薄氏腹针治疗椎动脉型颈椎病疗效观察及对血流动力学的影响

Clinical Observation of Bo’s Abdominal Acupuncture for Cervical Spondylosis of Vertebral Artery Type and Its Effect on Hemodynamics

目的:观察薄氏腹针治疗椎动脉型颈椎病的临床疗效及对血流动力学的影响。方法:将椎动脉型颈椎病298例随机分为对照组与观察组,各149例;对照组常规给予中医推拿治疗,观察组在对照组治疗的基础上加用薄氏腹针治疗,疗程均为1个月;观察比较2组临床疗效,治疗前后患者血流动力学指标[峰值收缩期血流速度(PASV)、阻力指数(RI)、血管搏动指数(PI)、基底动脉平均血流速度(BMFV)]的变化。结果:治疗后,总有效率观察组为91.9%,对照组为73.8%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组患者血流动力学指标PASV、BMFV值较治疗前升高(P<0.05),RI、PI较治疗前降低(P<0.05);且观察组各项血流动力学指标改善较对照组更显著(P<0.05)。治疗过程中,观察组患者出现针刺轻度不良反应2例,中度不良反应1例,不良反应率为2.01%。结论:薄氏腹针法联合传统中医推拿治疗椎动脉型颈椎病,可有效改善患血流动力学,提高临床疗效,值得临床推广应用。

Objective:To observe the clinical effect of Bo’s abdominal acupuncture for patients with cervical spondylosis of vertebral artery type and its effect on hemodynamics.Methods:A total of 298 cases of patients with cervical spondylosis of vertebral artery type were randomly divided into the control group and the observation group,149 cases in each group.The control group was routinely treated with massage of Chinese medicine,and the observation group was additionally treated with Bo’s abdominal acupuncture based on the treatment of the control group.Both groups were treated for one month.The clinical effect and the changes of hemodynamic indexes including peak arterial systolic flow velocity(PASV),resistance indexes(RI),pulsatility indexes(PI)and basilar artery mean flow velocity(BMFV)in the two groups before and after treatment were observed and compared.Results:After treatment,the total effective rate was 91.9%in the observation group and73.8%in the control group,the difference being significant(P<0.05).After treatment,the values of PASV and BMFV in the two groups were increased when compared with those before treatment(P<0.05),and the values of RI and PI were decreased(P<0.05);the improvement of all the hemodynamic indexes in the observation group was more significant than that in the control group(P<0.05).During the treatment,there were two cases of mild adverse reactions and one case of moderate adverse reaction of acupuncture in the observation group,and the incidence of adverse reaction was 2.01%.Conclusion:The therapy of Bo’s abdominal acupuncture combined with massage of Chinese medicine for cervical spondylosis of vertebral artery type can effectively improve the hemodynamics and clinical effect,which is worthy of clinical promotion and application.