颈椎病,椎动脉型

摘要： 目的:观察龙氏正骨手法结合小针刀治疗椎动脉型颈椎病的临床疗效。方法:将椎动脉型颈椎病患者86例按就诊顺序随机分为对照组42例采用常规针灸疗法,治疗组采用龙氏正骨手法结合小针刀治疗。2个疗程后观察2组患者颈椎病临床评价量表(CASCS)评分及临床疗效。结果:治疗组CASCS评分为(66.3±7.8)分,高于对照组的(42.7±5.4)分,2组比较差异有统计学意义(P<0.05);总有效率治疗组高于对照组,差异有统计学意义(P<0.05)。结论:龙氏正骨手法结合小针刀治疗椎动脉型颈椎病疗效优于常规针灸方法。

摘要： Objective: To observe clinical effects of Long's bone-setting manipulation jointed with small needle knife in treating vertebral artery type of cervical spondylosis.Methods:All 86 patients were separated into 42 cases of the control group,who accepted routine needling,and 44 cases of the treatment group,who received Long's bone-setting manipulation and small needle knife.Clinical effects and CASCS scores of both groups were observed after two courses. Results: CASCS scores of the treatment group were (66.3 ±7.8) points, higher than (42.7 ±5.4) points of the control group,and there was a signficant difference(P<0.05);the treatment group was higher than the control group in total effective rate,and the difference showed statistical meaning (P<0.05).Conclusion:Curative effects of Long's bone-setting manipulation jointed with small needle knife are superior to these of conventional moxibustion method in treating vertebral artery type of cervical spondylosis.%目的:观察龙氏正骨手法结合小针刀治疗椎动脉型颈椎病的临床疗效.方法:将椎动脉型颈椎病患者86例按就诊顺序随机分为对照组42例采用常规针灸疗法,治疗组采用龙氏正骨手法结合小针刀治疗.2个疗程后观察2组患者颈椎病临床评价量表(CASCS)评分及临床疗效.结果:治疗组CASCS评分为(66.3±7.8)分,高于对照组的(42.7±5.4)分,2组比较差异有统计学意义(P<0.05);总有效率治疗组高于对照组,差异有统计学意义(P<0.05).结论:龙氏正骨手法结合小针刀治疗椎动脉型颈椎病疗效优于常规针灸方法.

摘要： 从椎动脉型颈椎病发病机制、传统毫针刺法、针刀松解疗法及密集型内热针疗法4方面入手探讨中医针刺与松解术治疗椎动脉型颈椎病的常用方法,并提出存在的问题与展望,为临床与科研提供理论依据。

摘要： 从椎动脉型颈椎病发病机制、传统毫针刺法、针刀松解疗法及密集型内热针疗法4方面入手探讨中医针刺与松解术治疗椎动脉型颈椎病的常用方法,并提出存在的问题与展望,为临床与科研提供理论依据.%The common methods of TCM needling and lysis in treating cervical spondylotic arteriopathy (CSA)were discussed from four aspects:the nosogenesis of CSA,traditional filiform needling,needle knife lysis and intensive internal thermal needling therapy,the existing problems and outlook were raised to provide theoretical evi-dence for clinical work and scientific research.

摘要： 目的 观察水针联合温胆汤治疗风痰瘀阻型颈性眩晕的临床疗效.方法 将60例风痰瘀阻型颈性眩晕患者随机分为对照组和治疗组,每组30例,对照组给予甲磺酸倍他司汀片治疗,治疗组在对照组治疗基础上予以水针联合温胆汤治疗,14 d为1个疗程.2个疗程后观察两组颈性眩晕症状改善的情况.结果 治疗组总有效率为90.0%,对照组总有效率为73.3%,两组比较差异有统计学意义(P<0.05);治疗组治疗后血脂水平、血液流变学、双侧椎动脉(VA)与基底动脉(BA)平均血流速度均优于对照组(P<0.05).结论 在口服甲磺酸倍他司汀片基础上,水针联合温胆汤治疗风痰瘀阻型颈性眩晕具有较好的临床疗效.%Objective To investigate the clinical efficacy of acupuncture point injection plus Wen Dan decoction in treating cervical vertigo of wind-phlegm stagnation type. Method Sixty patients with cervical vertigo of wind-phlegm stagnation type were randomized to treatment and control groups, 30 cases each. The control group was treated with Betahistine mesilate tablets and the treatment group, acupuncture point injection plus Wen Dan decoction in addition. One course of treatment consisted of 14 days. The effects on cervical vertigo were evaluated after two courses of treatment. Result The total efficacy rate was 90.0% in the treatment group and 73.3% in the control group; there was a statistically significant difference between the two groups (P<0.05). Blood lipid levels, hemorheological indicators, and bilateral vertebral artery (VA) and basilar artery (BA) mean flow velocity were better in the treatment group than in the control group (P<0.05). Conclusion Acupuncture point injection plus Wen Dan decoction based on Betahistine mesilate tablets has clinically a better therapeutic effect on cervical vertigo of wind-phlegm stagnation type.

