项七针治疗椎动脉型颈椎病和对椎-基底动脉血流动力学的影响

目的 观察项七针治疗椎动脉型颈椎病的疗效和对椎-基底动脉血流动力学的影响。方法 将病人随机分为项七针组38例和颈夹脊组34例，进行症状评分和经颅彩色多普勒检查椎-基底动脉血流速指标。结果 经治疗2个疗程后，项七针组总有效率为89．47％，颈夹脊组为76．47％，两组差异有统计学意义（P〈0．05）；项七针组治疗后椎-基底动脉平均血流速度（MV）、椎-基底动脉搏动指数（PI）、阻力指数（RI）的改变与颈夹脊组比较均有统计学意义（P〈0．05）。项七针组疗效和改善脑供血方面均优于颈夹脊组。结论 运用针灸治疗椎动脉型颈椎病，可收到一定的临床疗效，且在改善病人症状积分及椎-基底动脉血流速度等方面亦显示出较好好的治疗作用。

The Effects of Nape Seven Needles on Vertebrobasilar Hemodynamics

Objective To observe the effect of nape seven needles and cervical jiaji points on vertebrobasilar hemodynamics in cervical spondylopathy. Methods The patients were randomly allocated to a nape seven needles group (n=38) and cervical jiaji point group (n=34). Color transcranial Doppler examination was performed. Results The effective rate was 89.47% in the nape seven needles group and that was 76.47% in the cervical jiaji point group (P<0.05). After treatment, there were significant differences in all vertebrobasilar mean velocity, blood flow quantity, vertebroarterial diameter, vertebrobasilar pulsation index and resistance index between the nape seven needles group and cervical jiaji point group (P<0.05). Conclusion The improvement of cerebral blood supply in nape seven needles group was better than that in cervical jiaji point group.