转颈TCD量化评估刮痧刺络对椎动脉型颈椎病的疗效

Quantization Evaluation on the CSA Patients' Therapeutic Efficacy of Dermal Scraping and Venesection Interventions by TCD Examination While Rotating Cervical Part

目的:观察颈部刮痧刺络对椎动脉型颈椎病(CSA)患者椎动脉血供的改善情况。方法:上海地区每年的3月及9月间,选取CSA患者60例,分为实验组和观察组,采用转颈体位经颅多普勒(TCD)观察实验组刮痧刺络干预1周后(3次)血流速度的变化和对照组1周前后椎动脉血流速度的变化。结果:对照组在1周内任意经受冷暖气候变化或高温季节长时间冷气环境生活,其椎动脉收缩期峰值流速(Vp)及部分舒张末期流速(Vd)无明显变化;实验组在相同气候条件下,采用刮痧刺络干预后,其椎动脉收缩期峰值流速(Vp)及舒张末期流速(Vd)均明显上升(P<0.01)。结论:冷暖空气剧烈变化使人易受寒湿侵袭,从而导致CSA患者椎动脉血供不足;颈部刮痧刺络干预可有效抵御气候季节因素带来的不利影响,提高椎动脉血液供应能力,进而预防和治疗椎动脉型颈椎病。

Objective ： To investigate the improving effect of neck scraping and venesection on vertebroarterial blood supply in patients with vertebral artery type of cervical spondylosis （CSA）. Methods： Based on CSA diagnostic criteria, 60 patients were chosen and divided into control group and experiment group. Vertebroarterial blood flow velocity was measured to use transcranial Doppler （TCD） while rotating cervical part in Shanghai area during March and September. Changes in the velocity were assessed after an interval of one week in the control group and after one week of dermal scraping and venesection interventions （3 times） in the experiment group. Results： Vertebroarterial systolic peak flow velocity （Vp） and end-diastolic flow velocity （Vd） had no changes in the control group who, during the past week, experienced climatic changes from high to low temperature carelessly or lived in an air conditioned room for a long time in the hot season. Because of the interventions, vertebroarterial Vp and Vd in- creased obviously （P〈O. O1 ） in the experiment group under the same condition. Conclusion： An abrupt change in the weather makes people subject to cold-dampness invasion, thereby causing vertebral artery insufficiency in CSA patients. Neck scraping and venesection interventions can effectively counteract the adverse effects of climatic and seasonal factors and increase vertebroar- terial blood supply to prevent and treat with vertebral artery type of cervical spondylosis.