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周 利,郑会芬,邹 燃,张红星.颈夹脊穴穴位注射治疗椎动脉型颈椎病的临床观察[J].中国康复医学杂志,2008,23(3):232~234
颈夹脊穴穴位注射治疗椎动脉型颈椎病的临床观察    点此下载全文
周 利  郑会芬  邹 燃  张红星
武汉市中西医结合医院针灸科,430022
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摘要:
      摘要 目的:观察颈夹脊穴位注射治疗椎动脉型颈椎病(CSA)的临床疗效及其对血浆内皮素(ET)及降钙素基因相关肽(CGRP)含量的影响。方法:将60例椎动脉型颈椎病患者随机分为穴位注射组和电针治疗组各30例,观察2组的临床疗效,并于治疗前后分别检测患者血浆ET、CGRP的含量。结果:颈夹脊穴位注射组总有效率为96.7%,电针治疗组总有效率为93.3%,两组疗效比较差异无显著性意义(P>0.05);与治疗前比较,治疗后两组血浆ET水平降低、CGRP水平有明显升高,治疗前后比较差异有非常显著性意义(P<0.01)。结论:颈夹脊穴穴位注射和电针疗法对椎动脉型颈椎病均有较好的临床疗效并良性调节患者血浆ET、CGRP的水平。 关键词 颈椎病;穴位疗法;椎动脉供血不足;穴位注射;夹脊穴 中图分类号:R493,R245.9,R681.5 文献标识码:A 文章编号:1001-1242(2008)-03-0232-03
关键词:颈椎病  穴位疗法  椎动脉供血不足  穴位注射  夹脊穴
Observation on therapeutic effects of acupoint injection at cervical Jiaji points on cervical spondylosis of arterial type    Download Fulltext
Department of Acupuncture & Moxibustion, Wuhan Chinese and Western Medicine Hospital, Hubei, 430022
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Abstract:
      Objective: To observe the therapeutic effects of point injection at cervical Jiaji points and effects on ET and CGRP in patients with cervical spondylosis of arterial type(CSA), as well as the effects on veterbral artery maximal blood flow and blood vessel diameter. Method: Sixty cases were equally randomized into treatment group (treated with acupoint injection at cervical Jiaji points) and control group (treated with electro-acupuncture at cervical Jiaji points). The therapeutic effects、the changes of ET and CGRP contents、the veterbral maxima blood flow and the blood vessel diameter(examined by Color Doppler Ultrasonography) were evaluated before and after treatment. Result: The total effective rate was 96.7% in the treatment group and 93.3% in the control group, and no significant difference was seen in comparison between the two groups in therapeutic effects(P>0.05). In both groups lower plasma ET and higher CGRP were observed after treatment than before with significant differences (P<0.01). Conclusion: Both acupoint injection and electro-acupuncture at cervical Jiaji points could provide obvious clinical effects and benignly regulate ET and CGRP levels in patients with CSA. Acupoint injection therapy is convenient, safe and economical.
Keywords:cervical spondylosis  acupoint therapy  vertebrobasilar artery insufficiency  acupoint injection  Jiaji points
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