颈夹脊穴位注射治疗椎动脉型颈椎病及对血液流变学的影响

Effect of Acupoint-injection at Cervical Jiaji Points on Hemorheology in Patients with Cervical Spondylopathy of the Vertebral Artery Type

目的:观察颈夹脊穴穴位注射治疗椎动脉型颈椎病(CSA)的临床疗效及对血液流变学的影响。方法:60例CSA患者随机分为A、B2组各30例,2组均取C5-6夹脊穴,A组复方当归注射液注射,隔日1次;B组电针治疗,每日1次。治疗前后观察2组患者的临床疗效及血液流变学的变化。结果:治疗14d后,2组临床症状及体征总积分与治疗前比较均明显下降(P<0.01);总有效率比较,A、B组差异无统计学意义(96.7%与93.3%);血液流变学的部分指标2组均明显低于治疗前(P<0.05,0.01)。A组全血黏度中、低切明显低于B组(P<0.01)。结论:颈夹脊穴穴位注射和电针疗法对CSA均有较好的临床疗效并能改善患者血液流变学的含量,当归穴位注射对血液流变学的作用更明显。

Objective：To observe the therapeutic effects of point injection at cervical Jiaji points and effects on hemorheology in patients with cervical spondylosis of arterial type （CSA）. Methods： Sixty cases of CSA were equally randomized into treatment group （treated with acupoint injection at cervical Jiaji points） and control group （treated with electro-acupuncture）. The therapeutic effects and the changes of hemorheology were evaluated before and after treatment. Results： The total effective rate was 96.7% in the treatment group and 93.3% in the control group,and no significant differences were seen between the two groups in therapeutic effect （P〈0.05）. In both groups there was lower parameters for hemorheology after treatment than before （P〈0.01）. Conclusion： Both acupoint injection and electro-acupuncture at cervical Jiaji points could achieve satisfactory clinical effectiveness and improve the hemorheology.