热敏灸疗配合中药内服治疗椎动脉型颈椎病

目的:观察热敏灸疗联合半夏白术天麻汤治疗椎动脉型颈椎病椎-基动脉血流动力学的影响及临床症状改善情况.方法:将患者随机分为对照组40例和治疗组40例.对照组采用西药西比灵治疗,治疗组给予热敏灸疗联合半夏白术天麻汤治疗,通过经颅彩色多普勒检查,并记录患者临床症状改变情况.结果:热敏灸疗联合半夏白术天麻汤治疗椎动脉型颈椎病,对椎-基底动脉收缩期Vpeak有明显改善作用(P＜0.05),与对照组比较也有显著性差异(P＜0.05)；治疗组临床症状改善总有效率为92.5％,对照组为77.5％,两组比较有显著性差异(P＜0.05).结论:热敏灸疗联合半夏白术天麻汤对椎-基底动脉收缩期Vpeak有明显改善作用,能显著地提高椎动脉型颈椎病的临床疗效.

Heat-sensitive Moxibustion Therapy and Chinese Herbal Medicine in Treatment of Cervical Spondylotic Arteriopathy (CSA)

Objective: To observe the hemodynamic influence of vertebro-basilar artery and improvement of symptoms by the treatment of (cervical spondylotic arteriopathy)CSA with heat-sensitive moxibustion therapy and Banxia Baizhu Tianma decoction. Method: The patients were randomized into a 40-case control group treated with Flunarizine Capsule and a 40-case treatment group with heat-sensitive moxibustion therapy and Banxia Baizhu Tianma decoction. Individually transcranial doppler (TCD) check was done and symptomatic change was noted. Result: Heat-sensitive moxibustion therapy and Chinese herbal medicine significantly improve the systolic peak of vertebro-basilar artery(P<0.05), which differ significantly from the control group(P<0.05); in treatment group the total effective rate of symptomatic improvement was 92.5%, while in control group was 77.5%. The significant difference existed (P<0.05). Conclusion: Heat-sensitive moxibustion therapy and Banxia Baizhu Tianma decoction can significantly improve the systolic peak of vertebro-basilar artery and the therapeutic effect of CSA.