维生素B_(12)穴位注射联合艾灸治疗椎动脉型颈椎病疗效观察  

Therapeutic effect of Vitamin Bi2 acupoint injection combined with moxibustion on cervical spondylosis of vertebral artery type

作　　者：汤园园 TANG Yuan-yuan(Affiliated Hospital of Jianghan University/Wuhan Sixth Hospital,Wuhan 430015)

机构地区：[1]江汉大学附属医院/武汉市第六医院,湖北武汉430015

出　　处：《湖北中医药大学学报》2024年第2期70-72,共3页Journal of Hubei University of Chinese Medicine

基　　金：湖北省病理生理学会科研项目(项目编号:2021HBAP007)。

摘　　要：目的 观察维生素B_(12)穴位注射联合艾灸治疗椎动脉型颈椎病(CSA)临床疗效。方法 将我院83例CSA患者随机分为观察组42例与对照组41例。对照组予以西医治疗,观察组予以维生素B_(12)穴位注射联合艾灸治疗。比较两组的临床疗效,颈痛、眩晕程度量表评分(DHI),左右椎动脉、基底动脉血液流速,记忆评分,欧洲五维健康量表评分(EQ-5D)。结果 治疗后,观察组总有效率高于对照组(P<0.05);两组颈痛、DHI评分均低于治疗前,观察组颈痛、DHI评分均低于对照组(P<0.05);两组左右椎动脉、基底动脉血液流速、记忆评分均高于治疗前,观察组左右椎动脉、基底动脉血液流速、记忆评分均高于对照组(P<0.05);两组EQ-5D评分均高于治疗前,观察组EQ-5D评分均高于对照组(P<0.05)。结论 维生素B_(12)穴位注射联合艾灸治疗CSA患者,能更有效地改善颈痛、眩晕症状,增加椎基底动脉血液流速,提高记忆能力和生活质量。Objective To observe the therapeutic effect of Vitamin Bi2 acupoint injection combined with moxibustion on vertebral artery type cervical spondylosis(CSA).Methods Eighty-three CSA patients were randomly divided into observation group of 42 cases and control group of 41 cases each.Control group received Western medical treatment,while observation group received Vitamin Bi2 acupoint injection combined with moxibustion.The clinical efficacy of the two groups were compared,including neck pain and dizziness scale score(DHI),left and right vertebral artery and basilar artery blood flow velocity,memory scores,and European Five Dimensional Health Scale(EQ-5D)scores.Results After treatment,the total effective rate of observation group was higher than control group(P<0.05);both groups had lower neck pain and DHI scores than before treatment,which were lower in observation group than control group(P<0.05);the blood flow velocity of the left and right vertebral arteries and basilar arteries in both groups were higher than before treatment,which were higher in observation group than control group(P<0.05);the memory scores and EQ-5D scores of both groups were higher than before treatment,which were higher in observation group than control group(P<0.05).Conclusion The combination of Vitamin Bi2 acupoint injection with moxibustion can more effectively improve neck pain and dizziness symptoms,increase the blood flow rate of the vertebrobasilar artery,and improve memory ability and quality of life in CSA patients.

关 键 词：颈椎病 椎动脉型 维生素B_(12) 穴位注射 艾灸 

分 类 号：R274.9[医药卫生—中西医结合]