针刀治疗颈椎病英语论文
ABSTRACT In the present paper,62 cases of vertebral-artery type cervical spondylopathy were treated with acumicroprobe therapy.After 2-6 sessions of treatment,23 cases (37.1%) were cured,19 (30.7%) showed marked improvement, 15 (24.2%) had some improvement and 5 (8.1%) failed in the treatment . The total effective rate was 91.1%. It indicates that acumicroprobe therapy is a highly effective remedy for treating vertebral-artery type cervical spondylopathy.
KEY WORDS Vertibral Artery type cervical spondylopathy Acumicroprobe therapy
Vertebral-artery type cervical spondylopathy frequentely occurs in the middle-aged and the aged people and is one of the commonly-seen cervical spondylopathy in clinic. Its sick rate is just second to the nerve-root type cervical spondylopathy. Its clinical manifestations are dizziness, tinnitus, suddenly falling to the ground, etc , which severely influence patients’ health. At the moment, surgical operation treatment has a poor therapeutic effect and its risk is bigger. Acumicroprobe therapy is a new remedy developed on the basis of the needle with a tip blade ,one of the “nine types of needles” in traditional Chinese medicine (TCM) .It has a better therapeutic effect for treatment of soft tissue injury. The authors of the present paper treated 62 cases of cervical spondylopathy with Acumicroprobe technique and in the light of the meridian theory of TCM. The results are introduced as follows.
1 GENERAL DATA
All the 62 cases of cervical spondylopathy are outpatients from the Department of Clinic of Nanjing University of TCM and that of Nanjing Jiangning District Second People’s Hospital. Among them, 23 are male, 39 female, the oldest was 70 years and the younest 30 years, averaging 50.3 years. The longest duration of disease was 18 years and the shortest 6 months, averaging 3 years.
Criteria of diagnosis: 1) History and symptoms of the disease: Cervical spondylopathy patients generally are the middle-aged and the aged people, have chronic and repeatedly attacked cervical and shoulder aches and occipital pain , unilateral or bilateral headache and distention, vertigo, tinnitus, inability of the neck in moving, blurred vision, lassitude and weakness, forgetfulness, poor sleep, soreness in the waist and loins.2)Signs: The patient has manifestations of insufficient supply of blood of the vertebro-basilar artery, and the neck-rotation test is positive. Palpitation: In the neck part about 1.5 cm to the back medial line which corresponds to the neck part of the running route of the Bladder Meridian of Foot-Taiyang, 3.0 cm to the medial line of the back which is equivalent to Fufen (BL 41) and Pohu (BL 42) point areas on the second lateral running route of the Bladder Meridian, and the upper Jiaji (EX-B 2) points, tenderness, induration or cord in the related muscle or tendon attaching site are palpable. In partial patients, tenderness can be found at the vertebral artery spot. 3) X-ray test: The cervical intervertebral space gets narrower, and osteophytes appear at the vertebral body bounder or Luschka joint. 4) Laboratory examination: Blood sedimentation and anti-O test are normal and the rheumatoid factor test is negative.
2 METHODS
2.1 Acumicroprobe treatment
The treatment spots are chosen in line with the running route of the Bladder Meridian of Foot-Taiyang, located at the posterior to the overlapping site of the upper and the lower joint processes of the cervical vertebrae; on the back, the bilateral Jiaji (EX-B 2), the superior angle of the scapula, the terminating spot and the midline of the levator muscle of scapula. At the above-mentioned treatment spots, tender-points, scleroma or cord are frequently palpable. The scleroma or cord is formed by hyperplasia of the soft tissues, and is the best treatment spot for Acumicroprobe Therapy.
In every session of treatment, 4 – 6 points are used. Ask the patient to take sitting position and to bow the head with the two arms supporting the body by a table or a sick bed first. Following routine sterilization (the treatment spots are generally about 1.5 cm to the back midline of the back), hold a acumicroprobe at about 35°angle with the sagittal section of the neck part, and with the tip blade of the acumicroprobe facing the long axis to pucture into the skin of the treatment spot and to cut the focal soft tissues layer by layer. When the patient experiences stronger sore and distending sensations, shake the acumicroprobe along the longitudinal and crosswise directions. If the fascia hyperplasia formed scleroma or cord is just at the treatment spot, perform longitudinal and crosswise cutting and stripping and needle shaking methods. After operation, remove the acumicroprobe and apply a piece of sterilized adhesive plaster to the needle hole.
2.2 Bone-setting methods
Perform plucking and poking manipulations at the scleroma or tenderness site, use the thumb to perform pressing, rubbing, kneading, plucking and poking manipulations at the terminating spot of the levator muscle of scapula, help the patient to perform cervical forward bending and extending motions.
After operation, order the patient not to have a bath within 48 hours, 5 days later, the next operation is carried out.