通督健脑针法治疗椎动脉型颈椎病110例临床观察

Clinical study on treating 110 cases of cervical spondylosis of vertebral artery type by acupuncture therapy of communicating governor vessel to invigorate the brain

目的为了研究椎-基底动脉供血不足与督脉之气受阻之间的关系,运用通督健脑针法治疗椎动脉型颈椎病。方法将110例椎动脉型颈椎病患者按1∶1随机分为试验组和对照组,试验组以通督健脑针法,对照组采用常规针刺方法治疗,观察不同方法改善椎-基底动脉供血、促进脑供血的作用。结果试验组55例患者中,显效21例,有效30例,无效4例,总有效率92.7%;对照组55例,显效11例,有效21例,无效23例,总有效率58.2%,2组疗效比较有显著性差异(P(0.01)。治疗后2组临床症状、体征观察表积分比较,试验组明显偏低(P(0.01)。经颅多普勒超声检测基底动脉(BA)、左、右椎动脉(LVA、RVA)的收缩峰期血流速度(Vs)、舒张末期血流速度(Vd)、平均血流速度(Vm),结果显示,通督健脑针法能全面、有效提高VA、BA的Vs、Vd、Vm,解除该病所致Vs、Vd、Vm降低的状况,改善椎-基底动脉供血情况(P(0.01和P(0.05)。结论取督脉经穴能明显缓解督脉经气阻滞、脑髓失养,对指导临床随经辨病选穴有重要意义。

Objective To study the relation between deficiency of vertebrobasilar blood supply and obstruction of governor vessel qi and to treat cervical spondylosis of vertebral artery type （CSA） by acupuncture therapy of communicating governor vessel to invigorate the brain. Method 110 cases of CSA were divided into two groups randomly, the test group（55 cases） and the control group（55 cases）. The patients in the test group were treated by acupuncture therapy of communicating governor vessel and the patients in the control group were treated by conventional acupuncture therapy. The changes of vertebrobasilar artery＇s blood supply were observed in patients of both groups. Results In the test group, the total effective rate was 92.7 % （ significant efficacy, 21 cases ; efficacy, 30cases; inefficacy, 4cases）. In the control group, the total effective rate was 58. 2% （significant efficacy, llcases; efficacy,21 cases; inefficacy, 23cases）. There was a dramatically difference between the two groups（P 〈 0.01 ）. The cumulative scores of clinical symptoms and physical signs in the test group were lower than those in the control group（P 〈 0.01 ）. The systolic peak phase blood flow velocity （Vs）, diastasis blood flow velocity （Vd） and mean blood flow velocity （Vm） of arteria basilaris （BA）, right vertebral artery （RVA） and left vertebral artery（LVA） were higher in the test group than in the control group. Conclusion The acupuncture therapy of communicating governor vessel can remove meridian-qi obstruction to nourish brain marrow. It is significant to guide clinical points selection following meridian.