针灸结合微创埋线对椎动脉型颈椎病患者动脉血流的影响及其临床疗效分析

Effect of acupuncture combined with microinvasive thread embedding on the changes of hemodynamics in patients with cervical spondylosis of vertebral artery type and evaluate its clinical efficacy

目的观察针灸联合微创埋线对椎动脉型颈椎病患者动脉[基底动脉(BA)、左椎动脉(LVA)、右椎动脉(RVA)]血流动力学[平均血流速度(Vm)、阻力指数(RI)、搏动指数(PI)]的影响及其临床疗效评价。方法收集100例符合临床研究标准的椎动脉型颈椎病患者,按照入组先后顺序分为观察组与对照组,每组50例,对照组给予常规康复治疗方案(推拿、按摩等)+针灸治疗,观察组在此基础上给予微创埋线治疗,连续治疗3周,治疗前后采用颈性眩晕症状与功能评估量表(ESCV)进行评分,并采用经颅多普勒超声观察患者动脉(BA、LVA、RVA)血流动力学(Vm、RI、PI)情况,并进行临床疗效评估。结果治疗前两组ESCV评分比较差异无统计学意义(P>0.05),治疗后两组ESCV评分均升高(P<0.05),且观察组高于对照组(P<0.05)。治疗前两组动脉(BA、LVA、RVA)血流动力学(Vm、RI、PI)比较差异无统计学意义(P>0.05),治疗后两组患者动脉(BA、LVA、RVA)的Vm高于本组治疗前(P<0.05),且观察组动脉(BA、LVA、RVA)Vm高于对照组(P<0.05),治疗后两组患者动脉(BA、LVA、RVA)RI、PI低于本组治疗前(P<0.05),且观察组动脉(BA、LVA、RVA)RI、PI低于对照组(P<0.05)。观察组治疗后总有效率高于对照组(P<0.05)。结论在针灸治疗的基础上给予微创埋线治疗能够通过改善椎动脉型颈椎病患者的颈部血供而提高患者的生活质量与临床疗效。

Objective To observe the effect of acupuncture combined with microinvasive thread embedding on the changes of basal artery(BA),left vertebral artery(LVA),right vertebral artery(RVA)and the average cerebral blood flow(Vm),resistance index(RI),pulsatility index(PI)in patients with cervical spondylosis of vertebral artery type and evaluate its clinical efficacy.Method 100 patients with cervical spondylosis of vertebral artery type were randomly divided into observation group and control group with 50 cases in each group.The patients in the control group were given conventional rehabilitation therapy(massage)and acupuncture,while the observation group were given microinvasive thread embedding on the basic of control group for 3 weeks.Before and after treatment,the symptoms and function were scored by using the Evaluation Scale for Cervical Vertigo,and the hemodynamics(VM,RI,PI)of the arteries(BA,LVA,RVA)were observed by transcranial Doppler ultrasound,and the clinical effect was evaluated.Results The score of vertigo in the two groups had no statistical significance(P>0.05)before treatment,while the score of vertigo in the two groups were higher than that of pre-therapy(P<0.05),and the scores in the observation group were higher than that of control group(P<0.05).The hemodynamics(Vm,RI,and PI)in the artery(BA,LVA,and RVA)had no statistical significance(P>0.05)in the two groups before treatment,while the hemodynamics(Vm)in the artery(BA,LVA,and RVA)were higher than that of pre-therapy(P<0.05),and the hemodynamics(Vm)in the artery(BA,LVA,and RVA)of observation group were higher than that of control group(P<0.05).The hemodynamics(RI and PI)in the artery(BA,LVA,and RVA)were lower than pre-therapy(P<0.05),and the hemodynamics(Vm)in the artery(BA,LVA,and RVA)of observation group were lower than control group(P<0.05).The total efficacy rate in the observation group were higher than control group(P<0.05).Conclusion On the basis of acupuncture treatment,microinvasive thread embedding can improve the cervical blood supply of patients with vertebral artery type cervical spondylosis and improve their life quality and clinical efficacy.