针刺加TDP照射配合牵引治疗椎动脉型颈椎病疗效观察

Treatment of vertebral artery type of cervical spondylosis with combined therapy of acupuncture,radiation of TDP and traction

目的探讨针刺加特定电磁波谱治疗仪(TDP)照射配合牵引治疗椎动脉型颈椎病(CSA)的临床疗效。方法将100例CSA患者随机分为2组。治疗组50例予针刺加TDP照射配合牵引治疗。对照组50例予氟桂利嗪胶囊配合牵引治疗。各项治疗均10次为1个疗程,2个疗程后统计疗效。采用彩色经颅多普勒血流分析仪,探测基底动脉(BA)、左椎动脉(LVA)和右椎动脉(RVA)的平均血流速度(Vm)和搏动指数(PI),并统计2组临床疗效。结果治疗组总有效率98%,对照组总有效率78%,2组比较差异有统计学意义(P<0.05);2组治疗后BA、LVA和RVA的Vm均明显增加,PI均减少,与本组治疗前比较差异均有统计学意义(P<0.05,P<0.01),且治疗组BA、LVA和RVA的Vm改善情况优于对照组(P<0.05,P<0.01)。结论针刺加TDP照射配合牵引治疗能显著提高CSA的临床疗效。

Objective To observe the effect of vertebral artery type of cervical spondylosis treated by combined therapy of acupuncture, radiation of TDP and traction. Methods 100 patients vertebral artery type of cervical spondylosis were randomly divided into two groups. 50 cases in control group were treated by combination of Flunarizine capsule and traction. Patients in treatment group （ n -- 50） were treated by combined therapy of acupuncture, radiation of TDP and traction. The course was ten times in two groups. The effect was evaluated two courses later. BA, LVA, RVA, Vm and PI in patients were detected by transcranial Doppler analyzer. Results The total effective rate in treatment group （98%） was higher than that in control group （78%, P 〈0.05）. BA, LVA, RVA and Vm were increased after treatment in two groups （ P 〈0.05, P 〈0.01 ）. PI were decreased after treatment in two groups （ P 〈 0.05）. The improvement of BA, LVA, RVA and Vm in treatment group were superior to those in control group （ P 〈 0.05, P 〈 0.01 ）. Conclusion The combined therapy of acupuncture, radiation of TDP and traction can significantly enhance effect on vertebral artery type of cervical spondylosis.