椎脉回春汤配合针刺治疗椎动脉型颈椎病的临床效果

张春洪

[摘要]目的 分析椎脉回春汤配合针刺治疗椎动脉型颈椎病的临床效果。方法 选取我科2014年1月～2016年8月收治的80例椎动脉型颈椎病患者，将其随机分为两组，每组40例。对照组实施椎脉回春汤治疗，观察组患者实施椎脉回春汤配合针刺治疗。比较两组患者治疗后的左椎动脉、右椎动脉、基底动脉的血流速度，总有效率。结果 观察组患者的左椎动脉[（34.50±7.20）cm/s]、右椎动脉[（35.16±8.20）cm/s]、基底动脉的血流速度[（45.50±10.85）cm/s]优于对照组（P<0.05），观察组的总有效率（90.00%）高于对照组（62.50%）（P<0.05）。结论 椎脉回春汤配合针刺治疗椎动脉型颈椎病具有显著的临床效果。

[关键词]椎脉回春汤；针刺；椎动脉型颈椎病

[中图分类号] R681.5+3 [文献标识码] A [文章编号] 1674-4721（2017）07（c）-0089-03

Clinical Effect of Zhuimaihuichun Decoction combined with acupuncture treating cervical spondylosis of vertebral artery type

ZHANG Chun-hong

Department of Traditional Chinese Medicine，Yangxi County People′s Hospital of Yangjiang City in Guangdong Province，Yangxi 529800，China

[Abstract]Objective To analyze the clinical effect of Zhuimaihuichun Decoction combined with acupuncture treating cervical spondylosis of vertebral artery type.Methods 80 cases with cervical spondylosis of vertebral artery type treated by our department from January 2014 to August 2016 were selected and they were randomly divided into two groups with 40 cases in each group.The control group was treated with Zhuimaihuichun Decoction while the observation group was treated with Zhuimaihuichun Decoction combined with acupuncture.The blood velocity of left vertebral artery，right vertebral artery and basilar artery，and the total effective rate were compared between the two groups.Results In the observation group，the blood velocity of left vertebral artery [（34.50±7.20）cm/s]，right vertebral artery [（35.16±8.20）cm/s] and basilar artery [（45.50±10.85）cm/s] were better than those of control group （P<0.05）.The total effective rate of the observation group was 90.00%，which was higher than that of the control group （62.50%）（P <0.05）.Conclusion Zhuimaihuichun Decoction combined with acupuncture treating cervical spondylosis of vertebral artery type has a significant clinical effect.

[Key words]Zhuimaihuichun Decoction；Acupuncture；Cervical spondylosis of vertebral artery type

椎動脉型颈椎病在临床中较常见，其主要体征和症状为眩晕头痛，多数患者常伴有恶心呕吐、手指发麻、肩臂酸胀、颈项强痛等症状，若未对患者实施有效的治疗方式，易导致椎动脉型颈椎病疾病进一步恶化，严重危害患者的生命安全。椎动脉型颈椎病在中医学中属于“眩晕”范畴，在记载中便有“无虚不作眩、无痰不作眩”“诸风掉眩、皆属于肝”之说，我科通过临床各项研究内容，再根据痰瘀相关理论，认为椎动脉型颈椎病是由痰液内阻、浊阴不降、清阳不升而致，脑海失养为主要病机，而在临床现代医学中，认为椎动脉型颈椎病是颈椎骨质增生、颈椎退行性变导致人体椎动脉受到压迫刺激，多数患者会由于椎-基底动脉供血不足而导致前庭中枢性眩晕情况发生，因此，应将化痰降浊、通经活络作为主要治疗原则[1-3]。本研究中，我科对椎脉回春汤配合针刺治疗椎动脉型颈椎病的临床效果进行研究，现报道如下。……