Application of nape acupuncture in treatment of vertebral-artery type cervical spondylosis

摘要

目的

观察项丛刺在治疗椎动脉型颈椎病中的作用。

方法

将80例椎动脉型颈椎病患者随机分为项丛刺组和夹脊刺组, 每组40例, 项丛刺组采用项丛刺加颈 夹脊刺, 夹脊刺组单独采用颈夹脊刺, 观察两组疗效及治疗前后椎动脉型颈椎病功能评定量表评分。

结果

项丛刺组总有效率为95.0%, 夹脊刺组总有效率为82.5%, 经Ridit分析, u=5.186, P<0.01, 表明项丛刺组治疗椎动脉型颈椎病疗效优于夹脊刺组。 项丛刺组椎动脉型颈椎病功能评定量表评分治疗前后差值和治疗后评分与夹脊刺组比较, 差异均有统计学意义(P<0.01), 表明项丛刺组治疗对患者眩晕改善较夹脊刺组治疗更明显。

结论

在颈夹脊刺基础上加项丛刺治疗椎动脉型颈椎病, 能明显提高疗效。

Abstract

Objective

To observe the effect of nape acupuncture on vertebral-artery type cervical spondylosis.

Methods

Eighty patients with vertebral-artery type cervical spondylosis were randomly divided into nape acupuncture group and Jiaji acupuncture group, with 40 cases in each group. The patients in the nape acupuncture group were treated with the nape acupuncture plus Jiaji acupuncture, while the patients in the Jiaji group were treated with Jiaji acupuncture only, to observe the functional scale before and after treatment.

Results

The total effective rate in the nape acupuncture group was 95.0%, while the total effective rate in the Jiaji acupuncture group was 82.5%. By Ridit analysis, u=5.186, P<0.01. It indicated that the therapeutic effect in the nape acupuncture group was better than that in the Jiaji acupuncture group. Compared with Jiaji acupuncture group, the difference value of pre- and post-treatment about functional scale of vertebral-artery type cervical spondylosis and the post-treatment score have statistic differences (P<0.01). It indicated that the therapeutic effect of nape acupuncture group was more obvious in treating vertigo than that in the Jiaji acupuncture group.

Conclusion

The treatment of vertebral-artery type cervical spondylosis by Jiaji acupuncture plus the nape acupuncture may enhance the therapeutic effect significantly.