Efficacy observation on cervical spondylosis of vertebral artery type treated by Fu's subcutaneous needling combined with reperfusion activity
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摘要: 目的 通过观察浮针配合再灌注活动对椎动脉型颈椎病患者的治疗效果,分析其对椎动脉型颈椎病的临床疗效。 方法 选取2015年1月-2017年7月蚌埠医学院第二附属医院康复科诊治的60例椎动脉型颈椎病患者作为研究对象,随机将患者分为治疗组(30例)和对照组(30例),对照组采用单纯浮针治疗,以患肌触诊结果为依据,按胸锁乳突肌、斜方肌、斜角肌、头夹肌顺序治疗。治疗组在对照组的基础上,采用浮针配合再灌注活动,再灌注时给予患者一定的合理抗阻,再灌注全过程约需10 s左右,每块肌肉或肌肉群以2~3次灌注为度。2组均每天1次,3次为1个疗程,疗程间休息1 d,治疗3个疗程后统计疗效,观察2组患者的临床疗效。采用SPSS 17.0统计软件对数据进行分析,疗效评价采用秩和检验,P<0.05为差异具有统计学意义。 结果 治疗组的愈显率为70.0%(21/30),明显高于对照组的40.0%(12/30);治疗组的总有效率为93.3%(28/30),明显高于对照组的73.3%(22/30)。经秩和检验,2组患者的愈显率及总有效率相比,差异具有统计学意义(Z=-2.480,P=0.013),提示治疗组的疗效明显优于对照组。 结论 浮针疗法配合再灌注活动和单纯浮针疗法均能安全有效治疗椎动脉型颈椎病,浮针配合再灌注活动的临床疗效优于单纯浮针治疗。Abstract: Objective To observe the therapeutic effect on cervical spondylosis of vertebral artery type treated by Fu's subcutaneous needling (FSN) combined with reperfusion activity (RA). Methods A total of 60 cases of patients with cervical spondylosis of vertebral artery type in our hospital from January, 2015 to July, 2017 were selected as the research objects.All patients were randomly divided into experimental group (30 cases) and control group (30 cases). The control group with muscle palpation results as the basis, according to the sternocleidomastoid, trapezius, splenius capitis, scalene muscle order, simple using Fu's subcutaneous needling, while the experimental group combined with reperfusion activity based on the therapy in the control group. The whole course of reperfusion takes about 10 seconds, and each muscle or muscle group takes 2-3 times. The two groups were 1 times a day, 3 times for 1 courses, treatment interval between 1 days, after 3 courses of treatment statistics curative effect, less than 1 courses of treatment in accordance with 1 courses of statistics, observe the clinical efficacy of the 2 groups of patients. Using SPSS 17 statistical software for data analysis, the rank sum test was used in the evaluation of the curative effect, P<0.05 for the difference was statistically significant. Results The curative and remarkably effective rate in treatment group was 70% (21/30) and the total effective rate in it was 93.3% (28/30), which were much superior to 40% (12/30) and 73.3% (22/30) in control group separately. By the rank sum test, the difference of the two groups was statistically significant compared with the recovery rate and total effective rate (Z=-2.48, P=0.013). The results showed that the curative effect of the treatment group was obviously better than that of the control group. Conclusion FSN combined with RA and only FSN both can treat cervical spondylosis of vertebral artery type, and FSN combined with RA was better than only RA.
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