刃针松解配合传统针刺治疗颈性眩晕的解剖学与经穴关联性分析
Anatomical analysis and correlation on treating cervical vertigo by acumicroprobe loose solution combined with traditional Chinese acupuncture
目的 观察刃针松解配合传统针刺治疗颈性眩晕的临床疗效。 方法 100例颈性眩晕患者随机分为观察组与对照组,每组各50例。对照组单纯给予刃针松解治疗,观察组在刃针松解治疗的基础上加用传统毫针针刺疗法,分别观察治疗前及治疗2周后两组的视觉模拟评分(VAS评分)及临床显效率。 结果 观察组和对照组治疗后的VAS评分[(2.14±0.83)、(3.78±1.30)]均较治疗前[(7.17±2.83)、(7.25±2.48)]减少,差异有显著性(P<0.05);治疗后两组VAS评分比较,差异有显著性(P<0.05)。观察组与对照组显效率(72%与56%)比较,差异有显著性(P<0.05)。 结论 刃针松解配合传统针刺治疗颈性眩晕较单纯刃针松解疗效显著,值得临床推广应用。
Objective To observe efficacy of acumicroprobe loose solution combined with traditional Chinese acupuncture for cervical vertigo. Methods 100 patients with cervical vertigo were randomly divided into an observational group and a control group with 50 cases in each group. Patients in the control group were only loosened by acumicroprobe, while patients in the observational group were treated by Acumicroprobe combined with traditional Chinese acupuncture. Visual analogue scales and effective rates were observed before and two weeks after treatment in two groups. Results The scores of visual analogue scale (VAS) after treatment in observational group and control group [(2.14±0.83)、(3.78±1.30)] were decreased compared with those before treatment[(7.17±2.83)、(7.25±2.48)],the differences were statistically significant(P<0.05); There was a statistically significant difference of VAS scores after treatment between the two groups(P<0.05). The effective rate of the observational group and control group was 72% and 56% respectively, and the difference was statistically significant(P<0.05). Conclusion Acumicroprobe loose solution combined with traditional Chinese acupuncture can gain the apparent better efficacy on cervical vertigo in comparison with the simple acumicroprobe loose solution, making it worthy of clinical popularization and application.
[1] 房连强,谭朝坚,李霞,等.刃针治疗寰枢关节紊乱所致颈性眩晕临床研究[J].安徽中医学院学报,2013,32(2):50-53.
[2] 罗英麟.刃针疗法配合短杠杆微调手法治疗颈性眩晕[J].内蒙古中医药,2013,(10):59.
[3] 何振荣,赵亮.椎动脉型颈椎病的影像学观察及临床意义[J].中国临床解剖学杂志,2010,28(4):417-420.
[4] 中华医学会神经病学分会,中华神经科杂志编辑委员会.眩晕诊治专家共识[J].中华神经科杂志,2010,43(5):369-374.
[5] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:186.
[6] 乔红,张雷,唐鸣岐,等.颈椎微调复位治疗颈性眩晕临床观察[J].中西医结合心脑血管病杂志,2013,11(6):705-706.
[7] 江旭,任燕.脊柱微调手法配合雷火灸治疗颈性眩晕临床观察[J].中国中医急症,2013,22(5):795-796.
[8] 孙希化.椎动脉型颈椎病的应用解剖学特点[J].中国老年学杂志,2012,32(17):3661-3663.
[9] 陈晶,朱娜,李小茜,等.彩色多普勒超声对椎动脉型颈椎病结构血液动力学分析[J].中国临床医学影像杂志,2012,23(11):807-809.
[10]王非,张京兰,潘微.针刺四神聪穴为主对颈性眩晕患者中医证候量表评分的评价[J].时珍国医国药,2015,26(6):1426-1427.
[11]许永良.推拿配合温针灸治疗颈性眩晕82例临床观察[J].浙江中医杂志,2014,49(5):360.
[12]何生华,冷静,唐晓风.穴位注射配合微调手法对颈性眩晕患者椎动脉血流动力学的影响[J].中国中西医结合影像学杂志,2012,10(2):136-137.
[13]王慧敏,曾浩彬,陈文治,等.刃针松解术治疗颈性眩晕[J].广东医学,2012,33(3):366-368.
[14]江淑红,祝明浩,韩杰,等. 针刀闭合性松解术联合手法治疗颈性眩晕的临床疗效及对椎-基底动脉血流速度的影响[J].针灸临床杂志,2015,31(3):8-11.
[15]唐占英,胡志俊,肖静,等.针刀松解枕下肌群治疗颈性眩晕的临床随机对照观察[J].上海中医药杂志,2015,49(1):41-43.
[16]吕良德,赵卫华,吴慧琴.推拿手法松解软组织治疗颈性眩晕36例[J].陕西中医,2011,32(4):442-444.
[17]姜布平,赵爱英.毫针、刃针联合治疗颈性眩晕800例[J].辽宁中医杂志,2013,40(11):2347-2348.
[18]李霞,房连强,李里,等.以肩胛提肌起止点为刃针作用靶点治疗颈性眩晕的临床观察[J].针灸临床杂志,2013,29(11):27-29.
[19]吴红英,罗仁浩,黄学军.针灸中药结合治疗颈源性眩晕疗效观察[J].世界中医药,2015,(10):71.
[20]邵义泽,王会民,赵文莉.中西医结合优化治疗眩晕症的临床观察[J].中草药,2014,45(7):982-984.
广西壮族自治区科技攻关计划项目(桂科攻0632007-2D)
/
〈 |
|
〉 |