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范少挺 《新中医》2016,48(2):88-90
目的:观察独取阳明经穴并采用温针治疗前斜角肌综合征的临床疗效。方法:选取60例前斜角肌综合征的患者,随机分为2组,每组各30例。治疗组选取手、足阳明经的足三里、天枢、肩髃、手三里穴位,采取温针治疗。对照组采取颈椎电动牵引加局部封闭治疗。封闭共治疗2次,余2组均隔天治疗1次,治疗7次为1疗程,2疗程后观察疗效。结果:2组治疗后疼痛视觉模拟评分法(VAS)评分分别与治疗前比较,差异有统计学意义(P0.01),2组治疗后VAS评分比较,差异有统计学意义(P0.05)。2组临床疗效情况比较,治愈率及总有效率治疗组40.0%、83.3%;对照组3.3%、43.3%,2组治愈率及总有效率分别比较,差异均有统计学意义(P0.01,P0.05)。结论:温针配合阳明经取穴治疗前斜角肌综合征的疗效确切,且优于颈椎牵引加局部封闭治疗的对照组。  相似文献   
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Objective

To observe the curative effect of cervical chiropractic for cervical spondylosis of vertebral artery type (CSA) and to explore its possible mechanism.

Methods

Sixty CSA patients were randomly divided into two groups. Thirty patients in the treatment group were treated with chiropractic manipulation for cervical vertebrae, once every other day, 7 treatments in total. The other 30 patients in the control group received oral administration of flunarizine hydrochloride, 10 mg per night, for 14 d. Cervical vertigo and functional assessment scale and transcranial cerebral Doppler (TCD) were measured before treatment and 7 days after treatment.

Results

The total effective rate was 96.7% in the treatment group and 83.3% in the control group. The curative rate was 66.7% in the treatment group and 20% in the control group. The differences between the two groups in the total effective rate and the curative rate were statistically significant (both P<0.05). The scores of cervical vertigo symptom and functional assessment after treatment in both groups were significantly higher than those before treatment (both P<0.01); the difference between the two groups was statistically significant (P<0.05). After treatment, the maximum systolic velocity (Vs), the maximum diastolic velocity (Vd), the mean velocity (Vm), the pulsatility index (PI) and the vascular resistance index (RI) in both groups were significantly improved compared with those before the treatment (all P<0.01); there were significant differences between the two groups (all P<0.05).

Conclusion

Cervical chiropractic is an effective method for CSA, and its curative effect is better than that of flunarizine hydrochloride alone. Its mechanism may relate to correcting cervical instability.
  相似文献   
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目的:探讨瞬时电针刺激联合地黄饮子对恢复期脑梗死患者的临床疗效及神经、运动功能重建的影响。方法:选择某院针灸推拿科2015年10月~2018年10月间收治的恢复期脑梗死住院患者82例,随机分为对照组和观察组各42例,所有患者均给予管理血压、脑保护剂、改善患者脑血循环、抗血小板聚集等基础性治疗。对照组采用物理治疗及作业治疗,观察组在对照组基础上给予瞬时电针刺激联合地黄饮子治疗,比较两组治疗前、治疗4、8周后神经功能缺损程度、肢体运动功能、日常生活能力及临床疗效。结果:治疗前,两组NIHSS评分、FMA评分、Barthel指数情况比较,差异无统计学意义(P0.05);治疗4、8周后,两组NIHSS评分均降低,FMA评分、Barthel指数均升高(P0.05);观察组治疗4、8周后,NIHSS评分均低于对照组,FMA评分、Barthel指数均高于对照组(P0.05);观察组总有效率95.24%明显高于对照组78.57%(P0.05)。结论:应用瞬时电针刺激联合地黄饮子可显著改善恢复期脑梗死患者神经、运动功能,提高日常生活能力,临床疗效确切,可应用推广。  相似文献   
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