“畅气通络”手法联合针刺百会穴治疗颈椎病的效果及对血流速度的影响

Curative effect of "Changqi Tongluo" manipulation combined with acupuncture in Bǎihuì acupoint in the treatment of cervical spondylosis and its influence on the blood flow velocity

目的研究"畅气通络"手法联合针刺百会穴治疗椎动脉型颈椎病的效果及对血流速度的影响。方法选取广东省中医院珠海医院康复科2014年10月~2016年10月收治的90例椎动脉型颈椎病患者为研究对象,将患者抽签随机分为实验组与对照组,每组45例。实验组给予"畅气通络"手法联合针刺百会穴治疗,对照组给予基础西药治疗。比较两组治疗前后症状积分、颈椎活动度,以及左侧椎动脉、右侧椎动脉、基底动脉的平均血流速度(Vm)。结果治疗后,两组头痛、眩晕、耳鸣、视物不清、颈痛等症状积分均较治疗前显著降低(P<0.05),且实验组治疗后头痛、眩晕、耳鸣、视物不清、颈痛等症状积分均明显低于对照组,差异有统计学意义(P<0.05)。治疗后,两组颈椎活动度均较治疗前提高(P<0.05),且实验组治疗后颈椎活动度明显高于对照组,差异有统计学意义(P<0.05)。两组左侧椎动脉、右侧椎动脉及基底动脉Vm均较治疗前提高(P<0.05),且治疗后实验组左侧椎动脉、右侧椎动脉及基底动脉Vm均明显高于对照组,差异有统计学意义(P<0.05)。结论 "畅气通络"手法联合针刺百会穴治疗椎动脉型颈椎病效果显著,可明显提高颈椎活动度,缓解患者临床症状,其主要作用机制可能与提高椎动脉及基底动脉Vm有关。

Objective To investigate the effect of ＂Changqi Tongluo＂ manipulation combined with acupuncture in Bai- hul acupoint in the treatment of vertebral artery type of cervical spondylosis and its influence on the blood flow veloci- ty. Methods Ninety patients with vertebral artery type of cervical spondylosis admitted to Department of Rehabilitation, Zhuhai Branch of Guangdong Provincial Hospital of Traditional Chinese Medicine from October 2014 to October 2016 were selected as research objects, and they were randomly divided into experimental group and control group by draw method, with 45 cases in each group. The experimental group was given ＂Changqi Tongluo＂ manipulation combined with acupuncture in B^iihui acupoint, the control group was given basic western medicine. The symptom scores, cervical range of motion, and mean flow velocity （Vm） of left vertebroarterial artery, right vertebroarterial artery, basilar artery before and after treatment between the two groups were compared. Results After treatment, the symptom scores of headache, dizziness, tinnitus, blurred vision, neck pain in the two groups were all significantly lower than those before treatment （P 〈 0.05）, and the symptom scores of headache, dizziness, tinnitus, blurred vision, neck pain in the experimental group after treatment were significantly lower than those of the control group, the differences were sta- tistically significant （P 〈 0.05）. After treatment, the cer- vical ranges of motion in the two groups were higher than those before treatment （P 〈 0.05）, and the cervical range of motion in the experimental group after treatment was significantly higher than that of the control group, the difference was statistically significant （P 〈 0.05）. After treatment, the Vm of left vertebroarterial artery, right vertebroarterial artery, basilar artery in the two groups were higher than those before treatment （P 〈 0.05）, and the Vm of left vertebroarterial artery, right vertebroarterial artery, basilar artery in the experimental group after treatment were significantly higher than those of the control group, the differences were statistically significant （P 〈 0.05）. Conclusion ＂Changqi Tongluo＂ manipulation combined with acupuncture in Baihul acupoint in the treatment of vertebral artery type of cervical spondylosis has obvious curative effect, which can signifi- cantly improve the cervical range of motion, relieve the clinical symptoms, its main mechanism may be associated with the improvement of Vm of vertebroarterial artery and basilar artery.