刃针微创术治疗椎动脉型颈椎病临床观察  

Clinical Observations on Knife Needle Microinvasive Operation for Cervical Spondylotic Arteriopathy

作　　者：江洋[1] 沈康[1] 季进峰 朱丽[1] 王俊[1] 沈月红[1] 

机构地区：[1]南通市肿瘤医院,南通226006

出　　处：《上海针灸杂志》2018年第2期226-229,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：南通市市级科技计划(指导性)项目(HS149138)

摘　　要：目的观察刃针微创术治疗椎动脉型颈椎病的临床效果。方法将60例椎动脉型颈椎病患者,按照患者入院时间顺序随机分为观察组和对照组,每组30例。观察组患者使用刃针微创术三步法进行治疗,对照组使用松解枕下三角肌群的单一法进行治疗,比较两组患者的疗效。结果两组患者治疗后、治疗后3个月积分较治疗前有明显变化,呈现逐渐升高的趋势(P<0.05);同一时间,观察组积分上升幅度明显高于对照组(P<0.05);观察组治疗前后积分差值、3个月后随访与治疗后积分差值明显高于对照组(P<0.05),重复测量分析积分图显示两组积分情况差异明显;观察组临床总有效率(96.7%)明显高于对照组(76.7%)(P<0.05)。结论刃针微创术治疗椎动脉型颈椎病临床疗效显著。Objective To investigate the clinical efficacy of knife needle microinvasive operation for cervical spondylotic arteriopathy. Method Sixty patients with cervical spondylotic arteriopathy were randomized, in order of admission times, to observation and control groups, 30 cases each. The observation group received three-step knife needle microinvasive operation and the control group, single suboccipital deltoid muscle lysis. The therapeutic effects were compared between the two groups of patients. Result In the two groups of patients the score changed significantly at the end of and three months after treatment compared with before and had a tendency towards gradual increase （P〈0.05）. The score difference values between pre-treatment and post-treatment and between post-treatment and three-month follow-up were significantly higher in the observation group than in the control group （P〈0.05）. Repeated measurement analysis integrogram showed significant differences in the scores between the two groups. The total efficacy rate was significantly higher in the observation group （96.7%） than in the control group （76.7%） （P〈0.05）. Conclusion Knife needle microinvasive operation has clinically a marked therapeutic effect on cervical spondylotic arteriopathy.

关 键 词：小针刀 微创手术 颈椎病 椎动脉型 三步法 

分 类 号：R246.2[医药卫生—针灸推拿学]