|
|
Curative effect of "Changqi Tongluo" manipulation combined with acupuncture in Bǎihuì acupoint in the treatment of cervical spondylosis and its influence on the blood flow velocity |
LING Yaoquan1 YANG Renxuan1 DENG Cong1 LIAO Xinglong2 GAO Jie2 GUO Chengxiang3 YU Baonan1 WANG Weicong1 |
1.Department of Rehabilitation, Zhuhai Branch of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangdong Province, Zhuhai 519015, China; 2.Department of Rehabilitation, Zhuhai Second Hospital of Traditional Chinese Medicine, Guangdong Province, Zhuhai 519125, China;
3.Guo's Medical Care Institute of Guangdong, Guangdong Province, Guangzhou 510120, China |
|
|
Abstract Objective To investigate the effect of "Changqi Tongluo" manipulation combined with acupuncture in Bǎihuì acupoint in the treatment of vertebral artery type of cervical spondylosis and its influence on the blood flow velocity. Methods Ninety patients with vertebral artery type of cervical spondylosis admitted to Department of Rehabilitation, Zhuhai Branch of Guangdong Provincial Hospital of Traditional Chinese Medicine from October 2014 to October 2016 were selected as research objects, and they were randomly divided into experimental group and control group by draw method, with 45 cases in each group. The experimental group was given "Changqi Tongluo" manipulation combined with acupuncture in Bǎihuì acupoint, the control group was given basic western medicine. The symptom scores, cervical range of motion, and mean flow velocity (Vm) of left vertebroarterial artery, right vertebroarterial artery, basilar artery before and after treatment between the two groups were compared. Results After treatment, the symptom scores of headache, dizziness, tinnitus, blurred vision, neck pain in the two groups were all significantly lower than those before treatment (P < 0.05), and the symptom scores of headache, dizziness, tinnitus, blurred vision, neck pain in the experimental group after treatment were significantly lower than those of the control group, the differences were statistically significant (P < 0.05). After treatment, the cervical ranges of motion in the two groups were higher than those before treatment (P < 0.05), and the cervical range of motion in the experimental group after treatment was significantly higher than that of the control group, the difference was statistically significant (P < 0.05). After treatment, the Vm of left vertebroarterial artery, right vertebroarterial artery, basilar artery in the two groups were higher than those before treatment (P < 0.05), and the Vm of left vertebroarterial artery, right vertebroarterial artery, basilar artery in the experimental group after treatment were significantly higher than those of the control group, the differences were statistically significant (P < 0.05). Conclusion "Changqi Tongluo" manipulation combined with acupuncture in Bǎihuì acupoint in the treatment of vertebral artery type of cervical spondylosis has obvious curative effect, which can significantly improve the cervical range of motion, relieve the clinical symptoms, its main mechanism may be associated with the improvement of Vm of vertebroarterial artery and basilar artery.
|
|
|
|
|
Cite this article: |
LING Yaoquan1 YANG Renxuan1 DENG Cong1 LIAO Xinglong2 GAO Jie2 GUO Chengxiang3 YU Baonan1 WANG Weicong1. Curative effect of "Changqi Tongluo" manipulation combined with acupuncture in Bǎihuì acupoint in the treatment of cervical spondylosis and its influence on the blood flow velocity[J]. 中国医药导报, 2017, 14(16): 82-85,113.
|
|
|
|
URL: |
http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I16/82 |
[1] 梁美爱,段权,黄伟添,等.百会压灸联合针刺治疗椎动脉型颈椎病的临床研究[J].实用医学杂志,2012,28(11):1905-1908.
[2] 罗川.针灸配合手法治疗椎动脉型颈椎病50例[J].云南中医中药杂志,2014,35(2):51-52.
[3] Chen W,Hou X,Chen J,et al. MRI pain matrix regional homogeneity in cervical spondylosis of neck type treated with acupuncture at multiple acupoints [J]. Zhongguo Zhen Jiu,2015,35(10):1005-1009.
[4] 国家中医药管理局.中医病证诊断疗效标准[M].北京:医药科技出版社,2012:188-189.
[5] Alan Miller. The 3-Minute Musculoskeletal & Peripheral Nerve Exam [M].北京:化学工业出版社,2012:12-14.
[6] 展嘉文,詹红生,张开勇,等.定位仰卧拔伸手法治疗椎动脉型颈椎病的疗效观察[J].中国中医骨伤科杂志,2014, 22(7):9-12.
[7] 武文鹏,谷栩萌,孙兴华,等.电针治疗椎动脉型颈椎病的临床疗效及对经颅多普勒的影响[J].针灸临床杂志,2016,32(2):34-36.
[8] 李龙,张学,阳晨,等.彩色多普勒超声诊断椎动脉型颈椎病眩晕的价值[J].中华全科医学,2013,12(3):1959-1960.
[9] 杨玥,阳伟红.中医疗法治疗椎动脉型颈椎病临床对比观察[J].南京中医药大学学报,2012,28(3):282-286.
[10] 刘海越,武林,王威,等.针灸治疗椎动脉型颈椎病的取穴规律分析[J].中医临床研究,2014,6(3):17-19.
[11] 李佳诺,孙忠人,曾祥新,等.针刺为主治疗椎动脉型颈椎病研究近况[J].针灸临床杂志,2016,32(4):91-94.
[12] 胡静,周愚,赵中婧,等.大椎及百会穴压灸法治疗椎动脉型颈椎病40例[J].实用中医药杂志,2015,31(11):1042-1043.
[13] 丁宁,李涯雪,程东,等.针刺治疗椎-基底动脉供血不足的临床疗效及对血流动力学影响的随机对照研究[J].针灸临床杂志,2015,31(7):20-22.
[14] 杨文霞,时国臣,何风,等.针刺百会穴、颈后部腧穴治疗椎动脉型颈椎病疗效观察[J].针灸临床杂志,2011,10(9):24-26.
[15] 吴茂文,张柏林,李静,等.定位定向顶提正椎手法对椎-基底动脉血液动力学影响的研究[J].齐齐哈尔医学院学报,2015,10(15):2239-2242.
[16] 窦为民.脊柱推拿微调联合针刺治疗椎动脉型颈椎病临床研究[J].按摩与康复医学,2016,7(19):27-28.
[17] 王冠.中医针灸联合推拿手法治疗椎动脉型颈椎病临床疗效观察[J].世界中西医结合杂志,2013,10(6):207-210.
[18] 吴绍彬.温灸器温灸百会、四神聪穴结合龙氏正骨手法治疗椎动脉型颈椎病[J].中国民间疗法,2016,24(6):36-37.
[19] 刘万鹏,杨仁轩,郭程湘,等.峨眉派“畅气通络手法”治疗颈椎病体会[J].按摩与康复医学,2014,5(9):186-187.
[20] 刁鸿辉,杨仁轩,关铭坤,等.郭氏“畅气通络法”治疗椎动脉型颈椎病临床观察[J].深圳中西医结合杂志,2016, 26(9):42-44.
[21] 范京强,郭程湘,温勇,等.郭氏“畅气通络”手法配合运动针法治疗落枕50例疗效观察[J].按摩与康复医学,2012,3(17):54-56. |
|
|
|