摘要： Objective To investigate the clinical efficacy of knife needle microinvasive operation for cervical spondylotic arteriopathy. Method Sixty patients with cervical spondylotic arteriopathy were randomized, in order of admission times, to observation and control groups, 30 cases each. The observation group received three-step knife needle microinvasive operation and the control group, single suboccipital deltoid muscle lysis. The therapeutic effects were compared between the two groups of patients. Result In the two groups of patients the score changed significantly at the end of and three months after treatment compared with before and had a tendency towards gradual increase (P<0.05). The score difference values between pre-treatment and post-treatment and between post-treatment and three-month follow-up were significantly higher in the observation group than in the control group (P<0.05). Repeated measurement analysis integrogram showed significant differences in the scores between the two groups. The total efficacy rate was significantly higher in the observation group (96.7%) than in the control group (76.7%) (P<0.05). Conclusion Knife needle microinvasive operation has clinically a marked therapeutic effect on cervical spondylotic arteriopathy.%目的 观察刃针微创术治疗椎动脉型颈椎病的临床效果.方法 将60例椎动脉型颈椎病患者,按照患者入院时间顺序随机分为观察组和对照组,每组30例.观察组患者使用刃针微创术三步法进行治疗,对照组使用松解枕下三角肌群的单一法进行治疗,比较两组患者的疗效.结果 两组患者治疗后、治疗后3个月积分较治疗前有明显变化,呈现逐渐升高的趋势(P<0.05);同一时间,观察组积分上升幅度明显高于对照组(P<0.05);观察组治疗前后积分差值、3个月后随访与治疗后积分差值明显高于对照组(P<0.05),重复测量分析积分图显示两组积分情况差异明显;观察组临床总有效率(96.7%)明显高于对照组(76.7%)(P<0.05).结论 刃针微创术治疗椎动脉型颈椎病临床疗效显著.

摘要： 目的 观察针刺风池、后溪配合夹脊穴对椎动脉型颈椎病患者椎-基底动脉血供异常的影响.方法 对40例椎动脉型颈椎病患者采用针刺治疗,取风池、后溪穴配合颈夹脊穴,采用常规针刺,治疗前行经颅多普勒超声检查,治疗1周后再观察患者血流动力学变化及患者眩晕症状的缓解情况,并判断临床疗效.结果 患者治疗后基底动脉(BA)血流及双侧椎动脉(VA)的收缩期峰流(Vs)、平均峰流(Vm)较治疗前明显升高,血管搏动指数(PI)及阻力指数(RI)显著下降,差异有统计学意义(P<0.05);患者经过治疗后,眩晕、头痛、颈肩痛等症状明显得到缓解,症状评分较治疗前明显升高,差异有统计学意义(P<0.05).结论 针刺风池、后溪配合颈夹脊穴可改善椎动脉型颈椎病患者血流动力学相关指标,有效缓解患者颈部眩晕症状.

