通络醒脑针法联合砭石治疗椎动脉型颈椎病58例临床观察被引量：11

Clinical Observation on Dredging Collaterals and Restoring Consciousness Acupuncture Method Combined with Stone Needle in Treating 58 Cases of Cervical Spondylosis of Vertebral Artery Type

原文传递

导出

摘要目的评价通络醒脑针法联合砭石治疗椎动脉型颈椎病的临床疗效。方法收集椎动脉型颈椎病患者173例,随机分成针砭组58例、针刺组58例与对照组57例。对照组使用常规针刺治疗,取穴风池（双）、百会、列缺（双）、夹脊穴（患侧）,得气后留针30 min。针砭组予通络醒脑针法联合砭石治疗,针刺主穴为风府、大椎及双侧风池、天柱、肩井,行提插捻转泻法10 s,并根据症状及体征配用董氏奇穴,得气后留针30 min;在此基础上运用鱼形多功能砭板点揉百劳、大杼、肩井、颈夹脊、疼痛局部,每次治疗20-30 min。针刺组仅予通络醒脑针法治疗。各组均每日治疗1次,连续治疗5次休息2天,10次为1疗程,治疗2个疗程。治疗前后比较各组患者眩晕、疼痛、恶心呕吐、椎旁压痛点以及旋颈试验得分变化,并观察临床疗效。结果针砭组临床疗效总有效率为84.48%,针刺组的总有效率为79.31%,两组均显著高于对照组的66.67%,差异有统计学意义（P〈0.05）;针砭组与针刺组临床疗效比较,差异无统计学意义（P〉0.05）。治疗后针砭组与针刺组各症状、体征单项积分及总积分均较治疗前显著改善（P〈0.01）。治疗后针砭组眩晕、头痛、恶心呕吐单项积分及总积分显著低于对照组（P〈0.05或P〈0.01）,针砭组的椎旁压痛点单项积分与总积分显著低于针刺组（P〈0.05）。结论通络醒脑针法联合砭石治疗椎动脉型颈椎病患者疗效显著,能较好地改善其临床症状。 Objective To evaluate the clinical effect of dredging collaterals and restoring consciousness acupuncture method combined with stone needle treating cervical spondylosis of vertebral artery type（ CSA）. Methods Collected 173 CSA patients,who were randomized into acupuncture and stone needle group（ 58 cases）,acupuncture group（ 58 cases） and the control group（ 57 cases）. The control group was given common acupuncture treatment,bilateral Fengchi（ GB20）,Baihui（ DU20）,bilateral Lieque（ LU7） and paravertebral points of affected side were selected. Retain needles for 30 min after developing needle sensation. Acupuncture and stone needle group was given dredging collaterals and restoring consciousness acupuncture method combined with stone needle. Main points were Fengfu（ DU16）,Dazhui（ DU14）,bilateral Fengchi（ GB20）,bilateral Tianzhu（ BL10） and bilateral Jianjing（ GB21）. Twirl,lift and thrust for 10 using catharsis method. Add Dong＇s extra acupoints according to symptoms and signs. Retain needles for 30 min after developing needle sensation. Based on acupuncture,press and knead Bailao（ EX-HN15）,Dazhu（ BL11）,Jianjing（ GB21）,cervical paravertebral points and painful part adopting pisciform multifunctional needle stone plate. Treat for 20- 30 min each time. Acupuncture group was given dredging collaterals and restoring consciousness acupuncture method treatment only. All groups were treated once each day. There was a2-day break after treating continuously for 5 times. One course included 10 times and treated for 2 courses. Compare the changes of patients＇ vertigo,pain,nausea,vomiting,paravertebral tender points and revolve-cervix test score in each group before and after treatment. Observe the clinical effect. Results Total effective rate in acupuncture and stone needle group was 84. 48%,acupuncture group 79. 31%. Both were obviously higher than 66. 67% in the control group（ P〈 0. 05）. The clinical effect in acupuncture and stone needle group and acupunctu