基于中医辩证分型的针灸治疗在椎动脉型颈椎病治疗中的疗效观察  

Observation on the therapeutic effect of TCM pattern types differentiation-based acupuncture on cervical spondylotic arteriopathy

作　　者：吴易澄 刘佳 董津含 Wu Yicheng;Liu Jia;Dong Jinhan(Department of Rehabilitation Medicine,General Hospital of the Northern Theater of the Chinese PLA,Shenyang 110000,China)

机构地区：[1]北部战区总医院康复医学科,沈阳110000

出　　处：《保健医学研究与实践》2022年第7期18-22,共5页Health Medicine Research and Practice

摘　　要：目的探讨基于中医辩证分型的针灸治疗在椎动脉型颈椎病(CSA)伴有头晕头痛失眠症状治疗中的疗效。方法选取2019年4月—2021年4月沈阳市某医院收治的126例CSA患者为研究对象,采用随机数字表法分为对照组和观察组,各63例。对照组患者给予常规针灸治疗,观察组患者给予基于中医辨证分型的针灸治疗,2组患者均持续治疗15 d。比较2组患者临床疗效,比较2组患者治疗前后颈性眩晕症状与功能评估量表(ESCV)评分、匹兹堡睡眠质量指数(PSQI)评分、右侧椎动脉(RVA)平均血流速度、左侧椎动脉(LVA)平均血流速度、基底动脉(BA)平均血流速度及左右两侧椎动脉口径。结果观察组患者临床治疗总有效为93.65%,高于对照组的80.95%,差异有统计学意义(P<0.05)。治疗后,2组患者ESCV中眩晕、颈肩痛、头痛、日常生活及工作、心理及社会适应评分和总评分均高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05)。治疗后,2组患者PSQI中睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分及总评分均低于治疗前,差异均有统计学意义(P<0.05)。治疗后,观察组患者PSQI中睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍评分及总评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组患者LVA、RVA、BA平均血流速度水平和左、右侧椎动脉口径均高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论基于中医辨证分型的针灸治疗能够有效缓解CSA伴有头晕、头痛、失眠患者的临床症状,改善CSA患者椎动脉血流动力学,疗效确切,值得在临床上推广使用。Objective To investigate the therapeutic effect of TCM pattern types differentiation-based acupuncture on cervical spondylotic arteriopathy(CSA)accompanied by dizziness,headache and insomnia.Methods A total of 126 patients with CSA admitted to a hospital in Shenyang from April 2019 to April 2021 were selected as the subjects and assigned to the control group and the observation group by the random number table,with 63 cases in each group.The patients in the control group received conventional acupuncture,and the patients in the observation group TCM pattern types differentiation-based acupuncture.Patients in both groups received continuous treatment for 15 days.The clinical efficacy was compared between the two groups.The Evaluation scale for cervical vertigo(ESCV)score,Pittsburgh sleep quality index(PSQI)score,mean blood flow velocity of right vertebral artery(RVA),mean blood flow velocity of left vertebral artery(LVA),mean blood flow velocity of the basilar artery(BA)and caliber of left and right vertebral arteries before and after treatment were compared between the two groups.Results The total effective rate of clinical treatment in the observation group was 93.65%,which was higher than that in the control group(80.95%),with statistical significance(P<0.05).After treatment,vertigo,shoulder and neck pain,headache,daily living and work,psychological and social adaptation scores and total scores in the ESCV scale in the two groups were higher than those before treatment,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After treatment,the sleep quality,sleep onset time,sleep duration,sleep efficiency,sleep disorders,hypnotic drugs,daytime dysfunction score,and total score in the PSQI scale in the two groups were lower than those before treatment,and the differences were statistically significant(P<0.05).The sleep quality,sleep onset time,sleep time,sleep efficiency,sleep disorder,daytime dysfunction score,and total score in the PSQI scale in th

关 键 词：中医辨证分型 针灸 椎动脉型颈椎病 头晕 头痛 失眠 

分 类 号：R246.9[医药卫生—针灸推拿学]