摘要
目的:观察针灸并用治疗椎动脉型颈椎病的临床疗效,探讨其作用机制。方法:将60例患者随机分为针刺温灸组和针刺组,每组30例。针刺温灸组针刺百会、风池、颈夹脊穴等,温和灸百会、大椎、命门、神阙、关元穴;针刺组采用单纯针刺治疗,取穴、操作同针刺温灸组中的针刺治疗方法。观察两组患者的疗效、临床症状体征评分及治疗前后行经颅多普勒(TCD)检测椎动脉(VA)、基底动脉(BA)的平均血流速度(Vm)、血流阻力指数(RI)。结果:针刺温灸组总有效率为93.3%(28/30),优于针刺组的73.3%(22/30)(P<0.05)。两组患者临床症状体征评分治疗后均较治疗前明显改善,且针刺温灸组优于针刺组(P<0.05)。针刺温灸组治疗后VA、BA的Vm、RI均较治疗前明显改善,针刺组VA、BA的Vm亦较治疗前明显改善,且针刺温灸组VA、BA的Vm、RI较针刺组改善更加明显(均P<0.05)。结论:针刺配合温和灸治疗椎动脉型颈椎病疗效较好,能提高VA、BA的平均血流速度,降低血流阻力指数。
Objective To observe the clinical therapeutic effects on cervical spondylosis of vertebral artery type treated with both acupuncture and mild moxibustion and investigate the mechanism of action. Methods Sixty cases were randomly divided into the combined therapy group of acupuncture and mild moxibustion （combined therapy group） and the acupuncture group, 30 cases for each group. In combined therapy group, Baihui（GV 20）, Fengchi （GB 20） and cervical Jiaji （EX-B 2） were punctured, and Baihui（GV 20）, Dazhui （GV 14）, Mingmen （GV 4）, Shenque （CV 8） and Guanyuan （CV 4） were treated with mild moxibustion; in acupuncture group, acupuncture was simply applied, the acupoints selection and manipulation were the same as those in the combined therapy group. The average velocity meter and the resistive index of vertebral and basal arteries were observed before and after treatment by TCD examination, the therapeutic effects and clinical symptom-sign scores were observed too. Results The total effec- tive rate was 93.3~ （28/30） in combined therapy group, and 73.3% （22/30） in acupuncture group. The therapeu- tic effect in combined therapy group was superior to that in acupuncture group （P〈0.05）. The improvements of symptom-sign scores in two groups after treatment were more significant than that before treatment, and the score in the combined therapy group was superior to that in acupuncture group （P〈0.05）. The average velocity meter and the resistive index of vertebral and basal arteries after treatment were improved in both groups, in which, the improvement in combined therapy group was more apparent （all P〈0.05）. Conclusion The therapeutic effects on cervical spondylosis of vertebral artery type treated with both acupuncture and mild moxibustion are preferable; by this therapy, the average velocity meter of vertebral and basal arteries are accelerated and the resistive index is decreased.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第10期793-797,共5页
Chinese Acupuncture & Moxibustion
基金
广西教育厅科研立项项目:200810LX058
关键词
颈椎病
针刺疗法
灸法
超声检查
多普勒
经颅
Cervical Spondylosis
Acupuncture Therapy
Moxibustion
Ultrasonography, Doppler,Transcranial
