巨刺远端穴配合颈部运动治疗椎动脉型颈椎病临床对照研究  

Clinical Control Research on Great Acupuncture on Distal End Acupoint in Combination with Neck Movement Treats Cervical Spondylosis of Arterialtype

作　　者：口锁堂 吴耀持[2] 蔡秀水 王立童 唐银娟 陈晰 孟巍巍 刘顺超 马恰怡 

机构地区：[1]上海市天山中医医院中医伤外科,上海200051 [2]上海交通大学附属第六人民医院针推伤科,上海200233 [3]上海市长宁区天山路社区卫生服务中心,上海200051

出　　处：《中华中医药学刊》2011年第3期545-547,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：上海市卫生局中医药专项课题(2009s016);上海市长宁区卫生系统"明日之星"培养计划项目

摘　　要：目的:观察巨刺远端穴结合颈部活动与局部取穴治疗CSA疗效差异性,提倡针灸临床辩证配穴和运用针刺手法。方法:CSA病患者111例按就诊的先后顺序按数字随机表随机分为对照组(54)和治疗组(57),在治疗前后采用CSA症状与功能评分,6个月疗效比较。结果:两种方法治疗CSA的近期疗效没有差异(P>0.05),远期疗效有差异(P<0.05);两组治疗前后VA、BA的Vm比较有差异(P<0.05)。结论:巨刺远端穴结合颈部活动治疗CSA疗效优于局部取穴治疗方法。Objective： The study intend to investigate more effective therapy on cervical spondylosis of arterialtype.Method： This study has treated 111 cases of cervical spondylosis of arterialtype.It is divided into two groups by randomization： treatment group（TG）（57 cases） and control group（CG）（54 cases）.Curative effect is surveyed after treatment 20 days and 6 months.Result：Treatment group is as good as control group in currently efficacy（P0.05）,but TG is better than CG in the prostecdtive efficacy（P0.05）.Conclusion： Great acupuncture on distal end acupoint in combination with neck movement has more advantages of effect on CSA than conventional Acupuncture.

关 键 词：椎动脉型颈椎病 巨刺 颈部运动 远端取穴 临床研究 

分 类 号：R246[医药卫生—针灸推拿学] R681.55[医药卫生—中医临床基础]