温针灸结合关节松动术对椎动脉型颈椎病患者椎-基底动脉血流状况的影响  

Effect of Warm Acupuncture Combined With Joint Mobilization on Blood Flow of Vertebral Basilar Artery in Patients With Cervical Spondylosis of Vertebral Artery Type

作　　者：陈起伟 温定伙 廖少钦 CHEN Qiwei;WEN Dinggang;LIAO Shao-qin(Taining Hospital,Taining,Fujian 354400;General Hospital of Ninghua County,Ninghua,Fujian 365400;Sanming First Hospital,Sanming,Fujian 365000)

机构地区：[1]福建省三明市泰宁县中医院,福建泰宁354400 [2]福建省宁化县总医院,福建宁化365400 [3]福建省三明市第一医院,福建三明365000

出　　处：《按摩与康复医学》2023年第10期1-4,共4页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的:探讨温针灸结合关节松动术对椎动脉型颈椎病患者椎-基底动脉血流状况的影响。方法:选取2020年1月至2022年1月收治的80例椎动脉型颈椎病患者,按照随机数字表法将其分对照组和观察组各40例,对照组接受温针灸治疗,观察组接受温针灸结合关节松动术治疗,比较两组患者治疗疗效、椎-基底动脉血流状况、改良颈性眩晕症状与功能评估量表(ES-CV)、X线检测结果等。结果:观察组总有效率高于对照组(P<0.05);治疗后,两组患者的RVA、LVA、BA的RI较治疗前降低,Vm较治疗前增高(P<0.05),且观察组治疗后的RVA、LVA、BA的RI均低于对照组(P<0.05),Vm均高于对照组(P<0.05)。治疗后,两组患者的ES-CV评分较治疗前增高(P<0.05),且观察组治疗后的ES-CV评分高于对照组(P<0.05)。治疗后,两组患者的椎体角度位移、椎体水平位移较治疗前增高(P<0.05),颈椎弧度、椎体屈伸活动范围较治疗前降低(P<0.05),且观察组治疗后的椎体角度位移、椎体水平位移高于对照组(P<0.05),颈椎弧度、椎体屈伸活动范围低于对照组(P<0.05)。结论:温针灸结合关节松动术治疗椎动脉型颈椎病,患者椎-基底动脉血流状况和患者颈椎功能改善效果更理想,疗效高。Objective:To investigate the effect of warm acupuncture combined with joint mobilization on the blood flow of vertebral basilar artery in patients with cervical spondylosis of vertebral artery type.Methods:80 patients with cervical spondylosis of vertebral artery type admitted from January 2020 to January 2022 were selected as the research objects.They were randomly divided into control group and observation group with 40 patients in each group.The control group received warm acupuncture and moxibustion,and the observation group received warm acupuncture and moxibustion combined with joint mobilization.The therapeutic effect,vertebral basilar artery blood flow status,improved cervical vertigo symptom and function evaluation scale(ES-CV),and X-ray detection results of the two groups were compared.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05);After treatment,the RI of RVA,LVA,and BA in both groups of patients decreased compared to before treatment,while Vm increased compared to before treatment(P<0.05).The RI of RVA,LVA,and BA in the observation group after treatment was lower than that in the control group(P<0.05),and Vm was higher than that in the control group(P<0.05).After treatment,the ES-CV scores of the two groups of patients increased compared to before treatment(P<0.05),and the ES-CV scores of the observation group after treatment were higher than those of the control group(P<0.05).After treatment,the vertebral angle displacement and horizontal displacement of the two groups of patients increased compared to before treatment(P<0.05),while the cervical curvature and range of vertebral flexion and extension activity decreased compared to before treatment(P<0.05).Moreover,the observation group's vertebral angle displacement and horizontal displacement after treatment were higher than those of the control group(P<0.05),while the cervical curvature and range of vertebral flexion and extension activity were lower than those of the control group(P<0.05

关 键 词：温针灸 椎动脉型颈椎病 椎-基底动脉血流 关节松动术 颈椎功能 疗效 

分 类 号：R691.9[医药卫生—泌尿科学]