摘要
【目的】探讨压灸百会穴为主治疗椎动脉型颈椎病(CSA)的疗效。【方法】采用随机单盲对照法将34例CSA患者分为治疗组17例,予以压灸百会穴及局部电针法;对照组17例,采用单纯局部电针法,观察其临床疗效,并测定其治疗前后血浆血栓烷B_2(TXB_2)、6-酮前列腺素F_(1α)(6-keto-PGF_(1α))含量变化及6-keto-PGF_(1α)/TXB_2值。【结果】治疗组与对照组痊愈分别为9例、4例,显效为6例、6例,好转为2例、5例,无效为0例、2例,治疗组愈显率为88.2％,优于对照组的58.8％(P<0.05)。两组治疗后均能改善血浆TXB_2、6-keto-PGF_(1α)含量和6-keto-PGF_(1α)/TXB_2值(P<0.05或P<0.01),且治疗组的6-keto-PGF_(1)含量、6-keto-PGF_(1α)/TXB_2改善优于对照组(均P<0.05)。【结论】提示压灸百会穴为主治疗CSA疗效优于单纯电针治疗,这可能与其通过改善脑循环,从而改善脑组织血液供应有关。
[Objective] To observe the therapeutic effect of pressing- moxibustion on Baihui (DU20) point combined with electroacupuncture (EA) on cervical spondylosis (CS) of vertebral artery type. [Methods] A single - blind random - controll trial was carried out in 34 cases of CS of vertebral artery type. The cases were randomized into two groups: the treatment group (Group A, n = 17) treated with pressing- moxibustion on Baihui point and EA on bilateral Fengchi (GB20) point and Jiaji (EX - B2) point of impaired vertebrae and the control group (Gropup B, n = 17) with EA alone. Plasma contents of thromboxane 82 (TXB2), 6-keto-prostaglandin Fl alpha (6-keto-PGF1α) and their ratio were measured before and after treatment. [Results] In the treatment group, 9 were cured, 6 markedly effective, 2 effective and 0 ineffective and 4,6,5 and 2 in the control group respectively; the markedly effective rate was 88.2% which was superior to that (58.8%) in the control group (P <0.05). After treatment, plasma contents of TXB2, 6-keto-PGF1α and their ratio were all improved in the two groups (P < 0.05 or P < 0.01) and the improvement in Group A was superior to that in Group B ( P < 0.05). [ Conclusion ] The effect of pressing-moxibustion on Baihui point combined with EA is better than that of EA alone for CS of vertebral artery type and its mechanism may be related to the improvement of cerebral circulation and cerebral blood supply.
出处
《广州中医药大学学报》
CAS
2003年第2期124-126,共3页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
疗效
百会穴
针灸治疗
椎动脉型颈椎病
局部电针法
血浆
血栓烷B2
6-酮前列腺素F1Α
VERTEBROBASILAR INSUFFICIENCY/acup-mox effects
POINT, BAIHUI (DU20)
THROMBOXANE B2/acup-mox effects
6-KETO-PROSTAGLANDIN F1 ALPHA /acup-mox effects
