针刺结合八珍汤加味治疗椎动脉型颈椎病临床分析  

作　　者：蔡锣杰[1] 包素珍[1] 黄桂兴[2] 陈荣[2] 

机构地区：[1]浙江中医药大学,310053 [2]浙江省绍兴市人民医院,312000

出　　处：《浙江临床医学》2016年第9期1643-1644,共2页Zhejiang Clinical Medical Journal

摘　　要：目的观察针刺结合八珍汤加味治疗椎动脉型颈椎病的临床疗效。方法椎动脉型颈椎病患者76例随机分为针刺结合八珍汤加味组（观察组）与针刺组（对照组）各38例，观察组采用针刺（穴选颈夹脊、风池、风府、百会等）结合八珍汤加味治疗，对照纽采用针刺治疗，比较2组临床疗效及椎动脉平均血流速度改善情况。结果观察组总有效率94．7％，优于对照组78．9％（P〈O．05）。经治疗后两组椎动脉的平均血流速度较治疗前明显改善（P〈O．01），且观察组椎动脉的平均血流速度改善优于对照组（P〈O．05）。结论针刺结合八珍汤加味治疗并改善椎动脉型颈椎病临床疗效满意。Objective To observe the clinical efficacy of acupuncture combined with＇Bazhen decoction for the treatment of cervical vertebral artery disease. Method 76 cases of vertebral artery type of cervical spondylosis patients were randomly divided into acupuncture combined Bazhen decoction group （ observation group ） and acupuncture group （ control group ） respectively, each group had38 cases, the observation group received acupuncture （ acupuncture points Jingjiaji, the Fengchi, Fengfu, Baihui, etc were selected ） combined with Bazhen decoction, the control group received the same acupuncture treatment; the clinical efficacy and the improvement situation of vertebral artery mean flow velocity of the two groups were compared. Results The total efficiency in the observation group was 94.7%, better than the control group 78.9% （P〈0.05） . The average velocity of the vertebral artery after treatment groups significantly improved compared with before treatment （ P〈0.01 ） , and vertebral artery mean flow velocity improvement efficiency in the observation group was better than that of the control group （P〈0.05 ） . Conclusion Acupuncture combined with Bazhen decoction has significant clinical effect for the improvement of the vertebral artery type of cervical spondylosis patients.

关 键 词：椎动脉型颈椎病 针刺 八珍汤加味 

分 类 号：R274.915.5[医药卫生—中西医结合]