Mulligan手法联合浮针治疗椎动脉型颈椎病的临床研究  

Clinical Study of Mulligan Manipulation Combined with Floating Needling in Treatment of Cervical Spondylosis of Vertebral Artery Pattern

作　　者：吴建梅 任勇 苏靖 WU Jianmei;REN Yong;SU Jing(Wenjiang District Hospital of Traditional Chinese Medicine,Chengdu 611130,China;Sichuan Academy of Medical Sciences,Sichuan Provincial People’s Hospital,Chengdu 610110,China;Chengdu Xindu District Maternal and Child Health Hospital,Chengdu 610500,China)

机构地区：[1]成都市温江区中医医院,四川成都611130 [2]四川省医学科学院•四川省人民医院,四川成都610110 [3]成都市新都区妇幼保健院,四川成都610500

出　　处：《针灸临床杂志》2023年第10期28-32,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：成都市卫生健康委员会科研项目,编号:2021405。

摘　　要：目的:探究Mulligan手法联合浮针治疗椎动脉型颈椎病的临床疗效。方法:选取2021年6月—2022年6月温江区中医医院针灸科78例椎动脉型颈椎病患者,采用随机数字表法分组,联合组41例患者采用Mulligan手法联合浮针治疗,对照组37例患者仅采用Mulligan手法治疗。比较两组患者临床有效率、不良反应和治疗前后的颈性眩晕症状与功能评估量表(ESCV)、椎动脉型颈椎病功能评定量表(FS-CSA)、椎动脉、基底动脉的平均血流速度(Vm)、阻力指数(RI)、C反应蛋白(CRP)与血沉(ESR)。结果:联合组的临床有效率显著高于对照组,差异具有统计学意义(P<0.05);两组患者治疗后的ESCV以及椎动脉、基底动脉Vm高于治疗前,且联合组高于对照组,差异具有统计学意义(P<0.05);两组患者治疗后的FS-CSA、椎动脉、基底动脉的RI、CRP和ESR低于治疗前,且联合组低于对照组,差异具有统计学意义(P<0.05);两组患者在治疗期间均无不良反应发生。结论:Mulligan手法联合浮针治疗椎动脉型颈椎病具有显著疗效,可以改善供血循环,抑制炎症,缓解患者疼痛眩晕感。Objective:To investigate the clinical effect of Mulligan manipulation combined with floating needling in treatment of cervical spondylosis of vertebral artery pattern.Methods:78 patients with cervical spondylosis of vertebral artery pattern were randomly divided into the control group(n=37)and the combined group(n=41).The control group was treated with Mulligan manipulation;on which basis,the combined group was also treated with floating needling.Clinical effective rate,adverse reactions,cervical vertigo symptom and function assessment scale(ESCV),function scale of cervical spondylosis(vertebral artery pattern)assessment(FS-CSA),mean blood flow velocity(Vm),resistance index(RI),C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)of vertebral artery and basilar artery were compared between the two groups before and after the treatment.Results:The clinical effective rate of the combined group was significantly higher than that of the control group(P<0.05).ESCV,Vm of vertebral artery and basilar artery were higher after the treatment than those before the treatment in the two groups;which were higher in the combined group than those in the control group after the treatment(P<0.05).FS-CSA,RI,CRP and ESR of vertebral artery and basilar artery were lower after the treatment than those before the treatment in the two groups,which were lower in the combined group than those in the control group after the treatment(P<0.05).There were no adverse reactions in both groups during the treatment.Conclusion:Mulligan manipulation combined with floating needling has a significant effect on cervical spondylosis of vertebral artery pattern,which can improve blood supply and circulation,inhibit inflammation,and relieve pain and dizziness of the patients.

关 键 词：Mulligan手法 浮针 椎动脉型 颈椎病 

分 类 号：R246.2[医药卫生—针灸推拿学]