针刺治疗椎动脉型颈椎病的效果分析

Analysis of Effect of Acupuncture Therapy of Vertebral Artery Type of Cervical Spondylosis

目的探讨椎动脉型颈椎病患者在针刺治疗下的治疗效果。方法该研究方便选择2016年12月—2017年12月入住医院治疗的80例椎动脉型颈椎病患者为研究对象,在随机数字表法处理下分为对照组与观察组各40例。对照组使用药物治疗,观察组接受针刺治疗。比较两组患者的治疗效果、椎基底动脉血流量与症状体征评分等。结果观察组患者的总有效率(97.50%)明显高于对照组(80.00%),差异有统计学意义(χ~2=6.130,P=0.013);且治疗后的TMFV(26.98±4.37)cm/s、PSV(63.33±14.27)明显高于对照组(22.25±4.21)cm/s、(53.25±13.77),差异有统计学意义(t=4.930,3.215,P=0.001,0.002),PI(0.74±0.11)、RI(0.52±0.07)明显低于对照组(0.98±0.41)、(0.73±0.12),差异有统计学意义(t=3.576,9.560,P=0.001,0.000)。观察组患者治疗后的症状体征评分(26.88±2.71)分明显高于对照组(23.35±2.42)分,差异有统计学意义(t=6.145,P=0.000)。结论针刺治疗可有效提高椎动脉型颈椎病患者的治疗效果,改善了椎基底动脉的血流量,可缓解临床症状,值得在颈椎病治疗中应用。

Objective To study the effect of acupuncture therapy of vertebral artery type of cervical spondylosis. Methods80 cases of patients with vertebral artery type of cervical spondylosis admitted and treated in our hospital from December2016 to December 2017 were convenient selected and randomly divided into two groups with 40 cases in each, the control group were treated with drugs, while the observation group were treated with acupuncture, and the treatment effect, blood flow and symptoms vital signs scores were compared between the two groups. Results The total effective rate in the observation group was obviously higher than that in the control group（97.50% vs 80.00%）, and the difference was statistically significant（χ~2=6.130, P=0.013）; after treatment, the TMFV and PSV were obviously higher than those in the control group, [（26.98±4.37）cm/s,（63.33±14.27） vs（22.25±4.21）cm/s,（53.25 ±13.77）], and the differences were statistically significant（t=4.930,3.215, P=0.000,0.002）, and the PI and RI were obviously lower than those in the control group, [（0.74±0.11）,（0.52±0.07） vs（0.98±0.41）,（0.73±0.12）], and the differences were statistically significant（t=3.576,9.560, P=0.001,0.000）, after treatment,the symptoms vital sign scores in the observation group were obviously higher than those in the control group,[（26.88 ±2.71）points vs（23.35±2.42）points], and the differences were statistically significant（t=6.145, P=0.000）. Conclusion The acupuncture therapy can improve the treatment effect of vertebral artery type of cervical spondylosis patients, improve the blood flow of vertebrobasilar artery and relieve the clinical symptoms, and it is worth application.