摘要
目的采用随机对照方法观察“颈四针”结合多节段屈曲旋转端提法治疗椎动脉型颈椎病的临床疗效.方法：选取符合纳入标准的97 例椎动脉型颈椎病患者,随机分为两组：即“颈四针”结合多节段屈曲旋转端提法（治疗组）、针灸＋推拿＋丹参静滴（对照组）,采用单盲、对照研究方法,排除脱落病例,纳入观察病例的实际病例数是49 例,其中对照组48 例,两组患者在年龄、性别、病程经比较差异无统计学意义.两组均治疗1 个疗程后观察,2 个疗程后观察,并随访半年.两组资料采用国家中医药管理局1994 年《中医病证诊断疗效标准》颈椎病的疗效评定及《颈性眩晕症状与功能评估量表》（ESCV）和《颈椎病临床评价量表项目和评分标准》（CASCS）进行治疗前后评价和分析.通过各组自身治疗前后对照和组间对照,对结果进行统计分析.结果：治疗前后症状、体征积分变化：治疗前两组症状、体征积分比较,无显著性差异（P〉0.05）,表明两组具有可比性.治疗组1 个疗程后症状、相关体征积分情况,2 个疗程后的临床效果均比对照组明显,差异有显著性统计学意义（P〈0.01）;随访半年,治疗组复发率均较对照组低,差异有显著性统计学意义（P〈0.01）.结论：“颈四针”结合多节段屈曲旋转端提法治疗椎动脉型颈椎病明显优于针灸＋推拿＋丹参静滴组,能显著改善患者症状、体征、提高治愈率、降低复发率,此法经济、效廉、患者容易接受.
Objective With the method of randomized control observation ＂neck four needles＂ the clinical curative effect of combined multi segmental buckling rotation endextraction treatment of vertebral artery type of cervical spondylosis.Methods： Select 97 patients met the inclusion criteria of vertebral artery type of cervical spondylosis patients,randomly divided into two groups： namely ＂neck four needles＂ combined multi segmental buckling rotating end of the reference （treatment group）, acupuncture, massage and Salviamiltiorrhiza intravenous infusion （control group）, by using the method of single blind, controlled, exclude loss of cases, into the the actual number of cases were 49 cases, including 48cases in the control group, patients in the two groups in age, gender, duration of the difference was not significant. Observation of the two groups after 1 courses of treatment, after 2courses of treatment, and follow-up for half a year. Two groups of data with the State Administration of traditional Chinese medicine in 1994 ＂standard＂ of TCM syndrome diagnosisand treatment of cervical spondylosis efficacy assessment and ＂cervical vertigo symptoms and functional assessment scale （ESCV）＂ and ＂clinical assessment scale for cervicalspondylosis items and score standards＂ （CASCS） before and after treatment evaluation and analysis. The control group before and after treatment and control group by itself, on thestatistical analysis of the results. Results： Symptoms before and after treatment, symptom integral change： two groups of symptoms and signs, score before treatment, no significantdifference （P〉0.05）, showed that the two groups were comparable. The treatment group after 1 course of symptoms, signs and integral situation, clinical effect after 2 courses oftreatment were higher than those in the control group, there was statistically significant difference （P〈0.01）; follow-up for half a year, the relapse rate in treatment group was lowerthan that of the control group, th
出处
《中医学报》
CAS
2014年第B12期106-107,共2页
Acta Chinese Medicine
关键词
颈四针
多节段
端提法
椎动脉型
颈椎病
Cervical four needles multiple segments End of the reference vertebral artery type Cervical spondylosis
