项六针联合三步推拿手法治疗椎动脉型颈椎病临床观察

Clinical Observation on Nape Needling at Six Points with Acupuncture Combined with Three-step Tuina Manipulation in the treatment of Vertebral Artery Cervical Spondylosis

目的分析项六针联合三步推拿手法治疗椎动脉型颈椎病的临床效果。方法选取2018年10月—2019年6月辽宁省朝阳市中心医院收治的椎动脉型颈椎病患者92例患者为研究对象,按随机单双数法分为2组,每组46例。对照组46例患者以常规针灸推拿治疗,观察组46例患者予以项六针联合三步推拿手法治疗,对比2组总有效率及血流动力学指标[阻力指数(Resistance index,RI)、血管搏动指数(Perfusion index,PI)、时间平均血流速度(Time-mean flow velocity,TMFV)、收缩期峰值血流速度(Peak systolic blood flow velocity,PSV)]。结果观察组患者总有效率97.82%(45/46)高于对照组84.78%(39/46),差异有统计学意义(P<0.05);治疗前2组患者血流指数差异无统计学意义(P>0.05);治疗后观察组患者血流动力学指标RI、PI、TMFV、PSV优于对照组,差异有统计学意义(P<0.05)。结论对椎动脉型颈椎病患者进行项六针联合三步推拿手法治疗可改善局部血流,降低阻力指数,提升总有效率,有临床应用价值。

Objective To analyze the clinical effect of nape needling at six points with acupuncture combined with three-step tuina manipulation in the treatment of vertebral artery cervical spondylosis.Methods 92 patients with vertebral artery cervical spondylosis admitted to Chaoyang Central Hospital from October 2018 to June 2019 were selected as the research objects,and they were randomly divided into the control group of 46 patients with conventional acupuncture and massage and the observation group of 46 patients received nape needling at six points with acupuncture combined with three-step tuina manipulation.The total effective rate of disease treatment,hemodynamic indexes(Resistance index(RI),Perfusion index(PI),time-mean flow)were compared Velocity(TMFV),Peak systolic blood flow velocity(PSV).Results The total effective rate in observation group was 97.82%(45/46)higher than that in control group(84.78%,39/46),and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in blood flow index between 2 groups(P>0.05).After treatment,the hemodynamic indexes RI,PI,TMFV and PSV in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with vertebral artery cervical spondylosis,nape needling at six points with acupuncture combined with three-step tuina manipulation can improve local blood flow,reduce the resistance index and enhance the total effective rate,which has clinical application value.