苦碟子注射液联合针灸、推拿治疗椎动脉型颈椎病随机平行对照研究

[目的]观察苦碟子注射液联合针灸、推拿治疗椎动脉型颈椎病疗效。[方法]使用随机平行对照方法,将90例住院患者按掷骰子法随机分为三组。针刺组(A组)30例针刺,取俯伏坐位,取夹脊穴、风府、风池、百劳、天柱、曲池、百会、合谷以及阿是穴;穴位消毒后毫针针刺,留针30min,1次/d。推拿组(B组)30例推拿,取坐位,取穴风池、肩井、风门、外关、秉风、曲池、阿是穴、合谷;头部稍微前屈,用滚法或四指推手法,力度以舒适为定,25min/次,1次/d。中西医结合组(C组)30例苦碟子注射液40mL+0.9%氯化钠250mL,1次/d,静滴;针刺和推拿治疗同A、B组。连续治疗10d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]针刺组痊愈2例,显效6例,有效10例,无效12例,总有效率60.00%。推拿组痊愈3例,显效8例,有效9例,无效10例,总有效率66.67%。中西医结合组痊愈10例,显效10例,有效8例,无效2例,总有效率93.33%。治疗组疗效优于对照组(P0.05)。相关指标三组均有改善(P0.05),C组优于A、B组(P0.05)。[结论]苦碟子注射液联合针灸、推拿治疗椎动脉型颈椎病效果显著,值得推广。

Bitter Dish Injection Combined Acupuncture and Massage Treatment of Vertebral Artery Type of Cervical Spondylosis Random Parallel Controlled Study

[Objective] to observe dish injection combined acupuncture and massage therapy curative effect on cervical spondylosis of vertebral artery type.[Methods]Using random parallel control method,90 cases of hospitalized patients were randomly divided into three groups according to roll the dice method. Acupuncture group 30 cases（group A）needle,take down seat,clip ridge point,government office of the wind,the wind pool,best lowe,sky column,li 11,hundred is o,li4 and acupuncture point. The acupuncture needle acupuncture after disinfection,retaining needle 30 min,1 / d. Control group 30 cases（group B）massage,sitting,find out the wind pool,shoulder well,throttle,clearance,grasp the wind outside,li 11,is point o,valley. Head slightly forward bends,with rolling or four fingers push technique,strength based on,comfortable 25 min/time,1/d. Combine traditional Chinese and western medicine group（group C）and 30 cases of 40 mL bitter dish injection ＋ 0.9% sodium chloride injection 250 mL,once a/d,static drops. Acupuncture and massage therapy with A and B group. Continuous treatment of 10 d to 1 course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment 2 period of treatment,judge curative effect. [Conclusion] acupuncture group recovered in 2 cases,6 cases had marked effect,10 cases were effective,12 cases ineffective,the total effective rate was 60.00%. massage group recovered in 3,8 cases were markedly effective,effective 9 cases,10 cases were invalid,the total effective rate was 66.67%. Combine traditional Chinese and western medicine group,10 cases were cured,10 cases had marked effect,8 cases,2 had no effect,the total effective rate was 93.33%. The treatment group curative effect is better than that of control group（P〈0.05）. Relevant indicators three groups have improved（P〈0.05）,C is better than that of A and B group（P〈0.05）. [Conclusion]Bitter dish injection combined acupuncture and massage treatment of vertebral artery type of cervical spondylosis effect