耳穴贴压治疗椎动脉型颈椎病50例临床观察

颈椎病是临床常见病,主要表现为眩晕,头痛,耳鸣,视物不清,甚至出现体位性摔到等症状,临床上称颈性眩晕,即椎动脉型颈椎病。2003—2006年,我们采用耳穴贴压疗法治疗椎动脉型颈椎病50例,并与氟瑞林治疗50例对照观察,现报告如下。1资料与方法1.1一般资料全部100例均为本院脑一科门     

丹红注射液配合颈椎牵引治疗椎动脉型颈椎病40例疗效观察

椎动脉型颈椎病（cervical spondylosis of vertebral arterytype,CSA）是由于各种机械性与动力性因素致使椎动脉遭受刺激或压迫,以致血管狭窄、折曲而造成椎-基底动脉供血不足为主要症状的综合征,是骨科的常见病、多发病。     

医用臭氧水穴位注射治疗椎动脉型颈椎病临床观察

目的观察医用臭氧水穴位注射治疗椎动脉型颈椎病(cervical spondylotic arteriopathy, CSA的临床疗效及对脑血流速度的影响。方法 80例患者随机分为试验组和对照组,每组40例。试验组采用医用臭氧水穴位注射治疗,对照组采用氟桂利嗪胶囊口服治疗。治疗前后采用症状体征评分、疗效指数(efficacy index,EI)及经颅多普勒探测双侧椎动脉(VA)、基底动脉(BA)、双侧大脑后动脉(PCA)的平均血流速度(Vm),进行评定。结果试验组愈显率和总有效率分别为87.5%、97.5%,均优于对照组的42.5%、70.0%(P0.05)。两组治疗前症状体征评分比较差异无统计学意义(P0.05);两组治疗后症状体征评分均比治疗前降低(P0.05),且试验组低于对照组(P0.05)。两组治疗前双侧VA、BA、双侧PCA的Vm比较差异无统计学意义(P0.05);两组治疗后双侧VA、BA、双侧PCA的Vm均比治疗前显著提升(P0.05),且试验组高于对照组(P0.05)。结论采用医用臭氧水穴位注射治疗CSA疗效较好,能更有效地改善患者双侧VA、BA、双侧PCA的血流速度。     

消眩汤治疗椎动脉型颈椎病260例临床观察

1999～2004年,我们采用消眩汤治疗椎动脉型颈椎病260例,现报告如下.1 资料与方法：1.1 一般资料本组260例,男139例,女121例;年龄 36～78岁;发病至来诊时间最长10年,最短2日.均以眩晕为主症,伴耳鸣149例,伴恶心、呕吐94例,伴心慌气短100例,伴上肢麻木者及疼痛120例,颈部活动受限102例,椎动脉扭曲试验阳性106例.影像学检查：X线片检查颈椎生理曲度变直170例,钩椎关节增生180例,椎体后缘增生200例;160例做颈椎CT检查椎动脉孔狭窄者134例,后纵韧带钙化者60例.多普勒超声检查120例均提示有椎-基底动脉供血不足,血脂高110例,血液流变学检查血黏度增高94例.初次发作56例,复发214例.     

穴位注射治疗椎动脉型颈椎病55例

穴位注射治疗椎动脉型颈椎病５５例党卫红，姚益龙，来登银（西安医科大学第二附属医院，陕西７１０００４；西安市碑林区中医医院；安康地区紫阳县医院）颈椎病是临床常见病、多发病，多发于中老年人，现代医学称之为颈椎综合征，属中医痹证范畴。笔者临床采用风池穴穴位...     

整体脉冲治疗仪治疗椎动脉型颈椎病114例疗效观察

整体脉冲治疗仪治疗椎动脉型颈椎病１１４例疗效观察余维豪，金来贵，李萍，范维铭，刘玉华（首都医科大学宣武医院理疗科，北京１０００５３；北京西城金华专科医院）主题词脊柱骨赘病／治疗，穴位电刺激疗法笔者自１９９４年７月～１９９５年７月使用来华牌整体脉冲治疗...     

中医药治疗椎动脉型颈椎病研究近况

颈肩背痛伴眩晕,以颈部活动后加剧为特征的椎动脉型颈椎病为骨伤科门诊常见病,属中医学眩晕范畴.近年来中医药治疗椎动脉型颈椎病方法颇多,笔者现将近几年来椎动脉型颈椎病中医药研究情况综述如下.     

