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微创埋线对椎动脉型颈椎病椎动脉血流的影响

马伊磊 孙文善 姜国芳

上海针灸杂志2017,Vol.36Issue(4):449-452,4.
上海针灸杂志2017,Vol.36Issue(4):449-452,4.DOI:10.13460/j.issn.1005-0957.2017.04.0449

微创埋线对椎动脉型颈椎病椎动脉血流的影响

The Effect of Microinvasive Thread Embedding on Vertebral Artery Blood Flow in Cervical Spondylotic Vertebral Arteriopathy

马伊磊 1孙文善 1姜国芳1

作者信息

  • 1. 复旦大学附属上海市第五人民医院,上海 200240
  • 折叠

摘要

Abstract

Objective To investigate the effect of microinvasive thread embedding on vertebral artery blood flow in cervical spondylotic vertebral arteriopathy and further ascerta in that microinvasive thread embedding is a new long-acting acupuncture method for treating cervical spondylotic vertebral arteriopathy.Method Sixty patients meeting the inclusion criteria were randomly allocated to acupuncture and thread embedding groups.The acupuncture group received conventional acupuncture and the thread embedding group, microinvasive thread embedding.The symptoms and function were scored using theEvaluation Scale for Cervical Vertigoand bilateral vertebral artery blood flow was measured using transcranial Doppler after one day and three weeks of treatment.Result The symptoms of vertigo improved somewhatin the thread embedding group at one day after treatment compared with before treatment (P<0.05).At three weeks after treatment,vertigo,neck-shoulder pain, abilities in daily living and working and the total score improved in both groups of patients (P<0.05), and vertigo and abilities in daily living and working improved significantly in the thread embedding group compared with the acupuncture group (P<0.05). Bilateralvertebral artery Vm increased significantly in both groups of patients after treatment(P<0.05) and increased more significantly in the thread embedding group than in the acupuncture group after one day and three weeks of treatment (P<0.05). PIof the rightvertebral arterydecreased somewhat in both groups after three weeks of treatment (P<0.05) but there was no statistically significant difference between the twogroups(P>0.05). The total efficacy rate was 83.3% in the thread embedding group, which was higher than 60.0% in the acupuncture group (P<0.05).Conclusion Microinvasive thread embedding can improve the symptoms, vertebral artery blood flow and the quality of life in patients with cervical spondylotic vertebral arteriopathy.

关键词

针刺/穴位疗法/埋线/颈椎病,椎动脉型

Key words

Acupuncture/Acupoint therapy/Thread embedding/Cervical spondylosis/vertebral arteriopathy

分类

医药卫生

引用本文复制引用

马伊磊,孙文善,姜国芳..微创埋线对椎动脉型颈椎病椎动脉血流的影响[J].上海针灸杂志,2017,36(4):449-452,4.

基金项目

上海市闵行区青年医师培养计划项目 ()

上海针灸杂志

OACSTPCD

1005-0957

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