针灸推拿治疗椎动脉型颈椎病的疗效  

Clinical Effects of Acupuncture-Moxibustion and Massotherapy on Vertebral Artery Type of Cervical Spondylosis

作　　者：黎杰[1] 

机构地区：[1]肇庆市第二人民医院理疗科,广东肇庆526060

出　　处：《实用临床医学（江西）》2016年第3期26-29,共4页Practical Clinical Medicine

摘　　要：目的对比分析针灸、推拿治疗椎动脉型颈椎病的临床效果。方法将118例椎动脉型颈椎病(CSA)患者,按随机数字表法分为观察组和对照组,每组59例。对照组给予盐酸氟桂利嗪胶囊口服,并采用牵引疗法和针灸;观察组在对照组治疗的基础上给予推拿疗法。疗程为1个月。观察2组患者治疗后的临床疗效、治疗前后椎-基底动脉的血液流变学参数变化及血流参数变化。结果观察组的总有效率明显高于对照组(91.53%比72.88%,P<0.05)。与治疗前相比,2组患者治疗后的全血黏度、血浆黏度、红细胞聚集指数明显降低,收缩期峰流速、舒张期末峰流速、平均峰流速明显升高(均P<0.05);治疗后与对照组比较,观察组的全血黏度、血浆黏度、红细胞聚集指数明显降低,收缩期峰流速、舒张期末峰流速、平均峰流速明显升高(均P<0.05)。结论针灸推拿联合药物治疗可迅速扩张椎动脉,减轻局部炎性水肿,缓解患者临床症状,并可从根本上改变血液流变学参数,改善大脑血液供应,促进大脑血液循环。Objective To compare the clinical effects of acupuncture-moxibustion and massotherapy on vertebral artery type of cervical spondylosis（CSA）.Methods A total of 118 patients with CSA were randomly divided into two groups,with 59 patients in each group.The control group received oral flunarizine hydrochloride capsules,traction therapy and acupuncture for 1month.On this basis,the observation group was given massotherapy for 1month.Clinical efficacies were observed in both groups.In addition,hemorheologic parameters and blood flow parameters of vertebral-basal artery were measured before and after treatment.Results The total effective rate in observation group was significantly higher than that in control group（91.53% vs72.88%,P〈0.05）.After treatment,whole blood viscosity,plasma viscosity and erythrocyte aggregation index decreased and systolic peak velocity,end-diastolic peak velocity and average peak velocity increased in both groups（P〈0.05）.Compared with control group,whole blood viscosity,plasma viscosity and erythrocyte aggregation index decreased and systolic peak velocity,enddiastolic peak velocity and average peak velocity increased in observation group after treatment（P〈0.05）.Conclusion The combined treatment with acupuncture-moxibustion,massage and drugs can rapidly expand vertebral artery,reduce local inflammatory edema,relieve clinical symptoms,change hemorheologic parameters,improve brain blood supply,and promote brain blood circulation in patients with CSA.

关 键 词：针灸 推拿 椎动脉型颈椎病 

分 类 号：R454[医药卫生—治疗学] R681.55[医药卫生—临床医学]