| 摘要: |
| 目的 探讨分型针刺治疗交感型颈椎病经颅多普勒超声表现及临床疗效分析。方法 以我院2014年3月～2017年3月收治的106例交感型颈椎病患者作为研究对象，其中采用分型针刺的53例患者为针刺干预组，根据针刺干预组患者基线资料匹配同期单纯采用药物治疗的53例患者为对照组，对两组患者经颅多普勒超声表现特点、中医症候积分以及随访结果进行收集和比较。结果 治疗后，两组中各亚组患者基底动脉血流速度均较同组治疗前明显改善（P＜0.05）。两组患者同类亚组间比较显示，针刺干预组血流减慢异常组基底动脉血流速度改善程度明显优于对照组（P＜0.05）。以成人BA（41±10）cm/s为标准，治疗后针刺干预组BA恢复正常者19例，相比对照组BA恢复正常者9例明显增加（χ2=4.853，P=0.028）。治疗后，两组中各亚组患者症状积分均较治疗前明显增高（P＜0.05）。两组患者同类亚组组间比较显示，针刺干预组血流减慢异常组治疗后症状积分明显高于对照组血流减慢异常组（P＜0.05）。结论 分型针刺可在常规药物治疗基础上更加有效的调节交感型颈椎病患者基底动脉血流速度，改善临床症状。 |
| 关键词: 颈椎病 交感型 分型针刺 经颅多普勒超声 中医症候积分 |
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| 基金项目:四川省中医药管理局科研基金课题 |
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| The study of clinical effects and transcranial doppler ultrasonography imageological characters in patients with sympathetic cervical spondylosis by treatment of differentiation acupuncture |
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CHEN Yuefeng,JING Xingwen
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Department of Neurology,Chengdu Integrated Traditional Chinese and Western Medicine Hospital
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| Abstract: |
| Objective To investigate the clinical effects and transcranial doppler ultrasonography imageological characters in patients with sympathetic cervical spondylosis by treatment of differentiation acupuncture.Methods To select 106 cases of patients with sympathetic cervical spondylosis in our hospital from March 2014 to March 2017 as the research objects, the 53 patients treated by differentiation acupuncture was observation group, according to the observation group of patients with baseline data matching the same only with drug treatment of 53 patients as acupuncture intervention group, then collected and compared the transcranial doppler ultrasound performance characteristics and Chinese medicine symptom integral of patients in two groups .Results After treatment, the basilar artery flow velocity of each subgroup in the two groups was significantly improved compared with that before treatment (P < 0.05).The comparison between the same subgroups of the two groups of patients showed that the improvement of blood flow velocity of the abnormal basilar artery in the observation group was significantly better than that in the acupuncture intervention group (P < 0.05).Adult BA (41±10 cm/s) was used as standard. After treatment, 19 cases of BA returned to normal in the observation group were compared with 9 cases of BA returned to normal in the acupuncture intervention group (chi-square =4.853, P=0.028).After treatment, symptom scores of all subgroups in the two groups were significantly higher than before treatment (P < 0.05).Comparison between the same subgroups of the two groups of patients showed that the symptom scores of the observation group with abnormal blood flow slowing down after treatment were significantly higher than those of the acupuncture intervention group with abnormal blood flow slowing down (P < 0.05). Conclusion The differentiation acupuncture could more effectively regulate basilar flow velocity and improve clinical symptoms in patients with sympathetic cervical spondylosis on the basis of conventional drug therapy. |
| Key words: Cervical spondylosis Sympathetic type Differentiation acupuncture Transcranial doppler ultrasound Chinese medicine syndrome integral |