灸刺放血联合对椎动脉型颈椎病急性发作期的临床观察

文章信息/Info

• Title:灸刺放血联合对椎动脉型颈椎病急性发作期的临床观察

• 卷期:2024年22卷2期

• 作者:刘兰英   庄垂加

• 泉州市中医院 针灸科，福建 泉州 362000

• Author(s): Liu Lanying1   Zhuang Chuijia2

• Department of Acupuncture and Moxibustion, Quanzhou Traditional Chinese Medicine Hospital, Quanzhou, Fujian 362000

• 关键词针灸 放血疗法 椎动脉型颈椎病

• Keywords: Acupuncture ， bloodletting therapy，vertebral artery type cervical spondylosis

• 摘要: 目的：了解灸刺放血联合对椎动脉型颈椎病急性发作期的临床疗效。方法：70例椎动脉型颈椎病急性发作期患者随机分成灸刺放血结合组（观察组）和灸刺结合组（对照组）各35例，观察组予电子灸、普通针刺及刺络放血拔罐疗法，对照组给予电子灸及普通针刺法联合治疗，于首次治疗前后行椎基动脉血流动力学（TCD）测定及对眩晕程度进行评估对比。结果：治疗后TCD显示2组病例Vs、Vm值均降低（P<0.01），2组间比较有显著差异（P＜0.05），PI、RI治疗后无改善（P＞0.05）。眩晕程度好转（P<0.01），2组间比较有显著差异（P＜0.05）。结论：灸刺放血结合疗法能够有效减慢椎动脉型颈椎病急性发作期患者的椎－基底动脉高血流速度，缓解眩晕程度，即时疗效明显优于针刺艾灸结合组，可在各级医疗机构推广应用。                                                                                                                                                                                

• Abstract: To understand the clinical effect of moxibustion, pricking and bloodletting on acute stage of cervical spondylosis of vertebral artery type. Methods:Seventy patients with acute attack of vertebral artery type cervical spondylosis were randomly divided into two groups: the observation group and the control group, with thirty-five cases in each group. The observation group was treated with electronic moxibustion, common acupuncture and pricking blood and cupping, while the control group was treated with electronic moxibustion and common acupuncture. Vertebral artery hemodynamics (TCD) was measured before and after the first treatment, and the degree of vertigo was evaluated and compared. Results: After treatment, TCD showed that the Vs and Vm values of both groups decreased (P<0.01), and there was a significant difference between the two groups (P < 0.05), while PI and RI showed no improvement after treatment (P >0.05). The degree of vertigo improved (P<0.01), and there was a significant difference between the two groups (P < 0.05). Conclusion: Moxibustion, pricking and bloodletting therapy can effectively slow down the acute stage of cervical spondylosis of vertebral artery type.

  椎动脉型颈椎病（CSA）以眩晕、颈肩不适等为主要表现，其发病率随着科技的进步逐年增高，急性发作见于各种原因导致的的椎动脉血管痉挛、狭窄，使其血流动力学发生瞬间变化导致脑供血不足而缺氧。急性发作期以眩晕并伴有汗出、面色苍白、恶心呕吐、视物不清等植物神经症状常见，甚则可出现昏仆于地等严重后果，严重影响患者的生活作息、工作学习，甚则危及生命，因此，急性发作期治疗的关键在于及时控制病情。现代医学常予改善脑部、内耳循环，镇静止呕、抗炎止痛、营养神经等对症处理，但药物不良反应明显、疗效较慢。手术治疗取得一定疗效，但手术风险大，大众不易接受。