通络醒脑针砭方治疗椎动脉型颈椎病的临床研究

Tongluo Xingnao Acupuncture in Treatment of Vertebral Artery Type of Cervical Spondylosis

目的:观察通络醒脑针砭方治疗椎动脉型颈椎病的临床疗效。方法:选择2012年4月—2013年4月在本院门诊接受治疗的椎动脉型颈椎病患者104例作为研究对象。根据数字法随机分成观察组52例与对照组52例,对照组使用普通针刺治疗:取穴风池(双)、夹脊穴(患侧)、列缺、百会(双),观察组予通络醒脑针砭方治疗,对比两组治疗效果,两组治疗前后的眩晕和头痛评分,以及旋颈试验评分情况,以及两组治疗前后的临床症状变化情况、血流变改变情况等。结果:观察组的总有效率为86.54%,显著高于对照组的69.23%,差异有统计学意义(P<0.05)。观察组治疗后的眩晕和头痛,以及旋颈试验评分均显著低于治疗前以及对照组治疗后的评分,差异均有统计学意义(均P<0.05)。观察组治疗后的上肢麻木、压痛、臂丛神经牵拉有痛感及上肢助力减弱等临床症状的消失率显著高于对照组,差异均有统计学意义(均P<0.05),治疗后观察组全血黏度及全血还原黏度(低、中、高切)、红细胞聚集指数和血浆黏度均明显改善(P<0.01),观察组的改善明显优于对照组(P<0.01)。结论:使用通络醒脑针砭方对椎动脉型颈椎病患者实施治疗,效果显著,且能较好地改善患者临床症状,值得推荐。

Objective： To study the clinical effect of Tongluo Xingnao acupuncture in the treatment of vertebral artery type of cervical spondylosis. Methods： During April 2012 to April 2013 in our hospital,a total of 104 patients with vertebral artery type of cervical disease,as the research objects,according to the figures were randomly divided into the observation group 52 cases and control group of 52 cases. The control group used the ordinary acupuncture treatment： Fengchi（ double,GB20）,Jiaji（ affected side,EX- B2）,Baihui（ DU20）,Lieque（ double,LU7）. The observation group were given Tongluo Decoction in the treatment of Xingnao acupuncture. Compare two groups’ vertigo and headache,and neck rotation test scores and the changes of clinical symptoms before and after treatment in two groups. Results： The total effective rate of observation group was 86. 54%（ 45/52）,significantly higher than the control group’s 69. 23%（ 36/52） and the difference was statistically significant（ P 〈 0. 05）. After treatment,the observation group’s vertigo and headache and neck rotation test scores were significantly lower than that before treatment and the control group’s after treatment score and the difference was statistically significant（ P 〈 0. 05）. Observation group’s upper extremity numbness,tenderness and pain and upper limb traction power after treatment were weakened and other clinical symptoms disappeared rate was significantly higher than that of the control group. The difference was statistically significant（ P 〈0. 05）. After treatment,observation group’s whole blood reductive viscosity（ low,medium and high shear） and plasma viscosity and erythrocyte aggregation index were significantly improved（ P 〈 0. 01） and the improvement of the observation group was better than that of control group（ P 〈 0. 01）. Conclusion： There are significant therapeutic effects on patients with vertebral artery type of cervical spondylosis using Tongluo Xingnao acupuncture which can improve clinical symptoms.