推拿联合针灸对椎动脉型颈椎病患者的症状体征总积分和椎动脉血流状态的影响  

Effect of Massage Combined with Acupuncture on the Total Score of Symptoms and Signs and the Blood Flow of Vertebral Artery in Patients with CSA

作　　者：李必保[1] 

机构地区：[1]湖北省中医院推拿康复医学疼痛科,湖北武汉430070

出　　处：《湖南中医药大学学报》2016年第9期82-85,共4页Journal of Hunan University of Chinese Medicine

摘　　要：目的观察推拿联合针灸对椎动脉型颈椎病(CSA)患者症状体征总积分及椎动脉血流状态的影响。方法以2014年3月-2015年3月在我院治疗的80例CSA患者为观察对象,并将其随机分为对照组和观察组,每组各40例患者,对照组给予推拿治疗,观察组给予推拿联合针灸治疗。比较两组患者治疗前后症状积分、体征和椎动脉血流状态的差异。结果治疗前,两组患者的临床症状积分无明显差异,治疗后两组患者的临床症状积分均下降(P<0.05),且观察组下降更明显(P<0.05);两组患者治疗前猝倒、颈部压痛和旋颈试验阳性率无明显差别,治疗后,两组患者的上述指标均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05);治疗前,两组患者的LVA、RVA和BA的VP、VE和VM无明显差别;治疗后,两组患者的上述指标均较治疗前升高(P<0.05),且观察组升高更明显(P<0.05)。结论推拿联合针灸对CSA患者有较好的治疗效果,可明显缓解患者的症状和体征,改善患者椎动脉血流状态。Objective To observe the effect of massage combined with acupuncture on the total score of symptoms and signs and the blood flow of vertebral artery in patients with CSA. Methods The 80 patients with CSA treated in our hospital from March 2014 to March 2015 as objective were randomly divided into control group and observation group, 40 cases in each group. The control group were treated by massage therapy, and the observation group were given acupuncture combined with massage. The differences of symptom scores, signs and vertebral artery blood flow status in the two groups were compared before and after treatment. Results The clinical symptoms of the two groups had no significant change before treatment. After treatment, the clinical symptoms of the two groups all decreased（P〈0.05） and the observation group decreased more significantly（P〈0.05）. The positive rate of of cataplexy, neck pain and neck rotation test in the two groups had no significant difference. After treatment, the above indexes of the two groups decreased compared with those before treatment（P〈0.05）, and the observation group was lower than that of the control group（P〈0.05）. Before treatment, the level of VP, VE and VM in LVA, RVA and BA had no significant difference. After treatment, the above indicators in the two groups were higher than before treatment（P〈0.05）, and the observation group increased more significantly（P〈0.05）. Conclusion Massage combined with acupuncture has good therapeutic effect on CSA patients, which can significantly relieve the symptoms and signs of patients, and mprove the blood flow of vertebral artery.

关 键 词：椎动脉型颈椎病 针灸 血流状态 

分 类 号：R246[医药卫生—针灸推拿学] R274[医药卫生—中医临床基础]