本文選題：頸椎病 + 手三里穴��； 參考：《山西中醫(yī)學(xué)院》2013年碩士論文

【摘要】：目的 通過(guò)針刺手三里、外關(guān)治療椎動(dòng)脈型頸椎病的臨床觀察，探討其治療效果，為臨床提供一個(gè)簡(jiǎn)單、便捷、安全、有效的治療方案。進(jìn)一步分析椎動(dòng)脈型頸椎病發(fā)病機(jī)理，針刺手三里、外關(guān)的作用機(jī)理，來(lái)探討軟組織與椎動(dòng)脈型頸椎病關(guān)系，希望為臨床針刺治療椎動(dòng)脈型頸椎病提供一些理論依據(jù)。 方法 制定嚴(yán)格的納入標(biāo)準(zhǔn)，將符合納入標(biāo)準(zhǔn)的60例椎動(dòng)脈型頸椎病的患者隨機(jī)分為治療組和對(duì)照組各30例。以兩組患者在性別、年齡等臨床一般資料方面無(wú)顯著性差異為前提。統(tǒng)計(jì)結(jié)果，對(duì)兩組總有效率和顯效率、治療前后臨床癥狀和功能的改善情況分別進(jìn)行比較，得出結(jié)論。 結(jié)果 1總有效率比較：治療組為96.7%，，對(duì)照組為93.3%，經(jīng)χ2檢驗(yàn)P0.05，表明治療組和對(duì)照組在總有效率的比較上無(wú)顯著性差異，說(shuō)明針刺手三里、外關(guān)治療本病與針刺頸夾脊、太陽(yáng)、風(fēng)池、百會(huì)、合谷、足三里均有效，且治療效果相當(dāng)。 2癥狀評(píng)分比較：治療組與對(duì)照組均可改善患者臨床癥狀。兩組治療前后評(píng)分差值經(jīng)t檢驗(yàn)P0.05，兩組癥狀和功能改善程度上無(wú)顯著性差異，表明治療組與對(duì)照組療效相當(dāng)。 結(jié)論 針刺手三里、外關(guān)與針刺頸夾脊、太陽(yáng)、風(fēng)池、百會(huì)、合谷、足三里治療椎動(dòng)脈型頸椎病均有效，且治療效果相當(dāng)。針刺手三里、外關(guān)較針刺頸夾脊、太陽(yáng)、風(fēng)池、百會(huì)、合谷、足三里取穴少、遠(yuǎn)端取穴、方便、安全，便于臨床運(yùn)用推廣。 頸椎關(guān)節(jié)、頸交感神經(jīng)，椎動(dòng)脈血管不同程度上受頸部軟組織影響。頸部軟組織緊張度增高，則可能會(huì)直接或間接壓迫椎動(dòng)脈。針刺手三里、外關(guān)，其機(jī)理一是緩解頸部肌肉軟組織對(duì)椎動(dòng)脈的直接壓迫；二是緩解對(duì)椎體的牽拉、對(duì)頸交感神經(jīng)的壓迫或刺激，進(jìn)而間接的緩解對(duì)椎動(dòng)脈的壓迫或刺激。軟組織病變與椎動(dòng)脈型頸椎病關(guān)系密切，有時(shí)是椎動(dòng)脈型頸椎病發(fā)病的關(guān)鍵因素。
[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.
【學(xué)位授予單位】：山西中醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R246.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 高曉平,吳毅文;熱象圖在神經(jīng)根型頸椎病診斷中的應(yīng)用[J];安徽體育科技;1997年01期

2 陳鵬;遠(yuǎn)近結(jié)合手法治療椎動(dòng)脈型頸椎病的療效觀察[J];浙江中醫(yī)學(xué)院學(xué)報(bào);2004年01期

3 張軍;武震;唐東昕;孫樹(shù)椿;;紅外熱像術(shù)在手法治療頸性眩暈中的應(yīng)用[J];中華中醫(yī)藥雜志;2006年12期

4 李雷;;《頸椎病診治與康復(fù)指南》解讀[J];中國(guó)實(shí)用鄉(xiāng)村醫(yī)生雜志;2007年12期

5 葉添文,賈連順;頸椎周圍肌肉系統(tǒng)病變與頸椎病的關(guān)系[J];中國(guó)骨與關(guān)節(jié)損傷雜志;2005年02期

6 黃振文;劉英杰;岑雪云;;眩定湯治療椎動(dòng)脈型頸椎病的臨床研究[J];光明中醫(yī);2006年08期

7 張薇;趙菲;;手三里穴位注射治療慢性咽炎的臨床觀察[J];光明中醫(yī);2006年11期

8 李杰;;手三里穴的臨床應(yīng)用[J];光明中醫(yī);2009年03期

9 劉元梅;;陽(yáng)和湯加減治療椎動(dòng)脈型頸椎病79例[J];光明中醫(yī);2009年07期

10 水根會(huì);;提旋手法治療眩暈性頸椎病的康復(fù)護(hù)理[J];光明中醫(yī);2011年02期

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