手法结合耳穴贴压治疗椎动脉型颈椎病的临床研究

Effects of Manipulation Treatment Combined with Auricular Point Sticking on Vertebral Artery Type Cervical Spondylopathy

目的研究手法结合耳穴贴压治疗椎动脉型颈椎病对患者椎-基底动脉(VBA)血流动力学的影响及临床疗效。方法将120例椎动脉型颈椎病患者随机分成综合组、手法组和帖压组,每组40例。其中综合组给予手法结合耳穴帖压治疗;手法组给予单纯手法治疗;帖压组给予单纯耳穴帖压治疗。以经颅多普勒(TCD)血流分析仪所测定患者椎-基底动脉收缩峰血流速度(Vp)、舒张末期血流速度(Vd)、平均血流速度(Vm),比较临床治愈率。结果治疗后3组Vp、Vd、Vm值均较治疗前改善(P<0.05),综合组的各指标均高于其他两组(P<0.01);综合组临床治愈率(80%)优于手法组(52.5%)和帖压组(47.5%)。结论手法结合耳穴贴压综合治疗椎动脉型颈椎病能显著改善椎-基底动脉血流动力学,临床疗效优于单纯手法和耳穴帖压治疗。

Objective To explore the clinical effect of manipulation treatment combined with auricular point sticking on vertebral artery cervical spondylopathy. Methods 120 patients with vertebral artery cervical spondylopathy were randomly divided into 3 groups, 40 cases in each. The comprehensive group received manipulation treatment and auricular point sticking. The manipulation treatment group received manipulation treatment only and the auricular point sticking group received auricular point sticking only. The peak systolic velocity （Vp）, end diastolic peak flow velocity （Vd）, mean peak flow velocity （Vm） of the vertebral-basilar artery were checked before and after treatment. Results The clinical cure rates （80%） was higher in the comprehensive group than in the manipulation treatment group （52.5%） and in the auricular point sticking group （47.5%） （P〈0.01）. The Vp, Vd, Vm in 3 groups improved obviously after treatment （P〈0.05）, especially in the comprehensive group （P〈0.01）. Conclusion Manipulation treatment with auricular point sticking is more effective on vertebral artery cervi- cal spondylopathy than simply manipulation treatment or auricular point sticking.