远近相伍取穴治疗椎动脉型颈椎病临床观察  

Clinical Observations on the Treatment of Vertebroarterial Cervical Spondylopathy by Selection of Compatible Adjacent and Distant Points

作　　者：杨自威 

机构地区：[1]中国核工业404厂职工医院,甘肃兰州732850

出　　处：《上海针灸杂志》2004年第9期19-21,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的　探讨远近相伍取穴治疗椎动脉型颈椎病的疗效。方法　将 14 0例椎动脉型颈椎病患者随机分为针刺组、药物组 ,每组各 70例。针刺组采用中医辨证取穴结合西医解剖特定点 ,药物组采用口服龙骨颈椎胶囊、西比灵胶囊 ,并观察治疗前后临床症状体征积分和椎 -基动脉血流改善情况。结果与结论　总有效率针刺组 (10 0 % )明显高于药物组 (6 1.4 3% ,P <0 .0 1) ,临床症状体征积分和椎 -基动脉血流改善情况两组治疗前后比较有显著性差异 (P<0 .0 5 ) ,而针刺组改善程度较药物组更著 (P<0 .0 5 ) ,远期疗效针刺组优于对照组 ,但差异无显著性 (P>0 .2 )。Purpose To investigate the efficacy of compatible adjacent and distant points for treatment of vertebroarterial cervical spondylopathy.Methods One hundred and forty patients with vertebroarterial cervical spondylopathy were randomly divided into an acupuncture group and a medication group, 70 cases each. The acupuncture group was treated by selecting points according to Chinese medical syndromic differentiation and Western medical anatomic specific spots and the medication group, by oral administration of Os Draconis Fossilia cervical vertebra capsules and Flunarizine Hydrochloride capsules. The clinical symptom and sign scores and vertebobasilar blood flow velocity were observed before after the treatment. Results and conclusion The total effective rate was significantly higher in the acupuncture group (100%) than in the medication group (61.43%) (P<0.05). There were significant differences in clinical symptom and sign scores and vertebobasilar blood flow velocity between pretreatment and posttreatment in both groups (P<0.05), but the degree of improvement was significantly larger in the acupuncture group than in the medication group (P<0.05). The long-term effect was better in the acupuncture group than in the medication group, but there was no significant difference (P>0.2).

关 键 词：取穴 椎动脉型 颈椎病 药物疗法 针灸疗法 

分 类 号：R274.915.5[医药卫生—中西医结合]