Cervical spondylosis of vertebral artery type is one of the chief patterns of cervical spondylosis.It is often described as neck pain accompanied with radiating pain and neurologic symptoms,such as sudden dizziness,bl...Cervical spondylosis of vertebral artery type is one of the chief patterns of cervical spondylosis.It is often described as neck pain accompanied with radiating pain and neurologic symptoms,such as sudden dizziness,blurred vision,tinnitus,nausea,vomiting,memory loss,and sudden fainting.The incidence of cervical spondylosis increases and patients with cervical spondylosis become progressively younger.Acupuncture in the cervical spondylosis of vertebral artery type treatment has a local positive reaction“Liuhe point”,in order to dredge the local Qi and blood.More and more evidences into the effectiveness and safety of cervical spine acupuncture for cervical spondylosis,specific neck pain,cervical radiculopathy,etc.This article summarizes the recent literature on acupuncture and acupuncture combined with other therapies for cervical spondylosis of vertebral artery type treatment and provides a comprehensive review from the perspectives of acupuncture therapy,warm needle moxibustion therapy,electroacupuncture,and acupuncture combined with other therapies,in order to provide reference and reference for clinical treatment.展开更多
This paper expounds the theory of traditional Chinese medicine(TCM)constitution applied to patients with cervical spondylosis,in order to clarify the distribution characteristics of TCM constitution of patients with c...This paper expounds the theory of traditional Chinese medicine(TCM)constitution applied to patients with cervical spondylosis,in order to clarify the distribution characteristics of TCM constitution of patients with cervical spondylosis.And to analyze the correlation between TCM constitution theory and cervical spondylosis is helpful to provide ideas for integrated nursing care of TCM and western medicine in patients with cervical spondylosis,and provide the basis for the construction of health management program and the evaluation of health promotion effect.展开更多
Objective:To evaluate the clinical value of synthetical therapy of acupuncture and massage for treating vertebral artery type cervical spondylosis (VACS). Methods: In the present study, triple-center, single-blind, ra...Objective:To evaluate the clinical value of synthetical therapy of acupuncture and massage for treating vertebral artery type cervical spondylosis (VACS). Methods: In the present study, triple-center, single-blind, randomized and control methods were adopted. Qualified subjects were randomly assigned to three groups: acupuncture-massage (acu-mas) group, acupuncture group, and massage group (60 subjects in each group). Bilateral Fengchi (风池GB 20), Jiaji (夹脊EX-B 2, C_ 4-7) and Baihui (百会GV 20) were punctured in combination with massage at the neck-shoulder and back region. The treatment was conducted once daily, 14 times altogether. Results: After treatment, of the 60 cases in each of acu-mas, acupuncture and massage groups, 28, 11 and 13 were cured, 13, 20 and 17 markedly effective, 12, 14 and 16 effective, and 7, 15 and 14 ineffective, with the total effective rates being 88.3%, 75.0% and 76.7% respectively. The therapeutic effect of acu-mas group was significantly superior to that of simple acupuncture and massage groups (P<0.05). The scores of clinical symptoms and signs in 3 groups all declined significantly after treatment (P<0.01), and the score of symptoms of acu-mas was markedly lower than those of acupuncture and massage groups (P<0.05). No significant differences were found among 3 groups in the score of clinical signs and between acupuncture and massage groups in the score of clinical symptoms (P>0.05). The time for producing therapeutic effects in acu-mas group was significantly shorter than those of acupuncture and massage groups (P<0.01, 0.05), meaning a faster of acu-mas group in producing clinical effect. No adverse events were found in all the 3 groups. Conclusion: Acupuncture and massage are effective and safe in the treatment of VACS, and the therapeutic effect of acupuncture combined with massage is superior to that of simple acupuncture and simple massage therapy.展开更多
