腹针结合颈椎弧度牵引治疗椎动脉型颈椎病的临床疗效评价

目的观察腹针结合颈椎弧度牵引治疗椎动脉型颈椎病的临床疗效。方法将80例椎动脉型颈椎病患者按照随机数表法分为两组,每组40例,治疗组采用腹针结合颈椎弧度牵引法治疗,对照组予西药氟桂利嗪口服,比较两组患者治疗前后的颈椎病临床评价量表评分、颈性眩晕症状与功能评估量表评分、血流动力学等指标。结果两组治疗椎动脉型颈椎病均取得较好疗效,治疗组总有效率为92.5%,明显高于对照组的77.5%(P<0.05);治疗组治疗后颈椎病临床评价量表评分高于对照组,两者比较差异有统计学意义(P<0.05);两组治疗后眩晕、颈肩痛、头痛、日常生活及工作、心理及社会适应方面各指标均较治疗前有明显好转(P<0.01)。结论腹针结合颈椎弧度牵引可明显改善椎动脉型颈椎病患者的眩晕、颈肩痛、头痛、日常生活及工作、心理及社会适应等症状,明显提高椎基底动脉的血流速度,其疗效与腹针结合颈椎弧度牵引改善椎基底动脉供血有关。

Clinical Efficacy Evaluation of Abdominal Acupuncture plus Cervical Curvature Traction for Cervical Spondylosis of Vertebral Artery Type

Objective To observe the clinical efficacy of abdominal acupuncture plus cervical curvature traction in treating cervical spondylosis of vertebral artery type.Method Eighty patients with cervical spondylosis of vertebral artery type were divided by the random number table into two groups,with 40 cases in each group.The treatment group was intervened by abdominal acupuncture plus cervical curvature traction,and the control group was given oral administration of flunarizine.The two groups were compared before and after treatment in terms of clinical symptom score,cervical vertigo symptom and function assessment scale,and hemodynamics,etc.Result Both groups attained significant efficacy,and the total effective rate was 92.5%in the treatment group,markedly higher than 77.5%in the control group(P<0.05);the score of cervical spondylosis symptom scale in the treatment group was higher than that in the control group after treatment,and the difference was statistically significant(P<0.05);after treatment,the evaluations of vertigo,neck-shoulder pain,headache,daily living and work,mental and social adaptation were significantly improved in both groups(P<0.01).Conclusion Abdominal acupuncture plus cervical curvature traction can obviously improve symptoms such as vertigo,neck-shoulder pain,headache,daily living and work,and mental and social adaptation,and boost the blood flow velocity of vertebrobasilar artery in patients with cervical spondylosis of vertebral artery type.The achievement of therapeutic efficacy is associated with the improvement of vertebrobasilar blood supply.