针灸联合推拿手法对椎动脉型颈椎病患者颈椎功能及症状的影响分析  

An analysis of curative effect of acupuncture with massage on cervical spondylotic vertebral arteriopathy

作　　者：王晓东 WANG Xiaodong

机构地区：[1]南京市六合区中医院,江苏南京211500

出　　处：《中医临床研究》2024年第23期43-47,共5页Clinical Journal Of Chinese Medicine

摘　　要：目的:探索针灸联合推拿手法对椎动脉型颈椎病(Cervical Spondylotic Vertebral Arteriopathy,CSA)患者颈椎功能及症状的影响。方法:选取医院于2021年2月-2023年2月收治的CSA患者80例,以系统随机化法将其分为联合组(40例)与针灸组(40例)。针灸组开展针灸治疗,联合组则开展针灸联合推拿手法治疗。两组均持续治疗20天,对比疗效、中医证候积分、颈椎功能、椎动脉血流动力学指标水平、不良反应。结果:联合组治疗总有效率高于针灸组(95.00%Vs.77.50%)(P<0.05)。治疗前,两组各项中医证候积分的差异均不明显(P>0.05);治疗20天后,两组各项中医证候积分均低于治疗前,且联合组低于针灸组(P<0.05)。治疗前,两组各项颈椎功能评分的差异均不明显(P>0.05);治疗20天后,两组各项颈椎功能评分均较治疗前明显改善,且联合组改善幅度优于针灸组(P<0.05)。治疗前,两组各项椎动脉血流动力学指标水平的差异均不明显(P>0.05);治疗20天后,两组各项椎动脉血流动力学指标水平均较治疗前改善,且联合组改善程度优于针灸组(P<0.05)。治疗期间,联合组发生感染1例、皮肤烫伤1例、急性软组织损伤1例,总发生率为7.50%(3/40);针灸组发生感染1例、晕针1例,总发生率为5.00%(2/40)(χ^(2)=0.213,P=0.644)。结论:在针灸基础上增加推拿手法治疗CSA可明显提升疗效,还可实现对患者症状、颈椎功能以及相关动脉血流动力学指标的改善。Objective: To study the effects of acupuncture with massage on cervical spine function and symptoms in patients with cervical spondylotic vertebral arteriopathy(CSA). Methods: A total of 80 patients with CSA admitted to the hospital from February 2021 to February 2023 were selected and divided into the combined group(40 cases) and acupuncture group(40 cases) by systematic randomization method. The acupuncture group was treated by acupuncture, while the combined group was treated by acupuncture and massage. The two groups were treated for 20 days, and the efficacy, TCM syndrome score, cervical spine function, the level of vertebral artery hemodynamics indexes and adverse reactions were compared between the two groups. Results: The total effective rate in the combined group was higher than the acupuncture group(P<0.05). Before treatment, there was no significant difference in TCM syndrome scores between the two groups(P>0.05). After 20 days of treatment, the scores of TCM syndromes in both groups were lower than before treatment, and those in the combined group were lower than the acupuncture group(P<0.05). Before treatment, there were no significant differences in cervical spine function scores between the two groups(P>0.05). After 20 days of treatment, the cervical spine function scores in both groups were significantly ameliorated, and the amelioration range in the combined group was better than the acupuncture group(P<0.05). Before treatment, there were no significant differences in the levels of various vertebral artery hemodynamics indexes between the two groups(P>0.05). After 20 days of treatment, the levels of vertebral arterial hemodynamics indexes in both groups were ameliorated compared with those before treatment, and the amelioration degree in the combined group was better than the acupuncture group(P<0.05). During the treatment, there was 1 case of infection, 1 case of skin scald and 1 case of acute soft tissue injury in the combined group, the total incidence was 7.50%(3/40). In the acupuncture group

关 键 词：椎动脉型颈椎病 针灸 推拿手法 颈椎功能 椎动脉血流动力学 

分 类 号：R274[医药卫生—中医骨伤科学]