医用臭氧水穴位注射治疗椎动脉型颈椎病60例

目的观察医用臭氧水穴位注射治疗椎动脉型颈椎病的临床疗效。方法符合纳入标准的椎动脉型颈椎病患者60例,给予医用臭氧水穴位注射治疗,每周1次,4次为一个疗程,分别于治疗前和治疗后运用视觉模拟评分法(VAS)评估疼痛程度,并用疗效评价标准判定疗效和总有效率。结果与治疗前相比,治疗后VAS评分明显降低,差异有统计学意义(P0.05);治愈28例,显效12例,有效9例,无效11例,总有效率81.7%。结论医用臭氧水穴位注射治疗椎动脉型颈椎病疗效确切,具有临床推广应用价值。     

臂痛灵治疗神经根型颈椎病30例临床观察

神经根型颈椎病是颈椎病中常见的一种,多见于中年以上年龄,以肩、臂部疼痛、麻木,颈部活动不利为主要症状。疼痛向一侧或双侧上肢放射,多为痠痛、钝痛或刺痛,严重者患肢痠软无力,握力减退,肌肉萎缩为其临床表现[1]。2006-05—2010-05,笔者采用臂痛灵治疗神经根型颈椎病30例,结果如下。     

推拿罐干预椎动脉型颈椎病临床观察

目的:观察推拿罐治疗椎动脉型颈椎病的临床疗效。方法:选择椎动脉型颈椎病患者108例,运用简单随机法分为两组各54例,治疗组予推拿罐治疗4次,对照组予针刺治疗10天,两组均治疗1个疗程。评估两组治疗前后颈性眩晕症状与功能评估量表ESCV评分情况及脑供血指标,并判断疗效。结果:治疗组总有效率为85.71%,对照组总有效率为79.17%,两组总有效率比较,差异无统计学意义(P﹥0.05)。治疗后,两组ESCV总分均改善,组间差异有统计学意义(P﹤0.05);其中治疗组颈性眩晕症状评分改善优于对照组,差异有统计学意义(P﹤0.05)。治疗后,两组BA、LVA、RVA的Vm测值有明显提高,差异有统计学意义(P﹤0.05),两组间BA的Vm测值有统计学差异(P﹤0.05)。两组治疗前后BA、LVA、RVA的PI、RI变化均不明显(P﹥0.05)。结论:推拿罐干预椎动脉型颈椎病疗效确切,能改善临床症状及椎-基底动脉血流速度,优于单纯针刺治疗。     

颈椎养生操治疗椎动脉型颈椎病的远期临床疗效观察

[目的] 颈椎养生操治疗椎动脉型颈椎病的远期临床疗效.[方法] 采用前瞻性随机对照试验方法,将92例患者随机分为两组,治疗组48例,采用颈椎养生操合按揉理筋拔伸推拿治疗;对照组44例,采用按揉理筋拔伸推拿治疗.观察连续治疗结束后180 d内颈椎养生操治疗效果.[结果] 治疗组有效率为83.33%,对照组有效率为50.00%;两组有效率比较差异有显著性(P<0.05).[结论] 颈椎养生操对椎动脉型颈椎病远期临床疗效显著,适合临床推广.     

Clinical observation on cervical chiropractic for cervical spondylosis of vertebral artery type

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.

     

穴位注射治疗椎动脉型颈椎病60例

目的:观察以风池(双)、大椎穴为主药物注入治疗椎动脉型颈椎病的临床疗效。方法:将120例椎动脉型颈椎病患者随机分为治疗组(穴位注射组)60例和对照组(针刺组)60例。治疗组以风池(双)、大椎穴为主,每穴注入复方丹参注射液0.5 mL,川芎注射液0.5 mL,盐酸利多卡因注射液1 mL,隔日治疗1次,10次为1疗程。对照组常规选穴针刺,隔日治疗1次,10次为1疗程。结果:穴位注射组治愈率为75.00%,针刺组治愈率为58.33%。经统计学处理,穴位注射组临床疗效明显优于针刺组(P<0.01)。结论:颈三针为主药物注入治疗椎动脉型颈椎病,具有起效快、疗效可靠、方法简便、患者易于接受等特点,值得临床推广。     

近5年正骨疗法治疗CSA的研究进展

目的 对近5年的正骨治疗椎动脉型颈椎病的文献进行研究.方法 以"正骨""椎动脉型颈椎病""颈性眩晕"等关键词进行检索,获得从2014-2019年知网、pupmed数据库中相关文献,根据"被引次数""下载次数""时间顺序"筛选出40篇文献,进行归纳研究.结果 正骨结合中医药疗法可以明显改善CSA的临床症状,帮助关节复位,...     

