推拿手法治疗椎动脉型颈椎病的临床观察

笔者采用穴位点压配合颈椎拔伸法、扳法治疗椎动脉型颈椎病（CSA）取得了良好的治疗效果，现将治疗心得介绍如下。 一般资料 本组患者48例，其中男性26例，女性22例；年龄25～62岁；病程2个月～9年。     

手法复位推拿治疗对椎动脉型颈椎病患者血流动力学的影响

目的:探讨手法复位推拿治疗对椎动脉型颈椎病(CSA)血流动力学的影响.方法:将CSA患者240例随机分为两组,治疗组给予手法复位推拿,对照组点滴丹参粉针治疗,观察患者治疗前后眩晕、恶心呕吐、头痛和经颅多普勒(TCD)变化.结果:治疗组治疗后眩晕、恶心呕吐、头痛计分与治疗前比较,差异均有统计学意义(P<0.01),而对照...     

推拿手法治疗椎动脉型颈椎病的研究进展

椎动脉型颈椎病(cervical spondylotic vertebral artefiopa-thy.CSA)指的是由于颈椎的病变引起椎动脉血流障碍而导致脑供血不全,临床上出现以眩晕等为主要症状的一系列症候群。本病好发于中老年人,且男性患者多于女性,随着人口老龄化的来临及社会生活节奏的加快,其发病率呈显著增高趋势,已成为影响人们生活质量和工作效率的常见疾病。CSA发     

推拿手法治疗椎动脉型颈椎病

椎动脉型颈椎病属于中医痹证的范畴，多发于40岁以上的中老年人，采用推拿手法治疗该型颈椎病156例，效果满意，报告如下：     

推拿治疗椎动脉型颈椎病

椎动脉型颈椎病在颈椎病中发病率仅次于神经根型颈椎病,40～60岁为高发年龄。临床以头痛头晕、颈部后伸或侧弯时眩晕加重,并伴有恶心、呕吐、耳鸣、视物模糊,甚至猝倒等,是常见病、多发病。笔者采用推拿治疗该病106例,取得满意疗效,现报道如下。     

正骨推拿配合穴位注射治疗椎动脉型颈椎病疗效观察

椎动脉型颈椎病是临床常见病、多发病,自2001年来,笔者采用正骨推拿配合穴位注射方法治疗此病患者65例,疗效满意,现报道如下.     

中医针灸联合推拿手法治疗椎动脉型颈椎病临床疗效

目的:观察中医针灸联合推拿手法治疗椎动脉型颈椎病的临床疗效.方法:选取2018年5月—2019年4月我院收治的90例椎动脉型颈椎病患者作为研究对象,以所用中医治疗手法分为两组,各45例.对照组采用中医针灸治疗,实验组采用针灸联合推拿治疗,观察两组疗效及血流动力学.结果:①实验组治疗总有效率显著高于对照组(P<0.05)...     

推拿及手法牵引治疗椎动脉型颈椎病152例

椎动脉型颈椎病是临床中比较常见的疾病 ,笔者于 1995年～ 2 0 0 0年期间 ,运用推拿及手法牵引治疗此病 15 2例 ,疗效比较满意 ,现报道如下。1　临床资料本组 15 2例 ,男 62例 ,女 90例 ;年龄 2 7岁～ 68岁 ,平均 47岁 ;病程 15ｄ～ 2浕 ,平均 82ｄ ;持续性眩晕 5 6例 ,一过性眩晕 96例 ;全部病例均有不同程度头痛、头胀、恶心 ,旋颈试验阳性 ;颈椎Ｘ线片示 :15 2例均有不同程度的钩椎关节增生 ,116例Ｃ5-6,Ｃ6-7椎间隙窄 ,12 0例颈椎生理曲度消失、反弓 ,73例颈韧带有不同程度的钙化 ,3 6例环枢椎间隙不对称 ,ＣＴ或ＭＲＩ检查有 18例颈椎…     

穴位注射配合手法治疗椎动脉型颈椎病120例

从1997年8月以来,笔者在临床上应用穴位注射配合手法治疗椎动脉型颈椎病120例,取得了较好的效果,现介绍如下。1 临床资料 由于椎动脉型颈椎病的诊断目前存在着较大的争议,本组病例参照《中华人民共和国中医药行业标准》“中医病证诊断疗效标准”及1992年10月在青岛举行的“第二届颈椎病专题座谈会”所确立的“椎动脉型颈椎病诊断疗效标准”。本组120例,其     

椎动脉型颈椎病的推拿治疗

颈椎病是一种缓慢进展的退行性骨质疾病，而椎动脉型颈椎病又是各型颈椎病中表现最复杂的类型。笔者从上世纪九十年代起，经过不断的探索，应运推拿手法治疗本病取得了一定的疗效。     

