调肝养血针刺法治疗椎动脉型颈椎病疗效观察（英文）

Clinical effect observation on liver-regulating and blood-tonifying acupuncture for cervical spondylosis of vertebral artery type

目的:观察调肝养血针刺法治疗椎动脉型颈椎病的临床疗效。方法:将60例符合纳入标准的患者按随机数字表法分为观察组和对照组,每组30例。观察组接受调肝养血针刺法,取穴为颈3-7夹脊穴,肝俞和膈俞;对照组予普通针刺,取穴为颈3-7夹脊穴。两组均每星期治疗5次,休息2 d,治疗4星期后观察两组症状及体征评分变化,并评价临床疗效。结果:观察组总有效率为90.0%,对照组为73.3%,两组差异有统计学意义(P<0.05)。治疗后两组症状、体征评分均较本组治疗前下降,组内差异有统计学意义(P<0.05);组间比较,观察组眩晕、椎旁压痛点及旋颈试验改善情况优于对照组,组间差异有统计学意义(均P<0.05),而头痛、恶心呕吐改善情况两组差异无统计学意义(均P>0.05)。结论:调肝养血针刺法治疗椎动脉型颈椎病疗效确切,能明显改善患者的临床症状和体征。

Objective： To observe the clinical effect of liver-regulating and blood-tonifying acupuncture in the treatment of cervical spondylosis of vertebral artery type. Methods： A total of 60 cases meeting the inclusion criteria were randomized into an observation group and a control group, 30 cases in each group. Cases in the observation group received liver-regulating and blood-tonifying acupuncture, in which Jiaji （EX-B 2） points of C3_C7, Ganshu （BL 18） and Geshu （BL 17） were used; cases in the control group received routine acupuncture treatment in which jiaji （EX-B2） points of C3.C7 were used. Both groups received 5 times of treatment in a week with a 2-day rest, symptoms evaluation was done after 4 weeks of treatment, and then therapeutical effect was evaluated. Results： The total effective rate was 90.0% in the observation group, 73.3% in the control group, and inter-group comparison showed a statistical significance （P〈0.05）. After treatment, the symptoms and signs scores in both groups all substantially dropped, showing statistical significances （both P〈0.05）; inter-group comparison showed that the improvements in subscales of dizziness, pressing pain along vertebrae and revolve-cervix test in the observation group were superior than those in the control group, showing statistical significances （all P〈0.05）, while the inter-group comparisons of subscales of headache and vomiting and nause didn＇t show any statistical significances after treatment （both P〉0.05）. Conclusion： Liver-regulating and blood-tonifying acupuncture is effective in treating cervical spondylosis of vertebral artery type, and it can significantly improve patients＇ symptoms and signs.