旋转手法治疗椎动脉型颈椎病的疗效观察

目的：观察旋转手法治疗椎动脉型颈椎病的临床疗效。方法：将80例椎动脉型颈椎病患者随机分为2组。治疗组50例,采用放松手法＋旋转手法治疗;对照组30例,采用放松手法治疗。2组均每周治疗2次,4周后评定疗效。结果：治疗组临床治愈18例,显效13例,好转15例,无效4例,总有效率92．0％;对照组临床治愈6例,显效7例,好转8例,无效9例,总有效率70．0％。2组疗效差异有统计学意义（X^2=5．2161,P=0．0224）。结论：放松手法加旋转手法治疗椎动脉型颈椎病效果显著,可以在临床推广。     

Clinical effect observation on liver-regulating and blood-tonifying acupuncture for cervical spondylosis of vertebral artery type

Objective

To observe the clinical effect of liver-regulating and blood-tonifying acupuncture in the treatment of cervical spondylosis of vertebral artery type.

Methods

A total of 60 cases meeting the inclusion criteria were randomized into an observation group and a control group, 30 cases in each group. Cases in the observation group received liver-regulating and blood-tonifying acupuncture, in which Jiaji (EX-B 2) points of C₃-C₇, Ganshu (BL 18) and Geshu (BL 17) were used; cases in the control group received routine acupuncture treatment in which jiaji (EX-B2) points of C₃-C₇ were used. Both groups received 5 times of treatment in a week with a 2-day rest, symptoms evaluation was done after 4 weeks of treatment, and then therapeutical effect was evaluated.

Results

The total effective rate was 90.0% in the observation group, 73.3% in the control group, and inter-group comparison showed a statistical significance (P<0.05). After treatment, the symptoms and signs scores in both groups all substantially dropped, showing statistical significances (both P<0.05); inter-group comparison showed that the improvements in subscales of dizziness, pressing pain along vertebrae and revolve-cervix test in the observation group were superior than those in the control group, showing statistical significances (all P<0.05), while the inter-group comparisons of subscales of headache and vomiting and nause didn’t show any statistical significances after treatment (both P<0.05).

Conclusion

Liver-regulating and blood-tonifying acupuncture is effective in treating cervical spondylosis of vertebral artery type, and it can significantly improve patients’ symptoms and signs.

     

针刺配合穴位注射治疗椎动脉型颈椎病45例临床观察

目的：观察针刺配合穴位注射治疗椎动脉型颈椎病的临床疗效。方法：治疗组45例采用针刺配合穴位注射治疗,对照组42例予以针刺治疗。结果：治疗组的治愈率和总有效率均优于对照组（P〈0．05）。结论：针刺配合穴位注射治疗椎动脉型颈椎病具有较好的临床疗效。     

拇指顶推手法治疗椎动脉型颈椎病临床观察

目的观察拇指顶推手法治疗椎动脉型颈椎病的临床疗效。方法将60例椎动脉型颈椎病患者随机分为2组,对照组30例采用牵引疗法治疗,治疗组30例采用拇指顶推手法治疗。采用"椎动脉型颈椎病功能评定量表"对患者进行评定,比较2组颈椎功能恢复情况,评分减少越多,代表病情恢复越好。结果治疗后2组颈椎功能评分均减少,治疗后3、7、14d与本组治疗前比较差异均有统计学意义(P0.05),治疗后7、14d2组同期比较差异有统计学意义(P0.05),治疗组评分低于对照组。结论拇指顶推手法和牵引疗法均能促进椎动脉型颈椎病患者颈椎功能恢复,拇指顶推手法优于牵引疗法。     

利多卡因联合山莨菪碱治疗椎动脉型颈椎病的疗效观察

目的:观察利多卡因联合山莨菪碱治疗椎动脉型颈椎病的临床疗效。方法:将158例椎动脉型颈椎病患者随机分为2组。实验组73例,采用颈椎牵引、理疗、利多卡因联合山莨菪碱静脉滴注治疗;对照组85例,采用颈椎牵引、理疗、复方丹参静脉滴注治疗。结果:158例患者均获随访,随访时间3～7个月,平均4.1个月。实验组疗效优于对照组,差异有统计学意义(Z=3.087,P=0.002)。结论:在颈椎牵引、理疗的基础上,应用利多卡因联合山莨菪碱静脉滴注治疗椎动脉型颈椎病疗效确切,值得临床推广。