微创埋线对椎动脉型颈椎病椎动脉血流的影响  

The Effect of Microinvasive Thread Embedding on Vertebral Artery Blood Flow in Cervical Spondylotic Vertebral Arteriopathy

作　　者：马伊磊[1] 孙文善[1] 姜国芳[1] MA Yi-lei SUN Wen-shan JIANG Guo-fang(Fudan University Shanghai Fifth People＇s Hospital, Shanghai 200240,Chin)

机构地区：[1]复旦大学附属上海市第五人民医院,上海200240

出　　处：《上海针灸杂志》2017年第4期449-452,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市闵行区青年医师培养计划项目

摘　　要：目的观察微创埋线对椎动脉型颈椎病椎动脉血流的影响,进一步明确微创埋线为治疗椎动脉型颈椎病的长效针灸新方法。方法将60例符合诊断标准的患者随机分为针刺组和埋线组,每组30例。针刺组采用普通针刺,埋线组给予微创埋线治疗,分别在治疗1 d、3星期后采用颈性眩晕症状与功能评估量表进行评分,同时运用经颅多普勒超声观察双侧椎动脉血流变化。结果治疗1 d,埋线组眩晕症状较治疗前有所改善(P<0.05);治疗3星期,两组患者眩晕、颈肩痛症状、日常生活及工作能力及总分均有改善(P<0.05),且埋线组在改善患者眩晕和日常生活及工作能力方面较针刺组明显,有统计学意义(P<0.05)。两组患者治疗后两侧椎动脉Vm均明显提高(P<0.05),且埋线组在治疗1 d及治疗3星期后均比针刺组改善明显(P<0.05);两组在治疗3星期后右侧椎动脉PI均较治疗前有所降低(P<0.05),但两组间比较差异无统计学意义(P>0.05)。埋线组总有效率83.3%,优于针刺组的60.0%(P<0.05)。结论微创埋线可改善椎动脉型颈椎病患者症状,改善椎动脉血流,提高患者生活质量。Objective To investigate the effect of microinvasive thread embedding on vertebral artery blood flow in cervical spondylotic vertebral arteriopathy and further ascerta in that microinvasive thread embedding is a new long-acting acupuncture method for treating cervical spondylotic vertebral arteriopathy.Method Sixty patients meeting the inclusion criteria were randomly allocated to acupuncture and thread embedding groups.The acupuncture group received conventional acupuncture and the thread embedding group, microinvasive thread embedding.The symptoms and function were scored using theEvaluation Scale for Cervical Vertigoand bilateral vertebral artery blood flow was measured using transcranial Doppler after one day and three weeks of treatment.Result The symptoms of vertigo improved somewhatin the thread embedding group at one day after treatment compared with before treatment （P〈0.05）.At three weeks after treatment,vertigo,neck-shoulder pain, abilities in daily living and working and the total score improved in both groups of patients （P〈0.05）, and vertigo and abilities in daily living and working improved significantly in the thread embedding group compared with the acupuncture group （P〈0.05）. Bilateralvertebral artery Vm increased significantly in both groups of patients after treatment（P〈0.05） and increased more significantly in the thread embedding group than in the acupuncture group after one day and three weeks of treatment （P〈0.05）. PIof the rightvertebral arterydecreased somewhat in both groups after three weeks of treatment （P〈0.05） but there was no statistically significant difference between the twogroups（P〉0.05）. The total efficacy rate was 83.3% in the thread embedding group, which was higher than 60.0% in the acupuncture group （P〈0.05）.Conclusion Microinvasive thread embedding can improve the symptoms, vertebral artery blood flow and the quality of life in patients with cervical spondylotic vertebral arteriopathy.

关 键 词：针刺 穴位疗法 埋线 颈椎病 椎动脉型 

分 类 号：R246.2[医药卫生—针灸推拿学]