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1、四天穴針刺法治療椎動(dòng)脈型頸椎病的臨床觀蔣坤洋(四川省內(nèi)江市第二人民醫(yī)院康復(fù)科四川內(nèi)江641000)【摘要】目的：比較兩種針刺配穴方法對(duì)椎動(dòng)脈型頸椎病的治療效果。方法：選擇該病患者48例，隨機(jī)分為傳統(tǒng)針刺療法組(對(duì)照組)24例和“四天”穴針刺療法組(實(shí)驗(yàn)組)24例。對(duì)照組：以頸夾脊穴為主選穴，配合百會(huì)、風(fēng)池、四祌聰、外關(guān)等穴。實(shí)驗(yàn)組選穴以“四天”穴(天牖、天容、天窗、天鼎)為主。觀察記錄并發(fā)癥及恢復(fù)情況，并隨訪半年。結(jié)果：兩組療效比較有顯著統(tǒng)計(jì)學(xué)差別(P<0.05),實(shí)驗(yàn)組療效明顯優(yōu)于對(duì)照組。兩組患者治愈
2、例數(shù)構(gòu)成比的比較有顯著統(tǒng)計(jì)學(xué)意義差異(P<0.05),治療組較好。結(jié)論：針刺“四天”穴治療椎動(dòng)脈型頸椎病臨床療效滿意?！娟P(guān)鍵詞】椎動(dòng)脈型頸椎??；針刺療法；“四天”穴：夾脊穴【中圖分類號(hào)】R246【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】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椎動(dòng)脈型頸椎病(CervicalSpondylosisofVertebralArteryType,CSV),是臨床中常見的一種疾?。?】。我科多年來分別采用
8、兩種方式對(duì)該病進(jìn)行治療，現(xiàn)報(bào)告如下。1.資料與方法1.1一般資料我科2013年8月至2015年7月間門診和住院收治的48例椎動(dòng)脈型頸椎病患者，男19例，女29例，年齡31?69歲，平均年齡45.4±2.7歲，其中31歲?40歲13例，41?50歲28例，51?60歲5例，61?69歲2例。病程最短7天，最長(zhǎng)11年?；颊呔胁煌潭鹊念^暈，頸部肌肉疼痛不適；重者伴有頭痛、惡心、聽力減退，
