针刀枕下三角松解治疗对椎动脉型颈椎病症状功能评分及椎动脉血流的影响

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Abstract Objective To observe the effects of suboccipital triangle release with acupotomy on symptom and functional score and vertebral artery blood flow of vertebral artery type of cervical spondylosis. Methods Fifty-seven patients with cervical vertigo admitted to Neurospinal Ward of Chinese Medicine Orthopaedic Department of Honghui Hospital Affiliated to Medical School of Xi'an Jiaotong University from March 2017 to March 2018 were selected, and they were divided into observation group and control group by random number table method. 29 cases in observation group were treated with needle-knife to loosen the suboccipital triangle. 28 cases in control group were treated with acupuncture and interference electrical therapy. Both groups were given neck function rehabilitation exercise at the end of treatment. The changes of symptom and functional score and peak values of vertebral artery blood flow in the cerebral hemodynamics of vertebral artery type of cervical spondylosis were respectively observed after the first treatment and after treatment for 2 weeks and 3 months. The clinical efficacy of the two groups was evaluated. Results At the end of treatment, the symptom and functional score and peak values of vertebral artery blood flow in the two groups were all higher than those before treatment, the differences were statistically significant (P ＜ 0.05). After the first treatment and 2 weeks after treatment, the symptom and functional score and peak values of vertebral artery blood flow in the treatment group were significantly higher than those in the control group, the differences were statistically significant (P ＜ 0.05). After treatment for 3 months, the symptom and functional score and peak values of vertebral artery blood flow in the two groups were all higher than those before treatment (P < 0.05), but there were no significant differences between the two groups (P ＞ 0.05). Conclusion The soft tissue of suboccipital triangle released by acupotomy can rapidly and effectively improve the symptom, cervical function and vertebral artery blood flow of vertebral artery type of cervical spondylosis. The short-term effect is better than acupuncture and physiotherapy. The long-term efficacy is similar. Needle-knife treatment has quick returns, and it is simple, cheap and worthy of promotion and application.

Key words： Cervical vertigo Suboccipital triangle Vertebral artery type of cervical spondylosis Vertebral artery blood flow

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	LIU Xifang1
	2 YANG Minyi1 HUI Guodong1 LI Hanxiao2 JI Xiaoyan2

Cite this article:

LIU Xifang1,2 YANG Minyi1 HUI Guodong1 LI Hanxiao2 JI Xiaoyan2. Effects of suboccipital triangle release with acupotomy on symptom and functional score and vertebral artery blood flow of vertebral artery type of cervical spondylosis[J]. 中国医药导报, 2019, 16(9): 166-169.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I9/166

[1] 张红欣，刘筠，许亮，等.颈性眩晕患者的血管影像学研究[J].实用放射学杂志，2016，32（3）：419-422.
[2] 张冲，黄永.刃针松解配合传统针刺治疗颈性眩晕的解剖学与经穴关联性分析[J].中国临床解剖学杂志，2016， 34（4）：454-456.
[3] 高新，吕亚南.针刀同时松解枕后三角和肩胛提肌与单独松解枕后三角治疗颈性眩晕的效果比较[J].中国医药导报，2017，14（33）：173-175，186.
[4] 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.
[5] 向勇，王春林，董有康，等.间歇式角度松调手法治疗椎动脉型颈椎病临床观察及对椎-基底动脉血流动力学的影响[J].河北中医，2018，40（2）：286-289.
[6] 董万涛，宋敏，蒋宜伟，等.“柔筋养精”手法治疗椎动脉型颈椎病临床研究[J].中华中医药杂志，2014，29（7）：2294-2297.
[7] 蒋坤洋.中西医结合治疗椎动脉狭窄颈性眩晕的疗效观察[J].中西医结合心脑血管病杂志，2018，16（1）：124-126.
[8] 凌泽莎，贾功伟，谭波涛，等.注射复合rhBMP-2骨水泥制作猕猴椎动脉型颈椎病模型[J].中山大学学报：医学科学版，2016，37（5）：775-780.
[9] 马华姣，郑进福，陈俊辉.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].中医临床研究，2018，10（29）：87-88.
[10] Luo X，Wang P，Li Z，et al. Evaluation of a granulated formula for the nerve root type and vertebral artery type of cervical spondylosis：a multicenter，single-blind，randomized，controlled，phase Ⅲ clinical trial [J]. J Tradit Chin Med，2017，37（2）：193-200.
[11] 程肖芳，曹雪梅，刘书田.内热针对椎动脉型颈椎病患者改良ESCV评分及血流动力学的影响[J].针灸临床杂志，2017，33（3）：34-36.
[12] 董万涛，宋敏，吕泽斌，等.活血定眩胶囊治疗椎动脉型颈椎病临床疗效评价[J].中国中医药信息杂志，2014， 21（1）：33-35，39.
[13] 胡雨.针灸联合推拿治疗椎动脉型颈椎病[J].长春中医药大学学报，2014，30（1）：125-127.
[14] 王长月，王浩然，闫明，等.针刺加中药治疗椎动脉型颈椎病70例临床观察[J].辽宁中医杂志，2016，43（1）：138-140.
[15] 刘祺，王业忠，雷霆.枕下远外侧手术入路的临床解剖学研究[J].局解手术学杂志，2015，24（1）：11-13.
[16] Macchi V，Porzionato A，Morra A，et al. Anatomico-radiologic study of the distribution of the suboccipital artery of Salmon [J]. Clin Neurol Neurosurg，2014，117：80-85.
[17] La RG，Altieri R，Ricciardi L，et al. Anatomical study of occipital triangles：the 'inferior' suboccipital triangle，a useful vertebral artery landmark for safe postero-lateral skull base surgery [J]. Acta Neurochir（Wien），2017，159（10）：1887-1891.
[18] Tubbs RS，Watanabe K，Loukas M，et al. The intramuscular course of the greater occipital nerve：novel findings with potential implications for operative interventions and occipital neuralgia [J]. Surg Neurol Int，2014，5：155.
[19] Notaro P，Buratti E，Meroni A，et al. The effects of peripheral occipital nerve stimulation for the treatment of patients suffering from chronic migraine：a single center experience [J]. Pain Physician，2014，17（3）：E369-E374.
[20] 桂清民，孙德礼，李刚.针刀松解配合整脊对椎动脉型颈椎病X线片及血流动力学的影响[J].世界中西医结合杂志，2015，10（7）：949-952.
[21] 刘方铭，王寿兰，张燕，等.针刀松解颈周腧穴治疗椎动脉型颈椎病新方案的临床研究[J].社区医学杂志，2014， 12（13）：24-27.
[22] 李少芳，黄漫华，林卓鹏，等.枕下缘针刀松解治疗颈性眩晕疗效观察[J].中国针灸，2017，37（3）：297-300.