牵引推拿治疗椎动脉型颈椎病的血液流变学观察

为了解椎动脉型颈椎病患者的血液流变学变化,将42例正常人及45例椎动脉型颈椎病患者的晨起空腹静脉血作比较,再在牵引推拿治疗前后抽取45例椎动脉型颈椎病患者的晨起空腹静脉血作比较.检测全血黏度及血浆黏度、纤维蛋白原、血沉、红细胞压积、红细胞聚集指数、红细胞变形指数、红细胞电泳指数等指标,以均值±标准差(±S)表示,采用方差齐性检验及t检验进行统计学处理.结果显示椎动脉型颈椎病组全血黏度、血浆黏度、血沉、红细胞比积、纤维蛋白原皆明显高于正常对照组,P＜0.01;椎动脉型颈椎病组红细胞聚集指数、红细胞变形指数、红细胞电泳指数同正常对照组相比有显著性差异,P＜0.05;在治疗前后血沉、红细胞比积无明显差异,P＞0.05,其他诸指标皆有显著性差异.表明血液流变学异常是椎动脉型颈椎病的重要病理变化;治疗前后的病情变化同血液流变学的变化呈正相关;中医牵引推拿是治疗椎动脉型颈椎病的有效措施.     

针刺“人中”的抗休克作用及其血流动力学特点

<正> 本工作旨在观察针刺人中对失血性休克动物的失血量、死亡率、死亡时间、输液量以及一系列血流动力学指标的影响,以期阐明针刺“人中”是否具有抗休克作用,并着重观察其抗休克作用的血流动力学特点,为进一步探讨针刺的调整作用提供依据。方法实验于58只猫和39只狗上进行,雌雄不拘,随机地将动物分成针刺组与对照组。猫在乙醚麻醉下、狗在硫贲妥钠静脉麻醉下手术,术后静脉三碘季胺酚麻痹骨骼肌并人工呼吸,以便在动物清醒的情况下进行观     

OBSERVATION ON THE THERAPEUTIC EFFECT OF ACPUNCTURE COMBINED WITH MASSAGE FOR CERVICAL SPONDYLOSIS OF VERTEBRAL ARTERIAL TYPE BY USING TRANCRANIAL DOPPLYER ULTRASONOGRAPHY

Cervicalspondylosisofvertebralarterialtype(CSVAT)isacommontypeofcervicalspondylosis(CS)inclinic andismainlycharacterizedbyvertigoandheadacheduetoinsufficientbloodsupplyofthebrainstemand labyrinthwhichiscausedbyoppressionofthevertebralarteryafterdegenerati…     

椎动脉型颈椎病血浆ET、NO的变化

为验证研究椎动脉型颈椎病(CSA)与血浆ET(内皮素)、NO(一氧化氮)的相关性,探讨椎动脉型颈椎病的发病机理.选典型的椎动脉型颈椎病患者46例称CSA组,其中20例合并神经根型称CSAN组,同时设立神经根型组20例称N组,正常对照组46例,分别检测各组样本血浆ET、NO水平,同时对46例椎动脉型颈椎病患者中8例发作期作血浆ET、NO检测.结果显示8例椎动脉型颈椎病发作期血浆ET、NO水平远远高于其他各组(P＜0.05);椎动脉型颈椎病组稳定期ET亦明显高于正常对照组(P＜0.05),而NO则低于正常对照组(P＜0.05);椎动脉型颈椎病合并神经根型组血浆ET高于纯神经根型组(P＜0.05),NO水平低于纯神经根组;纯神经根型组血浆ET、NO水平与正常对照组无明显差异(P＞0.05).表明椎动脉型颈椎病与血浆ET、NO明显相关性,推测血浆ET与NO可能参与了椎动脉型颈椎病的发病.     

激光针刀结合针灸治疗椎动脉型颈椎病临床研究

目的：对比激光针刀结合针灸与药物治疗椎动脉型颈椎病的临床疗效;方法：将门诊88例椎动脉型颈椎病患者以单盲法分为治疗组48例（以激光针刀结合针灸治疗）,药物对照组40例（以复方丹参静滴和西比灵口服）,治疗前两组病例经统计学分析无差异性,观察对比两组治疗效果;结果：激光针刀结合针灸治疗组治愈率60．42％,总有效率97．92％,药物对照组治愈率30％,总有效率87．5％;经统计学分析,P〈0．05,二者疗效有显著差异性。结论：激光针刀结合针灸治疗椎动脉型颈椎病疗效明显优于药物治疗组,值得临床推广。     

