摘要
目的探讨人迎穴改良针刺法联合理筋通经手法治疗椎动脉型颈椎病患者对其症状体征总积分及椎动脉血流状态的影响。方法选择2018年1月-2019年12月我院收治的90例椎动脉型颈椎病(cervical spondylosis of vertebral artery type,CSA)患者作为研究对象,将所有患者随机分成观察组和对照组,每组患者45例,对照组采用人迎穴改良针刺法治疗,观察组在对照组基础上联合理筋通经推拿法治疗,比较两组患者治疗前后临床症状积分、体征程度的改变及椎动脉血流状态的改变情况。结果观察组患者总有效率95.6%高于对照组患者80.0%,两组比较差异有统计学意义(P<0.05);治疗后的RI、PI指数观察组低于对照组(P<0.05),治疗后的TMFV、PSV数值高于对照组(P<0.05)。结论人迎穴改良针刺提插法治疗CSA,能够明显改善患者临床症状体征及椎动脉血流状态,临床的疗效较好,可在临床广泛推广。
Objective To investigate the effect of the improved acupuncture at renying acupoint combined with the manipulation of regulating muscle and channels on the total score of symptoms and signs and the blood flow status of vertebral artery in patients with vertebral artery type cervical spondylotic disease.Methods Between January 2018 and December 2019,90 cases of vertebral artery type of cervical spondylosis(CSA)patients as the research object,all of the patients were randomly divided into observation group and control group,45 cases of patients in each group.The control group was treated with the improved acupuncture method of Renying acupoint,and the observation group was treated with the method of regulating the tendons and channels and massage on the basis of the control group.The changes of clinical symptom scores,physical signs and vertebral artery blood flow state before and after treatment were compared between the two groups.Results The total effective rate of the observation group was 95.6%,higher than that of the control group(80.0%),and the difference between the two groups was statistically significant(P<0.05).RI and PI indexes in the observation group after treatment were lower than those in the control group(P<0.05),while TMFV and PSV values after treatment were higher than those in the control group(P<0.05).Conclusion The improved acupuncture and lifting method at renying acupoint can significantly improve the clinical symptoms and signs and vertebral artery blood flow state of patients in the treatment of CSA.
作者
熊沛芳
李育谦
马林
Peifang XIONG;Yuqian LI;Lin MA(Dongguan Gaopu Hospital,Dongguan 523270,China)
出处
《心血管外科杂志（电子版）》
2020年第1期245-247,共3页
Journal of Cardiovascular Surgery(Electronic Edition)
基金
2018年东莞市社会科技发展(一般)项目,立项名称:人迎穴改良针刺法联合理筋通经手法治疗椎动脉型颈椎病患者对其症状体征总积分及椎动脉血流状态的影响,立项编号:2018507150131131。
关键词
椎动脉型颈椎病
改良针刺
人迎穴
Vertebral artery type cervical spondylopathy
Improved acupuncture
Renying acupoint
