葛酮通络胶囊联合李氏“揉筋正骨”手法治疗椎动脉型颈椎病 30例

目的 观察葛酮通络胶囊联合李氏"揉筋正骨"手法治疗对椎动脉型颈椎病血液流变学指标的影响.方法 选取2018年4月至2020年6月安徽中医药大学第一附属医院及新安中医馆椎动脉型颈椎病病人60例,采用随机数字表法分为对照组及治疗组,各30例.对照组采用李氏"揉筋正骨"手法治疗,治疗组在对照组基础上加用葛酮通络胶囊药物口服治疗.观察两组治疗前后改良颈性眩晕症状与功能评估量表(ESCV)评分、血流变指标(包括全血高切黏度、全血低切黏度、全血黏度、红细胞比容、红细胞沉降率),评价治疗后两组疗效.结果 治疗后治疗组ESCV评分高于对照组(23.02±1.78)分比(19.05±2.01)分,P<0.05],血流变指标,包括全血高切黏度(3.04±0.27)mPa/s比(4.04±0.24)mPa/s]、全血低切黏度(14.45±1.25)mPa/s比(17.96±1.24)mPa/s]、全血黏度(1.32±0.26)mPa/s比(1.66±0.25)mPa/s]、红细胞比容(0.36±0.01)L/L比(0.37±0.01)L/L]、红细胞沉降率(9.83±0.51)mm/h比(12.49±0.43)mm/h]均低于对照组,治疗组临床显效率高于对照组(70.0％比36.7％,P<0.05).结论 葛酮通络胶囊联合李氏"揉筋正骨"手法治疗能够减轻CSA病人的临床症状及体征,改善血流变学参数水平,提高病人的生活质量.

Effect of kudzu root flavanone activating meridians capsule combined with Li's "kneading tendons and setting bones" technique on the cervical spondylosis caused by compressed vertebral artery:30 cases

Objective To observe the effect of kudzu root flavanone activating meridians capsule combined with Li''s "kneading tendons and setting bones" technique on hemorheological indexes of the cervical spondylosis caused by compressed vertebral artery.Meth? ods Sixty patients with the cervical spondylosis caused by compressed vertebral artery treated in the First Affiliated Hospital of Anhui University of Chinese Medicine and Xin''an Traditional Chinese medicine hospital form April 2018 to June 2020 were selected andrandomly assigned into control group and treatment group, 30 patients in each group. The control group was treated with Li''s "kneadingtendons and setting bones" technique, while the treatment group was treated with kudzu root flavanone activating meridians capsule onthe basis of Li''s "kneading tendon and setting bone" technique. Evaluating score for the symptoms and function rchabilitation of cervical vertigo(ESCV) and hemorheological indexes (including whole blood hypertomy, whole blood hypotomy, whole blood viscosity,hematocrit and erythrocyte sedimentation rate) of the two groups were observed before and after the treatment, and the clinical efficacy of thetwo groups was evaluated after the treatment.Results ESCV of the patients of treatment group was higher than control group (23.02± 1.78) vs. (19.05±2.01), P<0.05]; hemorheological indexes including whole blood hypertomy (3.04±0.27) mPa/s vs. (4.04±0.24) mPa/s], whole blood hypotomy (14.45±1.25) mPa/s vs. (17.96±1.24) mPa/s], whole blood viscosity (1.32±0.26) mPa/s vs. (1.66±0.25) mPa/s], hematocrit (0.36±0.01) L/L vs. (0.37±0.01) L/L] and erythrocyte sedimentation rate (9.83±0.51) mm/h vs. (12.49±0.43) mm/h] of the patients in treatment group were significantly lower than those in control group (P< 0.05), and the clinical efficacy in treatment group was higher than that in control group (70.0% vs. 36.7%, P<0.05).Conclusion The combination of kudzu root flavanone activating meridians capsule and Li''s "kneading tendons and setting bones" technique can attenuate the clinical symptoms and signs of CSA patients, improve the level of hemorheological parameters and enhance the quality of patients'' life.