穴位埋线结合养血清脑颗粒治疗椎动脉型颈椎病中眩晕的近期效果

The observation of acupoint catgut embedding therapy and Yangxueqingnaokeli for vertigo in cervical spondylotic vertebral arteriopathy

目的观察穴位埋线结合养血清脑颗粒治疗椎动脉型颈椎病中眩晕的近期疗效。方法 90例椎动脉型颈椎病患者,按性别和就诊次序依次分成治疗组(穴位埋线和养血清脑颗粒)和对照组1(穴位埋线)和对照组2(养血清脑颗粒)。在治疗前、治疗4周后,分别检查3组患者的头颅多普勒(TCD),观察左右侧椎动脉(LVA,RVA)、基底动脉的平均流速(Vm),同时对患者在治疗前、治疗4周后的主观症状进行评估。结果治疗组总有效率90%,痊愈率33.33%;对照组1总有效率66.67%,痊愈率10%;对照组2总有效率63.33%,痊愈率13.33%。治疗组与2个对照组间总有效率差异有统计学意义(χ2=6.477,P<0.05),但2个对照组间差异无统计学意义(P>0.05);痊愈率治疗组明显高于2个对照组(χ2=6.237,P<0.05),2个对照组间差异无统计学意义(P>0.05);同时,3组组内治疗前后,LVA、RVA、Vm及主观症状评分均有明显改善(P<0.05),且治疗4周后治疗组治疗前后主观症状评分明显高于2个对照组(P<0.05)。结论穴位埋线结合养血清脑颗粒对椎动脉型颈椎病椎基底动脉供血不足引起眩晕近期的疗效肯定,副作用小,值得在临床推广;同时,配合日常生活中正确的姿势、科学的保健、合适的护理也是保证疗效的关键。

Objective To observe the therapeutic effect of acupoint catgut embedding therapy and Yangxueqingnaokeli to treat vertigo in cervical spondylotic vertebral arteriopathy （CSA）. Methods 90 CSA patients with vertigo were randomly divided into three groups. Patients were treated by acupoint catgut embedding therapy in control groups （ n = 30） and 30 cases were treated by using Yangxueqingnaokeli in control group. Patients in treatment group were treated by combination of acupoint catgut embedding therapy and Yangxueqingnaokeli. Mean glow velocity of the two arteria vertebralis （LVD and RVD） and arteria basilaris （BA） were recorded before and 4 weeks of treatments by trans -cranial doppler sonography （TCD）. Meanwhile, scores of subjective symptoms before treatment and after 4 weeks of treatments were recorded. Results The patients in treatment group showed 90% of total effective rate and 33.33% was fully recovered, the control group was 66.67% of total effective rate and 10% was fully recovered, the control group2 was 63.33 % of total effective rate and 13.33% was fully recovered. The treatment group demonstrated better results than two control groups concerning total effective rate and fully recover rate （P 〈 0.05 ）. There was no significant difference in the total effective rate and fully recover rate between the two control groups （P 〉 0.05）. Nevertheless the treatment group showed better results than the two control groups concerning Vm （LVD,RVD and BA） （P 〈0.05）. The scores measuring the subjective symptoms illustrated a significant differences a better result in the treatment group than in the control group （ P 〈 0.01 ）. Conclusion The therapy of acupoint catgut embedding and Yangxueqingnaokeli is effective and has less side effects in treating vertigo of vertebral artery of cervical spondylosis.