仰头摇正法配合压灸治疗椎动脉型颈椎病疗效观察

摘要

Objective:To obverse the short-term and long-term clinical effects of manipulation named YANG-TOUYAOZHENG combined with moxibustion for cervical spondylosis of artery type.Method:Ninety patients with cervical spondylosis of artery type were devided into three groups randomly:combined group,manipulation group and moxibustion group (n=30 each group).The combined group was treated by manipulation combined with moxi-bustion,and the control groups were treated by manipulation and moxibustion respectively.Before and after treat-ment,all patients were assessed by DARS and DHI to evaluate the curative effect,and examined by TCD to evalute the changes in the mean velocity (Vm)of the basilar artery,and left and right vertebral artery.The recurrence was followed up for 3 months.Result:Compared with the data before the treatment,DHI scores,DARS scores and Vm of the basilar artery,and left and right vertebral artery were significantly reduced after treatment (P <0.05),more significantly in the combined group than in the rest two groups,but there was no significant difference between the manipulation group and moxibustion group.During the follow-up period of 3 months,the recurrence rate and DHI scores in the combined group were significantly reduced as compared with the rest two groups,but there was no sig-nificant difference between the manipulation group and moxibustion group.Conclusion:Manipulation named YANG-TOUYAOZHENG combined with moxibustion is effective for the cervical spondylosis of artery type,can reduce the recurrence and improve the quality of life,that is recommended in the clinic application.%目的：：观察仰头摇正手法配合压灸法治疗椎动脉型颈椎病的近期、远期疗效。方法：椎动脉型颈椎病患者90例随机分为联合组、手法组及压灸组各30例,联合组予手法联合压灸法治疗,手法组、压灸组分别予手法或压灸治疗。治疗前后运用眩晕评估评分量表(DARS)、眩晕残障评估量表(DHI)和经颅多普勒超声(TCD)进行基底动脉(BA)、左侧椎动脉(LVA)、右侧椎动脉(RVA)的平均血流速度(Vm)的变化疗效评估,并随访至疗程结束后3个月,观察患者眩晕复发情况。结果：治疗20次后,3组 DHI 评分、DARS 评分及 BA、LVA、RVA 的 Vm 均较治疗前明显下降(P <0.05)；且联合组更低于手法组及压灸组(P <0.05),手法组与压灸组比较差异无统计学意义。随访3个月,联合组复发率及 DHI 评分明显低于手法组及压灸组(P <0.05),手法组与压灸组比较差异无统计学意义。结论：仰头摇正法结合压灸法治疗椎动脉型颈椎病疗效显著并可减少复发,改善患者生活质量,值得于临床中运用推广。