中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
49期
86-87
,共2页
穴位注射%电针%椎动脉型颈椎病%随机对照观察
穴位註射%電針%椎動脈型頸椎病%隨機對照觀察
혈위주사%전침%추동맥형경추병%수궤대조관찰
acupoint injection%electro-acupuncture%cervical spondylosis of vertebral artery type randomized%control ed observation
目的：比较穴位注射和电针综合治疗椎动脉型颈椎病的疗效。方法将96例患者随机分为二组，观察组48例，采用香丹、当归、祖师麻注射液配骨肽、维生素B12注射液，分别注入风池穴（双）、风府穴、新设穴（双）、颈椎C2/C3、C3/C4、C4/C5椎间隙和颈部夹脊阿是穴，每次取4-6穴，每穴注入1.5-3ml，再配合牵引、手法复法，中药离子导入等综合疗法，隔日一次，10次一疗程；对照组48例，采用电针疗法，每次20-30分钟，取穴和综合疗法、疗程同观察组。结果观察组近愈21例，近愈率44%，总有效47例，总有效率98%；对照组近愈10例，近愈率21%，总有效38例，总有效率79%，两组疗效对比，经统计学处理P＞0.05，疗效有非常显著的差异。结论椎动脉型颈椎病临床难以治疗且易复发，穴位注射为主综合治疗的方法疗效优于电针为主综合治疗的方法，值得进一步研究。
目的：比較穴位註射和電針綜閤治療椎動脈型頸椎病的療效。方法將96例患者隨機分為二組，觀察組48例，採用香丹、噹歸、祖師痳註射液配骨肽、維生素B12註射液，分彆註入風池穴（雙）、風府穴、新設穴（雙）、頸椎C2/C3、C3/C4、C4/C5椎間隙和頸部夾脊阿是穴，每次取4-6穴，每穴註入1.5-3ml，再配閤牽引、手法複法，中藥離子導入等綜閤療法，隔日一次，10次一療程；對照組48例，採用電針療法，每次20-30分鐘，取穴和綜閤療法、療程同觀察組。結果觀察組近愈21例，近愈率44%，總有效47例，總有效率98%；對照組近愈10例，近愈率21%，總有效38例，總有效率79%，兩組療效對比，經統計學處理P＞0.05，療效有非常顯著的差異。結論椎動脈型頸椎病臨床難以治療且易複髮，穴位註射為主綜閤治療的方法療效優于電針為主綜閤治療的方法，值得進一步研究。
목적：비교혈위주사화전침종합치료추동맥형경추병적료효。방법장96례환자수궤분위이조，관찰조48례，채용향단、당귀、조사마주사액배골태、유생소B12주사액，분별주입풍지혈（쌍）、풍부혈、신설혈（쌍）、경추C2/C3、C3/C4、C4/C5추간극화경부협척아시혈，매차취4-6혈，매혈주입1.5-3ml，재배합견인、수법복법，중약리자도입등종합요법，격일일차，10차일료정；대조조48례，채용전침요법，매차20-30분종，취혈화종합요법、료정동관찰조。결과관찰조근유21례，근유솔44%，총유효47례，총유효솔98%；대조조근유10례，근유솔21%，총유효38례，총유효솔79%，량조료효대비，경통계학처리P＞0.05，료효유비상현저적차이。결론추동맥형경추병림상난이치료차역복발，혈위주사위주종합치료적방법료효우우전침위주종합치료적방법，치득진일보연구。
Objective To compare the therapeutic effects on cervical spondylosis of vertebral artery type through acupoint injection and comprehensive therapies of electro acupuncture. Methods 96 cases were randomly divided into observation group and control group, 48 cases for each group. The combination of Xiangdan, Angelica, Zushima injection and Ossotide, vitamin B12 injection were adopted and injected into Fengchi (double), Fengfu, Novosti points(double), intervertebral space C2/C3, C3/C4, C4/C5 of the cervical vertebrae and Cervical spinal Ashi respectively for the observation group, each time taking 4-6 acupoint points and injecting 1.5-3ml per point, with other comprehensive therapy of traction, manipulation complex method, iontophoresis of Chinese herbal medicine and etc. This treatment is applied every other day and ten times account for one course of treatment. The other 48 cases in the control group used electro-acupuncture therapy, which takes 20-30 minutes each time, the process of acupoints and combination therapy is similar to the observation group. Results In the observation group, 21 people were almost cured and the cure rate was 44%,47 people had effective treatment and the total effective rate was 98%. In the control group, 10 people were almost cured and the cure rate was 21%, 38 people had effective treatment and the total effective rate was 79%. The difference of curative effect between these two treatments was statistical y significant (P>0.05). Conclusion Cervical spondylosis of vertebral artery type is intractable and easy to relapse. The efficacy of comprehensive acupoint-injection-based treatment is superior to that of the combined treatment of electro-acupuncture approach, which deserves further study.
