Wang Xin, Li Ai-Lin, Yan Shao-Mei, Li Quan, Wang Jin-Rong, Liu Wei-Guo
Clinical Medical College of Weifang Medical University, Weifang 261042, Shandong Province, China.
Department of Traditional Chinese Medicine, Affiliated Hospital of Weifang Medical University, Weifang 261031, Shandong Province.
Zhen Ci Yan Jiu. 2022 Jul 25;47(7):625-9. doi: 10.13702/j.1000-0607.20210632.
To observe the clinical efficacy of balance acupotomy combined with warm needling in treatment of cervical spondylopathy of vertebral artery type (CSA).
Ninety patients were randomly divided into a warm needling group, a balance acupotomy group and a combined treatment group, 30 cases in each one. In the warm needling group, warm needling was given, once daily, for 5 days consecutively, with the interval of 2 days every week, and the treatment was conducted for 3 weeks. In the combined treatment group, on the base of the treatment as the warm needling group, the balance acupotomy was exerted, for consecutive 3 weeks. In the balance acupotomy group, the balance acupotomy was adopted, once a week, for 3 weeks consecutively. Clinical efficacy, the mean blood flow velocity of left vertebral artery (LVA), right vertebral artery (RVA) and basilar artery (BA), the pulse index (PI) and the resistance index (RI) were observed in 3 groups separately. The score of vertigo symptom and function was compared before and after treatment in 3 groups.
In comparison with before treatment, the score of evaluation scale for cervical vertigo (ESCV) and the mean blood flow velocity of LVA, RVA and BA were all increased (<0.05). while PI and RI reduced (<0.05) in each group after treatment. In comparison with those in the warm needling group and the balance acupotomy group, ESCV score and the mean blood flow velocity of LVA, RVA and BA were increased (<0.05), while PI and RI decreased (<0.05) in the combined treatment group after treatment. Compared with the balance acupotomy group, the mean blood flow velocity of LVA, RVA and BA was increased (<0.05), and PI and RI reduced (<0.05) in the warm needling group after treatment. The total effective rate was 73.3% (22/30) in the warm needling group, 70.0% (21/30) in the balance acupotomy group and 93.3% (28/30) in the combined treatment group respectively. The total effective rate in the combined treatment group was higher than that either in the warm needling group or in the balance acupotomy group (<0.05).
Balance acupotomy combined with warm needling may restore the mechanical equilibrium state of the neck, and effectively improve the change of vertebral-basilar artery blood flow and relieve vertigo symptoms in patient with of cervical spondylosis of vertebral artery type.
观察平衡针刀联合温针治疗椎动脉型颈椎病（CSA）的临床疗效。
将90例患者随机分为温针组、平衡针刀组和联合治疗组，每组30例。温针组给予温针治疗，每日1次，连续5天，每周间隔2天，共治疗3周。联合治疗组在温针组治疗的基础上施加平衡针刀，连续治疗3周。平衡针刀组采用平衡针刀治疗，每周1次，连续3周。分别观察3组的临床疗效、左椎动脉（LVA）、右椎动脉（RVA）和基底动脉（BA）的平均血流速度、搏动指数（PI）和阻力指数（RI）。比较3组治疗前后眩晕症状与功能评分。
与治疗前比较，各组治疗后颈椎眩晕评价量表（ESCV）评分及LVA、RVA、BA平均血流速度均升高（P<0.05），PI和RI降低（P<0.05）。与温针组和平衡针刀组比较，联合治疗组治疗后ESCV评分及LVA、RVA、BA平均血流速度升高（P<0.05），PI和RI降低（P<0.0）。与平衡针刀组比较，温针组治疗后LVA、RVA、BA平均血流速度升高（P<0.05），PI和RI降低（P<0.05）。温针组总有效率为73.3%（22/30），平衡针刀组为70.0%（21/30），联合治疗组为93.3%（28/30）。联合治疗组总有效率高于温针组和平衡针刀组（P<0.05）。
平衡针刀联合温针可恢复颈部力学平衡状态，有效改善椎动脉型颈椎病患者椎基底动脉血流变化，缓解眩晕症状。
