针刺联合推拿治疗椎动脉型颈椎病疗效观察

目的:探讨针刺联合推拿治疗椎动脉型颈椎病的效果。方法:选取90例椎动脉型颈椎病患者,采取随机数字表法分为观察组与对照组,每组各45例,对照组仅给予针刺治疗,观察组在对照组基础上加用手法治疗,对比两组患者临床疗效、症状评分及血流动力学指标变化。结果:观察组与对照组相比总有效率较高,差异具有统计学意义(P<0.05)。两组患者治疗后与治疗前相比TMFV及PSV升高,PI及RI降低,观察组与对照组相比上述指标改善更加显著,差异具有统计学意义(P<0.05)。结论:针刺联合推拿治疗对椎动脉型颈椎病患者的临床疗效显著,明显缓解症状,增加局部血流量,改善预后。

艾灸联合苍龟探穴针刺对神经根型颈椎病患者临床疗效研究

目的：研究艾灸联合苍龟探穴针刺对神经根型颈椎病患者的临床治疗效果。方法：选取2013年11月~2015年3月至我院进行诊治,并经检查确诊为神经根型颈椎病患者86例,随机分为对照组和治疗组,每组43例。对照组患者采用单纯针刺治疗,治疗组患者采用艾灸配合苍龟探穴针刺治疗,两个疗程后对患者的临床治疗效果和临床症状进行评价和比较。结果：1中医疗效：经过治疗,对照组患者治疗总有效33例,无效10例,总有效率为76.7%（33/43）,治疗组患者治疗总有效40例,无效3例,总有效率为93.0%（40/43）,两组患者治疗后总有效率相比具有显著性差异（P〈0.05）;2临床症状评价：治疗前,对两组患者的临床表现症状和体征进行评价,两组评分相比无显著性差异（P〉0.05）;治疗后,两组患者评分均显著低于治疗前（P〈0.05）,且治疗组患者评分显著低于对照组,差异具有统计学意义（P〈0.05）。结论：对神经根型颈椎病患者使用艾灸配合苍龟探穴针刺进行治疗,不仅具有显著的临床治疗效果,而且对患者的临床症状和体征具有良好的改善,是治疗神经根型颈椎病患者的有效方法,值得临床上应用。

针刺治疗急性椎动脉及交感型颈椎病18例

椎动脉及交感型颈椎病，是由于多种因素致使椎动脉遭受刺激或压迫，以致血管迂曲、狭窄，椎动脉供血不足，而致脑干或迷路供血不足。典型症状是发作性眩晕，复视，伴有眼球震颤，有时出现恶心，呕吐，耳鸣，耳聋并伴有心脏症状。笔者近年采用针灸疗法治疗18例急性椎动脉及交感型颈椎病，收效甚佳，现报告如下。

针刺加穴位注射治疗神经根型颈椎病80例

目的:观察针刺加穴位注射治疗神经根型颈椎病的临床疗效。方法:采用穴位注射维生素B12注射液,根据对神经根型颈椎病的中医分型,穴位注射治疗本病80例。结果:总有效率91.2%,治疗后症状改善有明显差异(P<0.05)。结论:本方法简单、有效,使颈部气血经络痹阻得以舒通,筋骨损伤得以滋养,而达到治疗作用。

针刺安眠穴治疗颈椎病87例临床体会

颈椎病是针灸科常见病，临床上尤其以神经根型及椎动脉型多见。笔者通过临床，发现安眠穴治疗颈椎病可靠，现介绍如下。

针刺颈夹脊穴配合综合疗法辨证治疗颈椎病的疗效分析

目的:探讨针刺颈夹脊穴辅以综合疗法治疗颈椎病的疗效。方法:将33例社区服务中心收治的颈椎病患者辨证分型,分别施以针刺颈夹脊穴拔火罐法、针刺颈夹脊穴牵引法和针刺颈夹脊穴熏蒸药物法治疗,观察疗效。结果:三种方法治疗有效率分别为100%、87.5%、85.7%,疗程缩短为5-10天。结论:辨证中医外治法治疗颈椎病疗效好,疗程短。

针刺联合星状神经节阻滞治疗椎动脉型颈椎病50例

目的:观察针刺联合星状神经节阻滞治疗椎动脉型颈椎病的临床效果。方法:将100例门诊收治的椎动脉型颈椎病患者随机分为治疗组与对照组,每组各50例,对照组患者单用针刺疗法进行治疗,治疗组患者采用星状神经节阻滞联合针刺疗法进行治疗,治疗周期均为10d。结果:治疗组总有效率为100.00%,对照组总有效率为94.00%,两组患者总有效率存在显著性差异(P<0.05)。结论:针刺联合星状神经节阻滞疗法用于椎动脉型颈椎病的临床疗效优于单用针刺疗法。

