药艾灸治疗椎动脉型颈椎病临床观察

Clinical Observation on Moxibustion Treating Vertebral Artery Type of Cervical Spondylosis

目的：通过随机对照研究观察药艾灸治疗椎动脉型颈椎病的疗效。方法：将70例椎动脉型颈椎病患者随机分为治疗组和对照组各35例，治疗组采用药艾灸治疗，对照组给予服用甲磺酸倍他司汀（敏使郎）治疗，7天为1个疗程，共治疗2个疗程；分别于第1天（治疗前）、第7天（第1疗程结束后）、第14天（治疗结束后）、第35天（治疗结束后3周）进行临床疗效评定。结果：第14天、第35天治疗组总有效率均显著高于对照组（P＜0.05）；治疗组ESCV评分改善程度显著优于对照组（P＜0.05）；两组均未发现明显不良反应。结论：药艾灸可显著缓解椎动脉型颈椎病患者的眩晕症状，提高患者的社会适应能力，值得临床推广应用。

Objective： To observe the efficacy of moxibustion treating vertebral artery type of cervical spondylosis according to randomized con-trolled trial. Methods：70 cases of patients with vertebral artery type of cervical spondylosis were randomly divided into treatment group and control group with each of 35 cases, treatment group were treated with moxibustion, control group with betahistine mesylate, 1 course of 7 days, 2 courses of treatment altogether;the clinical effects were evaluated on the first （before treatment）, seventh （after the end of first course of treatment）, fourteenth （after end of treatment） and thirty-fifth day （3 weeks after the end of treatment）. Results：On the fourteenth and thirty-fifth day the total effective rates of treatment group were both significantly higher than those of control group （P〈0.05）;ESCV score of treatment group was significantly better than that of control group （P〈0.05）;both without obvious adverse reactions. Conclusion：Moxibustion can significantly relieve the dizziness of vertebral artery type of cervical spondylosis, and improve social adaptation ability of patients＇, being worth clinical popularization and application.