项七针联合刺血疗法治疗椎动脉型颈椎病临床观察  

Clinical observation on cervical spondylosis of vertebral artery type treated by"seven acupoints on neck"combined with blood pricking therapy

作　　者：丁金磊[1] 余方辉 邴兴红[1] 何天峰[1] 褚晓彦[1] 陶善平 DING Jinlei;YU Fanghui;BING Xinghong(Department of Acupuncture and Moxibustion,Jiading District Hospital of Traditional Chinese Medicine,Shanghai 201888;不详)

机构地区：[1]上海市嘉定区中医医院针灸科,上海201888 [2]上海市嘉定区中医医院康复科,上海201888

出　　处：《河北中医》2020年第5期751-755,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：上海市嘉定区卫生和计划生育委员会青年类中医药科研课题(编号:2016-QN-ZYY-06)。

摘　　要：目的观察项七针联合刺血疗法治疗椎动脉型颈椎病的临床疗效。方法将127例椎动脉型颈椎病患者按照随机数字表法分为3组。治疗组43例予项七针联合刺血疗法治疗,项七针组42例单纯采用项七针治疗,刺血组42例单纯采用刺血疗法治疗。3组均治疗2个疗程,比较3组治疗前、治疗后及治疗后3个月颈性眩晕症状与功能评估量表(ESCV)评分、椎动脉[包括左椎动脉(LVA)、右椎动脉(RVA)]和基底动脉(BA)血流速度变化情况。结果治疗组总有效率90.7%(39/43),项七针组总有效率76.2%(32/42),刺血组总有效率73.8%(31/42),治疗组疗效优于项七针组、刺血组(P<0.05)。3组治疗后、治疗后3个月ESCV评分与本组治疗前比较均明显升高(P<0.05),但3组治疗后3个月ESCV评分与本组治疗后比较差异均无统计学意义(P>0.05);治疗组治疗后、治疗后3个月ESCV评分均高于项七针组、刺血组同期(P<0.05),但项七针组、刺血组治疗后、治疗后3个月ESCV评分组间比较差异均无统计学意义(P>0.05)。3组治疗后、治疗后3个月LVA、RVA及BA血流速度与本组治疗前比较均明显加快(P<0.05),但3组治疗后3个月LVA、RVA及BA血流速度与本组治疗后比较差异均无统计学意义(P>0.05);治疗组治疗后、治疗后3个月LVA、RVA及BA血流速度均明显快于项七针组、刺血组同期(P<0.05),但项七针组、刺血组治疗后、治疗后3个月LVA、RVA及BA血流速度组间比较差异均无统计学意义(P>0.05)。结论项七针联合刺血疗法治疗椎动脉型颈椎病临床疗效确切,可明显改善患者的临床症状,提高生活功能,增加椎-基底动脉血流速度,提高临床疗效,且远期疗效稳定可靠,2种疗法合用相得益彰,具有协同作用。Objective To observe the effect of"seven acupoints on neck"combined with blood pricking therapy in the treatment of cervical spondylosis of vertebral artery type.Methods 127 patients with cervical spondylosis of vertebral artery type were randomly divided into 3 groups according to the random number table method.43 cases in treatment group were treated by"seven acupoints on neck"combined with blood pricking therapy.42 cases in the"seven acupoints on neck"group were treated by the"seven acupoints on neck".42 cases in the blood pricking group were treated by blood pricking therapy.After 2 courses of treatment,the changes of cervical vertigo symptom and function assessment scale(ESCV),vertebral artery[including left vertebral artery(LVA)and right vertebral artery(RVA)],blood flow velocity and basilar artery(BA)blood flow velocity were compared among the three groups before treatment,after treatment and 3 months after treatment.Results The total effective rate was 90.7%(39/43)in the treatment group,76.2%(32/42)in the"seven acupoints on neck"and 73.8%(31/42)in the blood pricking group.The curative effect of the treatment group was better than that of the"seven acupoints on neck"and the pricking blood group(P<0.05).After treatment and 3 months after treatment,the ESCV scores of the three groups were significantly higher than those in the group before treatment(P<0.05),but there was no significant difference in the ESCV scores between the three groups after 3 months of treatment(P>0.05).The ESCV score of the treatment group after treatment and 3 months of treatment was higher than that of the"seven acupoints on neck"and the blood pricking group at the same period after treatment(P<0.05),but there was no significant difference between the"seven acupoints on neck"and the blood pricking group in ESCV score after treatment and 3 months after treatment(P>0.05).The blood flow velocity of LVA,RVA and BA in the three groups after treatment and 3 months after treatment were significantly increased compared with those in the grou

关 键 词：颈椎病 椎底动脉供血不足 针刺疗法 刺血疗法 

分 类 号：R245.31[医药卫生—针灸推拿学] R255.3[医药卫生—中医临床基础]