针刺配合手法复位及颈牵引治疗颈椎病的临床研究

目的:探求治疗颈椎病的有效方法。方法:将120例患者随机分成两组,治疗组采用针刺配合手法复位及牵引;对照组采用单纯针刺治疗方法。应用简化McGill疼痛询问量表,对颈椎病患者疼痛进行客观量化观察,用X光照片检查对颈椎病治疗前后进行动态观察分析。结果:治疗组60例患者,痊愈32例,显效18例,有效9例,无效1例,总有效率98.33%,疗效优于对照组(P<0.05)。结论:治疗组治疗颈椎病疗效优于对照组。

触骨针法配合一指禅缠揉治疗椎动脉型颈椎病疗效观察

目的:观察触骨针法配合一指禅缠揉法治疗椎动脉型颈椎病的临床效果。方法:选取我院收治的并经影像学确诊的椎动脉型颈椎病患者120例患者,按治疗方法的不同分为对照组和治疗组,治疗组患者给予触骨针法配合一指禅缠揉法治疗,对照组给予传统推拿与颈部牵引法治疗,治疗20d结束后比较分析两组的治疗效果。结果:治疗后两组患者颈椎病指征均有较好的恢复,治疗组颈部不适、眩晕、偏头痛、耳鸣或听力减退、记忆力减退、视力障碍症状的恢复率高于对照组的恢复率,差异有统计学意义(P<0.05);治疗结束后观察的总有效率为93.3%,明显高于对照组总有效率75.0%,差异有统计学意义(P<0.01)。结论:触骨针法配合一指禅缠揉法治疗椎动脉型颈椎病方面有较好优势,能较好的缓解临床各种症状,值得应用。

电针治疗神经根型颈椎病近远期效应观察

目的:对比观察电针与药物治疗神经根型颈椎病的疗效差异。方法:将156例的神经根型颈椎病患者随机分为两组,每组各78例。治疗组采用电针治疗,穴取颈夹脊穴、肩井、肩髃、曲池、外关,每日1次,10次为一疗程;对照组口服布洛芬片、肠溶阿斯匹林片、Vit B_1片,每日2次,10日为一疗程。分别于治疗2疗程后和1年后统计疗效。结果:治疗组治疗后,手指麻木、握力下降、臂丛牵拉试验等症状和体征均有明显的好转或消失。与对照组比较,治疗组的近远期效应优于对照组(P<0.01)。结论:电针治疗神经根型颈椎病疗效显著。

夹脊穴治疗颈椎病的理论与应用

目的:总结国内近年夹脊穴治疗颈椎病的临床和机制研究,为未来的发展提供依据和思路。资料来源:应用网络http://192.168.50.3/yixueshujuku/chongqingweipu.as-px.检索,检索方法((题名或关键词=颈椎病)(题名或关键词=夹脊穴))(题名或关键词=治疗)全部期刊年=1989-2005),限定语言种类为中文。资料选择:共检索到102篇文献报道,选出80篇有关夹脊穴治疗颈椎病的论文。纳入标准:①文献类型:针灸治疗颈椎病临床研究文献。②干预措施:针灸治疗或针刺配合其他疗法(如药物疗法),并对行针手法,取穴及用针材料不加以区别。排除标准:①针刺作为手术治疗术中及术后镇痛辅助疗法。②动物实验。③综述文献。资料提炼:根据是否使用随机对照的方法筛选出21篇。根据文献所述颈椎病症型分为神经根型颈椎病和椎动脉型颈椎病,未提及分型者则归为颈椎病类。资料综合:在夹脊穴治疗颈椎病的研究中,诊断和评估依据多采用1994年国家中医药管理局发布的《中医病证诊断疗效标准》,而文献中有23.8%的研究仍然采用症状来作为标准,为整体综合评估夹脊穴的作用带来了一定难度。在刺激夹脊穴的方式中,以针刺和电针为主要方法,占到85.7%,而2种方法以上的综合刺激占到47.6%。治愈率在60%以下的文献占到52.38%,只有3篇文献其治愈率达到90%以上。21篇文献中,有随访的研究不是很多。目前认为夹脊穴治疗颈椎病的机制主要有:①经络腧穴理论依据。②改善椎动脉的血流循环。③缓解疼痛症状。结论:针刺夹脊穴治疗颈椎病有很好的疗效,治疗前景广阔。循证医学的方法应当引进到临床实验研究中,定位应当规范化,夹脊穴治疗颈椎病的机制研究还有待于深入开展。

