| Objective:Application of scalp acupuncture to treat a total of 64 cases of patients with cervical spondylosis of vertebral artery type(CSA).According to the different length of scalp acupuncture needle retaining time for two groups,through the treatment of the patients in the two groups were compared total efficiency,and treatment before and after 《 Cervical vertigo symptoms and functional assessment scale》 score and neck blood,in order to provide the basis for clinical selection of scalp needle best needle retaining time.Methods:64 CSA patients were randomly divided into experimental group and control group,each of 32 cases.Two groups of patients were treated with scalp acupuncture and acupuncture bilateral anterior temporal line bilateral Fengchi,Jiaji therapy.Various points treated by conventional acupuncture and needle,control group(scalp acupuncture short needle group)scalp acupuncture needle for 2h after needle,observation group(scalp acupuncture needle group)scalp acupuncture needle for 6h after needle,the remaining points two groups were needle for 0.5h after take needle.All patients were treated daily,continuous treatment for 10 days,and before and after the treatment,the fill in 《Cervical vertigo symptoms and functional assessment scale》 and neck vascular TCD examination and record table score and basilar artery(VBA)VP(peak systolic velocity),VD(end diastolic velocity of blood flow)and VM(mean flow velocity)value,the relevant data were statistically analyzed.Results:1.Two groups of patients before and after treatment of cervical vertigo symptoms and functional assessment scale integral comparison: the two groups of patients before and after treatment scale scores were compared,there is significant difference was statistically significant(P<0.05),the treatment scale scores were compared with the treatment obviously increased,indicating that the two kinds of treatment methods of CSA in patients with symptoms and function were improved.The two groups of patients before and after treatment scale total score difference between groups comparison,there are significant differences,with statistical significance(P<0.05),indicating that the treatment,in the cervical vertigo symptoms and function of the overall improvement,the observation group than in the control group.2.Two groups of patients before and after treatment scale comparison of the dimensions of improved index: two groups of patients before and after treatment scale each dimension improvement index between the groups compared in vertigo,headache,three dimensions of daily life and work,the difference is statistically significant(P<0.05),showed that the observation group in improving these three dimensions compared with the control group,the more advantage;in neck and shoulder pain,psychological and social adaptation in two dimensions,the difference was not statistically significant(P>0.05),and showed that in the two dimension,the improvement of the two groups no significant difference.3.The two groups of patients before and after treatment of basilar artery VP,VD,VM values and normal values of the two groups of patients in the treatment of basilar artery VP,VD,VM values respectively with normal value,there is significant difference was statistically significant(P<0.05),indicating that the CSA in patients with the abnormal decrease;the two groups of patients before and after treatment of basilar artery VP,VD,VM values were compared,there are significant differences,with statistical significance(P<0.05),treated by the abnormal decrease of the values were significantly increased,indicating that the two treatments can make CSA in patients with abnormal lower VP,VD,VM values increased.The above indicators have improved effect.4.Comparison of the two groups before and after treatment in patients with basilar artery VP,VD,VM values: two groups before and after treatment in patients with basilar artery VP and VM,VD value difference for comparison between groups,there are significant differences,with statistical significance(P<0.05),showed that observation group to enhance the abnormal decrease of the value function is better than that of control group.5.Comparison of the clinical efficacy of the two groups: observation group,the cure rate was 20.00%,markedly effective rate was 46.67%,the efficiency was 23.33%.The rate of 10.00%,markedly effective rate of 66.67% and the total effective rate is 90.00%;in the control group,the cure rate was 16.67%,markedly effective rate was 20.00%,efficiency was 46.67%,no efficiency was 16.67%,markedly effective rate of 36.67%.The total effective rate was 83.33%.The statistical analysis,two groups total efficiency comparison difference is not obvious(P>0.05),the difference was not statistically significant;two more significant rate differences of ming significant(P<0.05),with statistical significance.Conclusion:1.Scalp acupuncture mainly CSA treatment clinical curative effect,can improve patient 《 Cervical vertigo symptoms and functional assessment scale》,can improve the effect of cervical vertigo symptoms and function and to have the improvement function to the indexes of CSA in patients with basilar artery TCD;2.Scalp acupuncture with long needle retention group clinical healing rate is better than that of the scalp needle short needle retention group and in the improvement of vertigo,headache,three dimensions of daily life and work.3.Scalp needle long needle retention group of basilar artery TCD index was better than that of scalp acupuncture needle short group. |
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