(21例)和对照组(20例),治疗组采用针刀配合颈椎整复手法治疗,对照组采用神经阻滞疗法治疗。观察两组治疗前后的视觉模拟评分(visual analogue scale,VAS)及病情分级评分并进行统计分析。结果治疗组脱落1例,故两组完成观察的患者均为20例。治疗组有效率为85%,对照组有效率为55%,两组比较差异有显著性(P<0.05)。治疗组治疗后VAS和病情分级评分均优于对照组,差异有显著性(P<0.05)。治疗组治疗后的枕下痛、前额痛病情分级评分均优于对照组,差异有显著性(P<0.05),而两组治疗后偏头痛病情分级评分比较差异无显著性(P>0.05)。结论针刀配合颈椎整复手法治疗颈源性头痛起效快,疗效明显,不良反应少,是一种安全、有效的治疗方法。针刀配合颈椎整复手法治疗颈源性头痛所致的枕下痛、前额痛效果优于神经阻滞法。

韦氏颈椎整复手法联合运动针法治疗颈源性头痛疗效观察

目的:观察韦氏颈椎整复手法联合运动针法治疗颈源性头痛临床疗效并探讨其作用机制。方法:将符合颈源性头痛诊断标准的60例患者随机分为观察组和对照组各30例,观察组采用韦氏颈椎整复手法联合运动针法治疗,对照组运用常用按摩推拿手法联合针灸治疗。两组均每周治疗4次,8次为1个疗程,连续治疗两个疗程(4周)后观察疗效。结果:观察组总有效率为93.3%,对照组总有效率为63.3%,观察组疗效优于对照组(P<0.05)。结论:韦氏颈椎整复手法联合运动针法治疗颈源性头痛较传统推拿配合针灸疗法疗效更显著,值得在临床上推广应用。

针刺结合颈椎整复手法治疗颈性眩晕30例

目的观察针刺结合颈椎整复手法治疗颈性眩晕的临床疗效。方法将60例颈性眩晕患者随机分成针刺结合颈椎整复手法组(治疗组)和常规针刺组(对照组)各30例,观察、比较两组疗效。结果 2组患者治疗后症状体征均明显改善,治疗组明显优于对照组;结论针刺结合颈椎整复手法治疗颈性眩晕较单纯针刺治疗能够更好地改善临床症状,并获得更加稳定的远期疗效。

点穴按摩结合颈椎整复手法治疗青少年近视

作者展示了近期治疗青少年近视的统计结果和鉴别真假近视的方法。阐明了根据近视的不同程度,应用中医理论辨证点穴。详述了点穴按摩结合颈椎整复手法治疗近视的具体施术,抹、点、揉、振、挤、拨、捏、掐、扳等不同手法的方式、方法和注意事项。讲述了点穴按摩结合颈椎整复手法的操作要领,调整了上段颈椎和牵拉环枕筋膜,改善了颈部动脉对颅脑的供应,从而加快眼球周围的新陈代谢,提高和巩固了疗效。

综合疗法治疗椎动脉型颈椎病30例观察

目的:观察综合疗法治疗椎动脉型颈椎病的临床效果。方法:60例随机分为治疗组及对照组各30例。治疗组用针灸、手法整复、下颌带颈椎牵引加通督汤加减治疗。对照组用阿司匹林胶囊并下颌带颈椎牵引治疗,疗程15天。结果:两组治疗后症状体征总积分明显下降,组间比较有统计学意义(P<0.05)。结论:综合治疗椎动脉型颈椎病疗效明显优于阿司匹林并下颌带颈椎牵引。

神经根型颈椎病椎间盘突出后重吸收医案1则

结合颈椎椎间盘突出后重吸收医案1则,简要论述石氏伤科临床诊治神经根型颈椎病的思路与方法。认为应将问诊、触诊、望诊、影像资料有机结合,充分评估患者病情以明确病因病理,严格把握保守治疗与手术治疗的最佳适应证。

Acupuncture and cupping combined with chiropractic massage in the treatment of 36 cervical spondylosis patients

Objective To observe the clinical efficacy of treatment of cervical spondylosis with acupuncture and cupping combined with chiropractic massage. Methods Thirty-six patients with cervical spondylosis were treated with acupuncture, cupping, and massage. Body acupuncture was taken as the principle, combining with balance acupuncture. Acupuncture was mainly applied at C1-C7 Jiaji with balance acupuncture at JTngtbng （颈痛） to stimulate them by needle sticking. When cupping was applied, flash cupping was applied first, then sliding-cupping, and retention cupping was applied finally. Eventually, chiropractic massage was applied. The treatment course lasted for 10 days, and the whole treatment lasted for one to three courses. Results Twenty patients were cured, 14 were improved, and ineffectiveness was seen in 2 cases. The total effective rate was 94.4%（34/36）. Conclusion The curative effect of cervical spondylosis treated with acupuncture and cupping combined with chiropractic massage was definite.