医用臭氧水穴位注射治疗椎动脉型颈椎病的近期、远期临床疗效及对脑血流速度的影响  

Clinical observation of short-term and long-term clinical efficacy of medical ozone water acupoint injection in the treatment of cervical spondylosis of vertebral artery type

作　　者：韦英成 吴肖梅 梁晓行 黄业成 覃喜扬 杨先 张雪苹 吴曦 姜进文 姜炳毅 阎杰 伍夏源 WEI Yingcheng;WU Xiaomei;LIANG Xiaoxing(Department of Acupuncture and Massage,Guigang Hospital of Traditional Chinese Medicine,Guigang,Guangxi 537100)

机构地区：[1]广西壮族自治区贵港市中医医院针灸推拿科,广西贵港537100

出　　处：《河北中医》2020年第6期922-926,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(编号:Z20180854)。

摘　　要：目的观察医用臭氧水穴位注射治疗椎动脉型颈椎病(CSA)的近期、远期临床疗效及对脑血流速度的影响。方法将80例CSA患者按照随机数字表法分为2组。治疗组40例予医用臭氧水穴位注射治疗,对照组40例予盐酸氟桂利嗪胶囊口服治疗。2组均治疗2周。分别于治疗后及治疗后1、3个月观察疗效,比较2组症状体征评分变化;比较2组治疗前后双侧椎动脉(VA)、基底动脉(BA)、双侧大脑后动脉(PCA)平均血流速度(Vm)变化。结果2组治疗后及治疗后1、3个月各项症状体征评分及总评分均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05)。治疗组治疗后、治疗后1个月、治疗后3个月各项症状体征评分及总评分比较差异均无统计学意义(P>0.05);对照组治疗后3个月各项症状体征评分及总评分均高于本组治疗后、治疗后1个月(P<0.05)。治疗组治疗后愈显率87.5%(35/40)、总有效率97.5%(39/40),对照组治疗后愈显率42.5%(17/40)、总有效率70.0%(28/40);治疗组治疗1个月后愈显率92.5%(37/40)、总有效率97.5%(39/40),对照组治疗1个月后愈显率40.0%(16/40)、总有效率65.0%(26/40);治疗组治疗3个月后愈显率77.5%(31/40)、总有效率90.0%(36/40),对照组治疗3个月后愈显率22.5%(9/40)、总有效率52.5%(21/40)。治疗组治疗后、治疗1个月、治疗3个月愈显率、总有效率均高于对照组(P<0.05)。2组治疗后双侧VA、BA、双侧PCA Vm均较本组治疗前升高(P<0.05),且治疗组升高更明显(P<0.05)。结论医用臭氧水穴位注射治疗CSA,能改善患者症状体征,提高脑血流速度,近期及远期疗效均优于盐酸氟桂利嗪胶囊治疗。Objective To observe the short-term and long-term clinical efficacy of medical ozone water acupoint injection in the treatment of cervical spondylosis of vertebral artery type(CSA).Methods 80 patients with CSA were randomly divided into two groups according to the random number table method.40 cases in the treatment group were treated byozone water acupoint injection.40 cases in the control group were treated by flunarizine capsules.Both groups were treated for two weeks.The curative effect was observed after treatment and 1 and 3 months after treatment,and the changes of symptoms and signs scores in the two groups were compared.The mean blood flow velocity(Vm)of bilateral vertebral artery(VA),basilar artery(BA)and bilateral posterior cerebral artery(PCA)before and after treatment were compared between the two groups.Results After treatment and 1,3 months after treatment,the scores of symptoms and signs and total scores of the two groups were lower than those before treatment(P<0.05),and the decrease in the treatment group was more obvious(P<0.05).There was no significant difference in the scores of symptoms and signs and total scores in the treat mene group after tren tment one month and three months aftertreatment(P>0.05).The scores of symptoms and signs and total scores of the control group after three months of treatment were higher than those of this group after treatment and one month after treatment(P<0.05).After treatment,the markedly effective rate was 87.5%(35/40)in treatment group and 42.5%(17/40)in control group;the total effective rate was 97.5%(39/40)in treatment group and 70.0%(16/40)in control group.After one month of treatment,the markedly effective rate was 92.5%(37/40)in treatment group and 40.0%(16/40)in control group;the total effective rate was 97.5%(39/40)in treatment group and 65.0%(26/40)in control group.After three month of treatment,the markedly effective rate was 77.5%(31/40)in treatment group and 22.5%(9/40)in control group;the total effective rate was 90.0%(36/40)in treatment group a

关 键 词：脊柱骨赘病 颈椎 穴位疗法 水针 注射剂 

分 类 号：R681.531[医药卫生—骨科学] R244[医药卫生—外科学]