Clinical observation on warm needling moxibustion plus tuina for cervical spondylosis of vertebral artery type  

温针灸配合推拿治疗椎动脉型颈椎病的临床观察

作　　者：Xu Jia Shen Zhi-fang Wu Yin-jun Bian Xiao-dong 许佳;沈志方;吴银君;边晓东(Jiaxing Hospital of Traditional Chinese Medicine, Zhejiang 314001, China)

机构地区：[1]Jiaxing Hospital of Traditional Chinese Medicine, Zhejiang 314001, China

出　　处：《Journal of Acupuncture and Tuina Science》2019年第2期111-115,共5页针灸推拿医学（英文版）

摘　　要：Objective: To observe the clinical effect of warm needling moxibustion plus Kai Qing Long Suo tuina therapy (opening the Qing Long lock, one type of 'Eight and a Half Locks' tuina therapy) for cervical spondylosis of vertebral artery type (CSA). Methods: Sixty patients with CSA were randomly allocated into an observation group or a control group, with 30 cases in each group. The observation group was treated with warm needling moxibustion plus Kai Qing Long Suo tuina therapy, while the control group was treated with warm needling moxibustion alone. Warm needling moxibustion was conducted once every other day and tuina was con ducted once a day, 7-day treatme nts for one course. The clin ical efficacy and vertebral artery blood flow was observed after one course of treatment. Results: After treatment, the total effective rate was 93.3% in the observation group versus 80.0% in the control group, and there was a significant differenee between the two groups (P<0.05). After treatment, the systolic blood flow velocity of vertebral artery increased in both groups, with statistical significanee compared with that before treatment (both P<0.05), and the blood flow velocity in the observation group was faster than that in the control group, with statistical significanee between the two groups (P<0.05). Conclusion: Both warm needling moxibustion plus Kai Qing Long Suo tuina therapy and warm needling moxibustion alone are both effective for CSA, can improve the systolic blood flow velocity of vertebral artery. The curative effect of warm needling moxibusiton plus Kai Qing Long Suo tuina therapy is better than that of warm needling moxibustion alone.目的:观察温针灸配合开青龙锁推拿疗法(八把半锁推拿疗法之一)治疗椎动脉型颈椎病(CSA)的临床疗效。方法:将60例CSA患者随机分为观察组和对照组,每组30例。观察组接受温针灸加开青龙锁推拿疗法治疗,对照组单用温针灸治疗。温针灸隔日1次,推拿每日1次,7日为1疗程,1个疗程后观察疗效,并观察椎动脉血流变化情况。结果:治疗后观察组总有效率93.3%,对照组为80.0%,两组总有效率差异有统计学意义(P<0.05)。治疗后,两组患者收缩期椎动脉血流速度均增快,与本组治疗前有统计学意义(均P<0.05),且观察组血流速度快于对照组,组间差异有统计学意义(P<0.05)。结论:温针灸加开青龙锁推拿疗法及单独温针灸治疗CSA均有效,均可提高椎动脉血流速度,且温针齐力口开青龙锁推拿疗法的疗效优于单独温针灸治疗。

关 键 词：Acup un cture Therapy Warm Needling Moxibusit on TUINA Massage Vertebrobasilar In sufficiency VERTIGO Cervical Spondylosis 

分 类 号：R246.2[医药卫生—针灸推拿学]