基于“筋骨平衡”理论针刺推拿疗法治疗椎动脉型颈椎病的临床观察  

Clinical Observation of Acupuncture and Tuina Therapy Based on Theory of “Muscle-Bone Balance” in Treatment of CSA

作　　者：贾峻[1,2] 王志光 赵国瑞[1,2] 田少飞 范青[1,2] JIA Jun;WANG Zhiguang;ZHAO Guorui;TIAN Shaofei;FAN Qing(Department of Tuina,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院推拿科,天津300193 [2]国家中医针灸临床医学研究中心,天津300193

出　　处：《辽宁中医杂志》2024年第2期161-164,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家优势中医药重点学科建设项目-推拿学(2023ZDXK002);第七批全国老中医药专家学术经验继承工作项目(202276);国家中医药管理局中医药传承与创新“百千万”人才工程(歧黄工程)项目(885022);区域中医(推拿专科)治疗中心项目(963042);天津中医药大学第一附属医院“拓新工程”项目(院YB202115)。

摘　　要：目的浅析椎动脉型颈椎病(cervical spondylotic vertebral arteriopathy,CSA)患者实施基于“筋骨平衡”理论针刺推拿疗法对其中医症状积分、颈性眩晕症状与功能评估量表(cervical vertigo symptom and function assessment scale,ESCV)评分、颈椎曲度及脑血流参数的影响。方法选择该院2019年12月—2021年12月就诊的CSA患者86例实施研究,随机数字表法分作观察组与对照组,各43例;其中对照组脱落2例,剔除1例,共完成40例;观察组脱落1例,剔除1例,共完成41例;对照组予以常规牵引疗法,观察组予以基于“筋骨平衡”理论针刺推拿疗法;比较两组治疗前与治疗后中医症状积分、ESCV评分、颈椎曲度及脑血流参数的变化,并对比两组疗效。结果治疗后,观察组中医症状积分皆显著低于对照组(P<0.05)。治疗后,观察组ESCV评分和颈椎曲度皆明显高于对照组(P<0.05)。治疗后,观察组椎底动脉及左、右椎动脉的Vs与Vd水平均显著高于对照组(P<0.05)。观察组总有效率显著高于对照组[95.12%(39/41)vs 80.00%(32/40),P<0.05]。结论基于“筋骨平衡”理论针刺推拿疗法对CSA患者疗效显著,有效改善中医症状积分、ESCV评分以及颈椎曲度,增强脑血流参数。Objective To analyze the effects of acupuncture and Tuina therapy based on“muscle-bone balance”theory on TCM symptom scores,cervical vertigo symptom and function evaluation scale(ESCV),cervical curvature and cerebral blood flow parameters in patients with cervical spondylosis of vertebral artery type(CSA).Methods Eighty-six patients with CSA treated in the hospital from December 2019 to December 2021 were randomly divided into observation group and control group,with 43 cases in each group;In the control group,2 cases fell off and 1 case was eliminated,and a total of 40 cases completed the trial.In the observation group,1 case fell off and 1 case was eliminated,and a total of 41 cases completed the trial.The control group was given routine traction therapy,and the observation group was given acupuncture and Tuina therapy based on the theory of“muscle-bone balance”.The changes of TCM symptom scores,ESCV score,cervical curvature and cerebral blood flow parameters before and after treatment were compared between the two groups,and the curative effects of the two groups were compared.Results After treatment,the TCM symptom scores in the observation group were significantly lower than those in the control group(P<0.05).After treatment,the ESCV score and cervical curvature in the observation group were significantly higher than those in the control group(P<0.05).After treatment,the levels of peak systolic blood flow velocity(Vs)and diastolic blood flow velocity(Vd)in the observation group were significantly higher than those in the control group(P<0.05).The total effective rate of the observation group was significantly higher than that of the control group[95.12%(39/41)vs 80.00%(32/40),P<0.05].Conclusion Based on the theory of“muscle-bone balance”,acupuncture and Tuina therapy is effective in CSA patients,effectively improving TCM symptom scores,ESCV score and cervical curvature,and enhancing cerebral blood flow parameters.

关 键 词：筋骨平衡理论 针刺推拿 椎动脉型颈椎病 中医症状积分 脑血流参数 

分 类 号：R246[医药卫生—针灸推拿学]