针刺颈椎病穴治疗椎动脉型颈椎病的临床观察  

Clinical effects of acupuncturing cervical spondylosis related acu-points on treating vertebral artery type of cervical spondylosis

作　　者：蒋学余[1] 付漫娣[1] 

机构地区：[1]岳阳市中医院,湖南岳阳414000

出　　处：《湖南中医药大学学报》2012年第9期70-73,共4页Journal of Hunan University of Chinese Medicine

基　　金：湖南省中医药管理局科研课题(201189)

摘　　要：目的观察针刺颈椎病穴治疗椎动脉型颈椎病的临床疗效。方法将102例椎动脉型颈椎病患者随机分成治疗组和对照组各51例。治疗组针刺以颈椎病穴为主穴,对照组针刺以颈夹脊穴为主穴;两组针刺得气后,均辨证取穴,接电针仪,中等刺激强度,每日1次,10次为1个疗程。均治疗2个疗程后,采用头晕症状评分量表和经颅多普勒(TCD)检查比较2组患者治疗前后临床症状改善情况及椎-基底动脉血流速度改善情况。结果治疗组患者临床愈显率为85%,显著高于对照组50%(P<0.05);眩晕证候积分减少率,血流速度改变率,两组治疗后比较差异有统计学意义(P<0.05)。结论针刺颈椎病穴在改善患者临床症状,改善血流速度,提高临床愈显率方面较颈夹脊穴组有明显的优势。Objective To observe the clinical effects of acupuncturing cervical spondylosis related acu-points on treating vertebral artery type of cervical spondylosis. Methods 102 patients with vertebral artery type of cervical spondylosis were randomly divided into treatment group and control group, with 51 cases in each group. Treatment group was treated with acupuncture mainly on cervical spondylosis related acu-points. Control group was treated with acupuncture mainly on Jingjiaji acu-point. 2 groups were treated based on symptom differentiation using electro-acupuncture device with medium stimulus intensity, once a day, 10 times in a course. After 2 courses, dizziness symptom scale and TCD examination were conducted to observe the improvement of clinical symptoms and blood circulation speed in vertebral artery. Results The cured and markedly effective rate was 85% in treatment group, which was significantly higher than data of control group （50%）（P〈0.05）. The improvement of dizziness symptom and blood circulation speed was different between 2 groups after treatment with statistic significances （P〈0.05）. Conclusion Compared with acupuncture on Jingjiaji acu-point, acupuncture on cervical spondylosis related acu- points has significant advantages in improving clinical symptoms and blood circulation and increasing clinical cured and markedly effective rate.

关 键 词：椎动脉型颈椎病 椎一基底动脉供血不足 针刺颈椎病穴 临床观察 

分 类 号：R246.2[医药卫生—针灸推拿学]