石氏针法联合椎脉回春合剂治疗椎动脉型颈椎病64例临床观察

Effects of Shi's acupuncture with “Zhuimai Huichun Mixture” in the treatment of 64 patients with cervical spondylotic arteriorpathy

目的观察石氏针法联合椎脉回春合剂治疗椎动脉型颈椎病的临床疗效。方法将126例椎动脉型颈椎病患者随机分为治疗组64例和对照组62例,其中治疗组予以石氏针法联合椎脉回春合剂内服治疗,对照组仅服椎脉回春合剂治疗。两组疗程均为4周,观察临床疗效及经颅多普勒(TCD)基底动脉(BA)、椎动脉(VA)收缩峰血流速度、中医证候积分的变化情况。结果治疗组与对照组的总有效率分别为95.3%和77.4%;组间临床疗效比较,差异有统计学意义(P<0.05)。治疗组基底动脉、椎动脉收缩峰血流速度治疗前后组内比较,差异有统计学意义(P<0.05);组间治疗后比较,BA收缩峰血流速度差异有统计学意义(P<0.05)。治疗组各项中医证候积分治疗前后组内比较,差异有统计学意义(P<0.05);组间治疗后比较,除失眠、耳鸣外、其余各项中医证候积分差异有统计学意义(P<0.05)。结论石氏针法联合椎脉回春合剂治疗椎动脉型颈椎病效果良好。

Objective To observe the clinical effects of Shi＇ s acupuncture with ＂Zhuimai Huichun Mixture＂ in the treatment of patients with cervical spondylotic arteriorpathy. Methods One hundred and twenty-six cases were randomized into two groups：control group in which 62 cases were treated by ＂Zhuimai Huichun Mixture ＂ and treatment group in which 64 cases were treated by Shi＇ s acupuncture with ＂Zhaimai Huichun Mixture＂ , with a course of 4 weeks. The clinical effi- cacy ,TCD and the Chinese medical syndrome scores were observed. Results The overall effective rate was 95.3% in treatment group and 77.4% in control group,with a difference between the two groups （ P 〈 0.05 ）. After treatment, there were significant differences in shrinkage peak blood flow velocity of basilar artery（BA） and the Chinese medical syndrome scores between the two groups （P 〈 0.05）. Conclusion Shi＇ s acupuncture with ＂Zhuimai Huiehun Mixture ＂ is quite effective for cervical spondylotic arteriorpathy.