摘要
目的:探究针灸治疗椎动脉型颈椎病的临床疗效及对脑血流的影响。方法:选择椎动脉型颈椎病患者共112例,采用随机数表法分为对照组和研究组各56例。对照组采用推拿手法治疗,研究组在推拿治疗的基础上加用针灸治疗,治疗时间30d。观察两组的临床治疗效果,分析比较两组患者治疗前后颈性眩晕症状与功能评估量表(ESCV)评分、颈椎病临床评价量表(CASCS)评分、椎动脉-基底动脉平均血流速度(TMFV)、收缩期峰值血流速度(PSV)、血管搏动指数(PI)、阻力指数(RI)指标的差异。结果:研究组的总有效率为91.07%,显著高于对照组的76.79%(χ^2=4.235,P=0.039)。两组患者的ESCV评分和CASCS评分在治疗前无统计学差异(t=0.498,P=0.619;t=-1.730,P=0.086)。治疗后两组的ESCV评分和CASCS评分均明显升高(t=17.282,P=0.000;t=11.177,P=0.000;t=33.994,P=0.000;t=19.601,P=0.000);其中,研究组治疗后的ESCV评分和CASCS评分均显著高于对照组(t=5.716,P=0.000;t=9.885,P=0.000)。治疗前两组患者血流动力学指标均无统计学差异(P>0.05)。治疗后,两组患者的TMFV、PSV均明显升高,而PI及RI值均显著降低,差异均有统计学意义(P<0.05)。其中,研究组TMFV、PSV显著高于对照组(t=2.707,P=0.008;t=2.099,P=0.038),PI及RI值则显著低于对照组(t=-2.619,P=0.010;t=-2.508,P=0.014)。结论:针灸治疗椎动脉型颈椎病的疗效较好,可以明显提高ESCV评分和CASCS评分,显著改善椎动脉血流速度,降低搏动指数和阻力指数。
Objective:To investigate the clinical effect of acupuncture on Cervical spondylosis of vertebral artery(CSA) and its effect on cerebral blood flow. Methods:Selected 112 cases of patients with CSA,which were randomly divided into control group (56 cases) and study group (56 cases). The patients in the control group were treated by massage. The study group was treated with acupuncture on the basis of massage therapy. The clinical effects,ESCV scores,CASCS scores,TMFV,PSV,PI and RI were compared between two groups before and 30 days after treatment. Results:The total effective rate of the study group was 91.07%,which was significantly higher than that (78.57%) of the control group (χ^ 2=4.235, P =0.039). There was no significant difference between the two groups in the ESCV score and the CASCS score before treatment ( t =0.498, P =0.619;t =-1.730, P =0.086). The ESCV score and CASCS score of the two groups were significantly higher after treatment ( t =17.282, P =0.000;t =11.177, P =0.000;t = 33.994, P =0.000;t =19.601, P =0.000).The ESCV score and CASCS score of the study group were significantly higher than those of the control group ( t =5.716, P =0.000;t =9.885, P =0.000). There was no significant difference in hemodynamics between the two groups before treatment ( P > 0.05). After treatment,the TMFV and PSV in both groups were significantly increased,while the PI and RI values were significantly lower (all P <0.05). The levels of TMFV and PSV in the study group were significantly higher than those in the control group ( t =2.707, P =0.008;t =2.099, P =0.038;t =-2.508, P =0.014).Conclusions:The acupuncture treatment has a positive effect on CSA,it can improve the ESCV scores and CASCS scores,speed up the blood flow of vertebral artery,reduce the plasticity index and resistance index.
作者
杨庆宇
刘占兵
肖飞
YANG Qingyu;LIU Zhanbing;XIAO Fei(Rehabilitation Medicine,Hebi People’s Hospital in Henan Province(Hebi 458030))
出处
《陕西中医》
2019年第8期1131-1133,1137,共4页
Shaanxi Journal of Traditional Chinese Medicine
