Objective:To observe Clinical efficacy of Yangxue Shujin Decoction (Tonifying Blood and Stretching Tendon Decoction) cornbined with horizontal supine balance therapy in the treatment of cervical spondylotic arteriopathy and its impact on blood rheology before and after the treatment.Methods:Ninety cases with cervical spondylotic arteriopathy who recieved treatment in Outpatient Cardiology Department of Gansu university of traditional Chinese medicine hospital from March 2014 to March 2015 and met the clinical diagnostic criteria were selected and randomly divided into the experimental group and the control group (n =45) by clinic serial random number table method.The experimental group was given Yangxue Shujin Decoction with hyperbaric oxygen,while the control group was given nimodipine with hyperbaric oxygen.Four weeks was set as one course of the treatment.Clinical symptom integral,clinical effecacy and changes in blood rheology before and after one-course treatment were compared and analyzed.Results:The total efficacy of the experimental group was 95.56％ and that of the control group was 86.67％.Differences in total efficacy showed statistically significant (x2 =3.120,P =0.000 ＜ 0.05).Clinical symptoms integrals of the two groups were compared before the treatment,showing no statistical significance (t =-0.642,P =0.6212 ＞ 0.05),while the difference was statistically significant when compared before and after treatment group in the two groups (P ＜ 0.05).Comparison between the two groups after the treatment also showed statistically significant differences (t =-1.835,P =0.004 ＜0.05).For changes in blood rheology,differences in both the two groups before and after the treatment showed statistically significant (P ＜ 0.05) and comparison between the experimental group and the control group after the treatment also showed statistically significant difference (P ＜ 0.05).Conclusion:The clinical curative effect is satisfied with obvious improvement on patients' whole blood viscosity,plasma viscosity and erythrocyte fibrinogen.This treatment is simple and feasible with good dependency,which is worthy of clinical application.%目的:观察养血舒筋汤配合卧位平衡手法治疗椎动脉型颈椎病的临床疗效及对治疗前后血液流变学变化影响.方法:将我院脊柱骨病科2014年1月至2015年6月门诊就诊符合诊断标准的90例椎动脉型颈椎病(Cervical Spondylosis of Vertebral Artery Type,CSA)患者,按就诊序号采用随机数字表法随机分为治疗组和对照组各45例;治疗组给予养血舒筋汤配合卧位平衡手法治疗;对照组给予尼莫地平配合卧位平衡手法治疗,4周为1个疗程,1个疗程后分别观察2组患者临床疗效、症状积分、治疗前后血液流变学变化,并进行对比分析.结果:治疗组总有效率为95.56％,对照组总有效率为86.67％,2组经统计学分析,总有效率比较差异有统计学意义(x2=3.120,P=0.000 ＜0.05);2组症候积分比较治疗前无统计学意义(t=-0.642,P=0.6212 ＞0.05),具有可比性;治疗后组内比较,差异有统计学意义(P＜0.05);治疗后2组间比较,差异有统计学意义(t=-1.835,P=0.004 ＜0.05);血液流变学方面,治疗后2组组内比较,差异有统计学意义(P＜0.05);治疗后组间比较,差异有统计学意义(P＜0.05).结论:养血舒筋汤配合卧位平衡手法治疗椎动脉型颈椎病临床疗效满意,对患者全血黏度、血浆黏度、红细胞比积、纤维蛋白原改善明显,治疗方法简便可行,依从性高,值得临床推广.
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