针刀联合活血舒筋汤治疗椎动脉型颈椎病痰湿阻络证患者的效果

Effects of needle knife combined with Huoxue Shujin decoction in treatment of vertebral artery type of cervical spondylosis patients with phlegm-dampness blocking collaterals syndrome

目的:观察针刀联合活血舒筋汤治疗椎动脉型颈椎病痰湿阻络证患者的效果。方法:选取2018年4月至2020年6月该院收治的78例椎动脉型颈椎病患者进行前瞻性研究,以掷硬币法分为研究组和对照组各39例。对照组采取活血舒筋汤治疗,研究组在对照组基础上联合针刀治疗,比较两组临床疗效、治疗前后颈性眩晕症状与功能评估量表(ESCV)评分、椎基底动脉指标[收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、平均血流速度(Vm)]水平和治疗期间不良事件发生率。结果:研究组治疗总有效率为97.44%(38/39),高于对照组的79.49%(31/39),差异有统计学意义(P<0.05);治疗后,两组眩晕、肩颈痛、头痛、日常生活及工作、心理及社会适应等ESCV评分均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);治疗后,两组PSV、EDV和Vm水平均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);两组不良事件发生率比较,差异无统计学意义(P>0.05)。结论:针刀联合活血舒筋汤治疗椎动脉型颈椎病患者可提高治疗总有效率、ESCV评分和椎基底动脉指标水平,效果优于单纯活血舒筋汤治疗。

Objective: To observe effects of needle knife combined with Huoxue Shujin decoction in treatment of vertebral artery type of cervical spondylosis patients with phlegm-dampness blocking collaterals syndrome. Methods: A prospective study was performed on 78 patients with vertebral artery type of cervical spondylosis who were admitted to this hospital from April 2018 to June 2020, and they were divided into study group and control group by tossing a coin method, 39 cases in each. The control group was treated with Huoxue Shujin decoction, while the study group was treated with needle knife on the basis of that of the control group. The clinical efficacy, the evaluation scale for cervical vertigo(ESCV) score, the vertebrobasilar artery index levels [peak systolic blood flow velocity(PSV), end-diastolic blood flow velocity(EDV), average blood flow velocity(Vm)], and incidence of adverse events during the treatment were compared between the two groups before and after the treatment. Results: The total effective rate of the study treatment was 97.44%(38/39), which was higher than 79.49%(31/39) of the control group, and the difference was statistically significant(P<0.05).After the treatment, the ESCV scores of dizziness, shoulder and neck pain, headache, daily life and work, psychological and social adaptation in the two groups were higher than those before the treatment, those of the study group were higher than those of the control group, and the differences were statistically significant(P<0.05). After the treatment, the levels of PSV, EDV and Vm in the two groups were higher than those before the treatment, those of the study group were higher than those of the control group, and the differences were statistically significant(P<0.05). However, there was no significant difference in the incidence of adverse events between the two groups(P>0.05). Conclusions: Needle knife combined with Huoxue Shujin decoction in the treatment of the patients with vertebral artery type of cervical spondylosis can improve the total effective rate, the ESCV score and the vertebrobasilar artery index levels.Moreover, it is superior to single Huoxue Shujin decoction treatment.