孙氏腹针提高椎动脉型颈椎病手法复位成功率的作用机理研究

Studying on the Mechanism of Sun's Abdominal Acupuncture in Improving the Success Rate of Manual Reduction of Vertebral Artery Type of Cervical Spondylosis

目的证明孙氏腹针疗法在提高椎动脉型颈椎病手法复位成功率中的作用并分析作用机理。方法采用180例患者,分为6组,每组30例。1基础治疗组;2孙氏腹针组;3手法复位组;4夹脊电针组;5孙氏腹针加手法复位组;6夹脊电针加手法复位组。所有治疗1次/天,每周治疗5次,治疗周期为2周或(或<2周)。用经颅多普勒超声(TCD)和椎动脉型颈椎病功能评定量表(FS-CSA)检查各疗效。结果 1.各组对比(TCD)提示椎动脉血流动力明显改善(P<0.05),(FS-CSA)降低(P<0.05)。2.孙氏腹针加手法复位组评分优于其他各组(P<0.05)。结论孙氏腹针可明显改善颈背部项韧带、斜角肌的肌张力,使颈部的骨关节力学平衡关系趋向于正常,血管压力和弹性发生改变,颅内供血增加,使症状减轻,更重要的是给复位手法创造有利条件,使其复位成功率大大提高,使疗效进一步提高,对有些无效病例亦能提高疗效,使其有效或痊愈。

Objective To prove the effect of Sun’s abdominal acupuncture in improving the success rate of manual reduction of vertebral artery type of cervical spondylosis and analyze the mechanism. Methods 180 cases of patients were randomly divided into six groups, and each group had 30 cases. The six group are as follows： foundation treatment group, Sun ’s abdominal acupuncture treatment group, manual reduction treatment group, clip ridge acusector treatment group, Sun ’s abdominal acupuncture and manual reduction treatment group, clip ridge acusector and manual reduction treatment group. All treatment followed the rules： once a day, 5 times a week, treatment cycle was 2weeks（or〈2weeks）. Using transcranial Doppler ultrasound and functional assessment on vertebral artery type of cervical spondylosis, the curative effect of each group was assessed. Results Eech group’s vertebral artery blood flow dynamic were significantly improved, and FSCSA significantly deseased after treatment（ P〈0.05）. The effect scores of Sun’s abdominal acupuncture and manual reduction treatment group was significantly higher than other groups. Conelusion Sun’s abdominal acupuncture can obviously improve the vertebral artery blood flow and success rate of manual reduction of patients with vertebral artery type of cervical spondylosis, also effectively improve the patient’s dizziness, headache, shoulder pain, tinnitus, deafness and other symptoms.