第二颈椎横突点针刺强刺激治疗椎动脉型颈椎病临床观察

目的?观察第二颈椎横突点针刺强刺激对椎动脉型颈椎病（CSA）的临床疗效。方法?将100例椎动脉型颈椎病患者随机分为3组，其中治疗组35例患者运用第二颈椎横突点针刺强刺激治疗，每日1次，每次10min；对照组30例给予常规针刺治疗，每日1次，每次30min；混合组35例患者先予第二颈椎横突点针刺强刺激，再行针刺常规治疗。结果?4周后，①混合组总有效率94.1%，治疗组85.7%，对照组73.3%。经统计学分析，组间差异有显著性，混合组优于治疗组，治疗组优于对照组，P＜0.05。②起效时间，混合组和治疗组均短于对照组，P＜0.05，混合组和治疗组间差异无显著性意义，P>0.05；治疗时间，混合组短于治疗组，P＜0.05，治疗组短于对照组，P＜0.05。③治疗组和混合组在血流量和平均血流速度方面均优于对照组，P＜0.05；治疗组和混合组之间差异无显著性意义（P>0.05）。结论?第二颈椎横突点针刺强刺激对椎动脉型颈椎病具有良好的即时疗效，并且可以缩短疗程，有效地改善椎动脉供血。 

Clinical Observation of Therapeutic Effects of Strong Acupuncture Stimulation to the Second Cervical Vertebra Transverse Process on Cervical Spondylosis of Vertebral Artery Type

OBJECTIVE?To observe the therapeutic effect of cervical spondylosis of vertebral artery type(CSA) with strong acupuncture stimulation to the second cervical vertebra transverse process. METHODS?100 patients with CSA were randomly divided into 3 groups. 35 cases in the treatment group were treated with strong acupuncture stimulation to the second cervical vertebra transverse process for 10 minutes per day. 30 cases in the control group were treated with routine acupuncture treatment for 30 minutes per day. 35 cases in the hybrid group were first treated with strong acupuncture stimulation to the second cervical vertebra transverse process， which was followed by routine acupuncture treatment. RESULTS?After 4 weeks of treatment， the total effective rate of the hybrid group was 94.1%， with the treatment group being 85.7% and the control group being 73.3%. And notable statistical differences were detected among the three groups， with the hybrid group being superior to the treatment group and the treatment group being superior to the control group(P<0.05). Both hybrid group and treatment group were better than control group in onset time(P<0.05)， with no evident difference being noticed between the hybrid group and treatment group(P>0.05). The treatment time of the hybrid group was shorten than that of the treatment group(P<0.05)， together with the treatment group being shorten than the control group(P<0.05). Both hybrid group and treatment group were superior to control group in blood flow volume and average blood flow velocity(P<0.05)， with no evident difference being noticed between the hybrid group and treatment group(P>0.05). CONCULSION?The strong acupuncture stimulation to the second cervical vertebra transverse process has immediate effects in relieving symptoms of CSA and is able to be shorten the treatment course by improving blood supply of vertebral artery.