摘要： 目的:观察平衡复位正骨手法对椎动脉型颈椎病(CSA)患者血流速度及脑干听觉诱发电位(BAEP)的影响,探讨其治疗CSA的作用机制.方法:将70例CSA患者按随机数字表法分为观察组和对照组,每组35例.2组均予盐酸氟桂利嗪胶囊,10 mg/次,1次/d,观察组予平衡复位正骨手法,对照组予常规手法.2组均隔天治疗1次,连续治疗2周.采用超声多普勒(TCD)测定平均血流速度,诱发电位仪检测BAEP.结果:2组治疗后双侧椎动脉(VA)、基底动脉(BA)以及双侧大脑后动脉(PCA)平均血流速度(Vm)较治疗前升高,Ⅴ波波峰潜伏期(PL)及Ⅰ—Ⅲ波、Ⅲ—Ⅴ波的峰间值(IPL)较治疗前缩短,差异均有统计学意义(P＜0.05);组间治疗后比较,观察组的改善更明显,差异均有统计学意义(P＜0.05).结论:平衡复位正骨手法治疗CSA疗效肯定,作用机制可能是改善椎基底动脉系统血液循环和脑干神经传导功能.

摘要： 目的:观察可调式中药熥敷保健颈托配合脊柱调衡手法治疗椎动脉型颈椎病的临床疗效.方法:将椎动脉型颈椎病患者90例随机分为A、B、C3组,每组30例,3组患者分别用可调式中药熥敦保健颈托、脊柱调衡手法及两种方式联合应用治疗,比较3组的治愈率及血流速度.结果:总有效率B组为96.7％,与A组和C组比较差异有统计学意义(P＜0.05);B组颈椎内椎动脉血流量增加优于其他2组.结论:可调式中药熥敷保健颈托配合脊柱调衡手法治疗椎动脉型颈椎病较单纯应用中药熥敷保健颈托及脊柱调衡手法治疗效果更佳.%Objective:To observe clinical effects of adjustable herbal hot compress cervical collar combined with spinal manipulation in treating vertebral artery type of cervical spondylosis (CS).Methods:Ninety CS patients were randomized into three groups:A,B and C,30 cases each group,the patients in three groups were treated with adjustable herbal hot compress cervical collar,spinal manipulation,and the combination of both,cure rate and blood flow rate of three groups were compared.Results:Total effective rate of group B was 96.7％,the difference had statistical meaning when group B was compared with group A and C (P＜0.05).Vertebral artery blood flow increase of group B was superior to these of other two groups.Conclusion:Therapeutic effects of adjustable herbal hot compress cervical collar combined with spinal manipulation are better than the effects of only adjustable herbal hot compress cervical collar or only spinal manipulation in treating vertebral artery type of CS.

摘要： 目的:探讨颈眩二号方联合旋提手法及颈三针治疗椎动脉型颈椎病的临床疗效.方法:将60例患者随机分为对照组、观察组各30例,对照组采用颈椎牵引法治疗,观察组采用颈眩二号方联合颈椎旋提手法及颈三针治疗,比较2组治疗前后症状积分的变化以及临床疗效.结果:总有效率观察组为93.33％,对照组为70.00％,2组比较差异有统计学意义(P＜0.05).症状积分治疗前后2组组内比较,差异有统计学意义(P＜0.05);治疗后组间比较,差异也有统计学意义(P＜0.05).结论:颈眩二号方联合旋提手法及颈三针治疗椎动脉型颈椎病能明显缓解其临床症状,疗效显著.%Objective:To discuss clinical effects of JingXuan prescription No.2,spin manipulation and cervical three needles in treating vertebral artery type of cervical spondylosis.Methods:Sixty patients were randomized into the control group and the observation group,30 cases each group,the control group adopted cervical traction,and the observation group were treated by JingXuan prescription No.2,spin manipulation and cervical three needles,clinical effects and the changes of syndrome scales in both groups were compared before and after treating.Results:Total effective rates of the observation group and the control group were 93.33％ and 70.00％,and the difference had statistical meaning (P＜0.05).The difference had statistical meaning in the comparison of syndrome scales before and after treating within one group (P＜0.05).The difference had statistical meaning in the comparison between two groups after treating (P ＜0.05).Conclusion:JingXuan prescription No.2,spin manipulation and cervical three needles could alleviate clinical symptoms obviously,and gain notable effects.

摘要： 笔者采用向家兔单侧颈椎横突区域注射硬化剂,自行设计制作颈椎病椎动脉型动物模型,文章对此做了介绍并进行了讨论.

摘要： 目的：观察针刺加走罐治疗椎动脉型颈椎病的疗效.方法：将68例椎动脉颈椎病患者,随机分成观察组和对照组进行疗效观察.结果：针刺加走罐组总有效率明显高于对照组,两组总有效率在统计学上差异有显著意义(P<0．01).结论：针刺加走罐是治疗椎动脉型颈椎病的有效方法.

