Objective： To observe the clinical effect of liver-regulating and blood-tonifying acupuncture in the treatment of cervical spondylosis of vertebral artery type. Methods： A total of 60 cases meeting the inclusion cri...Objective： To observe the clinical effect of liver-regulating and blood-tonifying acupuncture in the treatment of cervical spondylosis of vertebral artery type. Methods： A total of 60 cases meeting the inclusion criteria were randomized into an observation group and a control group, 30 cases in each group. Cases in the observation group received liver-regulating and blood-tonifying acupuncture, in which Jiaji （EX-B 2） points of C3_C7, Ganshu （BL 18） and Geshu （BL 17） were used; cases in the control group received routine acupuncture treatment in which jiaji （EX-B2） points of C3.C7 were used. Both groups received 5 times of treatment in a week with a 2-day rest, symptoms evaluation was done after 4 weeks of treatment, and then therapeutical effect was evaluated. Results： The total effective rate was 90.0% in the observation group, 73.3% in the control group, and inter-group comparison showed a statistical significance （P〈0.05）. After treatment, the symptoms and signs scores in both groups all substantially dropped, showing statistical significances （both P〈0.05）; inter-group comparison showed that the improvements in subscales of dizziness, pressing pain along vertebrae and revolve-cervix test in the observation group were superior than those in the control group, showing statistical significances （all P〈0.05）, while the inter-group comparisons of subscales of headache and vomiting and nause didn＇t show any statistical significances after treatment （both P〉0.05）. Conclusion： Liver-regulating and blood-tonifying acupuncture is effective in treating cervical spondylosis of vertebral artery type, and it can significantly improve patients＇ symptoms and signs.展开更多
Clinical studies have found that patients withcervical degenerative disease are usually accompanied by dizziness.Anterior cervical surgery can eliminate not only chronic neck pain,cervical radiculopathy or myelopathy,...Clinical studies have found that patients withcervical degenerative disease are usually accompanied by dizziness.Anterior cervical surgery can eliminate not only chronic neck pain,cervical radiculopathy or myelopathy,but also dizziness.Immunohistochemical studies show that a large number of mechanoreceptors,especially Ruffini corpuscles,are present in degenerated cervical discs.The available evidence suggests a key role of Ruffini corpuscles in the pathogenesis of dizziness caused by cervical degenerative disease(i.e.cervical discogenic dizziness).Disc degeneration is characterized by an elevation of inflammatory cytokines,which stimulates the mechanoreceptors in degenerated discs and results in peripheral sensitization.Abnormal cervical proprioceptive inputs from the mechanoreceptors are transmitted to the central nervous system,resulting in sensory mismatches with vestibular and visual information and leads to dizziness.In addition,neck pain caused by cervical disc degeneration can play a key role in cervical discogenic dizziness by increasing the sensitivity of muscle spindles.Like cervical discogenic pain,the diagnosis of cervical discogenic dizziness can be challenging and can be made only after other potential causes of dizziness have been ruled out.Conservative treatment is effective for the majority of patients.Existing basic and clinical studies have shown that cervical intervertebral disc degeneration can lead to dizziness.展开更多
【目的】研究椎动脉型颈椎病患者头晕症状评分（score of vertigo，SOV）和椎旁关节囊压痛评分（visual analogue scale of cervical spinal joints theca，VASJT）之间的关系，为椎动型颈椎病治疗提供新方法。【方法】选择2007年10月至...【目的】研究椎动脉型颈椎病患者头晕症状评分（score of vertigo，SOV）和椎旁关节囊压痛评分（visual analogue scale of cervical spinal joints theca，VASJT）之间的关系，为椎动型颈椎病治疗提供新方法。【方法】选择2007年10月至2008年2月42例椎动脉型颈椎病系列样本，应用头晕量表测量患者SOV，定量触诊确定椎旁关节压痛（VASJT）评分。将该系列样本随机分为两组，对照组川芎嗪120mg静脉滴注，每日1次共14d，生理盐水2mL椎旁关节囊压痛点“封闭”，每周1次，共2次。试验组川芎嗪120mg静脉滴注，每日1次共14d，复方倍他米松1mL加生理盐水1mL椎旁关节囊压痛点封闭，每周1次，共2次。用SPSS11．oR件分析治疗前后两组间SOV和VASJT差异，治疗前后SOV差值和VAsJT差值之间的相关性。【结果】系列样本SOV与VASJT相关系数为-0．884（f=143．168，P〈0．001）。治疗前两组间基线资料平稳，治疗后试验组SOV=29．10±5．15，对照组SOV=25．64±4．92，差异显著（t=2．228，P〈0．05）。治疗后实验组VASJT=9．15±6．58，对照组VASJT=13．55±7．39，差异显著（t=2．027，P〈0．05）。治疗前后SoV差值与VASJT差值之间的相关系数为-0．777（f=60．86，P〈0．001）。【结论】椎动脉型颈椎病患者SOV与VASJT间相关性显著，治疗中附加针对关节囊肿胀的治疗措施，能更好地改善椎动脉型颈椎病的临床症状。展开更多
