三步针罐疗法治疗椎动脉型颈椎病的临床研究

目的 观察三步针罐疗法治疗椎动脉型颈椎病的临床疗效。方法 采用本疗法治疗椎动脉型颈椎病197例（A组），并与常规针刺组40例（B组）和西药组40例（C组）比较，观察临床疗效及颈椎动脉彩超检查结果。结果 A组疗效显著优于B、C组（P＜0．01）；A组中不同证型疗效无明显差异（P＞0．05）；治疗后，A组颈椎动脉血流量和流速明显大于2个对照组（P＜0．01），并能明显改善血管内径（P＜0．05）。结论 三步针罐疗法治疗本病疗效高、见效快，改善颈椎动脉机能状态是其基本的治理原理。

Clinical Investigation on Treatment of Vertebral Cervical Spondylopathy with Three-step Acupuncture and Cupping Therapy

OBJECTIVE To observe the therapeutic effect of the three-step acupuncture and cupping therapy in the treatment of vertebral cervical spondylopathy. METHOD 197 patients with vertebral cervical spondylopathy (Group A) were treated with this therapy, compared with 40 patients (Group B) treated with normal acupuncture and another 40 patients (Group C) treated with western medicine. RESULT The therapeutic effect obtained in Group A was markedly better than those in Groups B and C ( P <0.01). There was no significant difference among different types of the disease in the therapeutic effect in Group A. After the treatment, the amount and speed of the blood flow in the cervical artery in the patients in Group A were markedly greater than those in the other two groups ( P <0.01), and the internal diameter of the blood vessel was markedly improved ( P <0.05). CONCLUSION This method is effective in treating vertebral cervical spondylopathy, the mechanism of which lies in its effect in improving the function of the cervical artery.