中医综合疗法治疗椎动脉型颈椎病的临床研究

Clinical Research on Treatment of Cevical Spondylosis of Vertebral Artery by Traditional Chinese Medical Science Combination Therapy

目的:探讨中医综合疗法治疗椎动脉型颈椎病的临床疗效。方法:104例椎动脉型颈椎病患者随机分为观察组与对照组,各52例。观察组予以中医针刺、推拿和中药内服综合疗法治疗,对照组单纯予以针刺治疗,比较2组的临床疗效。结果:观察组的痊愈率和总有效率分别为28.85%、96.15%,显著高于对照组的9.6%、84.62%(P<0.05);2组治疗后眩晕、头痛和颈肩痛中医积分均显著降低,且观察组显著低于对照组(P<0.05);治疗后2组椎动脉平均血流速度均显著提高,且观察组显著高于对照组(P<0.05)。结论:中医综合疗法治疗椎动脉型颈椎病可有效改善患者的临床症状与体征,改善椎动脉血流参数,疗效显著,值得推广应用。

Objective： To investigate the clinical efficacy of traditional Chinese medical （TCM） science combination therapy for cevical spondylosis of vertebral artery （CSA） . Methods： 104 CSA patients were randomly divided into observation group and con- trol group, 52 cases in each group. Observation group received acupuncture, massage and herbal oral combination therapy, control group received acupuncture treatment, the clinical efficacy of two groups were compared. Results ： The cure rate and total effective rate of observation group was 28.85%, 96. 15%, significantly higher than the 9.6%, 84. 62% of control group （ P 〈 0. 05 ） ; After treatment, the TCM syndrome score of dizziness, headaches and neck in the two groups were significantly reduced, and the observation group were significantly lower than the control group （ P 〈 0. 05 ） ; .after treatment , the average flow velocity of the two groups were significantly improved, and the observation group was significantly higher （ P 〈 0.05 ） . Conclusion： TCM combination therapy for CSA can effectively improve the patient＇s clinical symptoms and signs, improved vertebral artery blood flow parameters, it has a significant effect, should be widely applied.