解放军医学院学报2018，Vol.39Issue(3)：200-204,5.DOI:10.3969/j.issn.2095-5227.2018.03.006
手法联合针刺治疗椎动脉型颈椎病的疗效及对血流动力学的影响
Manipulation combined with acupuncture for vertebral artery type cervical spondylosis and its influences on hemodynamics
摘要
Abstract
Objective To investigate the effect of manipulation plus acupuncture in the treatment of vertebral artery type cervical spondylosis (CSA) and its influences on hemodynamics. Methods One hundred and sixty CSA patients were selected from January 2014 to June 2017 in our hospital, and they were randomly divided into observation group and control group, with 80 cases in each group. The control group was treated with manipulation, and the observation group was treated with manipulation plus acupuncture. The clinical efficacy of the two groups was observed and compared. The hemodynamic changes before and after treatment were compared between the two groups. Results The total effective rate of the observation group was significantly higher than that of the control group (95.0％ vs 77.5％, P=. 001), and no serious adverse event was observed. The Vs, Vm and EDV in two groups significantly increased after treatment (all P ＜ 0.05), and they were significantly higher in observation group than those in the control group [Vs: (61.3±10.4) cm/s vs (50.8±8.6) cm/s; Vm: (45.6±9.2) cm/s vs (33.8±8.7) cm/s; EDV: (18.6±3.2) cm/s vs (16.4±2.8) cm/s; all P ＜ 0.05]. The PI and RI in two groups decreased significantly after treatment (all P ＜ 0.05), and they were significantly lower in observation group than those in the control group [PI: (0.4 ±0.1) vs (0.6 ±0.2); RI: (0.3±0.1) vs (0.5±0.1); P ＜ 0.05, respectively]. The whole blood viscosity, plasma viscosity and erythrocyte aggregation index of the two groups after treatment were significantly lower than before treatment (all P ＜ 0.05), and they were significantly lower in observation group than those in the control group (all P ＜ 0.05). After treatment, vertigo, headache, neck pain, daily life and work, psychological and social adaptation ability improved significantly in both two groups (all P ＜ 0.05), and they were superior in observation group compared to control group (all P ＜ 0.05). Conclusion Manipulation combined with acupuncture is effective on CSA patients, and it can effectively improve the hemodynamic changes and blood circulation.关键词
椎动脉型颈椎病/针刺/手法治疗/血流动力学Key words
vertebral artery type of cervical spondylosis/acupuncture/manipulation/hemodynamics分类
医药卫生引用本文复制引用
黄卫,吴海波,冯伦冬,梁冬梅,吴作轩..手法联合针刺治疗椎动脉型颈椎病的疗效及对血流动力学的影响[J].解放军医学院学报,2018,39(3):200-204,5.基金项目
海南省自然科学基金项目(813271) （813271）
Supported by the Natural Science Foundation of Hainan Province (813271) （813271）
