针刺百会穴、颈后部腧穴治疗椎动脉型颈椎病疗效观察

摘要

目的:观察针刺百会穴、颈后部腧穴治疗椎动脉型颈椎病的临床疗效,探讨其作用机制.方法:将60例患者随机分为针刺组和药物组,每组30例.针刺组针刺百会、风池(双)、风府、翳风(双)、风门(双)；药物组口服西比灵.观察两组患者的疗效、临床症状体征评分及治疗前后行经颅多普勒(TCD)检测椎动脉(VA)、基底动脉(BA)的平均血流速度(Vm).结果:针刺组总有效率为90％,优于药物组的70％(P＜0.05).两组患者临床症状体征评分及VA、BA的Vm治疗后均较治疗前明显改善,且针刺组优于药物组(均P＜0.05).结论:针刺百会穴、颈后部腧穴治疗椎动脉型颈椎病疗效较好,能提高VA、BA的平均血流速度.%Objective: To observe the clinical effect and its mechanism of the Baihui acupuncture, back of the neck acupoints in the treatment of vertebral artery type cervical spondylosis. Methods:60 patients were randomly divided into acupuncture group and medication group, n =30. Baihui acupuncture group,Fengchi(double) , Fengfu, Yifeng (double) , Fengmen (double) ; Medication group was treated with flunarizine. Effects were observed in patients with clinical symptoms and signs scores before and after treatment via transcranial Doppler (TCD) detection of vertebral artery ( VA) , basilar artery (BA) , mean blood flow velocity ( Vm). Results-. The total effective rate of acupuncture group was 90% (27/30) , which was better than the drug group 70% (21/30) (P <0. 05). Two groups of clinical symptoms and signs score and VA, BA in Vm after treatment are more improved than previous treatment significantly, and the acupuncture group was better than medication group ( P < 0. 05 ). Conclusion: Acupuncture Baihui, back of the neck acupoints in the treatment of cervical spondylosis of vertebral artery type is good enough to improve the VA, BA and the average flow velocity.