点按枕下三角治疗椎动脉型颈椎病疗效观察

Clinical Observation on Point-pressing at Suboccipital Triangle for Cervical Spondylosis of Vertebral Artery Type

目的:观察点按枕下三角治疗椎动脉型颈椎病的疗效。方法:选择诊断明确的颈椎病患者160例,随机分为治疗组和对照组,治疗组采用点按枕下三角的治疗方法,对照组采用针灸治疗方法,治疗15天后观察相关指标变化。结果:治疗后2组患者在眩晕程度、频率和持续时间上有统计学意义(P<0.05);治疗组收缩期血流速度(VS)、舒张期血流速度(VD)及平均血流速度(VM)值显著上升,脉动指数(PI)及阻力指数(RI)值显著下降(P<0.01);对照组VD及VM值上升(P<0.05)。治疗后2组血流参数值均有所改善,但治疗组改善更明显,与对照组比较有显著性差异(P<0.05);治疗组有效率为91.25%,明显高于对照组76.25%。结论:点按枕下三角治疗椎动脉型颈椎病疗效可靠。

Objective： To observe clinical effects of point-pressing at suboccipital triangle for cervical spondylosis of vertebral artery type.Method： All 160 patients were randomly allocated into therapy group and control group.Therapy group received point-pressing at suboccipital triangle and control group were given with acupuncture.Changes of related indexes were observed after treating for 15 days.Result： The comparison between both groups after treating demonstrated statistical meaning in the degree,frequency and lasting time of vertigo（P0.05）;VS,VD and VM of therapy group rose significantly while PI and RI dropped remarkably（P0.01）;VD and VM of control group went up（P0.05）.Hemodynamic parameters of both groups improved after treating,Therapy group improved obviously and it showed significant difference compared with control group（P0.05）;effective rate of therapy group was 91.25%,higher than 76.25% of control group.Conclusion： Point-pressing at suboccipital triangle is effective in treating cervical spondylosis of vertebral artery type.