针刺督脉穴治疗椎-基底动脉型颈椎病29例临床观察

Observation of acupuncture at Du meridian on cervical spondylosis of arterial type

目的观察针刺督脉穴治疗椎-基底动脉型颈椎病的临床疗效。方法将58例椎-基底动脉型颈椎病患者随机分为2组。治疗组29例予针刺督脉穴治疗,取百会、后顶、强间、脑户、风府穴。对照组29例予辨证取穴配合局部取穴针刺治疗,取风池、攒竹、太阳、天柱、足三里、三阴交、肝俞、曲池穴。2组均12日为1个疗程,2个疗程后观察临床疗效,治疗前后头晕、头痛、恶心等症状及左椎动脉(LVA)、右椎动脉(RVA)、基底动脉(BA)血流改善情况。结果治疗组总有效率93.10%,对照组总有效率75.86%,2组比较差异有统计学意义(P<0.05);2组治疗后头晕、头痛、恶心均改善,2组治疗后头晕、头痛总有效率比较差异有统计学意义(P<0.05);2组治疗前后LVA、RVA及BA血流变化比较差异均有统计学意义(P<0.01),治疗组改善情况优于对照组(P<0.05)。结论针刺督脉穴治疗椎-基底动脉型颈椎病疗效确切。

Objective To observe cervical spondylosis of arterial type treated by acupuncture at Du meridian. Methods 58 patients with cervical spondylosis of arterial type were randomly divided into two groups. Patients in control group （ n = 29） were treated by combination of acupuncture at points of Fengchi, Zanzhu, Taiyang, Tianzhu, Zusanli, Sanyinjiao, Ganshu, Quchi and differentiation of symptoms and signs. Patients in treatment group （ n = 29） were treated by acupuncture at Du meridian for the point of Baihui, Houding, Qiangjian, Naohu and Fengfu. The course was 12 days in both groups. Symptoms and sign of dizzy, headache, sicchasia, LVA, RVA and BA were observed before and after treatment. Results The total effective rate in treatment group （93.10%） was higher than that in control group （75.86%, P 〈 0.05 ）. The improvement of symptoms and sign of dizzy, headache, sicchasia, LVA, RVA and BA in treatment group were superior to that in control group after treatment （ P 〈 0.05）. Conclusion Acupuncture at Du meridian has definite effect on cervical spondylosis of arterial type.