不同针刺方法联合西药治疗椎动脉型颈椎病的临床效果及对患者椎-基底动脉血流速度、生活质量的影响

Clinical effects of different acupuncture methods combined with western medicine in the treatment of cervical spondylosis of vertebral artery type and its influences on vertebral basilar artery blood flow velocity and quality of life of patients

目的探讨不同针刺方法联合西药治疗椎动脉型颈椎病(CSA)的临床效果及对患者椎-基底动脉血流速度、生活质量的影响。方法选择2018年12月至2020年11月收治的120例CSA患者为研究对象,根据不同治疗方案将其分为对照组和研究组,各60例。两组均给予盐酸氟桂利嗪胶囊口服治疗,在此基础上对照组给予颈肩部常规取穴针刺,研究组给予颈肩部及枕后三角区取穴针刺。比较两组患者的治疗效果。结果研究组的治疗总有效率高于对照组(P<0.05)。治疗后,两组的颈性眩晕症状与功能评估量表(ESCV)各维度评分及总分均高于治疗前,且研究组高于对照组(P<0.05)。治疗后,两组的椎-基底动脉收缩期峰值血流速度(Vp)与舒张末期峰值血流速度(Vd)均高于治疗前,且研究组高于对照组(P<0.05)。治疗后,两组的世界卫生组织生存质量测定简式量表(WHOQOL-BREF)各维度评分均高于治疗前,且研究组高于对照组(P<0.05)。结论颈肩部及枕后三角区取穴针刺联合西药治疗CSA的效果显著,更有利于缓解临床症状,提高椎-基底动脉血流速度,进而改善患者生活质量,值得临床推广。

Objective To investigate the clinical effects of different acupuncture methods combined with western medicine in the treatment of cervical spondylosis of vertebral artery type(CSA)and its influences on vertebral basilar artery blood flow velocity and quality of life of patients.Methods A total of 120 CSA patients admitted from December 2018 to November 2020 were selected as the study objects and divided into control group and study group according to different treatment plans,with 60 cases in each group.Both groups were given oral treatment with flunarizine hydrochloride capsules.On this basis,the control group was given routine acupoint acupuncture at the neck and shoulder areas,while the study group was given acupoint acupuncture at the neck and shoulder areas and the posterior occipital triangle area.The treatment effects of two groups of patients were compared.Results The total effective rate of treatment in the study group was higher than that in the control group(P<0.05).After treatment,the scores of various dimensions of the Evaluation Scale for Cervicalvertigo(ESCV)and total score of both groups were higher than those before treatment,and those in the study group were higher than the control group(P<0.05).After treatment,the vertebral basilar artery peak systolic blood flow velocity(Vp)and peak end diastolic blood flow velocity(Vd)in both groups were higher than those before treatment,and those in the study group were higher than the control group(P<0.05).After treatment,the scores of each dimension of the World Health Organization Quality of Life Assessment Instrument Brief Version(WHOQOL-BREF)in both groups were higher than those before treatment,and those in the study group were higher than the control group(P<0.05).Conclusion Acupuncture at the neck and shoulder areas and the posterior occipital triangle area combined with western medicine is significantly effective in treating CSA,it is more conducive to alleviating clinical symptoms,improving vertebral basilar artery blood flow velocity,and ultimately improving quality of life of patients,which is worthy of clinical promotion.