Influence on Hemorheology of Cervical Spondylopathy with Xi(Cleft)Point Electroacupuncture

目的:观察电针郄穴为主治疗急性期血瘀型颈椎病临床疗效。方法:采用电针手少阳三焦经之郄穴会宗穴、手太阳小肠经之郄穴养老为主,配合电针病变颈椎旁夹脊穴治疗急性期血瘀型颈椎病32例,并随机选择31例以常规针刺颈段夹脊穴治疗作对照组,进行随机对照研究。同时观察两组治疗前后血液流变学的变化。疼痛评估采用视觉模拟评分法(VAS 法)评价疗效。结果与结论:治疗组总有效率93.8%,平均疗程20.2±3.1 d,疼痛积分3.47±1.45;对照组总有效率83.9%.平均疗程26.5±1.8 d,疼痛积分5.67±1.52。经 t 检验,P<0.01。疗效经Ridit 分析.P<0.05,两组治疗前后血液流变学有改善。表明两组疗效、平均疗程均有显著性差异.治疗组既能提高疗效.又能缩短疗程。

Objective：To observe the curative effect of Xi（Cleft） point electro-acupuncture on acute cervical spondylopathy of blood stasis type. Methods： 32 cases of acute spondylopathy of blood stasis type were treated with electroacupuncture on Huizong（TE 7） point, Xi （Cleft） point of Triple Energizer Meridian of Hand Shaoyang and Yanglao（SI 6） point, Xi （Cleft） point of Small Intestin Meridian of Hand Taiyang. 31 cases were randomly selected as the research subjects for control group and treated with routine treatment. At the same time changes of hemorheology were observed in the two groups before and after treatment. VAS was used for pain evaluation. Results and conclusion： The total curative effect in treatment group was 93.8%, the average duration of course 20.2±3.1d, pain accumulation points 3.47± 1.45; The total curative effect in contrast group was 83.9%, the average duration of course 26.5± 1.8 d, pain accumulation points 5.67±1.52. P〈 0.01 after t test. Ridit analysis was used for analysis of the therapeutic effect. P〈 0.05. There were some improvements in hemorheology in the two groups before and after treatment. It showed that there was a significant difference in the two groups in therapeutic results and average duration of course. The therapeutic results were improved and duration of course shortened in the treatment group.