摘要： 目的：观察针刺加走罐治疗椎动脉型颈椎病的疗效.方法：将68例椎动脉颈椎病患者,随机分成观察组和对照组进行疗效观察.结果：针刺加走罐组总有效率明显高于对照组,两组总有效率在统计学上差异有显著意义(P<0．01).结论：针刺加走罐是治疗椎动脉型颈椎病的有效方法.

摘要： 目的：观察针刺加走罐治疗椎动脉型颈椎病的疗效.方法：将68例椎动脉颈椎病患者,随机分成观察组和对照组进行疗效观察.结果：针刺加走罐组总有效率明显高于对照组,两组总有效率在统计学上差异有显著意义(P<0．01).结论：针刺加走罐是治疗椎动脉型颈椎病的有效方法.

摘要： 目的：观察针刺加走罐治疗椎动脉型颈椎病的疗效.方法：将68例椎动脉颈椎病患者,随机分成观察组和对照组进行疗效观察.结果：针刺加走罐组总有效率明显高于对照组,两组总有效率在统计学上差异有显著意义(P<0．01).结论：针刺加走罐是治疗椎动脉型颈椎病的有效方法.

摘要： 本发明公开了一种中药组合物及在治疗椎动脉型颈椎病中的应用，由下列质量份的原料药组成：天麻10‑80份，川芎10‑50份，菊花10‑80份，柴胡10‑50份，磁石10‑60份，赭石10‑60份，薄荷10‑30份，细辛5‑20份，冰片10‑40份，藁本10‑50份，白芍10‑50份，羌活10‑50份，白芷10‑30份，可被制成任何一种常用内服剂型。本发明药物具有散寒疏风、活血化瘀等作用，能够有效解除或缓解椎动脉痉挛，增加血管壁弹性，从而改善椎‑基底动脉血液循环，消除症状。

摘要： 本发明提供了一种治疗椎动脉型颈椎病的中药组合物，其原料药组成为：赤芍8～12重量份、川芎8～12重量份、楤木白皮8～12重量份、独活5～7重量份、杜仲6～8重量份、麻黄13～17重量份、追地风6～8重量份、千年健5～7重量份、附子0～7重量份、穿山龙0～17重量份、乌蛇0～7重量份、徐长卿0～12重量份、枸杞子0‑15重量份、桑寄生0‑15重量份、半夏0‑8重量份、红花0‑8重量份、桂枝0‑8重量份、秦艽0‑8重量份。与现有已知的同类贴膏相比，本发明的中药组合物制备和使用方法均简单易行，治愈率高，疗效好；成本低，适用范围广。尤其是可根据肝肾亏虚、痰瘀阻络、寒湿痹阻等随证加减，达到更好的治疗效果。

摘要： 本发明涉及治疗椎动脉型颈椎病的中药汤剂，可有效解决治疗椎动脉型颈椎病的用药问题，其解决的技术方案是，由以下重量份数计的原料药物制成：党参10‑30份、鹿茸6‑15份、骨碎补10‑15份、葛根10‑30份、山楂10‑40份、苏木10‑20份、龙血竭6‑15份、鬼箭羽5‑20份、鸡血藤10‑30份、九龙藤5‑20份和四方藤10‑30份，本发明原料丰富，价格低廉，具有活血祛瘀、滋补肝肾、祛风除湿、散瘀止痛的功效，有效用于治疗椎动脉型颈椎病，疗效好，用药安全，是治疗椎动脉型颈椎病药物上的创新。

摘要： 本发明公开了一种治疗风寒阻络型椎动脉型颈椎病的中药制剂，所述中药制剂由以下原料药制成：路边姜、干檀香、牛奶浆根、小红蒜根、二色补血草、乌骚风、红皮、南蛇藤果、黑种草、牛肝菌、红娘子。本发明提供的治疗风寒阻络型椎动脉型颈椎病的中药制剂，与现有技术相比具有疗效好、使用方便、安全等优点，可降低治疗成本，避免社会资源的浪费。采用本发明提供的治疗风寒阻络型椎动脉型颈椎病的中药制剂水煎剂治疗60例患者，治疗组总有效率93.3％，对照组总有效率80.0％，两组总有效率比较，经统计学处理差异有统计学意义(P＜0.05)。

