颈外夹脊穴为主治疗椎动脉型颈椎病的疗效观察  

Observation on therapeutic effect of acupuncture at lateral cervical Jiaji points on cervical spondylosis of vertebroarterial type

作　　者：高海锋[1] 沈小雷[1] 

机构地区：[1]浙江大学医学院附属第二医院针灸科,杭州310009

出　　处：《中国针灸》2005年第3期173-175,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较针刺颈外夹脊穴为主与针刺传统夹脊穴为主治疗椎动脉型颈椎病的疗效差异。方法:将72例椎动脉型颈椎病患者随机分为颈外夹脊穴组(40例)与传统颈夹脊穴组(32例),2个疗程后进行疗效评定和头颅超声多普勒(TCD)检查。结果:颈外夹脊穴组总有效率为87.5％,传统夹脊穴组总有效率为65.6％,两组比较差异有显著性意义(P<0.05);两组TCD检测的血流速度和血管搏动指数(PI)差异有显著性或非常显著性意义(P<0.05,P<0.01)。结论:颈外夹脊穴为主治疗椎动脉型颈椎病的效果优于传统颈夹脊穴。Objective To compare therapeutic effects of acupuncture at lateral cervical Jiaji and at traditional Jiaji points on cervical spondylosis of vertebroarterial type. Methods Seventy-two cases of vertebroarterial type cervical spondylosis were randomly divided into a needling lateral cervical Jiaji group ( n = 40) and a traditional Jiaji group ( n = 32). After 2 courses, therapeutic effects were evaluated and ultrasound Doppler's detection of skull was conducted. Results The therapeutic effect in the lateral cervical Jiaji group was better than that in the traditional Jiaji group (P<0. 05); And there was a significant or very significant difference between the two groups in the velocity of blood flow and the index of vascular pulsation (P<0. 05 or P<0. 01 ). Conclusion The results of acupuncture at lateral cervical Jiaji points is better than that of acupuncture at traditional Jiaji points for treatment of cervical spondylosis of vertebroarterial type.

关 键 词：椎动脉型颈椎病 颈外 疗效观察 治疗 血管搏动指数 颈夹脊穴 总有效率 颈椎病患者 超声多普勒 TCD检测 显著性 疗效差异 疗效评定 0.05 血流速度 传统 针刺 

分 类 号：R274.915.5[医药卫生—中西医结合] R472.9[医药卫生—中医骨伤科学]