项五针治疗椎动脉型颈椎病临床研究

目的:观察项五针治疗椎动脉型颈椎病的临床疗效。方法:将71例椎动脉型颈椎病患者随机分为观察组37例与对照组34例。观察组采用项五针;对照组采用常规取穴。分别在治疗前、治疗5次、治疗10次后应用颈性眩晕症状与功能评估表(evaluation scale for cervical vertigo,ESCV)评价症状改善情况;治疗10次后比较两组临床疗效。结果:治疗5次后两组ESCV评分较治疗前差异均有统计学意义(P0.01、P0.05)。两组治疗10次后较治疗前ESCV评分差异均有统计学意义(P0.01),两组比较,差异有统计学意义(P0.05)。观察组痊愈率为54.0%,优于对照组的23.5%,差异有统计学意义(P0.01)。结论:项五针能提高患者的ESCV评分,优于常规针刺,且具有起效快、痊愈率高、无不良反应等特点。

Clinical Study on Five-neck Needle Treatment of Vertebral-artery Type Cervical Spondylosis

Objective:To observe the clinical efficacy of Five-neck needle therapy in treatment of vertebral artery type Cervical spondylosis.Methods:A total of 71 patients with vertebral artery type cervical spondylosis were randomly divided into Five-neck needle group (n =37) and control group (n =34).The observation group was treated with Five-neck needle therapy and the control group was treated with conventional acupuncture in acupoints.The evaluation scale for cervical vertigo (ESCV) before treatment,5 times treatment and 10 times after treatment was applied to make the efficacy evaluation.Results:The ESCV scores of the two groups after 5 times treatment were statistically different from that before treatment (P ＜ 0.01,P ＜ 0.05).The ESCV scores of the both groups after 10 times treatment were statistically different from that before treatment(P ＜ 0.01).There were significant differences between the ESCV scores of the two groups (P ＜ 0.05).The cure rate of the Five-neck needle group was 54.0％,which was better than that (23.5 ％) of the conventional acupuncture group (P ＜ 0.01).Conclusion:The five-neck needle therapy is significantly better than the conventional acupuncture group in treatment of vertebral artery type Cervical spondylosis,with the characteristics of being effective,high cure rate and no adverse reactions.