Objective: To observe the effect of acupuncture combined with massage on blood flow velocity of the vertebro-basilar artery in cervical spondylosis of vertebral arterial type (CSVAT) patients. Methods: In the present ...Objective: To observe the effect of acupuncture combined with massage on blood flow velocity of the vertebro-basilar artery in cervical spondylosis of vertebral arterial type (CSVAT) patients. Methods: In the present study, methods of evidence-based medicine, triple-centers, single-blindness, randomization and control were used. A total of 100 cases of CSVAT patients were randomized into acupuncture plus massage (acu-massage) group (n=38), acupuncture group (n=32) and massage group (n=30). Acupoints used were Fengchi (风池GB 20), cervical Jiaji (颈夹脊EX-B 2), Baihui (百会GV 20), and the methods of massage used were kneading-rolling, adhesion-separating and acupoint-digital pressing, topical digital pressing and rubbing, traction-extending and mild palm-rubbing. The treatment was conducted once daily, with 7 sessions being a therapeutic course and continuously for 2 courses. Changes of peak velocity (Vp), end-diastolic velocity (Vd), mean velocity (Vm) of blood flow of the vertebral artery (VA) and basilar artery (BA), etc were detected before and after the treatment by using transcranial Doppler (TCD) ultrasonography. Results: After the treatment, the abnormally low Vp of both VA and BA in acu-massage, acupuncture and massage groups, Vm of VA in acu-massage and acupuncture groups, Vm of BA in acu-massage and massage groups, and Vd of VA and BA in the 3 groups all increased significantly in comparison with their own pretreatment (P<0.05, 0.01), and the therapeutic effects of acu-massage group in the 3 indexes were significantly superior to those of acupuncture group and/or massage group (P<0.05, 0.01). The abnormally increased Vp of VA in acu-massage and acupuncture groups, Vm of VA in the 3 groups, and Vd of VA in acu-massage and massage groups decreased obviously after the treatment in comparison with their own pretreatment (P<0.05, 0.01), and the therapeutic effects of acu-massage group were significantly superior to those of acupuncture and/or massage group in the 3 indexes of VA (P<0.05, 0.01). In addition, the abnormally increased Vp, Vm and Vd of BA in the 3 groups showed a similar tendency. No significant differences between acupuncture and massage groups in 3 indexes (P>0.05). Conclusion: The therapeutic effects of acupuncture plus massage is significantly superior to those of simple acupuncture and simple massage therapies in improving abnormal blood dynamics of vertebral and basilar arteries in CSVAT patients.展开更多
目的浅析椎动脉型颈椎病(cervical spondylotic vertebral arteriopathy,CSA)患者实施基于“筋骨平衡”理论针刺推拿疗法对其中医症状积分、颈性眩晕症状与功能评估量表(cervical vertigo symptom and function assessment scale,ESCV)...目的浅析椎动脉型颈椎病(cervical spondylotic vertebral arteriopathy,CSA)患者实施基于“筋骨平衡”理论针刺推拿疗法对其中医症状积分、颈性眩晕症状与功能评估量表(cervical vertigo symptom and function assessment scale,ESCV)评分、颈椎曲度及脑血流参数的影响。方法选择该院2019年12月—2021年12月就诊的CSA患者86例实施研究,随机数字表法分作观察组与对照组,各43例;其中对照组脱落2例,剔除1例,共完成40例;观察组脱落1例,剔除1例,共完成41例;对照组予以常规牵引疗法,观察组予以基于“筋骨平衡”理论针刺推拿疗法;比较两组治疗前与治疗后中医症状积分、ESCV评分、颈椎曲度及脑血流参数的变化,并对比两组疗效。结果治疗后,观察组中医症状积分皆显著低于对照组(P<0.05)。治疗后,观察组ESCV评分和颈椎曲度皆明显高于对照组(P<0.05)。治疗后,观察组椎底动脉及左、右椎动脉的Vs与Vd水平均显著高于对照组(P<0.05)。观察组总有效率显著高于对照组[95.12%(39/41)vs 80.00%(32/40),P<0.05]。结论基于“筋骨平衡”理论针刺推拿疗法对CSA患者疗效显著,有效改善中医症状积分、ESCV评分以及颈椎曲度,增强脑血流参数。展开更多
Objective:To compare therapeutic effects of acupuncture at Ligou(LR 5) plus movement therapy and conventional acupuncture on cervical spondylosis.Methods:The therapeutic effect of acupuncture at Ligou(LR 5) plus movem...Objective:To compare therapeutic effects of acupuncture at Ligou(LR 5) plus movement therapy and conventional acupuncture on cervical spondylosis.Methods:The therapeutic effect of acupuncture at Ligou(LR 5) plus movement therapy on 57 cases of cervical spondylosis(Group Acup.+M) was observed and compared with that of conventional acupuncture(Group Acup.) on 65 cases of cervical spondylosis with the same types of the disease during the same observation period as those treated by the former therapy.Results:The cured rate,effective rate and total effective rate were 52.63%,45.61% and 98.24%,respectively in Group Acup.+M;46.15%,50.77% and 96.92%,respectively in Group Acup.There were no significant differences in therapeutic effects between the two groups,shown by Ridit test(P>0.05).Conclusion:Both acupuncture plus movement therapy and conventional acupuncture were similarly effective in treating cervical spondylosis,but the former was superior to the latter in shorter treatment course and fewer points used.展开更多
