项七针与颈夹脊穴对椎动脉型颈椎病椎-基底动脉血流动力学影响的临床观察

Clinical observations on the influences of nape seven needles and cervical jiaji points on vertebrobasilar hemodynamics in cervical spondylopathy of vertebral artery type

目的观察项七针与颈夹脊穴对椎动脉型颈椎病椎-基底动脉血流动力学的影响。方法将患者随机分为项七针组38例和颈夹脊组34例,进行经颅彩色多普勒检查。结果项七针组有效率为89.47%,颈夹脊组为76.47%,差异有显著性意义(P<0.05),项七针组治疗后椎-基底动脉平均血流速度(MV)、血流量(Q)、椎动脉内径(D)、椎-基底动脉搏动指数(PI)、阻力指数(R I)的改变与颈夹脊组比较均有显著性意义(P<0.05)。结论在改善脑供血方面项七针组优于颈夹脊组。

Objective To observe the influences of nape seven needles and cervical jiaji points on vertebrobasilar hemodynamies in cervical spondylopathy of vertebral artery type. Methods The patients were randomly allocated to a nape seven needles group of 34 cases and a cervical jiaji points group of 34 eases. Color transcranial Doppler examination was performed. Results The effective rate was 89.47% in the nape seven needles group and 76.47% in the cervical jiaji points group; there was a significant difference （P 〈 0.05 ）. After treatment, there were significant differences in all vertebrobasilar mean velocity （MV）, blood now quantity （Q）, verte- broarterial diameter （D） , vertebrobasilar pulsation index （PI） and resistance index （RI） between the nape seven needles group and the cervical jiaji points group （ P 〈 0.05 ）. Conclusion Nape seven needles are better than cervical jiaji points in improving cerebral blood supply.