摘要
目的:观察温针百会穴联合调气活血法对椎动脉型颈椎病临床疗效及对相关指标的影响。方法:将112例椎动脉型颈椎病患者随机分为两组,对照组56例给予调气活血法治疗,研究组56例给予温针百会穴联合调气活血法治疗。比较两组治疗后临床疗效以及治疗前后X线指标、血流动力学、血清肿瘤坏死因子(TNF)-α、内皮素(ET)和神经元特异性烯醇酶(NSE)水平。结果:治疗后,研究组临床治疗总有效率显著高于对照组(P<0.05);两组椎体屈伸活动范围、颈椎弧度以及左侧椎动脉(LVA)、右侧椎动脉(RVA)和基底动脉(BA)的平均峰流速(Vm)水平均较治疗前显著升高(P<0.05),且研究组上述指标均显著高于对照组(P<0.05);两组椎体水平位移、椎体角度位移以及血清TNF-α、ET、NSE水平均较治疗前显著降低(P<0.05),且研究组上述指标均显著低于对照组(P<0.05)。结论:温针百会穴联合调气活血法治疗椎动脉型颈椎病疗效确切。
Objective： To observe the effect of warming needling on Baihui（ GV20） combined with the therapy of regulating qi and activating blood in treatment of vertebral artery type of cervical spondylosis（ VACS）. Methods： 112 VACS patients were randomly divided into the control group（ n = 56） and the study group（ n = 56）.The control group was treated with the therapy of regulating qi and activating blood; on which basis,the study group was also treated with warming needling on GV20. The clinical efficacy,X-ray index,hemodynamics parameters,serum levels of tumor necrosis factor-α（ TNF-α）,Endothelin（ ET）,and neuron specific enolase（ NSE） were observed and compared before and after the treatment in the two groups. Results： The total effective rate was significantly higher in the study group than that of the control group after the treatment（ P〈0. 05）.The range of flexion and extension of vertebrae was improved,the curvature of cervical spine,and levels of the mean peak flow velocity of the left vertebral artery,the right vertebral artery and the basilar artery were significantly increased after the treatment than those before the treatment in the two groups（ P〈0. 05）; of which the study group improved more significantly than the control group（ P〈0. 05）. Horizontal displacement of vertebral body,angular displacement of vertebral body,and serum levels of TNF-α,ET,and NSE were all significantly decreased than those before the treatment in the two groups（ P〈0. 05）; of which the study group decreased more than the control group（ P〈0. 05）. Conclusion： Warming needling GV20 combined with the therapy of regulating qi and activating blood has positive effect on VACS.
作者
刘益兵
白玉
赵祯
陈振明
文培培
LIU Yibing;BAI Yu;ZHAO Zhen;CHEN Zhenming;WEN Peipei(Zhengzhou Orthopedics Hospital,Zhengzhou 450052,China)
出处
《针灸临床杂志》
2018年第7期13-17,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
河南省医学科技攻关计划项目
编号:201504091
关键词
温针
百会穴
调气活血法
椎动脉型颈椎病
血流动力学
肿瘤坏死因子-α
内皮素
神经元特异性烯醇酶
Warming needling
Baihui （ GV20 ）
Therapy of regulating qi and activating blood
Vertebral artell/type of cervical spondylosis（VACS）
Hemodynamics
TNF- α
ET
NSE
作者简介
刘益兵（1983-）,男,主治中医师,主要从事中西医骨伤科疾病的保守治疗工作.;通讯作者：白玉（1963-）,女,主任医师,主要从事中医药防治颈肩腰腿疼临床工作.