目的本文对颈椎病的运动疗法及机制进展进行综述,以期进一步为本病临床运动处方的制定和相关研究的开展提供参考。方法基于文献研究,以“颈椎病”“颈痛”“运动治疗”“运动控制”“悬吊”“传统功法”“八段锦”等为关键词,在中国知...目的本文对颈椎病的运动疗法及机制进展进行综述,以期进一步为本病临床运动处方的制定和相关研究的开展提供参考。方法基于文献研究,以“颈椎病”“颈痛”“运动治疗”“运动控制”“悬吊”“传统功法”“八段锦”等为关键词,在中国知网、万方知识服务平台、维普网数据库中检索中文文献;以“cervical spondylosis”“neck pain”“exercise therapy”“motor control training”“sling exercise training”“qigong”“Baduanjin”为关键词,在PubMed、Web of Science数据库中检索英文文献,检索时间范围2013年2月至2023年5月。结果在治疗颈椎病的运动疗法中,传统功法如八段锦、太极拳、五禽戏等运动强度小,简便易学,安全有效;现代运动疗法如运动控制、悬吊、牵伸训练等运动强度不等、坚持治疗疗效显著;运动疗法联合其他常规治疗或是运动疗法间的联合治疗效果更佳。运动疗法通过拉伸颈肌促进血液循环,激活脊髓上中枢镇痛通路,增加抗炎信号转导,降低肿瘤坏死因子-α(TNF-α)水平,发挥镇痛作用;增强肌力,改善僵硬和疲劳,恢复椎体力学平衡;增加神经与肌肉间的反馈,改善颈部本体感觉。结论运动疗法主要通过抗炎镇痛、改善颈椎感觉与运动功能来治疗颈椎病。运动疗法可有效改善颈椎病患者颈部疼痛和功能障碍,缓解患者焦虑不安等不良情绪,提高患者生活质量。展开更多
文摘Cervical spondylosis of vertebral artery type is one of the chief patterns of cervical spondylosis.It is often described as neck pain accompanied with radiating pain and neurologic symptoms,such as sudden dizziness,blurred vision,tinnitus,nausea,vomiting,memory loss,and sudden fainting.The incidence of cervical spondylosis increases and patients with cervical spondylosis become progressively younger.Acupuncture in the cervical spondylosis of vertebral artery type treatment has a local positive reaction“Liuhe point”,in order to dredge the local Qi and blood.More and more evidences into the effectiveness and safety of cervical spine acupuncture for cervical spondylosis,specific neck pain,cervical radiculopathy,etc.This article summarizes the recent literature on acupuncture and acupuncture combined with other therapies for cervical spondylosis of vertebral artery type treatment and provides a comprehensive review from the perspectives of acupuncture therapy,warm needle moxibustion therapy,electroacupuncture,and acupuncture combined with other therapies,in order to provide reference and reference for clinical treatment.
文摘This paper expounds the theory of traditional Chinese medicine(TCM)constitution applied to patients with cervical spondylosis,in order to clarify the distribution characteristics of TCM constitution of patients with cervical spondylosis.And to analyze the correlation between TCM constitution theory and cervical spondylosis is helpful to provide ideas for integrated nursing care of TCM and western medicine in patients with cervical spondylosis,and provide the basis for the construction of health management program and the evaluation of health promotion effect.
文摘Objective:To evaluate the clinical value of synthetical therapy of acupuncture and massage for treating vertebral artery type cervical spondylosis (VACS). Methods: In the present study, triple-center, single-blind, randomized and control methods were adopted. Qualified subjects were randomly assigned to three groups: acupuncture-massage (acu-mas) group, acupuncture group, and massage group (60 subjects in each group). Bilateral Fengchi (风池GB 20), Jiaji (夹脊EX-B 2, C_ 4-7) and Baihui (百会GV 20) were punctured in combination with massage at the neck-shoulder and back region. The treatment was conducted once daily, 14 times altogether. Results: After treatment, of the 60 cases in each of acu-mas, acupuncture and massage groups, 28, 11 and 13 were cured, 13, 20 and 17 markedly effective, 12, 14 and 16 effective, and 7, 15 and 14 ineffective, with the total effective rates being 88.3%, 75.0% and 76.7% respectively. The therapeutic effect of acu-mas group was significantly superior to that of simple acupuncture and massage groups (P<0.05). The scores of clinical symptoms and signs in 3 groups all declined significantly after treatment (P<0.01), and the score of symptoms of acu-mas was markedly lower than those of acupuncture and massage groups (P<0.05). No significant differences were found among 3 groups in the score of clinical signs and between acupuncture and massage groups in the score of clinical symptoms (P>0.05). The time for producing therapeutic effects in acu-mas group was significantly shorter than those of acupuncture and massage groups (P<0.01, 0.05), meaning a faster of acu-mas group in producing clinical effect. No adverse events were found in all the 3 groups. Conclusion: Acupuncture and massage are effective and safe in the treatment of VACS, and the therapeutic effect of acupuncture combined with massage is superior to that of simple acupuncture and simple massage therapy.
