风池穴不同刺法对椎动脉型颈椎病的临床疗效评价

目的:探究风池穴不同刺法对椎动脉型颈椎病的临床疗效。方法:选择2018年4月—2019年1月北京中医药大学东直门医院针灸科门诊就诊的84例椎动脉型颈椎病患者作为研究对象,分为观察组43例、对照组41例。观察组采用短刺法针刺风池穴治疗,对照组采用平补平泻法针刺风池穴治疗,1个疗程后比较两组患者的ESCV、颈椎病症状分级量化表评分以及TCD相关指标,TCD指标观察基底动脉和双侧椎动脉的平均血流速度(Vm)、收缩期血流速度峰值(Vs)、血管搏动指数(PI)和血管阻力指数(RI)的变化。结果:治疗前后两组ESCV、颈椎病症状分级量化表评分比较,差异有统计学意义(P<0.05),且椎动脉、基底动脉的Vs、Vm较治疗前明显减慢,且观察组治疗效果优于对照组(P<0.05)。结论:针刺风池穴治疗椎动脉型颈椎病临床效果显著,且短刺法优于平补平泻法。

Clinical Effect of Different Needling Manipulations on GB20 in Treating Vertebral Artery Type of Cervical Spondylosis

Objective:To explore the clinical effect of different needling manipulations on GB20 in treating vertebral artery type of cervical spondylosis.Methods:84 patients met the inclusion criteria were randomly divided into the observation group(n=43)and the control group(n=41).The observation group was treated with acupuncture with short thrusting of a needle,and the control group was treated with acupuncture of moderate reinforcing and reducing method.After one course of treatment,the scores of ESCV,cervical spondylosis symptom scores and TCD indexes were compared between the two groups.TCD indexes were used to observe the changes of the mean blood flow velocity(Vm)of the basilar artery and bilateral vertebral arteries,peak systolic blood flow velocity(Vs),vascular pulsation index(PI)and vascular resistance index(RI).Results:The scores of ESCV and cervical spondylosis symptom scores were significantly different between the two groups after the treatment(P<0.05).The Vs and Vm of vertebral artery and basilar artery were significantly slower than those before the treatment in the two groups,and the therapeutic effect of the observation group was more significant(P<0.05).Conclusion:The clinical effect of needling GB20 is significant in the treatment of vertebral artery type of cervical spondylosis.Acupuncture of short thrusting of a needle is better than acupuncture of moderate reinforcing and reducing method.