刃针结合推拿手法治疗椎动脉型颈椎病临床研究
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R681.5+3

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清远市科技计划项目(2013 81004)


Clinical Study of Edge Needle Combined with Tuina for Cervical Spondylosis of Vertebral Artery Type
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    摘要:

    目的:观察刃针结合推拿手法治疗椎动脉型颈椎病(CSA)的临床疗效。方法:将70例CSA患者随机分为2组各35例。治疗组采用刃针结合推拿手法治疗;对照组采用常规针刺结合推拿治疗。观察2组临床疗效及治疗前后颈性眩晕症状与功能评估量表、体征、DR检查变化、治疗期间的不良反应情况。结果:共脱落2例,2组均纳入统计34例。愈显率治疗组79.4%,明显高于对照组55.9%,差异有统计学意义(P<0.05),治疗组优于对照组。治疗后,2组颈性眩晕症状与功能均能得到明显改善,前后比较,差异均有统计学意义(P<0.01);且治疗组优于对照组(P<0.01);治疗组头部旋颈试验改善率与对照组比较,差异有统计学意义(P<0.01);治疗组生理曲度异常方面改善率优于对照组,差异有统计学意义(P<0.05);但2组在椎间隙狭窄、椎体失稳方面改善率比较,差异均无统计学意义(P<0.05)。治疗组总体治疗时间较对照组短,差异有统计学意义(P<0.01)。2组治疗过程中均未出现明显的刃针、针刺推拿不良反应情况。结论:与临床常用的针刺结合推拿方法治疗CSA相比,刃针结合推拿治疗能有效提高临床治疗效果,值得在临床上使用。

    Abstract:

    Objective: To observe the clinical effect of edge needle combined with Tuina for cervical spondylosis of vertebral artery type(CSA).Methods:Divided 70 cases of patients with CSA into two groups randomly,35 cases in each group.The treatment group received edge needle combined with Tuina for treatment,while the control group received routine acupuncture combined with Tuina for treatment.Observed the clinical effect of two groups,cervical vertigo symptoms and functional assessment scale, physical sign,changes of DR inspection, and adverse reactions during treatment in two groups.Results:A total of 2 cases off,34 cases were included in the statistics of two groups.The good improvement rate was 79.4%in the treatment group,being evidently higher than 55.9%in the control group,difference being significant(P<0.05).The treatment group was better than the control group.After treatment,cervical vertigo symptoms and functions in two groups were all improved obviously,comparing them with those before and after treatment,differences being significant(P<0.01).The treatment group was better than the control group(P<0.01).Comparing the improvement rate of head spin-neck test in the treatment group with that in the control group,difference was significant(P<0.01).The improvement rate of abnormal physiological curvature in the treatment group was better than that in the control group,difference being significant(P<0.05).But there were no significant differences being found in the comparisons of the improvement rates of intervertebral space stenosis and vertebral instability(P<0.05).Overall treatment time in the treatment group was shorter than that in the control group,difference being significant(P<0.01).There were no obvious adverse reactions of edge needle,acupuncture,and Tuina being found during the treatment.Conclusion:Comparing with the commonly used acupuncture combined with Tuina in treating CSA,the therapy of edge needle combined with Tuina can effectively improve the clinical effect and worthesbeing applied clinically.

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倪刚,毛世洲,陈庆亮,李传健.刃针结合推拿手法治疗椎动脉型颈椎病临床研究[J].新中医,2018,50(5):169-173

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  • 在线发布日期: 2018-05-03
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