激痛点推拿配合针刺治疗椎动脉型颈椎病的临床价值

Clinical Value of Pain Point Massage Combined with Acupuncture in the Treatment of Vertebral Artery Type Cervical Spondylosis

目的观察椎动脉型颈椎病患者接受激痛点推拿、针刺治疗的临床治疗效果。方法选取2022年1月至2023年1月共计57例椎动脉型颈椎病患者的病历资料。按照随机数表法分组,对照组28例患者实施颌枕牵引疗法,观察组29例患者实施激痛点推拿配合针刺治疗。比较两组的治疗效果。结果评估患者颈椎动脉血管内径,治疗前,组间左侧、右侧血管内径差异无统计学意义(P>0.05),治疗后,观察组左侧以及右侧血管内径明显更高(P<0.05)。评估颈椎动脉血流速度,治疗前组间差异无统计学意义(P>0.05),治疗后,观察组左侧以及右侧平均血流速度更高(P<0.05)。评估颈性眩晕症状、颈椎病临床评价量表(CASCS)评分,治疗前组间差异无统计学意义(P>0.05),治疗后观察组颈性眩晕症状、CASCS评分更优(P<0.05)。治疗前生活质量、疼痛评分差异无统计学意义(P>0.05),治疗后,观察组生活质量、疼痛评分更高(P<0.05)。结论给予椎动脉型颈椎病患者激痛点推拿治疗的同时配合针刺治疗能够有效改善血管狭窄情况,提升颈椎动脉血流速度,改善颈性眩晕症状,提高生活质量,减轻疼痛感。

Objective To observe the clinical therapeutic effect of pain point massage and acupuncture treatment on patients with vertebral artery type cervical spondylosis.Methods A total of 57 patients with vertebral artery type cervical spondylosis were selected from a time range of January 2022 to January 2023.According to the random number table method,28 patients in the control group were treated with jaw pillow traction therapy,while 29 patients in the observation group were treated with pain point massage combined with acupuncture.The effect of the two groups was compared.Results Before treatment,there was no significant difference in the inner diameter of the left and right blood vessels between the groups(P>0.05),but after treatment,the left and right blood vessel diameters in the observation group were significantly higher(P<0.05).There was no significant difference in average blood flow velocity between the left and right sides between the groups before treatment(P>0.05),and the average blood flow velocity between the left and right sides of the observation group was higher after treatment(P<0.05).There was no significant difference in cervical vertigo symptoms and CASCS scores between the groups before treatment(P>0.05),and the observation group had better cervical vertigo symptoms and CASCS scores after treatment(P<0.05).There was no significant difference in quality of life and pain score before treatment(P>0.05),but after treatment,the quality of life and pain score in the observation group were higher(P<0.05).Conclusions In patients with vertebral artery type cervical spondylosis,the combination of pain point massage therapy and acupuncture treatment can effectively improve vascular stenosis,increase cervical artery blood flow velocity,improve cervical dizziness symptoms,improve quality of life,and reduce pain.