耳压加体针对椎动脉型颈椎病的影响

目的探讨耳压加体针治疗椎动脉型颈椎病的临床疗效及其初步的作用机制。方法将92例椎动脉型颈椎病患者随机分为2组,治疗组56例采用耳压加体针治疗,对照组36例采用体针治疗,观察2组病例治疗前后临床症状、椎-基底动脉血流动力学、血液流变学部分指标的变化。结果治疗组的总有效率为89.29%,临床控制率为17.85%;对头晕或头痛等主要症状疗效,对椎-基底动脉血流量、血流速度,对全血还原黏度(低切)、红细胞刚性指数的改善作用等指标,均优于对照组(P<0.05)。结论耳压加体针治疗椎动脉型颈椎病,不仅可以改善患者的临床症状,还可以调节椎-基底动脉血流动力学、血液流变学异常状态。无论是在马来西亚或中国,这种治疗方法都有其临床实践的价值。

Effects of a combined regime of auricular-plaster and body acupuncture in treatment of cervical spondylosis of vertebral artery type

OBJECTIVE: To study effects of a combined regime of auricular-plaster and body acupuncture in treatment of cervical spondylosis of vertebral artery type and make a preliminary revelation of the mechanism. METHODS: Ninety-two patients were randomly divided into 2 groups, the treatment group (n = 56) received the combined regime of auricular-plaster and body acupuncture, and the control group (n = 36) received treatment with body acupuncture. Clinical symptoms and signs, therapeutic effect and some indexes about vertebrobasilar hema-kinetics and hema-rheology were investigated before and after treatment. RESULTS: The treatment group was better than the control group in the clinical overall effective rate (89.29%) and the clinically control rate (17. 85%), and in improving the following indexes, including dizziness and headache, the vertebrobasilar volume and rate of blood flow etab and IR (P < 0.05). CONCLUSIONS: A combined regime of auricular-plaster and body acupuncture ameliorates not only main signs but also some indexes about vertebrobasilar hema-kinetics and hema-rheology. This treatment is an effective therapy for cervical spondylosis of vertebral artery type both in Malaysia and in China.