针刺手三里、外关治疗椎动脉型颈椎病临床疗效观察The

发布时间：2018-04-20 05:09

本文选题：颈椎病 + 手三里穴　；参考：《山西中医学院》2013年硕士论文

【摘要】：目的通过针刺手三里、外关治疗椎动脉型颈椎病的临床观察，探讨其治疗效果，为临床提供一个简单、便捷、安全、有效的治疗方案。进一步分析椎动脉型颈椎病发病机理，针刺手三里、外关的作用机理，来探讨软组织与椎动脉型颈椎病关系，希望为临床针刺治疗椎动脉型颈椎病提供一些理论依据。方法制定严格的纳入标准，将符合纳入标准的60例椎动脉型颈椎病的患者随机分为治疗组和对照组各30例。以两组患者在性别、年龄等临床一般资料方面无显著性差异为前提。统计结果，对两组总有效率和显效率、治疗前后临床症状和功能的改善情况分别进行比较，得出结论。结果 1总有效率比较：治疗组为96.7%，，对照组为93.3%，经χ2检验P0.05，表明治疗组和对照组在总有效率的比较上无显著性差异，说明针刺手三里、外关治疗本病与针刺颈夹脊、太阳、风池、百会、合谷、足三里均有效，且治疗效果相当。 2症状评分比较：治疗组与对照组均可改善患者临床症状。两组治疗前后评分差值经t检验P0.05，两组症状和功能改善程度上无显著性差异，表明治疗组与对照组疗效相当。结论针刺手三里、外关与针刺颈夹脊、太阳、风池、百会、合谷、足三里治疗椎动脉型颈椎病均有效，且治疗效果相当。针刺手三里、外关较针刺颈夹脊、太阳、风池、百会、合谷、足三里取穴少、远端取穴、方便、安全，便于临床运用推广。颈椎关节、颈交感神经，椎动脉血管不同程度上受颈部软组织影响。颈部软组织紧张度增高，则可能会直接或间接压迫椎动脉。针刺手三里、外关，其机理一是缓解颈部肌肉软组织对椎动脉的直接压迫；二是缓解对椎体的牵拉、对颈交感神经的压迫或刺激，进而间接的缓解对椎动脉的压迫或刺激。软组织病变与椎动脉型颈椎病关系密切，有时是椎动脉型颈椎病发病的关键因素。
[Abstract]:Purpose The clinical observation on the treatment of cervical spondylopathy of vertebral artery type by acupuncture at Sanli and Waiguan provides a simple, convenient, safe and effective treatment scheme for the treatment of cervical spondylosis of vertebral artery type. The mechanism of cervical spondylosis of vertebral artery type was further analyzed, and the mechanism of acupuncture at Sanli and Waiguan was analyzed to explore the relationship between soft tissue and cervical spondylosis of vertebral artery type, hoping to provide some theoretical basis for clinical acupuncture treatment of cervical spondylosis of vertebral artery type. Method 60 patients with cervical spondylosis of vertebral artery type were randomly divided into treatment group (n = 30) and control group (n = 30). There was no significant difference in general clinical data such as sex and age between the two groups. The statistical results showed that the total effective rate and effective rate, the improvement of clinical symptoms and function before and after treatment were compared, and the conclusion was drawn. Result 1 comparison of the total effective rate: the treatment group was 96.7g and the control group 93.3.The 蠂 2 test showed that there was no significant difference in the total effective rate between the treatment group and the control group, indicating that there was no significant difference in the total effective rate between the treatment group and the control group. Baihui, Hegu, Zusanli are effective, and treatment is comparable. 2 comparison of symptom score: the treatment group and the control group can improve the clinical symptoms. There was no significant difference in symptom and function between the two groups by t test (P0.05) before and after treatment, which indicated that the curative effect of the treatment group was equal to that of the control group. Conclusion The treatment of cervical spondylosis of vertebral artery type was effective with acupuncture of three li of hand, Waiguan and acupuncture of cervical spine, sun, Fengchi, Baihui, Hegu and Zusanli. Acupuncture hand three li, Waiguan than acupuncture neck clip ridge, sun, Fengchi, Baihui, Hegu, Zusanli point less, remote point collection, convenient, safe, easy to promote clinical application. Cervical joints, cervical sympathetic nerves and vertebral artery vessels are affected by cervical soft tissue in varying degrees. Increased soft tissue tension in the neck may directly or indirectly compress the vertebral artery. The mechanism of acupuncture is to relieve the direct compression of cervical muscle and soft tissue to the vertebral artery, and to relieve the compression or stimulation of the cervical sympathetic nerve on the vertebral body, and then indirectly to relieve the compression or stimulation of the vertebral artery. Soft tissue lesion is closely related to vertebral artery type cervical spondylosis, and is sometimes the key factor of vertebral artery type cervical spondylosis.
【学位授予单位】：山西中医学院
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.9

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