基金supported by Research and Development Project of Region Public Institution in Science and Technology Plan of Nanshan District of Shenzhen, No. 2015052~~
文摘Objective： To observe the clinical effect of liver-regulating and blood-tonifying acupuncture in the treatment of cervical spondylosis of vertebral artery type. Methods： A total of 60 cases meeting the inclusion criteria were randomized into an observation group and a control group, 30 cases in each group. Cases in the observation group received liver-regulating and blood-tonifying acupuncture, in which Jiaji （EX-B 2） points of C3_C7, Ganshu （BL 18） and Geshu （BL 17） were used; cases in the control group received routine acupuncture treatment in which jiaji （EX-B2） points of C3.C7 were used. Both groups received 5 times of treatment in a week with a 2-day rest, symptoms evaluation was done after 4 weeks of treatment, and then therapeutical effect was evaluated. Results： The total effective rate was 90.0% in the observation group, 73.3% in the control group, and inter-group comparison showed a statistical significance （P〈0.05）. After treatment, the symptoms and signs scores in both groups all substantially dropped, showing statistical significances （both P〈0.05）; inter-group comparison showed that the improvements in subscales of dizziness, pressing pain along vertebrae and revolve-cervix test in the observation group were superior than those in the control group, showing statistical significances （all P〈0.05）, while the inter-group comparisons of subscales of headache and vomiting and nause didn＇t show any statistical significances after treatment （both P〉0.05）. Conclusion： Liver-regulating and blood-tonifying acupuncture is effective in treating cervical spondylosis of vertebral artery type, and it can significantly improve patients＇ symptoms and signs.
文摘Clinical studies have found that patients withcervical degenerative disease are usually accompanied by dizziness.Anterior cervical surgery can eliminate not only chronic neck pain,cervical radiculopathy or myelopathy,but also dizziness.Immunohistochemical studies show that a large number of mechanoreceptors,especially Ruffini corpuscles,are present in degenerated cervical discs.The available evidence suggests a key role of Ruffini corpuscles in the pathogenesis of dizziness caused by cervical degenerative disease(i.e.cervical discogenic dizziness).Disc degeneration is characterized by an elevation of inflammatory cytokines,which stimulates the mechanoreceptors in degenerated discs and results in peripheral sensitization.Abnormal cervical proprioceptive inputs from the mechanoreceptors are transmitted to the central nervous system,resulting in sensory mismatches with vestibular and visual information and leads to dizziness.In addition,neck pain caused by cervical disc degeneration can play a key role in cervical discogenic dizziness by increasing the sensitivity of muscle spindles.Like cervical discogenic pain,the diagnosis of cervical discogenic dizziness can be challenging and can be made only after other potential causes of dizziness have been ruled out.Conservative treatment is effective for the majority of patients.Existing basic and clinical studies have shown that cervical intervertebral disc degeneration can lead to dizziness.
文摘【目的】研究椎动脉型颈椎病患者头晕症状评分（score of vertigo，SOV）和椎旁关节囊压痛评分（visual analogue scale of cervical spinal joints theca，VASJT）之间的关系，为椎动型颈椎病治疗提供新方法。【方法】选择2007年10月至2008年2月42例椎动脉型颈椎病系列样本，应用头晕量表测量患者SOV，定量触诊确定椎旁关节压痛（VASJT）评分。将该系列样本随机分为两组，对照组川芎嗪120mg静脉滴注，每日1次共14d，生理盐水2mL椎旁关节囊压痛点“封闭”，每周1次，共2次。试验组川芎嗪120mg静脉滴注，每日1次共14d，复方倍他米松1mL加生理盐水1mL椎旁关节囊压痛点封闭，每周1次，共2次。用SPSS11．oR件分析治疗前后两组间SOV和VASJT差异，治疗前后SOV差值和VAsJT差值之间的相关性。【结果】系列样本SOV与VASJT相关系数为-0．884（f=143．168，P〈0．001）。治疗前两组间基线资料平稳，治疗后试验组SOV=29．10±5．15，对照组SOV=25．64±4．92，差异显著（t=2．228，P〈0．05）。治疗后实验组VASJT=9．15±6．58，对照组VASJT=13．55±7．39，差异显著（t=2．027，P〈0．05）。治疗前后SoV差值与VASJT差值之间的相关系数为-0．777（f=60．86，P〈0．001）。【结论】椎动脉型颈椎病患者SOV与VASJT间相关性显著，治疗中附加针对关节囊肿胀的治疗措施，能更好地改善椎动脉型颈椎病的临床症状。
