摘要
目的:分析对椎动脉型颈椎病行口服中药联合针灸推拿治疗的临床效果。方法:研究对象为138例于2007年1月-2020年1月在普宁市中医医院接受治疗的椎动脉型颈椎病患者,以随机数字表法为分组依据分为两组,每组69例。实施口服中药的为对照组,实施口服中药联合针灸推拿治疗的为观察组。对比治疗效果情况。结果:治疗后观察组与对照组总有效率对比差异具有统计学意义(P<0.05);治疗后,观察组患者的Oswestry功能障碍指数(Oswestry Disability Index,ODI)以及视觉模拟评分法(Visual Analogue Scale,VAS)评分显著低于对照组(P<0.05);观察组患者的双侧椎动脉平均峰流速、双侧椎动脉收缩期峰流速、基底动脉平均峰流速以及基底动脉收缩期峰流速显著高于对照组(P<0.05);观察组患者的β内啡肽浓度显著低于对照组(P<0.05);观察组患者的前列腺素E2(Prostaglandin E2,PGE2)浓度显著高于对照组(P<0.05)。结论:椎动脉型颈椎病患者接受口服中药联合针灸推拿治疗可显著提高治疗效果,患者疼痛程度得以有效缓解,颈椎功能显著改善,具有较高的临床应用价值。
Objective:To analyze the clinical efficacy of oral Chinese medicine plus acupuncture and massage on vertebral artery type cervical spondylosis.Methods:138 cases were divided into two groups by random number table method,with 69 cases in each group.Those who implemented oral Chinese medicine were the control group,the observation group was treated with oral Chinese medicine plus acupuncture and massage.Results:After treatment,the total efficiency between two groups were significantly different(P<0.05),after treatment,the ODI and VAS scores in the observation group were significantly lower(P<0.05).In the observation group,average peak flow velocity of bilateral vertebral arteries,peak systolic flow rate of bilateral vertebral arteries,mean peak velocity of basilar artery and peak systolic velocity of the basilar artery significantly higher than the control group(P<0.05).Theβ-endorphin concentration of the observation group was significantly lower(P<0.05).PGE2 in the observation group was significantly higher(P<0.05).Conclusion:Patients with vertebral artery type cervical spondylosis receiving oral Chinese medicine plus acupuncture and massage treatment can significantly improve the therapeutic effect,the pain degree of the patient can be effectively relieved,the cervical spine function is significantly improved,and it has high clinical application value.
出处
《中医临床研究》
2021年第19期58-61,共4页
Clinical Journal Of Chinese Medicine
关键词
椎动脉型颈椎病
口服中药
针灸
推拿
Vertebral artery type cervical spondylosis
Oral Chinese medicine
Acupuncture
Massage
