头清胶囊联合针刺风池穴治疗椎动脉型颈椎病临床研究  

Effect of Touqing capsule associated with acupuncture at Fengchi on cervical spondylosis

作　　者：孙其斌[1] 唐致霞[1] 李彦龙[2] 张参军[3] 王天宝[4] 

机构地区：[1]甘肃省中医院针灸一科,兰州730050 [2]甘肃省中医院脾胃病科,兰州730050 [3]甘肃省中医院重症监护室,兰州730050 [4]甘肃省中医院老年病科,兰州730050

出　　处：《国际中医中药杂志》2015年第10期883-886,共4页International Journal of Traditional Chinese Medicine

摘　　要：目的 评价头清胶囊联合针刺风池穴治疗椎动脉型颈椎病（cervical spondylosis of vertebral arterytype, CSA）的临床疗效.方法 将符合纳入标准的100例CSA患者,按就诊顺序随机分为2组各50例,对照组采用针刺风池穴治疗,治疗组在对照组基础上加服头清胶囊,共治疗20 d.采用经颅多普勒（transcranial doppler, TCD）检测CSA患者的血流动力学,观察治疗前后中医证候积分变化,评价临床疗效.结果 治疗后,治疗组眩晕积分[（1.10±0.33）分比（2.01±0.26）分,t=14.909]、颈肩酸痛积分[（0.87± 0.16）分比（1.92±0.69）分,t=10.266]、肢体麻木积分[（0.95±0.14）分比（1.87±0.16）分,t=29.844]、总积分[（2.16±0.75）分比（3.89±1.14）分,t=8.756]均较对照组明显降低（P 值均〈0.01）;治疗组右侧椎动脉[（40.03±5.89）cm/s比（34.26±6.26）cm/s,t=4.628]、左侧椎动脉[（42.14±5.42）cm/s比（33.89±6.08）cm/s, t=6.985]升高情况及脉动指数[（0.79±0.14）比（1.04±0.19）,t=7.312]下降情况均明显优于对照组（P〈0.01）.治疗组、对照组总有效率分别为91.7%（44/48）、74.5%（35/47）,2组比较差异有统计学意义（χ^2=3.863, P=0.049）.结论 头清胶囊联合针刺风池穴可改善患者椎基底动脉血流动力学,有效治疗CSA。objective To evaluate the clinical effect of touqing capsule associated with Fengchi on the vertebral artery type of cervical spondylosis（CSA）in the attack stage.Methods A total of 100 patients with CSA, according to the doctor order, were randomly divided into a control group and a treatment group respectively, with 50 patients in each. The control group was treated with acupuncture therapy, the treatment group was additionally treated with Touqingcapsule on the basis of the control group, and both groups were treated for 20 days. The hemodynamics was detected by transcranial doppler, the change of TCM syndrome integral was observed before and after the treatment, and the clinical efficacy was evaluated.Results After treatment, the treatment group dizziness （1.10 ± 0.33 vs. 2.01 ± 0.26,t=14.909）, neck shoulder ache （0.87 ± 0.16 vs. 1.92 ± 0.69,t=10.266）, numbness （0.95 ± 0.14）vs. 1.87 ± 0.16,t=29.844）, the total integral （2.16 ± 0.75 vs.3.89 ± 1.14,t=8.756） integral were significantly lower than the control group（P〈0.01）.Treatment group RVA （40.03 ± 5.89 cm/svs. 34.26 ± 6.26 cm/s,t=4.628）, the LVA （42.14 ± 5.42 cm/svs.33.89 ± 6.08 cm/s,t=6.985） rise and PI （0.79 ± 0.14 vs.1.04 ± 0.19,t=7.312） reduction were significantly better than those of the control group （P〈0.01）. The total effective rate in the treatment group was significantly better than the control group （91.7%（44/48）vs. 74.5%（35/47）,χ^2=3.863, P=3.863）.Conclusion Touqing Capsule associated with Fengchi is effective for CSA. Its functional mechanism is correlated with improvement of haemodynamics of vertebral-basilar artery of the CSA patients.

关 键 词：颈椎病 椎动脉 针刺穴位 穴 风池 头清胶囊 Point GB20(Fengchi) 

分 类 号：R274.915.5[医药卫生—中西医结合]