Effects and Mechanisms of Needle Pricking Therapy and Rotating-pulling Manipulation on Blood Velocity of Patients with Vertebral Artery Type of Cervical Spondylosis  

作　　者：陈栋 张谦 钟键 陈大典 

机构地区：[1]No. 1 Affiliated Medical College Jinan University, Guangzhou 510630, E R. China [2]Guangxi University of Technology, Liuzhou 545006, E R. China [3]No.2 Affiliated Hospital, Sun Yat-sen University, Guangzhou 510120, P. R. China

出　　处：《Journal of Acupuncture and Tuina Science》2010年第5期304-309,共6页针灸推拿医学（英文版）

摘　　要：Objective： To compare the effects of needle pricking therapy plus rotating-pulling manipulation and rotating-pulling manipulation on blood velocity, angiokinesis, and blood viscosity in patients with vertebral artery type of cervical spondylosis （CSA）, and discuss its mechanisms. Methods： 216 patients were randomly divided into 2 groups according to numeric representation, 108 cases in the treatment group were treated by needle pricking therapy plus rotating pulling manipulation, and 108 cases in the control group were treated by rotating pulling manipulation. The peak systolic blood velocity （Vpeak）, end diastolic blood velocity （Vmin）, pulsatile index （PI） and resistant index （RI） of the bilateral vertebral arteries （VA） and basilar arteries （BA） were examined by transcranial doppler sonography （TCD）. The values of whole blood apparent viscosity and plasma viscosity of both groups were recorded. The indexes before and after treatment of both groups were compared. Results： The therapeutic effects of the above-mentioned indexes of the treatment group were significantly superior to those of the control group （P〈0.05）. In comparison with pre-treatment, the whole blood apparent viscosity （high, medium and low shear rates） and plasma viscosity of the treatment group post-treatment were obviously reduced （P〈0.01, P〈0.05）. Conclusion： Needle pricking therapy combined with pulling-rotating manipulation can significantly improve VATCS patients＇ clinical symptoms, which may be closely related to its effects in lowering vascular blood resistance and blood viscosity and increasing cerebral blood supply.目的：比较挑刺结合牵旋手法与单纯牵旋手法对椎动脉型颈椎病（ArteryTypeof Cervical Spondylosis，CSA）椎基底动脉血液流变量、血管舒缩弹性、血液粘度的影响，探讨其作用机理。方法：将216例患者按数字表法随机分成2组，治疗组108例，采用挑刺结合牵旋手法治疗。对照组108例采用单纯牵旋手法治疗。即时经颅多普勒超声（Transcranial Doppler Sonography,TCD）进行左右双侧椎动脉（Venebtal Arteries，VA）、基底动脉（Basilar Arteries，BA）的收缩峰期血流速度（PeakSystolic BloodVelocity,Vpeak）、舒张末期血流速度（End DiastolicBloodVelocity,Vmin）、搏动指数（Pulsatility Index，PI）、阻力指数（Resistant Index，R1）值检测，并检测治疗纽治疗前、后全血表观粘度和血浆粘度值，比较两组治疗前后各指标变化情况。结果：治疗后治疗组双侧VA、BA的Vpeak、Vmin明显加快，接近或已经恢复至正常值范围，而VA、BA的PI及对值有显著下降，与对照组比较差异有显著性（P〈0．05），治疗组治疗后全血表观粘度和血浆粘度值比治疗前有明显改善（P〈0．01，P〈0．05）。结论：针挑与牵旋手法能明显改善椎基底动脉血流及血管舒缩萍陛，增加脑部血供，降低血流粘稠度。

关 键 词：SPONDYLOLYSIS Neck Pain Acupuncture Therapy Piercing Method TUINA MASSAGE 

分 类 号：R246.2[医药卫生—针灸推拿学]