针灸联合推拿疗法治疗椎动脉型颈椎病临床观察

目的观察针灸联合推拿疗法对椎动脉型颈椎病患者临床症状及血流动力学的影响。方法选取2017年6月—2019年1月收治的66例椎动脉型颈椎病患者,按照随机数字表法分为观察组和对照组,各33例。对照组行针灸法治疗,观察组行推拿疗法治疗,观察对比2组患者有效率、中医证候积分及血流动力学指标的变化。结果观察组治疗总有效率(93.94%)高于对照组(69.70%),差异有统计学意义(P<0.05);观察组治疗后中医证候(头痛、眩晕、耳鸣、恶心、呕吐及上肢麻木)积分较对照组低,差异有统计学意义(P<0.05);观察组收缩期峰值血流比对照组高,血管搏动指数、平均血流速度、阻力指数均比对照组低,差异有统计学意义(P<0.05)。结论针灸联合推拿疗法治疗椎动脉型颈椎病有良好的临床效果,可缓解临床症状,改善血流动力学指标,提高患者生活质量。

Clinical Observation on Acupuncture and Moxibustion Combined with Massage Therapy on Patients with Vertebral Artery Type Cervical Spondylosis

Objective To observe the effects of acupuncture combined with massage therapy on clinical symptoms and hemodynamics in patients with vertebral artery type cervical spondylosis. Methods Sixty-six patients with vertebral artery type cervical spondylosis admitted to our hospital from June 2017 to January 2019 were enrolled in the study. The patients were divided into observation group and control group according to the random number table method, with 33 cases in each group. The control group was treated with acupuncture and moxibustion. The observation group was treated with massage therapy. The effective rate, TCM syndrome scores and hemodynamic parameters of the two groups were observed and compared. Results The total effective rate of the observation group(93.94%) was higher than that of the control group(69.70%), and the difference was statistically significant(P<0.05). The observation group received TCM syndrome(headache, dizziness, tinnitus, nausea, vomiting and upper limbs). The numbness score of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). The peak systolic blood flow in the observation group was higher than that in the control group. The vascular pulsation index, mean blood flow velocity and resistance index of the control group were lower than those in the observation group. The difference had statistical significance(P<0.05). Conclusion Acupuncture and moxibustion combined with massage therapy for vertebral artery type cervical spondylosis has good clinical effects, can alleviate clinical symptoms, improve hemodynamic parameters, and restore patients’ quality of life.