温和灸风池穴治疗椎动脉型颈椎病临床观察  

Clinical Observation of Mild Moxibustion at Fengchi(GB20) for Cervical Spondylosis of Vertebral Artery Type

作　　者：张狄[1] 黄振[1] 宋双临[1] 

机构地区：[1]杭州市第一人民医院,杭州310006

出　　处：《上海针灸杂志》2017年第10期1239-1242,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察温和灸双侧风池穴治疗椎动脉型颈椎病眩晕的临床疗效,并观察对椎动脉血流的影响。方法将符合研究标准的103例椎动脉型颈椎病患者随机分为两组,观察组患者以温和灸双侧风池穴治疗,对照组患者以尼莫地平口服治疗,对比两组患者治疗前后椎动脉血流速度及临床疗效。结果治疗后观察组收缩期峰流速(LVA、RVA)、平均峰流速(LVA、RVA)、舒张期末峰流速(LVA、RVA)均优于对照组,差异均具有统计学意义(P<0.05);治疗后及治疗后3个月观察组患者眩晕评定量表评分均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组愈显率为80.0%,对照组愈显率为62.3%,差异具有统计学意义(P<0.05)。结论温和灸双侧风池穴治疗椎动脉型颈椎病,可改善患者椎动脉血流动力学,临床疗效显著。Objective To observe the clinical efficacy of mild moxibustion at bilateral Fengchi（GB20） in treating vertigo due to cervical spondylosis of vertebral artery type, and its effect on the blood flow of vertebral artery. Method A total of 103 eligible patients with cervical spondylosis of vertebral artery type were randomized into two groups. Patients in the observation group were intervened by mild moxibustion at bilateral Fengchi; the control group was given oral administration of Nimodipine. The blood flow velocity was compared before and after the treatment, and the clinical efficacies of the two groups were compared. Result After the treatment, the systolic velocity（Vs）（left vertebral artery, LVA; right vertebral artery, RVA）, mean velocity（Vm）（LVA, RVA） and diastolic velocity（LVA, RVA） of the observation group were better than those of the control group, and the differences were statistically significant（P〈0.05）; at the end of the intervention and 3 months after, the Dizziness Assessment Rating Scale（DARS） scores of the observation group were significantly lower than those of the control group（P〈0.05）; at the end of the intervention, the markedly effective rate was 80.0% in the observation group versus 62.3% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Mild moxibustion at bilateral Fengchi can improve the blood flow of vertebral artery in patients with cervical spondylosis of vertebral artery type, and produce a significant efficacy.

关 键 词：颈椎病 椎动脉型 艾条灸 穴 风池 椎动脉血流速度 

分 类 号：R246.2[医药卫生—针灸推拿学]