椎动脉型颈椎病(CSA)是临床上常见的颈椎病类型,主要临床表现是眩晕、头痛、恶心和猝倒等.在椎动脉影像学检查前常难以确诊[1].该病的高发人群是中老年人,但随着生活节奏的加快,本病呈现年轻化的趋势,给患者的生活和工作带来了诸多不便[2].笔者通过比较针刺配合中药治疗CSA与单独使用中药治疗的疗效,评价针刺治疗CSA的临床疗效,现将结果报道如下.

Objective:To explore the effect of acupuncture on neurological function and quality of life in stroke patients.Methods:78 patients with acute ischemic stroke were randomly divided into two groups.the control group received routine therapy and rehabilitation training, the observation group was treated combined with acupuncture.The neurological deficits(NIHSS score) and quality of life (SS-QOL score) changes of the two groups were compared before and after treatment.Results:Before treatment, the NIHSS and SS-QOL scores of the two groups had no significant difference (P> 0.05).After treatment, the NIHSS of the two groups were significantly lower than before treatment, SS-QOL score was significantly higher than before treatment, observation group was significantly better than the control group, the difference was of statistically significant (P<0.05).Conclusion:The combination of acupuncture on the basis of routine therapy and rehabilitation training can significantly improve the degree of neurological impairment and improve the quality of life of patients with ischemic stroke.

<正>1临床资料患者,男,25岁,于2011年12月19日就诊。3年前新兵集训期间有过腰部外伤史,此后每次执勤后自觉腰痛不适,自行外用麝香壮骨膏、口服布洛芬缓释胶囊后可缓解。本次因执勤后适逢大风降温,腰痛症状加重,外用药膏并卧床休息后症状末明显缓解入我院就诊。经检查腰部4、5脊突处有明显压痛点;X射线检查显示腰椎轻度侧弯,无骨质