文献类型：期刊文献

中文题名：针药联合推拿治疗肝肾亏虚型椎动脉型颈椎病30例临床观察

英文题名：Clinical observation on 30 cases of vertebral artery type of cervical spondylosis with consumption and asthenia of liver and kidney type treated by acupuncture and medicinal combined with tuina therapy

作者：李宁[1,2];卢高雷[3];吴建民[1,2];杨广君[1];雷寿清[1];宋志靖[2];赵彬元[2];牛爱春[1];王飞[1];马飞宏[1]

第一作者：李宁

机构：[1]甘肃中医药大学附属医院康复骨科,甘肃兰州730020;[2]甘肃中医药大学中医临床学院,甘肃兰州730000;[3]甘肃省康复中心医院康复科,甘肃兰州730000

第一机构：甘肃中医药大学第二附属医院

年份：2019

卷号：36

期号：6

起止页码：74

中文期刊名：甘肃中医药大学学报

外文期刊名：Journal of Gansu University of Chinese Medicine

基金：甘肃中医药大学中青年科研基金项目(2305016601)。

语种：中文

中文关键词：椎动脉型颈椎病;肝肾亏虚型;针刺;活血定眩胶囊;推拿;临床症状评分;椎-基底动脉平均血流速度;临床疗效

外文关键词：vertebral artery type of cervical spondylosis(VACS);consumption and asthenia of liver and kidney type;acupuncture;Huoxue Dingxuan Jiaonang(活血定眩胶囊);tuina;clinical symptom score;vertebrobasilar time mean flow velocity(TMFV);clinical efficacy

摘要：目的观察针药联合推拿治疗肝肾亏虚型椎动脉型颈椎病的临床疗效。方法将60例肝肾亏虚型椎动脉型颈椎病患者采用随机数字表法分为对照组和治疗组,各30例。对照组予常规针刺配合活血定眩胶囊口服治疗,治疗组在对照组治疗方法的基础上联合推拿治疗。2组均以7 d为1个疗程,疗程之间间隔2 d,治疗2个疗程后,比较2组的临床疗效及治疗前后临床症状评分、椎-基底动脉平均血流速度。结果对照组总有效率为80%,治疗组为90%,2组比较差异有统计学意义(P<0.05);治疗后2组眩晕、头痛、肩颈痛等3个临床症状评分均明显升高,右椎动脉、左椎动脉、基底动脉平均血流速度均明显加快,与同组治疗前比较差异有统计学意义(P<0.05),且治疗组作用更为明显,与对照组治疗后比较差异有统计学意义(P<0.05)。结论针药联合推拿治疗肝肾亏虚型椎动脉型颈椎病临床疗效显著,能明显改善患者的临床症状,增加椎-基底动脉平均血流速度,增加脑部血供,值得临床推广应用。
Objective To observe the clinical efficacy of acupuncture and medicinal combined with tuina therapy in the treatment of vertebral artery type of cervical spondylosis(VACS)with consumption and asthenia of liver and kidney type.Methods Sixty cases of VACS with consumption and asthenia of liver and kidney type were divided into control group and treatment group according to random number table method,with 30 cases in each.The control group was given routine acupuncture cooperated with oral Huoxue Dingxuan Jiaonang(活血定眩胶囊),on this basis,the treatment group was combined with tuina therapy.Seven days constituted 1 course of treatment for both groups,the interval between course of treatment was 2 days.After 2 courses of treatment,the clinical efficacy,the symptom scores and vertebrobasilar time mean flow velocity(TMFV)before and after treatment of the 2 groups were compared.Results The total effective rate of the control group was 80%,that of the treatment group was 90%,and the difference was statistically significant between the 2 groups(P<0.05).After treatment,the 3 clinical symptoms scores including vertigo,headache and neck and shoulder pain of the 2 groups all significantly increased,TMFV of right vertebral artery,left vertebral artery and basilar artery all significantly increased,and the difference was statistically significant compared with the same group before treatment(P<0.05),moreover,the effect of the treatment group was more significant,and the difference was statistically significant compared with the control group after treatment(P<0.05).Conclusion It has marked clinical efficacy to use acupuncture and medicinal combined with tuina therapy in the treatment of VACS with consumption and asthenia of liver and kidney type,which can significantly improve the clinical symptoms of the patients,increase vertebrobasilar TMFV and blood supply to the brain.It deserves clinical promotion and application.