文摘Objective: To observe the effect of acupuncture combined with massage on blood flow velocity of the vertebro-basilar artery in cervical spondylosis of vertebral arterial type (CSVAT) patients. Methods: In the present study, methods of evidence-based medicine, triple-centers, single-blindness, randomization and control were used. A total of 100 cases of CSVAT patients were randomized into acupuncture plus massage (acu-massage) group (n=38), acupuncture group (n=32) and massage group (n=30). Acupoints used were Fengchi (风池GB 20), cervical Jiaji (颈夹脊EX-B 2), Baihui (百会GV 20), and the methods of massage used were kneading-rolling, adhesion-separating and acupoint-digital pressing, topical digital pressing and rubbing, traction-extending and mild palm-rubbing. The treatment was conducted once daily, with 7 sessions being a therapeutic course and continuously for 2 courses. Changes of peak velocity (Vp), end-diastolic velocity (Vd), mean velocity (Vm) of blood flow of the vertebral artery (VA) and basilar artery (BA), etc were detected before and after the treatment by using transcranial Doppler (TCD) ultrasonography. Results: After the treatment, the abnormally low Vp of both VA and BA in acu-massage, acupuncture and massage groups, Vm of VA in acu-massage and acupuncture groups, Vm of BA in acu-massage and massage groups, and Vd of VA and BA in the 3 groups all increased significantly in comparison with their own pretreatment (P<0.05, 0.01), and the therapeutic effects of acu-massage group in the 3 indexes were significantly superior to those of acupuncture group and/or massage group (P<0.05, 0.01). The abnormally increased Vp of VA in acu-massage and acupuncture groups, Vm of VA in the 3 groups, and Vd of VA in acu-massage and massage groups decreased obviously after the treatment in comparison with their own pretreatment (P<0.05, 0.01), and the therapeutic effects of acu-massage group were significantly superior to those of acupuncture and/or massage group in the 3 indexes of VA (P<0.05, 0.01). In addition, the abnormally increased Vp, Vm and Vd of BA in the 3 groups showed a similar tendency. No significant differences between acupuncture and massage groups in 3 indexes (P>0.05). Conclusion: The therapeutic effects of acupuncture plus massage is significantly superior to those of simple acupuncture and simple massage therapies in improving abnormal blood dynamics of vertebral and basilar arteries in CSVAT patients.
基金supported by a grant from National Natural Science Foundation of China (No 30772839, No30873302)
文摘Objective:To compare therapeutic effects of acupuncture at Ligou(LR 5) plus movement therapy and conventional acupuncture on cervical spondylosis.Methods:The therapeutic effect of acupuncture at Ligou(LR 5) plus movement therapy on 57 cases of cervical spondylosis(Group Acup.+M) was observed and compared with that of conventional acupuncture(Group Acup.) on 65 cases of cervical spondylosis with the same types of the disease during the same observation period as those treated by the former therapy.Results:The cured rate,effective rate and total effective rate were 52.63%,45.61% and 98.24%,respectively in Group Acup.+M;46.15%,50.77% and 96.92%,respectively in Group Acup.There were no significant differences in therapeutic effects between the two groups,shown by Ridit test(P>0.05).Conclusion:Both acupuncture plus movement therapy and conventional acupuncture were similarly effective in treating cervical spondylosis,but the former was superior to the latter in shorter treatment course and fewer points used.
文摘目的本文对颈椎病的运动疗法及机制进展进行综述,以期进一步为本病临床运动处方的制定和相关研究的开展提供参考。方法基于文献研究,以“颈椎病”“颈痛”“运动治疗”“运动控制”“悬吊”“传统功法”“八段锦”等为关键词,在中国知网、万方知识服务平台、维普网数据库中检索中文文献;以“cervical spondylosis”“neck pain”“exercise therapy”“motor control training”“sling exercise training”“qigong”“Baduanjin”为关键词,在PubMed、Web of Science数据库中检索英文文献,检索时间范围2013年2月至2023年5月。结果在治疗颈椎病的运动疗法中,传统功法如八段锦、太极拳、五禽戏等运动强度小,简便易学,安全有效;现代运动疗法如运动控制、悬吊、牵伸训练等运动强度不等、坚持治疗疗效显著;运动疗法联合其他常规治疗或是运动疗法间的联合治疗效果更佳。运动疗法通过拉伸颈肌促进血液循环,激活脊髓上中枢镇痛通路,增加抗炎信号转导,降低肿瘤坏死因子-α(TNF-α)水平,发挥镇痛作用;增强肌力,改善僵硬和疲劳,恢复椎体力学平衡;增加神经与肌肉间的反馈,改善颈部本体感觉。结论运动疗法主要通过抗炎镇痛、改善颈椎感觉与运动功能来治疗颈椎病。运动疗法可有效改善颈椎病患者颈部疼痛和功能障碍,缓解患者焦虑不安等不良情绪,提高患者生活质量。