分型针刺治疗交感型颈椎病经颅多普勒超声表现及临床疗效分析  

Transcranial Doppler Ultrasonography and Clinical Analysis of Sympathetic Cervical Spondylopathy Treated by Typed Acupuncture

作　　者：牟欣[1,2] 陈越峰 景兴文[1] 徐严明 Mu Xin;Chen Yuefeng;Jing Xingwen(Department of Neurology,Chengdu Hospital of Integrated Traditional Chinese and Western Medicine,Chengdu,Sichuan 610000;Department of Neurology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]成都市中西医结合医院神经内科,四川成都610041 [2]四川大学华西医院神经内科,四川成都610041

出　　处：《四川医学》2020年第8期799-803,共5页Sichuan Medical Journal

基　　金：四川省中医药管理局科研基金课题(编号:2010-34)。

摘　　要：目的探讨分型针刺治疗交感型颈椎病经颅多普勒超声表现及临床疗效分析。方法以我院2014年3月至2017年3月收治的106例交感型颈椎病患者作为研究对象,其中采用分型针刺的53例患者为针刺干预组,根据针刺干预组患者基线资料匹配同期单纯采用药物治疗的53例患者为对照组,对两组患者经颅多普勒超声表现特点、中医症候积分以及随访结果进行收集和比较。结果治疗后,两组中各亚组患者基底动脉血流速度均较同组治疗前明显改善(P<0.05)。两组患者同类亚组间比较显示,针刺干预组血流减慢异常组基底动脉血流速度改善程度明显优于对照组(P <0.05)。以成人BA(41±10) cm/s为标准,治疗后针刺干预组BA恢复正常者19例,相比对照组BA恢复正常者9例明显增加(x^2=4.853,P=0.028)。治疗后,两组中各亚组患者症状积分均较治疗前明显增高(P<0.05)。两组患者同类亚组组间比较显示,针刺干预组血流减慢异常组治疗后症状积分明显高于对照组血流减慢异常组(P<0.05)。结论分型针刺可在常规药物治疗基础上更加有效的调节交感型颈椎病患者基底动脉血流速度,改善临床症状。Objective To investigate transcranial doppler ultrasonography and clinical analysis of sympathetic cervical spondylopathy treated by typed acupuncture.Methods 106 patients with sympathetic cervical spondylopathy admitted to our hospital from March 2014 to March 2017 were selected as research object. Among them,53 patients with typed acupuncture were acupuncture intervention group.According to the baseline data of patients in acupuncture intervention group,53 patients who were only treated with drugs during the same period were control group.The characteristics of transcranial doppler ultrasound,TCM syndrome scores and follow-up results were collected and compared. Results After treatment,blood flow velocity of basilar artery in each subgroup of two groups was significantly improved compared with the same group before treatment( P<0. 05).Comparison between the same subgroups showed that blood flow of acupuncture intervention group was slowed down and blood flow velocity of basilar artery in abnormal group was significantly better than that in control group( P<0. 05).Taking adult BA( 41±10) cm/s as the standard,19 cases of BA returned to normal in acupuncture intervention group after treatment were significantly increased compared with9 cases of BA returned to normal in control group( x^2= 4. 853,P = 0. 028).After treatment,syndrome scores of patients in each subgroup were significantly higher than before treatment( P<0. 05).Comparison between the same subgroups showed that the syndrome score of the acupuncture intervention group with abnormal blood flow slowing was significantly higher than that of control group( P<0. 05).Conclusion Based on conventional medical treatment,typed acupuncture could more effectively regulate blood flow velocity of basilar artery in patients with sympathetic cervical spondylosis and improve clinical symptoms.

关 键 词：颈椎病 交感型 分型针刺 经颅多普勒超声 中医症候积分 

分 类 号：R681.55[医药卫生—骨科学]