人迎穴改良针刺法对椎动脉型颈椎病血浆神经肽Y影响的临床观察

Observation of clinical effect of Renying modified acupuncture on cervical spondylosis of vertebral artery type of plasma neuropeptide Y

目的观察人迎穴改良针刺法治疗椎动脉型颈椎病的临床疗效。方法将80例椎动脉型颈椎病患者随机分为治疗组与对照组,每组40例。治疗组予人迎穴改良针刺法治疗,对照组予人迎穴常规针刺法治疗。两组疗程均为14天,观察临床疗效,比较血浆神经肽Y(NPY)水平及椎动脉型颈椎病功能评定量表评分(FS-CSA)的变化情况。结果 1治疗组、对照组总有效率分别为97.50%和55.00%,组间临床疗效比较差异有统计学意义(P<0.05)。2治疗前后组内比较,两组血浆神经肽Y水平差异有统计学意义(P<0.05);组间治疗前后血浆神经肽Y水平差值比较,差异有统计学意义(P<0.05)。3治疗前后组内比较,两组FS-CSA评分差异有统计学意义(P<0.05);组间治疗前后FS-CSA评分差值比较,差异有统计学意义(P<0.05)。结论人迎穴改良针刺法治疗椎动脉型颈椎病的疗效满意,可改善椎动脉供血不足。

Objective To observe the clinical effect of Renying modified acupuncture treatment of vertebral artery type cervical spondylosis. Methods Eighty patients of Vertebral artery type of cervical spondylosis were randomized into treatment group and control group,40 cases in each group. The treatment group was treated with modified Renying point acupuncture treatment,and control group were treated with conventional acupuncture on Renying point. Two groups were both treated for 14 days. Clinical curative efficacy was observed,and the plasma neuropeptide Y（ NPY） and the level of cervical spondylosis of vertebral artery type function assessment scale（ FS-CSA） changes was measured and compared. Results 1 The total effective rate of the treatment group and the control group were97. 50% and 55. 00%. The comparison of clinical efficacy differences between groups was statistically significant（ P 0. 05）. 2 Compared before and after the treatment,the difference of plasma neuropeptide Y levels in each group and between the two groups was statistically significant（ P 0. 05）. 3 By comparing within groups before and after the treatment,the difference in FS-CSA scores was statistically significant（ P 0. 05）. After treatment,FS-CSA score difference between the two groups was statistically significant（ P 0. 05）. Conclusion The effect of Renying modified acupuncture treatment of vertebral artery type cervical spondylosis was satisfacty,this method can also improve the vertebral artery insufficiency.