| 摘要: |
| 目的：观察运用改良浮针松解枕下肌群治疗椎动脉型颈椎病的临床疗效及其对血流动力学影响。方法：将临床诊断椎动脉型颈椎病患者120 例，随机分为治疗组及对照组，每组60 例。对照组运用传统针刺治疗，治疗组采用改良浮针治疗。分别记录2 组在治疗前、治疗后2 周及治疗后4 周的眩晕障碍评分（DHI），采用经颅多普勒（TCD） 评估血流动力学变化，并分析其疗效。结果：2 组治疗后DHI 评分较治疗前改善，2 组治疗后2 周及治疗后4 周眩晕程度均有不同程度减轻，与对照组同时间点比较，治疗组眩晕减缓程度更为显著（P＜0.05）。2 组治疗后2 周及治疗后4 周左侧椎动脉（LVA）、右侧椎动脉（RVA）、基底动脉（BA） 的平均血流速度（Vm） 均有不同程度提高。治疗后2 周及治疗4 周后，2 组评分比较，差异有统计学意义（P＜0.05）。治疗后2 周，2 组分别与治疗前比较，差异有统计学意义（P＜0.05），治疗后4 周，治疗组与治疗前比较，差异有统计学意义（P＜0.05），但对照组与治疗前比较，差异无统计学意义（P＞0.05）。2 组未发现严重不良反应。结论：运用改良浮针松解枕下肌群治疗椎动脉型颈椎病可获得肯定临床疗效，且能有效改善血流动力学指标。 |
| 关键词: 椎动脉型颈椎病 枕下肌群 浮针 经颅多普勒 眩晕障碍评分 |
| DOI： |
|
| 基金项目:广东省中医药局面上科研项目（20191350） |
|
| Clinical Observation and Hemodynamic Effect of Modified Superficial NeedlingReleasing Suboccipital Muscle for Cervical Spondylosis of Vertebral Artery Type |
| CUI Chaowei,GAO You'an,LI Chunxia,ZHOU Yinghong,HU Guixing,LU Guicai |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract： Objective： To observe the clinical effect of modified superficial needling releasing suboccipital muscle for
cervical spondylosis of vertebral artery type and its effect on hemodynamics. Methods： A total of 120 cases of patients
diagnosed with cervical spondylosis of vertebral artery type were randomly divided into the treatment group and the control
group，60 cases in each group. The control group was treated with conventional acupuncture，and the treatment group was
treated with modified superficial needling. The scores of Dizziness Handicap Inventory(DHI) before treatment， after twoweek
treatment and four- week treatment in the two groups were recorded. The hemodynamic changes were evaluated by
transcranial doppler(TCD). The curative effect was analyzed. Results：The DHI scores after treatment in the two groups were
improved when compared with those before treatment；the degree of dizziness after two- week treatment and four- week
treatment in the two groups were reduced in different degrees； the decrease of the degree of dizziness in the treatment
group was more significant when compared with that in the control group at the same time point(P＜0.05). The mean velocity
(Vm) of left vertebral artery(LVA)，right vertebral artery(RVA) and basilar artery(BA) after two-week treatment and four-week
treatment in the two groups were increased in different degrees. After two-week treatment and four-week treatment，there
was significant difference being found in the comparison of hemodynamic indexes between the two groups(P＜0.05). In the
two groups， there was significant difference being found in the comparison of hemodynamic indexes after two- week treatment and before treatment(P＜0.05). After four- week treatment， when compared the hemodynamic indexes in the
treatment group with those before treatment，there was significance in the difference(P＜0.05)，but there was no significant
difference being found in the control group when compared with those before treatment(P＞0.05). No significant adverse
reaction occurred in the two groups. Conclusion： The application of modified superficial needling releasing suboccipital
muscle can obtain defined clinical effect in treating cervical spondylosis of vertebral artery type， and effectively improve
hemodynamic indexes. |
| Key words: Keywords： Cervical spondylosis of vertebral artery type Suboccipital muscle Superficial needling Transcranial
doppler Score of dizziness handicap inventory |
