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1、四天穴针刺法治疗椎动脉型颈椎病的临床观蒋坤洋(四川省内江市第二人民医院康复科四川内江641000)【摘要】目的：比较两种针刺配穴方法对椎动脉型颈椎病的治疗效果。方法：选择该病患者48例，随机分为传统针刺疗法组(对照组)24例和“四天”穴针刺疗法组(实验组)24例。对照组：以颈夹脊穴为主选穴，配合百会、风池、四祌聪、外关等穴。实验组选穴以“四天”穴(天牖、天容、天窗、天鼎)为主。观察记录并发症及恢复情况，并随访半年。结果：两组疗效比较有显著统计学差别(P<0.05),实验组疗效明显优于对照组。两组患者治愈
2、例数构成比的比较有显著统计学意义差异(P<0.05),治疗组较好。结论：针刺“四天”穴治疗椎动脉型颈椎病临床疗效满意。【关键词】椎动脉型颈椎病；针刺疗法；“四天”穴：夹脊穴【中图分类号】R246【文献标识码】A【文章编号】1007-8231(2016)04-0055-02ClinicalObservationsontheEfficacyofAcupunctureatFourTianPointsinTreatingCervicalSpondylosisofVertebralArteryTypeJiangK
3、unyang.DepartmentofRehabilitation,TheSecondPeople’sHospitalofNeijiang,SichuanProvince641000,China【Abstract】ObjectiveTocomparetheefficacyofthetwoacupointsmethodsinthetreatmentofCervicalSpondylosisofVertebralArteryType.Method48patientswithCervicalSpondylosiso
4、fVertebralArteryTypewerecollectedfromoutpatientandinpatientdepartmentofAcupunctureinourhospital,andwererandomlydividedintotwogroups:24casesweretreatedbytheneckJiaji-basedselectionofpoints,withonehundred,thewindpool,Sishencong,foreignrelationsandotherpoints(
5、controlgroup),while24casesweretreatedbySelectionofpointstothe"fourdays"themainpoint(latticewindow,dayYung,skylight,Tianding)(experimentgroup).Observedcomplicationsandrecovery.Thefollow-uptimewas6months.ResultsBetweenthetwogroups,therewasastatisticallysignif
6、icantdifferenceintherapeuticeffect(P<O.O5),theexperimentalgroupwasmoresignificant.Thereweremarkedlydifferencesintheconstituentratiofcuredcasesbetweenthetwogroups(P<O.O5),theexperimentalgroupwerehighlyraised.ConclusionsThereisagoodclinicalefficacyinthe
7、treatmentofcervicalspondylosisofvertebralarterytypebyacupuncturing"fourtian"hole.【Keywords】CervicalSpondylosisofVertebralArteryType;Acupuncturetherapy;nSiTian"points;"JiaJi"points椎动脉型颈椎病(CervicalSpondylosisofVertebralArteryType,CSV),是临床中常见的一种疾病［1】。我科多年来分别采用
8、两种方式对该病进行治疗，现报告如下。1.资料与方法1.1一般资料我科2013年8月至2015年7月间门诊和住院收治的48例椎动脉型颈椎病患者，男19例，女29例，年龄31〜69岁，平均年龄45.4±2.7岁，其中31岁〜40岁13例，41〜50岁28例，51〜60岁5例，61〜69岁2例。病程最短7天，最长11年。患者均有不同程度的头晕，颈部肌肉疼痛不适；重者伴有头痛、恶心、听力减退，