A CLINICAL OBSERVATION ON THE THERAPEUTIC EFFECT OF CERVICAL SPONDYLOPATHY OF NERVE ROOT TYPE TREATED BY COMBINED CERVICAL TRACTION AND ELECTROACUPUNCTURE

Objective: To observe the therapeutic effect of combined cervical traction and electroacupuncture (EA) on Cervical Spondylopathy of Nerve Root Type (CSNRT). Methods: 145 patients diagnosed as CSNRT were randomized into 3 groups: combined treatment group, EA group, and cervical traction (CT) group. The combined group was treated with traction followed by EA of Dazhui (大椎 GV 14), Fengchi (风池 GB 20), cervical Jiaji (夹脊 EX-B 2), etc.. Patients of two control groups were only treated by either CT or EA. Results: The markedly-effective rate and total effective rate were 76.0% and 94.0% respectively in the combined treatment group, 62.5% and 81.25% respectively in CT group, and 63.82% and 82.97% respectively in EA group. The therapeutic effect of the combined treatment group was significantly superior to that of two control groups (P<0.05). At 6-month follow-up, the above two markedly-effective and total effective rates in the combined treatment group remained 74.0% and 92.0%, still significantly higher than that in two control groups. Conclusion: Combining cervicle traction with EA treatment can effectively eliminate or relieve the symptoms and signs in patients with nerve root type cervical spondylopathy.

Transverse striation needling for 30 cases of cervical spondylosis

Objective To observe the clinical efficacy of transverse striation needling in treatment of cervical spondylosis.Method Thirty patients were diagnosed with cervical spondylosis in Guoyitang Clinic,Yanwu Branch of Zhongshan Hospital,Xiamen University from July,2013 to March,2015,and were included into this study.Transverse striation needling,i.e.transverse insertion into the transverse striation of the cervical vertebra,was adopted for the 30 patients,and conventional acupuncture at Fēngchí（风池 GB 20,bilateral）,Jiānj？ng（肩井 GB 21,bilateral） and Jiānzhōngshù（肩中俞 SI 15,bilateral） was combined.The treatment was conducted for once a day,twice a week,and 6 times were needed in total.Follow-up visit was performed two months after the treatment.Result Among the 30 patients,the markedly effective rate was 70.0%（21/30）,effective rate was 30.0%（9/30）,and the total effective rate was 100.0%.There was no relapse during two months after the treatment.Conclusion The therapeutic effect of transverse striation needling in treatment of cervical spondylosis was good.

Efficacy observation on cervical spondylosis of nerve root type treated by the warm needling at Jiájǐ(夹脊EX-B 2) and tapping with plum-blossom needle

Objective To observe the clinical effect on cervical spondylosis of nerve root type treated by warm needling therapy at Jiáj （夹脊 EX-B 2） and plum-blossom needle therapy. Methods According to the random number table, 150 cases of cervical spondylosis of nerve root type were randomized into an acupuncture-moxibustion group （75 cases） and a control group （75 cases）. In the acupuncture-moxibustion group, the warm needling at EX-B 2 and tapping with plum-blossom needle were applied. EX-B 2 on the affected segments were selected and stimulated with warm needling technique for 20– 30 min. Afterward, the plum-blossom needle was used to tap the skin around the acupoints, for 3 min on each site. The treatment was given once every day. Seven treatments made one session. The interval between two sessions was 1 day. In the control group, the medication was used in combination with traction therapy. The intravenous drip with 5% glucose 250 mL and compound salvia miltiorrhiza injection 40 mL was used, once a day. In traction treatment, the patient was in a sitting position, neck anteflexion at 15°–30°, traction force at 10%–20% of the body mass, for 20–30 min in each time. The treatment was given once every day. The appointed person evaluated therapeutic effects after the three sessions of treatment in the two groups. Results The clinical curative rate was 49.3% （37/75） and the total effective rate was 94.7% （71/75） in the acupuncture-moxibustion group and those were 24.0% （18/75） and 81.3% （61/75） respectively in the control group. The total effective rate and clinical curative rate in the acupuncture-moxibustion group were superior to the control group （both P0.05）. In the comparison of the duration of treatment and effect in the cured patients between the two groups, the curative rate in the 1st session of treatment in the acupuncture-moxibustion group was higher than that in the control group （P0.05）. In the comparison of the 6-month follow-up visit in the cured patients between the two groups, the effect in the acupuncture-moxibustion group was much more stable （P0.05）. Conclusion The warm needling therapy at EX-B 2 and tapping therapy with plum-blossom needle achieve the significant effect on cervical spondylosis of nerve root type.