天葛龙牛汤治疗椎动脉型颈椎病的临床观察

为了观察中药天葛龙牛汤对椎动脉型颈椎病的临床疗效。将130例椎动脉型椎病病人随机分为治疗组，对照组2组，分别给予天葛龙牛汤及颈复康治疗。结果发现治疗组在临床疗效及症状、体征的改善方面，均优于对照组，提示天葛龙牛汤对缓解椎动脉型颈椎病的症状，体征，具有良好的临床疗效。     

颈通汤治疗椎动脉型颈椎病的临床观察

为了观察颈通汤治疗椎动脉型颈椎病的临床疗效.将150例病人随机分为治疗组90例,对照组60例,治疗组给予颈通汤,对照组给予颈复康,观察治疗前后主症的缓解程度、TCD及血液流变学改变.治疗组总有效率明显优于对照组(P＜0.05),其改善椎-基底动脉供血不足及血液流变学的效果亦优于对照组(P＜0.05).表明颈通汤是治疗椎动脉型颈椎病有效的方剂.     

卧位整脊疗法治疗椎动脉型颈椎病的临床研究

为了观察卧位整脊疗法治疗椎动脉型颈椎病的疗效 ,以证明此疗法的正确性。以采用卧位整脊疗法治疗的 134例椎动脉型颈椎病病例为观察组 ,采用传统中医推拿手法治疗 97例为对照组。对两组病人治疗前后的颈性眩晕症状与功能评估等方面进行疗效分析。结果显示卧位整脊疗法在改善颈性眩晕症状与功能方面优于对照组 (P <0 .0 5 ) ,且临床治疗过程中未见不良反应。表明卧位整脊疗法治疗椎动脉型颈椎病的设计是合理的。     

OBSERVATION ON CLINICAL THERAPEUTIC EFFECT OF MRI-AIDED ENCLOSURE NEEDLING IN THE TREATMENT OF STROKE AND ITS INFLUENCE ON BLOOD RHEOLOGY

Objective: To observe clinical therapeutic effect of magnetic resonance imaging (MRl)-aided enclosure needling in the treatment of stroke patients and changes of the related blood rheology. Methods: A total of 61stroke patients were randomized into MR I-aided enclosure needling group (MRI-aided acupuncture group) (n = 31 ) and conventional acupuncture group (n= 30). For patients of MRl-aided acupuncture group, acupuncture needles were inserted into the subcutaneous tissues around the focus-projection scalp area displayed by MRI, with the needle tips toward the center of the projection region and with two needles being about 2 crn apart, combined with other acupoints according to the concrete syndromes or symptoms. For patients of conventional acupuncture group, Motor Area (MS 6)and Sensory Area (MS 7) on the contralateral side of the focus were punctured. The treatment was conducted once daily, continuously for 30 days. Results: After treatment, of the 31 cases in MRl-aided acupuncture group, 20 werecured basically, 10 responded with significant improvement of symptoms and signs, one case had some improvement.While in conventional acupuncture group, of the 30 cases, 11 were cured basically, 15 responded with striking amelioration of symptoms and signs and 4 had some amelioration. Ridit analysis showed that the therapeutic effect of MRI-aided acupuncture group was significantly superior to that of conventional acupuncture group (P ＜ 0.05). After treatment,the whole blood viscosity, plasma viscosity, hematocrit, whole blood reduction viscosity, hemagglutination index, and the total score of the two groups all decreased significantly in comparison with those of pre-treatment of each group,while whole blood viscosity, hematocrit, vascular sclerosis index and the total score of MRl-aided acupuncture group were obviously lower than those of conventional acupuncture group ( P＜ 0.05- 0.01 ), suggesting that the effect of theformer group in bettering blood rheology was pronouncedly superior to that of conventional acupuncture group. Conclusion: MRl-aided acupuncture group is obviously superior to that of conventional acupuncture group in improving clinicalsymptoms and signs and blood rheology in stroke patients.     

CLINICAL OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPOINT APPLICATION ON HYPERHIDROSIS IN COPD PATIENTS

Objective: To observe the clinical effect of the acupoint application in treating hyperhidrosis in patients with chronic obstructive pulmonary disease(COPD).Methods: Sixty COPD patients were randomized into two groups, including the acupoint application group and the control group.Both groups remained using the Western medicine as their basic treatment, and the treatment group added acupoint application at bilateral acupoints Feishu(BL13), Pishu(BL20), Shenshu(BL23) and Shenque(CV8).Results: There were 19 cases(63.33%) of patients healed in the treatment group, 5 cases(16.67%) with significant effect, 4 cases(13.33%) with mild effect and 2 cases(6.67%) with no effect.The total effective rate was 93%, which was superior to the control group.Conclusion: Acupoint application appears to have obvious effect in treating hyperhidrosis in COPD patients, which may provide a new method for treating this disease.