风池穴加夹脊电针治疗椎动脉型颈椎病的临床疗效观察

Therapeutic Effect of Treating Cervical Spondylosis of Vertebral Artery Type by Electroacupuncture at Fengchi Point(GB 20)and Jiaji Point

目的:观察风池穴加电针颈夹脊穴治疗椎动脉型颈椎病的疗效。方法:选取病变颈椎节段及其上下椎节两侧的夹脊穴,进针后接脉冲电疗仪,且刺双侧风池穴,2个疗程后与治疗前比较临床症状及TCD结果。结果:治疗后患者临床症状有明显改善,椎动脉及基底动脉血流速度均较治疗前增快,且有显著差异(P<0.05)。结论:针刺可以调整椎-基底动脉血流速度和血流量,使椎-基底动脉供血不足得以缓解,其机制为针刺可使颈部生物力学失衡得以恢复,针灸效应可加强对植物神经的调节。

Objective：To observe the therapeutic effect of treating cervical spondylosis of vertebral artery type by electroacupuncture at Fengchi Point（GB 20） and Jiaji point.Methods：We selected the paravertebral points of cervical spondylopathy and the ones upper and lower,acupunctured those points and then jointed in the pulsed-electrotherapy instrument,and acupunctured the two Feichi point（GB 20） at the same time.After two courses,we compared the clinic symptoms and the results of TCD of the patients pre and post treatment.Results：The clinical symptoms of patients were obviously improved after treatment.The blood flow velocity of vertebral artery and basilar artery was faster than before,and there was a significant difference between pre and post treatment（P0.05）.Conclusion：Acupuncture can adjust the blood flow velocity and volume vertebrobasilar artery,and relieve the insufficient blood supply.The mechanism is that acupuncture makes the imbalance of the neck biomechanics recovery,and its effects can strengthen the autonomic nerve regulation.