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针药配合龙氏手法治疗椎动脉型颈椎病的多中心疗效观察
引用本文:尹伦辉,沈彤,章瑛,段俊峰,袁健强,李世刚,缪保红,陈洁.针药配合龙氏手法治疗椎动脉型颈椎病的多中心疗效观察[J].中国临床保健杂志,2010,13(1):23-26.
作者姓名:尹伦辉  沈彤  章瑛  段俊峰  袁健强  李世刚  缪保红  陈洁
作者单位:1. 广州医学院第一附属医院康复科,广州,510120
2. 广州军区广州总医院
3. 广州荔港国医馆
4. 南方医科大学附属南海医院
5. 中国海员广州疗养院
基金项目:广东省中医药管理局立项课题(2060162)
摘    要:目的探讨铍针、温通膏配合龙氏手法综合方案治疗椎动脉型颈椎病(CSA)的临床价值。方法采用三中心、单盲、随机、对照研究方法,将168例合格受试者随机纳入铍针、温通膏配合龙氏手法综合治疗组56例、针刺组56例、龙氏手法组56例进行治疗,对多项评价指标及安全性进行评价。结果(1)综合治疗组总有效率96.4%,针刺组85.8%,龙氏手法组89.3%,综合组疗效优于其余两组的疗效(P<0.05);(2)治疗后3组颈性眩晕症状及功能总积分均升高(均P<0.01),综合组积分升高程度优于其余两组(均P<0.01);(3)综合组在纠正颈椎失稳方面优于两对照组(均P<0.05);(4)治疗后3组椎动脉血流速度(Vp、Vm、Vd)均较治疗前明显改善,综合组比其他两组改善更明显,均P<0.05;(5)在本研究中未发现所采用治疗方法的不良反应。结论铍针、温通膏配合龙氏手法综合疗法可有效治疗CSA,综合疗法较之单纯采用针刺疗法或龙氏手法具有优势。

关 键 词:颈椎病  推拿  脊柱  针药并用

Multicenter Observation on Curative Effect of Pi-Zhen Combined with Massage Ointment and Long shi Manipulation
YIN Lun-hui,SHEN Tong,ZHANG Ying,DUAN Jun-feng,YUAN Jian-qiang,LI Shi-gang,MIU Bao-hong,CHEN Jie.Multicenter Observation on Curative Effect of Pi-Zhen Combined with Massage Ointment and Long shi Manipulation[J].Chinese JOurnal of Clinical Healthcare,2010,13(1):23-26.
Authors:YIN Lun-hui  SHEN Tong  ZHANG Ying  DUAN Jun-feng  YUAN Jian-qiang  LI Shi-gang  MIU Bao-hong  CHEN Jie
Institution:1.Department of Rehabilitation/a>;the First Affiliated Hospital of Guangzhou Medical College/a>;Guangzhou 510120/a>;China.2.General Hospital of Guangzhou Military Command of Chinese PLA.3.Guangzhou Traditional Chinese Medical Clinic of Li Gang.4.Nanhai People's Hospital Affiliated to Southern Medical University.5.Guangzhou Sanatorium of Chinese Seaman
Abstract:Objective To investigate clinical value of pi-zhen combined with massage ointment and Long shi manipulation comprehensive program for treatment of cervical spondylosis of arterial type(CSA).Methods By using three-center,single-blind,randomized,controlled method,186 eligible subjects were randomly divided into a pi-zhen combined with massage ointment and Long shi manipulation comprehensive program group,an acupuncture group,a Long shi manipulation group with 56 cases in each group and were treated.Multiple-d...
Keywords:Cervical spondylosis  Manipulation  spinal  Acupuncture medication combined  
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