温针灸配合坐位拔伸手法治疗椎动脉型颈椎病随机对照研究

目的观察颈夹脊穴温针灸配合坐位拔伸手法治疗椎动脉型颈椎病(CSA)的疗效。方法将200例CSA患者随机分为治疗组和对照组,每组100例。治疗组在颈夹脊穴和风池穴温针灸后,配合坐位拔伸手法治疗。对照组口服盐酸氟桂嗪胶囊。采用CSA症状评分标准和眩晕问卷调查表(DHI)在治疗前后进行记录,获得治疗前后眩晕、头痛、视物模糊、耳鸣、颈痛、旋颈试验等症状评分及DHI评分。结果两组患者治疗后眩晕、头痛、视物模糊、耳鸣、旋颈试验评分均较治疗前升高,治疗后DHI评分较治疗前下降,差异均有统计学意义(治疗组P<0.01,对照组P<0.05),两组治疗后颈痛评分均较治疗前升高,但治疗组差异有统计学意义(P<0.01),对照组差异没有统计学意义(P>0.05);治疗后组间比较,治疗组眩晕、头痛、视物模糊、旋颈试验、颈痛评分及DHI评分较对照组改善更明显(P<0.05,P<0.01)。结论颈夹脊穴温针灸配合坐位拔伸手法治疗椎动脉型颈椎病的疗效显著。

A Randomized Controlled Trial of Warm Needling Moxibustion plus Sitting-position Pulling and Stretching Manipulation for the Treatment of Cervical Spondylotic Vertebral Arteriopathy

Objective To investigate the efficacy of warm needling moxibustion at cervical Huatuo jiaji （EX-B2） points plus sitting-position pulling and stretching manipulation in treating cervical spondylotic vertebral arteriopathy （CSA）. Method Two hundred CSA patients were randomly allocated to treatment and control groups, 100 cases each. The treatment group received warm needling moxibustion at cervical Huatuo jiaji points and point Fengchi （GB20） followed by sitting-position pulling and stretching manipulation. The control group took flunarizine hydrochloride capsules orally. Vertigo, headache, blurred vision, tinnitus, neck pain and the neck rotation test were scored using CSA symptom scoring criteria before and after treatment. The dizziness handicap inventory （DHI） score was counted before and after treatment. Result The vertigo, headache, blurred vision, tinnitus and neck rotation test scores increased and the DHI score decreased in both groups of patients after treatment compared with before; there were statistically significant differences （P〈0.01 in the treatment group,P〈0.05 in the control group）. The neck pain score increased in both groups after treatment compared with before; there was a statistically significant difference in the treatment group （P〈0.01） but no statistically significant difference in the control group （P〉0.05）. After treatment, the vertigo, headache, blurred vision, tinnitus, neck rotation test and DHI scores and the neck pain score improved more in the treatment group than in the control group （P〈0.05,P〈0.01）. Conclusion Warm needling moxibustion at cervical Huatuo jiaji points plus sitting-position pulling and stretching manipulation has a marked therapeutic effect on cervical spondylotic vertebral arteriopathy.