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极泉穴不同操作对神经根型颈椎病疗效的影响黄元芳 王泰芬 刘 艳 张世兴


  文章编号:0255-2930(2008)06-0427-02

  中图分类号:r 246.2

  文献标志码:a

  [摘 要] 目的:观察极泉穴不同手法操作对神经根型颈椎病引起的上肢感觉异常的改善程度。方法:将107例患者随机分为3组。提插组37例采用极泉穴提插手法操作;捻转组36例采用极泉穴捻转手法操作;常规针刺组34例,穴取c4-t1夹脊、曲池等。结果:提插组总有效率达91.9%,显著优于捻转组的58.3%(p0.05)。结论:极泉穴配合提插手法量学操作可显著改善神经根型颈椎病引起的上肢感觉异常。

  [关键词] 颈椎病/针灸疗法;颈椎病/分类;脊神经根;穴,极泉

  clinical observation on jiquan (ht 1) for treatment of cervical spondylosis of nerve root type

  huang yuan-fang,wang tai-fen,liu yan,zhang shi-xing (department of rehabilitation,dali state people′s hospital of yunnan province,dali 671000,china)

  abstract:objective to observe acupuncture at jiquan (ht 1) with different manipulations for improvement of abnormal sensation of the upper limb induced by cervical spondylosis of nerve root type.methods one hundred and seven cases were randomly divided into 3 groups.the lifting-thrusting group (n=37) were treated with acupuncture at jiquan (ht 1) with lifting-thrusting manipulation,the twirling group (n=36) with acupuncture at jiquan (ht 1) with twirling manipulation and the routine needling group (n=34) with acupuncture at c4-t1 jiaji (ex-b 2),quchi (li 11).results the total effective rate of 91.9% in the lifting-thrusting group was significantly better than 58.3% in the twirling group (p0.05).conclusion acupuncture at jiquan (ht 1) with lifting-thrusting manipulation can obviously improve abnormal sensation of the upper limb induced by cervical spondylosis of nerve root type.

  key words:cervical spondylosis/am ther;cervical spondylosis/class;spinal nerve roots;point ht 1 (jiquan)

  笔者自1999年起,对107例伴有上肢感觉异常的神经根型颈椎病患者进行临床研究,观察极泉穴不同手法操作对患者上肢感觉异常的改善程度,现报道如下。

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