微创埋线对椎动脉型颈椎病椎动脉血流的影响

发布时间：2018-04-14 22:32

本文选题：针刺 + 穴位疗法　；参考：《上海针灸杂志》2017年04期

【摘要】：目的观察微创埋线对椎动脉型颈椎病椎动脉血流的影响,进一步明确微创埋线为治疗椎动脉型颈椎病的长效针灸新方法。方法将60例符合诊断标准的患者随机分为针刺组和埋线组,每组30例。针刺组采用普通针刺,埋线组给予微创埋线治疗,分别在治疗1 d、3星期后采用颈性眩晕症状与功能评估量表进行评分,同时运用经颅多普勒超声观察双侧椎动脉血流变化。结果治疗1 d,埋线组眩晕症状较治疗前有所改善(P0.05);治疗3星期,两组患者眩晕、颈肩痛症状、日常生活及工作能力及总分均有改善(P0.05),且埋线组在改善患者眩晕和日常生活及工作能力方面较针刺组明显,有统计学意义(P0.05)。两组患者治疗后两侧椎动脉Vm均明显提高(P0.05),且埋线组在治疗1 d及治疗3星期后均比针刺组改善明显(P0.05);两组在治疗3星期后右侧椎动脉PI均较治疗前有所降低(P0.05),但两组间比较差异无统计学意义(P0.05)。埋线组总有效率83.3%,优于针刺组的60.0%(P0.05)。结论微创埋线可改善椎动脉型颈椎病患者症状,改善椎动脉血流,提高患者生活质量。
[Abstract]:Objective to observe the effect of minimally invasive catgut implantation on the blood flow of vertebral artery in patients with cervical spondylosis of vertebral artery type, and to confirm that minimally invasive embedding thread is a new long-term acupuncture and moxibustion method for the treatment of cervical spondylosis of vertebral artery type.Methods 60 patients who met the diagnostic criteria were randomly divided into acupuncture group (n = 30) and catgut embedding group (n = 30).The acupuncture group was treated with common acupuncture, and the thread embedding group was treated with minimally invasive catgut embedding. The cervical vertigo symptom and function evaluation scale was used to evaluate the symptoms and function of cervical vertigo after 1 day of treatment, and the blood flow of bilateral vertebral artery was observed by transcranial Doppler ultrasound.Results after 1 day of treatment, the symptoms of vertigo in the catgut embedding group were improved compared with those before treatment, and the symptoms of vertigo and neck and shoulder pain in the two groups were improved after 3 weeks of treatment.The daily life, working ability and total score were improved (P 0.05), and the improvement of dizziness and daily life and work ability were more obvious in the embedding group than that in the acupuncture group, and there was significant difference between the two groups (P 0.05).After treatment, VM of both sides of vertebral artery in both groups was significantly increased (P 0.05N), and the Pi of right vertebral artery in both groups was significantly improved after 1 day treatment and 3 weeks treatment than that in acupuncture group, and the Pi of right vertebral artery in both groups was lower than that before treatment 3 weeks after treatment, and the Pi of right vertebral artery in both groups was lower than that before treatment.But there was no significant difference between the two groups (P 0.05).The total effective rate of the embedding group was 83.3%, which was better than that of the acupuncture group (60. 0. 05%).Conclusion minimally invasive catgut implantation can improve the symptoms, blood flow and quality of life of patients with cervical spondylosis of vertebral artery type.
【作者单位】：复旦大学附属上海市第五人民医院;
【基金】：上海市闵行区青年医师培养计划项目
【分类号】：R246.9

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