督灸联合刃针治疗痰阻经脉型椎动脉型颈椎病的临床研究  

Clinical Study of Du-Moxibusiton Combined with Blade Needling in Treatment of CSA of Phlegm Blocking Meridian Pattern

作　　者：代金豹 蔡菁 蔡少忍 黄彩凤 DAI Jinbao;CAI Jing;CAI Shaoren;HUANG Caifeng(Shenzhen Pingle Orthopedic Hospital(Shenzhen Pingshan Hospital of Traditional Chinese Medicine),Shenzhen 518030,China)

机构地区：[1]深圳平乐骨伤科医院(深圳市坪山区中医院),广东深圳518030

出　　处：《针灸临床杂志》2024年第12期43-47,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：深圳市三名工程项目,编号:SZZYSM202108013;深圳市坪山区卫生健康系统科研项目,编号:202279。

摘　　要：目的:观察督灸联合刃针治疗痰阻经脉型椎动脉型颈椎病的临床疗效。方法:将60例痰阻经脉型椎动脉型颈椎病患者随机分为督灸联合刃针观察组和督灸联合针刺对照组,记录治疗前后ESCV评分、VAS评分、椎-基底动脉收缩期峰流(Vs)及血管搏动指数(PI)。结果:治疗后两组ESCV、VAS评分、椎-基底动脉收缩期峰流(Vs)及血管搏动指数(PI)均比治疗前有明显改善;VAS评分、血流速度(Vs)、血管搏动指数(PI)组间比较差异有统计学意义(P<0.05);治疗后,观察组与对照组总有效率相同(100%,30/30),观察组痊愈13例,显效10例,有效7例,对照组痊愈4例,显效14例,有效12例,观察组临床疗效较优,差异有统计学意义(P<0.05)。结论:两组均能较好地改善痰阻经脉型椎动脉型颈椎病的眩晕等临床症状,观察组止痛效果更优,临床疗效更优。Objective:To observe the clinical effect of Du-moxibustion combined with blade needling in treating cervical spondylosis of vertebral artery type(CSA)of phlegm blocking meridian pattern.Methods:60 patients who met the inclusion criteria were randomly divided into the observation group and the control group.The control group was treated with Du-moxibustion combined with acupuncture;whereas the observation group was treated with Du-moxibustion combined with blade needling.The scores of ESCV and VAS,the vertebro-basilar artery systolic peak flow(Vs)and vascular pulse index(PI)were recorded before and after the treatment in the two groups.Results:The scores of ESCV and VAS,as well as the values of Vs and PI were significantly improved after the treatment compared with those before the treatment in the two groups(P<0.05,P<0.01);there were statistical differences in the VAS score,the values of Vs and PI between the two groups after the treatment(P<0.05).At the end of the treatment,the total effective rate was both(100%,30/30)in the two groups,but there were statistical differences in the healing cases,remarkably effective cases and effective cases,which were 13 Cases,10 cases and 7 cases in the observation group,and 4 cases,14 cases and 12 cases in the control group,respectively(P<0.05).Conclusion:Both groups demonstrated improvement in clinical symptoms related to CSA(phlegm blocking meridian pattern).The observation group exhibited a superior analgesic effect and overall clinical efficacy.

关 键 词：椎动脉型颈椎病 督灸 刃针 随机单盲对照试验 

分 类 号：R246.2[医药卫生—针灸推拿学]