经筋理论指导超声引导下针刀治疗椎动脉型颈椎病50例

50 Cases of Cervical Spondylosis of Vertebral Artery Type Treatment with Acupotomology guided by Meridians theory under Ultrasound guidance

目的:探讨经筋理论指导超声引导下运用针刀治疗椎动脉型颈椎病的临床疗效。方法:将100例颈动脉型颈椎病患者按照随机数字表法分为观察组(引导组)及对照组(盲刺组)。观察组50例采用经筋理论指导超声引导下行针刀松解疗法,对照组50例采用传统的盲刺下针刀松解疗法。两组各每周治疗一次,各治疗一个疗程(两周为一个疗程)。观察治疗前后两组双侧椎动脉(VA)和基底动脉(BA)的收缩峰期血流速度(Vp)及舒张末期血流速度(Vm)、颈部残障指数(NDI)及综合疗效评价量表得分变化。结果:治疗后观察组的VA和BA的血流速度Vp及Vm均优于对照组,比较具有统计学意义P<0.05;治疗后观察组的颈部残障指数评价量表得分明显低于对照组,比较具有统计学意义P<0.05;治疗后观察组的综合疗效明显优于对照组,比较具有统计学意义P<0.05。结论:经筋理论指导超声引导下运用针刀治疗椎动脉型颈椎病的疗效明显优于传统对照组,其固有的可视性和独特的实时性为操作者提供了更加精准性和安全性的保障。

Objective:To explore the clinical efficacy of acupotomy guided by Meridians theory under Ultrasound guidance in the treatment of Cervical Spondylosis of vertebral Arterytype.Methods:One hundred patients with carotid cervical spondylosis were divided into abservation group(a guided group)and control group(a blind thorn group)according to the random number table method and 50 patients in each group.The observation were treated with acupotomy release therapy guided by transverse tendon theory under ultrasound guidance,the control group were treated with traditional acupotomy release therapy with blind puncture.The two groups were treated once a week,one course of treatment(two weeks as a course of treatment).The peak systolic blood flow velocity(Vp),end diastolic blood flow velocity(Vm),neck disability index(NDI)and comprehensive efficacy evaluation scale of bilateral vertebral artery(VA)and basilar artery(BA)were observed before and after treatment.Results:Vascular velocity Vp and Vm of VA and BA in abservation group were better than those in control group after treatment,the difference was significant(P<0.05).After treatment,the score of cervical disability index evaluation scale in observation group was significantly lower than that in control group,the difference was significant(P<0.05).After treatment,the score of the comprehensive curative effect evaluation scale in observation group was clearly better than that in control group,the difference was significant(P<0.05).Conclusion:The therapeutic effect of acupotomy on Cervical Spondylosis of vertebral Arterytype guided by Meridians theory is clearly better than that of traditional blind needling group,Its inherent visibility and unique real-time provide operators with more precise and security guarantees.