摘要
目的观察风池穴傍针刺联合阿是穴对椎动脉型颈椎病患者颈椎病临床评价量表(CASCS)评分、颈椎功能障碍指数(NDI)评分及眩晕程度的影响。方法选取2016年5月至2018年3月奉贤区青村镇社区卫生服务中心收治的70例椎动脉型颈椎病患者作为研究对象,采用随机数表法分为对照组和观察组,每组35例。观察组患者选取双侧风池穴傍针刺法,双侧阿是穴普通针刺,得气后留针并加用电磁波治疗仪(TDP)照射15 min,起针后再拔罐10 min。隔日一次,10次为一个疗程,一个疗程后评定疗效。对照组患者选取双侧风池穴和阿是穴进行普通针刺治疗,得气后操作同观察组。比较两组患者治疗前后的CASCS评分、NDI评分和眩晕程度,以及综合临床疗效。结果治疗后观察组患者的CASCS评分和ESCV评分分别为(82.23±11.65)分、(26.34±3.35)分,明显高于对照组的(72.59±13.37)分、(21.05±3.69)分,NDI评分为(26.64±4.86)分,明显低于对照组的(31.47±5.29)分,差异均有统计学意义(P<0.05);观察组患者的治疗总有效率为91.43%,明显高于对照组的80.00%,差异有统计学意义(P<0.05)。结论风池穴傍针刺联合阿是穴治疗椎动脉型颈椎病能够显著改善颈椎病患者的CASCS评分、NDI评分及眩晕程度,提高临床疗效,值得临床推广应用。
Objective To observe the effect of acupuncture at Fengchi acupoint and Ashi acupoint on the Clinical Assessment Scale for Cervical Spondylosis(CASCS), the Neck Disability Index(NDI), and the degree of vertigo in patients with cervical spondylosis of vertebral artery type. Methods Seventy patients with cervical spondylosis of vertebral artery type who underwent surgery in the Community Health Service Center of Qingcun Town, Fengxian District,Shanghai, from May 2016 to March 2018 were enrolled. The patients were divided into control and observation groups by random number table method, with 35 patients in each group. The observation group was treated with proximal acupuncture at bilateral Fengchi acupoint combined with ordinary acupuncture at Ashi acupoint, followed by needle retaining and electromagnetic wave therapy(TDP) for 15 min, and then cupping therapy for 10 min after drawing the needle,once every other day, 10 times for a course of treatment. The control group used ordinary acupuncture at bilateral Fengchi acupoint and Aishi acupoint, with other operations the same with those in the observation group. The CASCS score, NDI score, vertigo score, and comprehensive clinical effect before and after treatment were evaluated and analyzed. Results After treatment, the CASCS score and ESCV score of the patients in the observation group were(82.23±11.65) points and(26.34±3.35) points, respectively, which were significantly higher than(72.59±13.37) points and(21.05±3.69) points in the control group. The NDI score of the observation group was(26.64±4.86) points, which was significantly lower than(31.47±5.29) points of the control group(P<0.05). The total effective rate of the observation group was 91.43%, which was significantly higher than 80.00% of the control group(P<0.05). Conclusion Proximal acupuncture at Fengchi acupoint and Ashi acupoint can significantly improve the CASCS score, NDI score, and vertigo degree of patients with cervical spondylotic disease, and improve the clinical efficacy, which is worthy of clinical application and promotion.
作者
李标
蒋花
周伟松
褚晓英
沈佳妮
LI Biao;JIANG Hua;ZHOU Wei-song;CHU Xiao-ying;SHEN Jia-ni(Department of Traditional Chinese Medicine,Community Health Service Center of Qingcun Town,Fengxian District,Shanghai 201414,CHINA;Administration Section,Community Health Service Center of Qingcun Town,Fengxian District,Shanghai 201414,CHINA;Department of Rehabilitation,Community Health Service Center of Qingcun Town,Fengxian District,Shanghai 201414,CHINA)
出处
《海南医学》
CAS
2020年第7期845-848,共4页
Hainan Medical Journal
基金
上海市中医特色诊疗技术提升建设项目(编号:zyjx-2017102)。
