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1、穴注为主综合治疗椎动脉型颈椎病对照观察焦焰(湖南大学职工医院湖南长沙410079)【摘要】目的比较穴位注射和电针综合治疗椎动脉型颈椎病的疗效。方法将96例患者随机分为二组，观察组48例，采用香丹、当归、祖师麻注射液配骨肽、维生素B12注射液，分别注入风池穴(双)、风府穴、新设穴(双)、颈椎C2/C3、C3/C4、C4/C5椎间隙和颈部夹脊阿是穴，每次取4-6穴，每穴注入1.5-3ml,再配合牵引、手法复法，中药离子导入等综合疗法，隔日一次，10次一疗程；对照组48例，采用电针疗法，每次20-30分钟，取穴和综合疗法、疗程同观察组。结果观察组近愈21例，近愈率44%，总有效47例，总有
2、效率98%;对照组近愈10例，近愈率21%,总有效38例，总有效率79%,两组疗效对比，经统计学处理P〉0.05,疗效有非常显著的差异。结论椎动脉型颈椎病临床难以治疗且易复发，穴位注射为主综合治疗的方法疗效优于电针为主综合治疗的方法,值得进一步研究。【关键词】穴位注射电针椎动脉型颈椎病随机对照观察【中图分类号】R681.5【文献标识码】A【文章编号】1672-5085(2013)49-0086-02【Abstract】ObjectiveTocomparethetherapeuticeffectsoncervicalspondylosisofvertebralarterytypethr
3、oughacupointinjectionandcomprehensivetherapiesofelectroacupuncture.Methods96caseswererandomlydividedintoobservationgroupandcontrolgroup,48casesforeachgroup.ThecombinationofXiangdan,Angelica,ZushimainjectionandOssotide,vitaminB12injectionwereadoptedandinjectedintoFengchi(double),Fengfu,Novostipo
4、ints(double),intervertebralspaceC2/C3,C3/C4,C4/C5ofthecervicalvertebraeandCervicalspinalAshirespectivelyfortheobservationgroup,eachtimetaking4-6acupointpointsandinjecting1.5-3mlperpoint,withothercomprehensivetherapyoftraction,manipulationcomplexmethod,iontophoresisofChineseherbalmedicineandetc.
5、Thistreatmentisappliedeveryotherdayandtentimesaccountforonecourseoftreatment.Theother48casesinthecontrolgroupusedelectro-acupuncturetherapy,whichtakes20-30minuteseachtime,theprocessofacupointsandcombinationtherapyissimilartotheobservationgroup.ResultsIntheobservationgroup,21peoplewerealmostcure
6、dandthecureratewas44%，47peoplehadeffectivetreatmentandthetotaleffectiveratewas98%.Inthecontrolgroup,10peoplewerealmostcuredandthecureratewas21%,38peoplehadeffectivetreatmentandthetotaleffectiveratewas79%.Thedifferenceofcurativeeffectbetweenthesetwotreatmentswasstatisticallysignificant(P>0.05
7、).ConclusionCervicalspondylosisofvertebralarterytypeisintractableandeasytorelapse.Theefficacyofcomprehensiveacupoint-injection-basedtreatmentissuperiortothatofthecombinedtreatmentofelectro-acupunctureapproach,whichdeservesfurthers