A case of amyotrophic cervical spondylosis

A case of amyotrophic cervical spondylosis was healed by using acupuncture in combination with electroacupuncture, needling was carried out on fengchi（风池 GB 20）, Tianzhu （天柱 BE 10）, Dazhui （大椎 GV 14）, Jianjing （肩井GB 21）, Zhiyang （至阳 GV 9）, Jianzhen （肩贞SI 9）, Jianyu （肩髃 El 15）, Shousanli （手三里LI 10）, Houxi （后溪SI 3）, Kunlun （昆仑 BE 60） and Shugu （束骨 BL 65）. BL 10 on the left side and LI 10 on the right side, GB 20 on the right side and GV 9 were connected for electroacupuncture, once a day, 12 treatments as one treatment course, a interval of 5 days was set between two treatment courses, and totally 6 treatment courses were carried out. The patient was clinically healed after the treatment and the disease did not recur during the follow-up for six months.

Therapeutic Effect of Acupuncture plus Tuina on Cervical Spondylosis

Objective： To observe the clinical effect of acupuncture plus tuina on cervical Spondylosis. Method： Altogether 146 cases were randomized into a group of acupuncture plus tuina （observation group） （70 cases）, an acupuncture group （control group Ⅰ） （38 cases） and a tuina group （control group Ⅱ） （38 cases）. Result： The recovery rate in the observation group, control group I and control group Ⅱ were 92.1%, 68.4% and 65.8% respectively; there was a significant statistical difference between the observation group and two control groups （P〈0.01）; and there was no significant statistical difference between the two control groups （P〉0.05）. Conclusion： Acupuncture plus tuina can alleviate the patients＇ condition in a faster and better way.

Influence on Hemorheology of Cervical Spondylopathy with Xi(Cleft)Point Electroacupuncture

Objective：To observe the curative effect of Xi（Cleft） point electro-acupuncture on acute cervical spondylopathy of blood stasis type. Methods： 32 cases of acute spondylopathy of blood stasis type were treated with electroacupuncture on Huizong（TE 7） point, Xi （Cleft） point of Triple Energizer Meridian of Hand Shaoyang and Yanglao（SI 6） point, Xi （Cleft） point of Small Intestin Meridian of Hand Taiyang. 31 cases were randomly selected as the research subjects for control group and treated with routine treatment. At the same time changes of hemorheology were observed in the two groups before and after treatment. VAS was used for pain evaluation. Results and conclusion： The total curative effect in treatment group was 93.8%, the average duration of course 20.2±3.1d, pain accumulation points 3.47± 1.45; The total curative effect in contrast group was 83.9%, the average duration of course 26.5± 1.8 d, pain accumulation points 5.67±1.52. P〈 0.01 after t test. Ridit analysis was used for analysis of the therapeutic effect. P〈 0.05. There were some improvements in hemorheology in the two groups before and after treatment. It showed that there was a significant difference in the two groups in therapeutic results and average duration of course. The therapeutic results were improved and duration of course shortened in the treatment group.

Observation on Therapeutic Effect of Nape Multiple Acupuncture on Vertebral Artery Type of Cervical Spondylosis

Objective： To summarize the efficacy of nape multiple acupuncture for treating vertebral artery type of cervical spondylosis. Methods： Patients with vertebral artery type of cervical spondylosis who visited from 2001 to 2004 were randomly divided into a control group of 50 cases receiving simple medication and an acupuncture plus medication group of 50 cases receiving medication plus nape multiples acupuncture. Results： Compared with the control group, the clinical cure rate was significantly increased in the acupuncture plus medication group （P〈0.05）. Conclusion： Medication plus nape multiple acupuncture can obviously improve the therapeutic effect on vertebral artery type of cervical spondylosis.

Clinical Observation on Treatment of Cervical Spondylosis with Combined Acupuncture and Cupping Therapies

Objective： To observe the clinical efficacy of treating cervical spondylosis with combined acupuncture and cupping therapies. Method： The patients in the treatment group （30 cases） were treated with combined acupuncture and cupping therapies; and the patients in the control group （30 cases） were treated with acupuncture therapy alone. Then the clinical efficacy was observed after 30 days of treatment. Result： The X^2 test showed that there was significant difference （P〈0.01） between the two groups in recovery rate, total effective rate, relapse rate after six months, and average treatment course. Conclusion： Combined acupuncture and cupping therapies is a better therapy for cervical spondylosis with a shorter treatment course and low relapse rate.