理筋通脉调神法治疗椎动脉型颈椎病的临床疗效评价及成本-效果分析

Clinical effects evaluation and cost-effectiveness analysis of Lijin Tongmai Tiaoshen treatment on vertebral artery type of cervical disease

目的:观察理筋通脉调神法治疗椎动脉型颈椎病的临床疗效,为椎动脉型颈椎病提供一种安全、有效、简便的治疗方法。方法:运用RandA1.0软件将150例椎动脉型颈椎病患者随机分成3组,实验中脱失11例,实际观察病例139例,西药组(46例)予西药治疗,传统推拿组(46例)予传统推拿手法治疗,理筋通脉调神组(47例)采用以五体辨证分期为特点的理筋通脉调神法治疗,7d为1个疗程,共治疗2个疗程。结果:3组患者眩晕症状与功能积分比较,理筋通脉调神组明显优于西药组和传统推拿组(P<0.01),治疗前后3组平均血流速度比较,传统推拿组和理筋通脉调神组疗效优于本组治疗前(P<0.01),但理筋通脉调神组效果更优(P<0.01),且理筋通脉调神组的临床疗效总有效率优于其他两组(P<0.05)。结论:实验表明推拿疗法、药物治疗均对椎动脉型颈椎病有一定疗效,但理筋通脉调神法的效果更为明显。

Objective：To observe the clinical effects of ＂lijin tongmai tiaoshen＂treatment on vertebral artery type cervical disease,and provide a kind of safe,effective and convenient treatment.Methods：150 cases were randomly divided into 3 groups using RandA1.0 software.Dropouts were 11 cases during the trial.139 cases were left and distributed 46 in blank group,46 in massage therapy group and 47 cases in ＂lijin tongmai tiaoshen＂treatment group（control group）.7 days were a course of treatment and totally 2 courses.Results：Dizziness symptoms and function points were selected as index to compare.After treatment,control group were better than massage and blank group（P〈0.01）.Comparing average blood flow rate before and after treatment of 3 groups,treatment effects in massage group and control group were better than before（P〈0.01）.And ＂lijin tongmai tiaoshen＂treatment group was more preferable（P〈0.01）.The total effective rate in ＂lijin tongmai tiaoshen＂treatment group was better than the other treatment groups（P〈0.05）.Conclusion：The results showed that massage and medicine were effective to vertebral artery type cervical disease,but the effect of ＂lijin tongmai tiaoshen＂treatment was better.