Wang Mingming, Cai Shengchao, Wei Baoqiang, Fu Yu, Tao Xiang
Chuzhou Hospital of TCM and Western Medicine, Chuzhou 239000, Anhui Province, China.
Anhui Province Hospital of Acupuncture and Moxibustion, Hefei 230061.
Zhongguo Zhen Jiu. 2018 Sep 12;38(9):925-9. doi: 10.13703/j.0255-2930.2018.09.004.
To compare the efficacy difference among acupuncture at "seven acupoints on neck", acupuncture at regular acupoints and betahistine mesilate tablet for cervical spondylosis of vertebral artery type, and to explore the effective treatment for cervical spondylosis of vertebral artery type.
Ninety patients were randomly divided into a regular acupuncture group, a medication group and a neck-seven-acupoint group, 30 cases in each group. According to the acupoints prescription for vertigo in "11th Five-Year" Nation Textbook , the patients in the regular acupuncture group were treated with acupuncture at Fengchi (GB 20) and Baihui (GV 20), etc.; the patients in the neck-seven-acupoint group were treated with Fengfu (GV 16), Fengchi (GB 20), Tianzhu (BL 10) and Wangu (GB 12); the two groups were treated once a day, 6 treatments were taken as one course; there was an interval of 1 day between course and totally two course were given. The patients in the medication group were treated with betahistine mesilate tablets, 1 tablet each time, 3 times a day, for 2 weeks. The vertigo symptom and function score, mean blood flow velocity of left vertebral artery (LVA), right vertebral artery (RVA), basilar artery (BA) as well as pulsatile index (PI) and resistance index (RI) were observed, and the clinical efficacy of the three groups was compared.
The total effective rate was 93.3% (28/30) in the neck-seven-acupoint group, which was superior to 76.7% (23/30) in the regular acupuncture group and 70.0% (21/30) in the medication group (both <0.05). The vertigo symptom and function score were all improved after treatment in the three groups (all <0.05), and the improvement in the neck-seven-acupoint group was superior to those in the regular acupuncture group and medication group (both <0.05). The mean blood flow velocity of LVA, RVA and BA was all improved after treatment in the neck-seven-acupoint group and regular acupuncture group (all <0.05), which was not significant in the medication group (all >0.05). The improvement of mean blood flow velocity in the neck-seven-acupoint group was superior to those in the medication group and regular acupuncture group (all <0.05); the improvement in the regular acupuncture group was superior to that in the medication group (all <0.05). PI and RI were all reduced after treatment in the three groups (all <0.05); the reduction in the neck-seven-acupoint group was more significant those those in the medication group and regular acupuncture group (all <0.05), and the reduction in the regular acupuncture group was superior to that in the medication group (all <0.05).
Acupuncture at "seven acupoints on neck" has better clinical efficacy than regular acupuncture and betahistine mesilate tablets, which could obviously improve vertigo and brain blood supply.
比较“颈部七穴”针刺、常规穴位针刺与甲磺酸倍他司汀片治疗椎动脉型颈椎病的疗效差异，探索椎动脉型颈椎病的有效治疗方法。
将90例患者随机分为常规针刺组、药物组和颈部七穴组，每组30例。根据“十一五”全国规划教材中眩晕的穴位处方，常规针刺组患者针刺风池（GB 20）、百会（GV 20）等穴位；颈部七穴组患者针刺风府（GV 16）、风池（GB 20）、天柱（BL 10）和完骨（GB 12）；两组均每日治疗1次，6次为1个疗程；疗程间间隔1天，共进行2个疗程。药物组患者服用甲磺酸倍他司汀片，每次1片，每日3次，共治疗2周。观察眩晕症状与功能评分、左侧椎动脉（LVA）、右侧椎动脉（RVA）、基底动脉（BA）的平均血流速度以及搏动指数（PI）和阻力指数（RI），并比较三组的临床疗效。
颈部七穴组总有效率为93.3%（28/30），优于常规针刺组的76.7%（23/30）和药物组的70.0%（21/30）（均P<0.05）。三组治疗后眩晕症状与功能评分均改善（均P<0.05），且颈部七穴组改善程度优于常规针刺组和药物组（均P<0.05）。颈部七穴组和常规针刺组治疗后LVA、RVA和BA的平均血流速度均改善（均P<0.05），药物组改善不明显（均P>0.05）。颈部七穴组平均血流速度改善程度优于药物组和常规针刺组（均P<0.05）；常规针刺组改善程度优于药物组（均P<0.05）。三组治疗后PI和RI均降低（均P<0.05）；颈部七穴组降低程度大于药物组和常规针刺组（均P<0.05），常规针刺组降低程度优于药物组（均P<0.05）。
“颈部七穴”针刺治疗椎动脉型颈椎病的临床疗效优于常规针刺和甲磺酸倍他司汀片，能明显改善眩晕及脑供血。
