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[改良人迎穴针刺法治疗椎动脉型颈椎病的疗效及其对颈部血流速度的影响]

[Efficacy of Modified Acupuncture Method at Renying (ST 9) for Patients with Cervical Spondylosis of Vertebral Artery Type and Its Impact on Velocity of Cervical Blood Flow].

作者信息

Gui Xing-Hua, Ma Chao-Yang, Tang Lei, Wan Wen-Jun, Wang Yan-Fu, Xu Fen, Zhao Shun-Yu

机构信息

College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan 430061, China.

Department of Rehabilitation, Wuhan Central Hospital Affiliated to Huazhong University of Science and Technology, Wuhan 430014.

出版信息

Zhen Ci Yan Jiu. 2017 Apr 25;42(2):163-7.

PMID:29071967
Abstract

OBJECTIVE

To observe the clinical efficacy of modified acupuncture at Renying point (ST 9) for patients with cervical spondylosis of vertebral artery type and its influence on velocity of cervical blood flow.

METHODS

Fifty-nine cases of vertebral artery type cervical spondylosis were randomly divided into control group (=30) and treatment group (=29). Both groups were acupunctured at ST 9, with routine acupuncture technique used in the control group and modified technique in the treatment group, respectively. All cases received two courses of treatment, each course covered consecutive 6 once-per-day treatments. Before and after treatment, transcranial Doppler (TCD) was used to measure the systolic peak blood flow velocity (Vs) of left vertebral artery (LVA), right vertebral artery (RVA) and basilar artery (BA), and the scores of "cervical vertigo symptoms and functional assessment scale" (CVSFAS) were also assessed, separately.

RESULTS

CVSFAS scoring, Vs of LVA, RVA and BA after treatment showed significant improvement compared with those before treatment (<0.01, <0.05). The efficacy of the treatment group in the above mentioned indexes was superior to that of the control group (<0.05). The total effective rate of the treatment group was 93.1% (27/29), superior to 70.0% (21/30) of the control group (<0.05).

CONCLUSIONS

The modified acupuncture method at ST 9 is clinically effective in the treatment of cervical spondylosis of vertebral artery type via increasing the Vs of vertebral-basilar artery, improving the local blood circulation and relieving pain.

摘要

目的

观察改良人迎穴(ST9)针刺治疗椎动脉型颈椎病的临床疗效及其对颈部血流速度的影响。

方法

将59例椎动脉型颈椎病患者随机分为对照组(n = 30)和治疗组(n = 29)。两组均针刺人迎穴,对照组采用常规针刺技术,治疗组采用改良技术。所有病例均接受两个疗程的治疗,每个疗程连续6天,每天治疗1次。治疗前后分别采用经颅多普勒(TCD)测量左侧椎动脉(LVA)、右侧椎动脉(RVA)和基底动脉(BA)的收缩期峰值血流速度(Vs),并评估“颈性眩晕症状与功能评估量表”(CVSFAS)评分。

结果

治疗后CVSFAS评分、LVA、RVA和BA的Vs较治疗前均有显著改善(P < 0.01,P < 0.05)。治疗组上述指标的疗效优于对照组(P < 0.05)。治疗组总有效率为93.1%(27/29),优于对照组的70.0%(21/30)(P < 0.05)。

结论

改良人迎穴针刺法通过提高椎-基底动脉Vs、改善局部血液循环、缓解疼痛,对椎动脉型颈椎病具有临床治疗效果。

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