项六针对椎动脉型颈椎病功能康复及血流动力学的影响  

Study on Effects of Xiangliuzhen on Functional Rehabilitation and Hemodynamics of Vertebral Artery Type of Cervical Spondylosis

作　　者：王嫦娥[1] 倪璐[2] 郭庆军[2] 金诚久 WANG Chang’e;NI Lu;GUO Qingjun;JIN Chengjiu(The First Peoples Hospital of Anqing,Anqing 246000,Anhui,China;The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230061,Anhui,China)

机构地区：[1]安庆市第一人民医院,安徽安庆246000 [2]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《中华中医药学刊》2021年第8期139-142,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药行业科研项目(201808769);安徽中医药大学科研项目(2018zrzd24)。

摘　　要：目的探讨项六针对椎动脉型颈椎病患者功能康复及血流动力学的影响。方法选取诊治的椎动脉型颈椎病患者120例,随机分为观察组与对照组各60例,对照组患者采取推拿结合颈项部肌群加强练习方式进行治疗,观察组患者采取项六针结合颈项部肌肉加强练习进行治疗,观察症状及功能康复状况、椎-基底动脉血流动力学变化。结果两组治疗前眩晕、头痛、颈肩痛、日常生活及工作、心理及社会适应症状评分比较差异无统计学意义(P>0.05),治疗后以上症状评分高于治疗前(P<0.05),且观察组高于对照组(P<0.05);两组治疗前椎-基底动脉收缩期峰流(Vs)、平均血流速度(Vm)、血管搏动指数(PI)及阻力指数(RI)比较差异无统计学意义(P>0.05),治疗后Vs、Vm高于治疗前(P<0.05),且观察组高于对照组(P<0.05),PI及RI低于治疗前(P<0.05),且观察组低于对照组(P<0.05);观察组治疗总有效率为83.33%(50/60),高于对照组63.33%(38/60),比较差异有统计学意义(P<0.05)。结论针灸项六针治疗椎动脉型颈椎病有助于椎-基底动脉血流动力学的改善,促进患者康复进程,提高治疗疗效。Objective To investigate the effects of Xiangliuzhen on functional rehabilitation and hemodynamics of cervical spondylosis of vertebral artery type(CSA). Methods We collected 120 cases of patients with CSA. The patients were randomly divided into control group and observation group, with 60 cases in each group. The control group received mosapride orally and were treated by Tuina combined with intensive exercises of neck muscles. The patients of the observation group were treated with Xiangliuzhen and neck muscle strengthening exercises. The symptoms and functional recovery status and the changes of blood flow mechanics in vertebro-basilar artery were observed. Results The vertigo, headache, neck and shoulder pain, daily life and work, psychological and social adjustment symptoms score between the two groups had no significant difference before treatment(P>0.05). The score of above symptoms was higher after treatment than that before treatment(P<0.05). The observation group’s score was higher than that of the control group(P<0.05). The vertebro-basilar artery systolic peak flow(Vs), mean blood flow velocity(Vm), vascular pulse index(PI) and resistance index(RI) had no statistically significant difference between the two groups before treatment(P>0.05). Vs and Vm were higher after treatment than those before treatment(P<0.05). The observation group’s Vs and Vm were higher than those of the control group(P<0.05). PI and RI were lower after treatment than those before treatment(P<0.05). The observation group’s PI and RI were lower than those of the control group(P<0.05). The total effective rate in the observation group was 83.33%(50/60), which was higher than 63.33%(38/60) in the control group. The difference was statistically significant(P<0.05). Conclusion Xiangliuzhen can improve the blood flow mechanics of vertebro-basilar artery of CSA patients. It is helpful to promote the patients’ rehabilitation process and improve the therapeutic effect.

关 键 词：项六针 椎动脉型颈椎病 功能康复 血流动力学 

分 类 号：K245.31[历史地理—历史学] R269.815.5[历史地理—中国史]