医用臭氧水穴位注射结合颈椎牵引治疗椎动脉型颈椎病的临床观察

目的 观察医用臭氧水穴位注射结合颈椎牵引治疗椎动脉型颈椎病的临床疗效。 方法 将70例患者随机分为治疗组和对照组,每组35例。治疗组采用医用臭氧水穴位注射结合颈椎牵引治疗,对照组采用颈椎牵引治疗;医用臭氧水穴位注射隔日1次;颈椎牵引每日1次,每次15~20 min;2周为一个疗程。治疗前后采用症状体征评分、疗效指数及经颅多普勒(TCD)探测双侧椎动脉(VA)、基底动脉(BA)、双侧大脑后动脉(PCA)的平均血流速度(Vm)进行评定。 结果 2组治疗后比较,治疗组愈显率91.43%和总有效率100%均优于对照组(P<0.05),治疗前2组症状和体征积分比较差异无统计学意义(P>0.05);2组治疗后症状和体征积分均比治疗前改善(均P<0.05),且治疗组优于对照组(P<0.05)。治疗前2组双侧VA、BA、双侧PCA的Vm比较差异无统计学意义(P>0.05);2组治疗后双侧VA、BA、双侧PCA的Vm均比治疗前显著提升(均P<0.05),且治疗组优于对照组(均P<0.05)。 结论 采用医用臭氧水穴位注射结合颈椎牵引治疗椎动脉型颈椎病疗效较好,更能有效改善患者双侧VA、BA、双侧PCA的血流速度。 

Clinical Observation of Medical Ozone Water Acupoint Injection combined with Cervical Traction on Treatment of Vertebral Artery Cervical Spondylosis

Objective To observe the clinical effect of medical ozone water point injection combined with cervical traction on the treatment of cervical spondylosis of vertebral artery type. Methods A total of 70 patients were randomly divided into treatment group and control group, 35 cases in each group. The treatment group was treated by acupoint injection of medical ozone water combined with cervical traction, while the control group was treated by cervical traction. The acupoint injection of medical ozone water was given every other day; the cervical traction was given once a day, 15-20 minutes each time; two weeks was a course of treatment. Before and after treatment, the scores of symptoms and signs, and the curative effect index were used to evaluate, respectively. Mean blood flow velocity(Vm) of bilateral vertebral artery(VA), basilar artery(BA) and bilateral posterior cerebral artery(PCA) were measured by transcranial Doppler(TCD), and then analyzed and evaluated. Results Compared with the control group, the treatment group(cure and effective) rate was 91.43% and the total effective rate was 100% better than the control group(all P<0.05). There was no significant difference in the scores of symptoms and signs between the two groups before treatment(all P>0.05). Compared with the same group, the scores of symptoms and signs in both groups were improved after treatment(all P<0.05), and the treatment group was better than the control group(all P<0.05). There was no significant difference in Vm of VA, PCA and BA between the two groups before treatment(all P>0.05). Compared with the same group, the Vm of VA, PCA and BA in both groups increased significantly after treatment(all P<0.05), and the treatment group was better than the control group(all P<0.05). Conclusion The technique of "medical ozone water point injection combined with cervical traction" is effective in treating CSA. It can improve the blood flow velocity of patients with bilateral VA, bilateral PCA and BA.