摘要： 本发明公开了一种中药组合物及在治疗椎动脉型颈椎病中的应用，药物由下列质量份的原料药组成：天麻10‑80份，川芎10‑50份，菊花10‑80份，柴胡10‑50份，磁石10‑60份，赭石10‑60份，薄荷10‑30份，细辛5‑20份，冰片10‑40份，藁本10‑50份，白芍10‑50份，羌活10‑50份，白芷10‑30份，采用两种制备方法，均可被制成任何一种常用内服剂型。本发明药物具有散寒疏风、活血化瘀等作用，能够有效解除或缓解椎动脉痉挛，增加血管壁弹性，从而改善椎‑基底动脉血液循环，消除症状。

摘要： 本发明公开了一种治疗椎动脉型颈椎病的中药组合物、制备方法及其应用，按重量分数计，包括法半夏10‑15份、白术10‑20份、天麻10‑15份、陈皮5‑15份、石菖蒲10‑15份、茯苓10‑20份、当归10‑15份、赤芍20‑30份、制南星5‑15份、丹参20‑30份、大枣5‑15份、甘草2‑10份、酒川芎10‑20份、葛根25‑35份、郁金10‑20份。本发明具有解痉止痛，醒神开窍，化痰熄风，利湿渗水的功效，可有效治疗椎动脉型颈椎病，并且可有效治疗眩晕较重且伴有头痛者。

摘要： 本发明涉及一种治疗椎动脉型颈椎病眩晕的药物，其特征在于由以下中药制成：葛根300g、骨碎补300g、当归150g、赤芍150g、丹参300g、桃仁100g、红花100g、苏木100g、枸杞子300g、白芍150g、菟丝子300g、补骨脂300g、淫羊藿300g、川芎150g加工制成1500粒药丸。本发明涉及一种治疗椎动脉型颈椎病眩晕的药物补肾填精，活血化瘀标本兼治，提高机体的整体机能，延缓衰老，减轻和延缓颈椎骨质增生、退变。

摘要： 本发明公开了一种治疗椎动脉型颈椎病的中药，包括以下重量份数的药物制备而成：15‑25重量份数的木瓜，5‑15重量份数的秦艽，10‑20重量份数的威灵仙，5‑15重量份数的五加皮，10‑20重量份数的丹参，2‑8重量份数的天南星，10‑20重量份数的钩藤。本发明根据中医药理论，采用辨证论治的理论进行中药组方筛选，配方科学合理，配置简单，无毒副作用，疗效短，见效快，先以舒筋活络为主、活血化瘀为辅治其本，再以止晕定眩治其标，整方具有舒筋活络、活血化瘀、止晕定眩之功效。

摘要： 本发明公开了一种中药组合物及在治疗椎动脉型颈椎病中的应用，由下列质量份的原料药组成：天麻1080份，川芎1050份，菊花1080份，柴胡1050份，磁石1060份，赭石1060份，薄荷1030份，细辛520份，冰片1040份，藁本1050份，白芍1050份，羌活1050份，白芷1030份，可被制成任何一种常用内服剂型。本发明药物具有散寒疏风、活血化瘀等作用，能够有效解除或缓解椎动脉痉挛，增加血管壁弹性，从而改善椎基底动脉血液循环，消除症状。

摘要： 本发明提供了一种治疗椎动脉型颈椎病的中药组合物，其原料药组成为：赤芍8～12重量份、川芎8～12重量份、楤木白皮8～12重量份、独活5～7重量份、杜仲6～8重量份、麻黄13～17重量份、追地风6～8重量份、千年健5～7重量份、附子0～7重量份、穿山龙0～17重量份、乌蛇0～7重量份、徐长卿0～12重量份、枸杞子0-15重量份、桑寄生0-15重量份、半夏0-8重量份、红花0-8重量份、桂枝0-8重量份、秦艽0-8重量份。与现有已知的同类贴膏相比，本发明的中药组合物制备和使用方法均简单易行，治愈率高，疗效好；成本低，适用范围广。尤其是可根据肝肾亏虚、痰瘀阻络、寒湿痹阻等随证加减，达到更好的治疗效果。