呼吸模式重建的功能锻炼结合隔姜灸治疗椎动脉型颈椎病的临床研究

Clinical study on the treatment of cervical spondylosis of vertebral artery type with functional exercise of respiratory mode reconstruction combined with ginger separated moxibustion

目的观察呼吸模式重建的功能锻炼结合不同灸量的隔姜灸对椎动脉型颈椎病患者眩晕、颈肩痛、头痛等症状的影响,为临床治疗椎动脉型颈椎病提供安全有效的治疗方法。方法选取符合纳入标准的椎动脉型颈椎病患者120例,随机分为4组(n=30)。治疗1组行常规针刺+电针+推拿+呼吸模式重建功能锻炼结合隔姜灸3壮;治疗2组行常规针刺+电针+推拿+呼吸模式重建功能锻炼结合隔姜灸6壮;治疗3组行常规针刺+电针+推拿+呼吸模式重建功能锻炼结合隔姜灸9壮;对照组行常规针刺+电针+推拿+温和灸。记录患者治疗前后及治疗后第1个月、第3个月的颈性眩晕症状与功能量表评分(ESCV)及视觉模拟评分法(VAS)评分。结果治疗前4组患者ESCV、VAS评分组间比较差异均无统计学意义(P>0.05),治疗后1、2、3组ESCV评分均高于对照组(P<0.05),且治疗3组的ESCV评分最高(P<0.05);治疗1、2、3组VAS评分均低于对照组(P<0.05),且治疗3组的VAS评分明显低于其余三组(P<0.05)。结论呼吸模式重建的功能锻炼结合隔姜灸可明显改善患者眩晕、颈肩痛、头痛等症状,且灸量越大,疗效越好。该疗法安全无副作用,值得临床推广。

Objective To observe the effects of functional exercise for respiratory pattern reconstruction combined with different amounts of ginger separated moxibustion on symptoms such as dizziness,neck and shoulder pain,and headache in patients with cervical spondylosis of vertebral artery type,in order to provide a safe and effective treatment for clinical treatment of cervical spondylosis of vertebral artery type.Methods 120 patients with cervical spondylosis of vertebral artery type who met the inclusion criteria were randomly divided into four groups:Treatment group 1(conventional acupuncture+electroacupuncture+massage+respiratory mode reconstruction functional exercise combined with ginger separated moxibustion for 3 zhuang),treatment group 2(conventional acupuncture+electroacupuncture+massage+respiratory mode reconstruction functional exercise combined with ginger separated moxibustion for 6 zhuang),and treatment group 3(conventional acupuncture+electroacupuncture+massage+respiratory mode reconstruction functional exercise combined with ginger separated moxibustion for 9 zhuang),and the control group(conventional acupuncture+electroacupuncture+massage+warm moxibustion)had 30 cases in each group.The scores of the cervical vertigo symptom and function scale(ESCV)and visual analogue scale(VAS)were recorded before and after treatment,as well as at the first and third months following treatment.Results Before treatment,there was no significant difference in ESCV and VAS scores among the four groups(P>0.05)After treatment,ESCV scores in groups 1,2,and 3 were higher than those in the control group(all P<0.05),with group 3 having the highest(P<0.05);The VAS scores of treatment groups 1,2,and 3 were lower than those of the control group(all P<0.05),with group 3 having significantly lower VAS scores than the other three groups(P<0.05).Conclusion Functional exercise for respiratory pattern reconstruction combined with ginger separated moxibustion can significantly improve symptoms such as dizziness,neck and shoulder pain,and headache in patients.The greater the amount of moxibustion,the better the efficacy.This therapy is safe and has no side effects,and is worthy of clinical promotion.