热敏灸疗配合中药内服治疗椎动脉型颈椎病

Heat-sensitive Moxibustion Therapy and Chinese Herbal Medicine in Treatment of Cervical Spondylotic Arteriopathy(CSA)

目的:观察热敏灸疗联合半夏白术天麻汤治疗椎动脉型颈椎病椎-基动脉血流动力学的影响及临床症状改善情况。方法:将患者随机分为对照组40例和治疗组40例。对照组采用西药西比灵治疗,治疗组给予热敏灸疗联合半夏白术天麻汤治疗,通过经颅彩色多普勒检查,并记录患者临床症状改变情况。结果:热敏灸疗联合半夏白术天麻汤治疗椎动脉型颈椎病,对椎-基底动脉收缩期Vpeak有明显改善作用(P<0.05),与对照组比较也有显著性差异(P<0.05);治疗组临床症状改善总有效率为92.5%,对照组为77.5%,两组比较有显著性差异(P<0.05)。结论:热敏灸疗联合半夏白术天麻汤对椎-基底动脉收缩期Vpeak有明显改善作用,能显著地提高椎动脉型颈椎病的临床疗效。

Objective：To observe the hemodynamic influence of vertebro-basilar artery and improvement of symptoms by the treatment of（cervical spondylotic arteriopathy）CSA with heat-sensitive moxibustion therapy and Banxia Baizhu Tianma decoction.Method：The patients were randomized into a 40-case control group treated with Flunarizine Capsule and a 40-case treatment group with heat-sensitive moxibustion therapy and Banxia Baizhu Tianma decoction.Individually transcranial doppler（TCD） check was done and symptomatic change was noted.Result：Heat-sensitive moxibustion therapy and Chinese herbal medicine significantly improve the systolic peak of vertebro-basilar artery（P0.05）,which differ significantly from the control group（P0.05）;in treatment group the total effective rate of symptomatic improvement was 92.5%,while in control group was 77.5%.The significant difference existed（P0.05）.Conclusion：Heat-sensitive moxibustion therapy and Banxia Baizhu Tianma decoction can significantly improve the systolic peak of vertebro-basilar artery and the therapeutic effect of CSA.