枕项针刺疗法联合推拿手法治疗椎动脉型颈椎病的效果及对颈椎功能的影响

Effect of pillow neck acupuncture combined with massage technique on cervical spondylosis of vertebral artery type and its influence on cervical function

目的探讨枕项针刺疗法联合推拿手法治疗椎动脉型颈椎病的效果及对颈椎功能的影响。方法选取2019年5月至2022年5月收治的80例椎动脉型颈椎病患者为研究对象,以随机数字表法将其分为对照组和观察组,各40例。对照组采用推拿手法治疗,观察组采用枕项针刺疗法联合推拿手法治疗。比较两组的治疗效果。结果观察组的治疗总有效率高于对照组(P<0.05)。治疗后,观察组的颈部疼痛、头痛耳鸣、眩晕恶心积分低于对照组(P<0.05)。治疗后,观察组的舒张末期血流速度(EDV)、收缩期峰值血流速度(PSV)、平均血流速度(MFV)高于对照组(P<0.05)。治疗后,观察组的纤维蛋白原(Fbg)水平低于对照组,一氧化氮(NO)水平高于对照组(P<0.05)。治疗后,观察组的颈椎功能障碍指数(NDI)评分低于对照组,生活质量问卷-C30(QLQ-C30)评分高于对照组(P<0.05)。结论枕项针刺疗法联合推拿手法治疗椎动脉型颈椎病的效果显著,可缓解患者症状,改善血流动力学情况,调节Fbg、NO水平,促进颈椎功能改善和生活质量提高,值得推广。

Objective To investigate the effect of pillow neck acupuncture combined with massage technique on cervical spondylosis of vertebral artery type and its influence on cervical function.Methods Eighty patients with cervical spondylosis of vertebral artery type treated from May 2019 to May 2022 were selected as the study objects and divided into control group and observation group by random number table method,with 40 cases in each group.The control group was treated with massage technique,and the observation group was treated with pillow neck acupuncture combined with massage technique.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,the scores of neck pain,headache and tinnitus,vertigo and nausea in the observation group were lower than those in the control group(P<0.05).After treatment,end diastolic velocity(EDV),peak systolic velocity(PSV)and mean flow velocity(MFV)in the observation group were higher than those in the control group(P<0.05).After treatment,the fibrinogen(Fbg)level in the observation group was lower than that in the control group,and the nitric oxide(NO)level was higher than that in the control group(P<0.05).After treatment,the Neck Disability Index(NDI)score of the observation group was lower than that of the control group,and the Quality of Life Questionnaire-C30(QLQ-C30)score was higher than that of the control group(P<0.05).Conclusion The pillow neck acupuncture combined with massage technique in the treatment of cervical spondylosis of vertebral artery type has significant effect,it can alleviate the symptoms of patients,improve the hemodynamics,adjust the levels of Fbg and NO,and promote the improvement of cervical function and quality of life,which is worthy of promotion.