| 张红艳.颈三针温针灸联合整脊法对气血亏虚型椎动脉型颈椎病的临床观察[J].浙江中西医结合杂志,2024,34(11): |
| 颈三针温针灸联合整脊法对气血亏虚型椎动脉型颈椎病的临床观察 |
| Clinical Observation on Cervical Spondylosis of Vertebral Artery Type with Deficiency of Qi and Blood Syndrome by Cervical Three Needle Warming acupuncture and moxibustion Combined with Chiropractic Therapy |
| 投稿时间：2024-04-15 修订日期：2024-10-10 |
| DOI： |
| 中文关键词: 颈三针温针灸 整脊法 椎动脉型颈椎病 气血亏虚型 椎-基底动脉血流速度 |
| 英文关键词:Cervical three-needle warm acupuncture Chiropractic method Vertebral artery type cervical spondylosis Qi-blood deficiency type Vertebrobasilar artery flow velocity |
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| 中文摘要: |
| 目的：观察颈三针温针灸联合整脊法对气血亏虚型椎动脉型颈椎病患者颈椎及椎-基底动脉血流速度的影响。方法：将86例气血亏虚型椎动脉型颈椎病患者随机分为治疗组和对照组，43例及43例，对照组予整脊法治疗，治疗组予颈三针温针灸联合整脊法，一周3次，共治疗4周，症状与功能评分在治疗前及治疗结束后进行，对比组间疗效、中医证候积分、颈椎功能以及基底椎动脉血流速度。结果：1.治疗前后组内比较：治疗组与对照组在疗效评定、症状与功能评分、椎动脉型颈椎病功能评定量表（FS-CSA）评定均较治疗前改善，差距具有统计学意义（P＜0.05＝。2.治疗前后组间比较，治疗组在疗效评定、症状与功能评分、椎动脉型颈椎病功能评定量表（FS-CSA）评定均较对照组改善更佳，差距具有统计学意义（P＜0.05＝。3.较治疗前相比，两组患者治疗后基底动脉血流速度有所上升（P＜0.05＝，但组间治疗前、后基底动脉血流速度比较无显著差异（P＞0.05）。结论：针对气血亏虚型椎动脉型颈椎病患者实施颈三针温针灸联合整脊法，对缓解患者眩晕、头昏等症状效果显著，能够减轻颈椎功能损伤情况、改善基底椎动脉血流速度，提升整体疗效。 |
| 英文摘要: |
| Objective: To observe the effect of cervical three needle warm acupuncture and moxibustion combined with chiropractic method on blood flow velocity of cervical vertebra and vertebral basilar artery in patients with cervical spondylosis of vertebral artery type deficiency of qi and blood. Methods:Eighty-six patients with qi and blood deficiency type vertebral artery type cervical spondylosis were randomly divided into treatment group and control group, 43 cases and 43 cases, the control group was treated with chiropractic method, and the treatment group was treated with cervical three-needle warm-needle acupuncture and moxibustion combined with chiropractic method three times a week for a total of four weeks, the symptom and function scores were performed before and after the treatment, and the therapeutic efficacy, Chinese medicine symptom scores, cervical vertebral spine function as well as blood flow rate of the basal vertebral arteries were compared among the groups.Results:1. Comparison within the treatment group before and after treatment showed that the symptom and functional scores of the treatment group and the control group improved compared to before treatment, with a statistically significant difference (P<0.05). 2. Comparison between groups before and after treatment showed that the cervical spine function in the treatment group was lower than that in the control group (P<0.05). 3. Compared with the pre-treatment, the basilar artery blood flow velocity increased after treatment in both groups (P < 0.05), but there was no significant difference in the comparison of pre-treatment and post-treatment basilar artery blood flow velocity between the groups (P > 0.05).Conclusion:The implementation of cervical three-needle warm-needle moxibustion combined with chiropractic method for patients with vertebral artery-type cervical spondylosis with qi and blood deficiency is effective in relieving the symptoms of vertigo and dizziness of the patients, and is able to alleviate the impairment of cervical spine function, improve the blood flow rate of the basilar vertebral artery, and enhance the overall efficacy of the treatment. |
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