温针灸合中药辨证治疗椎动脉型颈椎病30例

目的探讨温针灸治疗椎动脉型颈椎病(cervical spondylosis of vertebral artery type,CSA)的临床疗效。方法运用前瞻性随机对照试验,将60例CSA患者随机分为治疗组和对照组,每组各30例,治疗组采用温针灸配合中药辨证治疗,对照组采用普通针刺配合中药辨证治疗。2个疗程后,观察两组临床疗效、中医证候评分、以及颈性眩晕症状与功能评分。结果治疗组临床疗效显著优于对照组(P<0.05),治愈率显著高于对照组(P<0.05);治疗后两组中医证候评分显著升高(P<0.01),且治疗组显著高于对照组(P<0.01)。与治疗前比较,治疗后两组颈性眩晕症状和功能评分均显著升高(P<0.05,或P<0.01),且治疗组颈性眩晕症状和功能评分及其治疗前后差值显著高于对照组(P<0.01)。治疗后治疗组眩晕、旋颈试验、日常生活及工作评分显著高于对照组(P<0.05,或P<0.01)。结论温针灸对CSA具有较好的疗效,在改善中医证候、提高日常生活及工作能力方面明显优于普通针刺。

Clinical Effect of Warming Acupuncture-Moxibustion Combined with Traditional Chinese Medicines in Syndrome Differentiation Based Treatment of Cervical Spondylosis of Vertebral Artery Type: A Report of 30 Cases

Objective To investigate the clinical effect of warming acupuncture-moxibustion on cervical spondylosis of vertebral artery type(CSA).Methods A prospective randomized controlled trial was conducted.In the trial,60 CSA patients were randomly divided into treatment group(n=30) and control group(n=30).The treatment group received syndrome differentiation based treatment,or choosing an appropriate therapy based on the specific syndrome in traditional Chinese medicine,using warming acupuncture-moxibustion combined with traditional Chinese medicines.The control group received syndrome differentiation based treatment using conventional acupuncture combined with traditional Chinese medicines.The clinical effects,traditional Chinese medicine(TCM) syndrome scores,and cervical vertigo symptoms and functional assessment scores were observed in both groups after two courses of treatment.Results The clinical effect was significantly better in the treatment group than in the control group(P<0.05),and so was the cure rate(P<0.05).After treatment,the TCM syndrome scores increased significantly in both groups(P<0.01),and the TCM syndrome scores in the treatment group were significantly higher than those in the control group(P<0.01);the vertical vertigo symptoms and functional assessment scores increased significantly in both groups(P<0.05 or P<0.01),and,compared with the control group,the treatment group showed significantly higher cervical vertigo symptoms and functional assessment scores and increase in the scores(P<0.01).In addition,the treatment group showed higher scores on vertigo,neck rotation test,and daily life and work than the control group after treatment(P<0.05 or P<0.01).Conclusion Warming acupuncture-moxibustion has good clinical effect on CSA and shows significantly better performance than conventional acupuncture in improving TCM syndrome and ability of daily life and work.