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1. 湖北中医药大学针灸骨伤学院
2. 华中科技大学附属武汉市中心医院康复科
纸质出版日期:2017
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桂星花, 马朝阳, 唐雷, 等. 人迎穴改良针刺法对椎动脉型颈椎病患者颈部血流速度的影响及疗效观察[J]. 针刺研究, 2017,42(2):163-167.
GUI Xing-hua, MA Chao-yang, TANG Lei, et al. Efficacy of Modified Acupuncture Method at Renying(ST 9) for Patients with Cervical Spondylosis of Vertebral Artery Type and Its Impact on Velocity of Cervical Blood Flow[J]. Acupuncture research, 2017, 42(2): 163-167.
桂星花, 马朝阳, 唐雷, 等. 人迎穴改良针刺法对椎动脉型颈椎病患者颈部血流速度的影响及疗效观察[J]. 针刺研究, 2017,42(2):163-167. DOI: 10.13702/j.1000-0607.2017.02.014.
GUI Xing-hua, MA Chao-yang, TANG Lei, et al. Efficacy of Modified Acupuncture Method at Renying(ST 9) for Patients with Cervical Spondylosis of Vertebral Artery Type and Its Impact on Velocity of Cervical Blood Flow[J]. Acupuncture research, 2017, 42(2): 163-167. DOI: 10.13702/j.1000-0607.2017.02.014.
目的:观察人迎穴改良针刺法对椎动脉型颈椎病(CSA)患者颈部血流速度的影响及临床疗效。方法:59例CSA患者随机分为常规组30例、改良组29例。常规组采用人迎穴常规针刺法
改良组采用人迎穴改良针刺法
均每日治疗1次
6d为1个疗程
治疗2个疗程。治疗前后分别测定经颅多普勒中左椎动脉(LVA)、右椎动脉(RVA)、基底动脉(BA)的收缩峰血流速度(Vs)及颈性眩晕症状与功能评估量表评分
并观察临床疗效。结果:两组患者治疗后颈性眩晕症状与功能评估量表评分
LVA、RVA、BA的Vs与治疗前比较
均明显改善(P<0.01
P<0.05)
且改良组优于常规组(P<0.05)。改良组总有效率为93.1%(27/29)
常规组为70.0%(21/30)
改良组疗效优于常规组(P<0.05)。结论:人迎穴改良针刺法用于治疗CSA能有效增快椎-基底动脉的血流速度
改善局部血液循环
缓解患者病痛。
Objective To observe the clinical efficacy of modified acupuncture at Renying point(ST 9)for patients with cervical spondylosis of vertebral artery type and its influence on velocity of cervical blood flow.Methods Fifty-nine cases of vertebral artery type cervical spondylosis were randomly divided into control group(n=30)and treatment group(n=29).Both groups were acupunctured at ST 9
with routine acupuncture technique used in the control group and modified technique in the treatment group
respectively.All cases received two courses of treatment
each course covered consecutive 6once-perday treatments.Before and after treatment
transcranial Doppler(TCD)was used to measure the systolic peak blood flow velocity(Vs)of left vertebral artery(LVA)
right vertebral artery(RVA)and basilar artery(BA)
and the scores of"cervical vertigo symptoms and functional assessment scale"(CVSFAS)were also assessed
separately.Results CVSFAS scoring
Vs of LVA
RVA and BA after treatment showed significant improvement compared with those before treatment(P<0.01
P<0.05).The efficacy of the treatment group in the above mentioned indexes was superior to that of the control group(P<0.05).The total effective rate of the treatment group was 93.1%(27/29)
superior to 70.0%(21/30)of the control group(P <0.05).Conclusion The modified acupuncture method at ST 9is clinically effective in the treatment of cervical spondylosis of vertebral artery type via increasing the Vs of vertebral-basilar artery
improving the local blood circulation and relieving pain.
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