梁楠++++++唐术平++++++刘宪彤

[摘要]目的 探讨针灸联合推拿辅助治疗椎动脉型颈椎病的临床效果。方法 选择2014年1月～2015年12月在我院接受治疗的98例椎动脉型颈椎病患者作为研究对象，按照随机数字表法分为对照组和研究组，各49例。对照组采用推拿治疗，研究组采用针灸联合推拿辅助治疗。比较两组的治疗效果及治疗前后血流动力学指标变化情况。结果 研究组的临床治疗总有效率为93.87%，显著高于对照组的75.51%，差异有统计学意义（P<0.05）。兩组治疗后的TMFV、PSV、PI、RI指标较治疗前显著改善，差异有统计学意义（P<0.05）。研究组治疗后的TMFV、PSV显著高于对照组治疗后，PI和RI显著低于对照组治疗后，差异有统计学意义（P<0.05）。结论 针灸联合推拿辅助治疗椎动脉型颈椎病可显著改善患者的椎动脉血流状态，具有更好的治疗效果，值得临床推广应用。

[关键词]椎动脉型颈椎病；针灸；推拿；血流状态

[中图分类号] R681.5 [文献标识码] A [文章编号] 1674-4721（2017）03（c）-0125-03

[Abstract]Objective To explore the clinical effect of acupuncture assisted with massage in the adjuvant treatment of cervical spondylosis of vertebral artery type.Methods Altogether 98 patients with cervical spondylosis of vertebral artery type who were treated in our hospital from January 2014 to December 2015 were selected and divided into the control group and the study group according to the random number table method，49 cases in each group.The control group was treated with massage therapy，the study group was given acupuncture combined with massage treatment.The therapeutic effects and the changes of hemodynamics before and after treatment in the two groups were compared.Results The total effective rate of the study group was 93.87%，which was higher than that in the control group （75.51%），with significant difference （P<0.05）.The indexes of TMFV，PSV，PI，RI after treatment in the two groups were significantly improved compared with before treatment，with significant difference （P<0.05）.The indexes of TMFV and PSV after treatment in the study group was higher than that in the control group，the indexes of PI and RI after treatment in the study group was lower than that in the control group，with significant difference （P<0.05）.Conclusion Combination of application of acupuncture and massage therapy in the adjuvant treatment of patients with cervical spondylosis of vertebral artery type can significantly improve vertebral arterial blood flow status，which can achieve better clinical treatment effect，it is worthy of clinical promotion and application.

[Key words]Cervical spondylosis of vertebral artery type；Acupuncture；Massage；Blood flow status

随着现代社会人群工作和生活习惯的改变，长时间不良坐姿和颈部的过度劳累导致各种类型的颈椎病发病率逐年增加。颈椎病可使脊柱产生平衡失调，对颈部的神经和血管造成刺激，进而使患者出现眩晕和视力模糊等症状，严重影响患者的生活质量和身心健康。椎动脉型颈椎病是临床较常见的一种颈椎病类型，临床症状主要为头痛、头晕、颈项痛，其属祖国医学中的“眩晕”“头痛”范畴[1-3]，发病也越来越有年轻化趋势。椎动脉型颈椎病反复难愈，临床中常采用保守疗法[4-5]，针灸及推拿方法在改善患者症状方面均能够起到良好的效果。本研究选取我院收治的椎动脉型颈椎病患者作为研究对象，探讨针灸联合推拿辅助治疗的效果，现报道如下。

1资料与方法

1.1一般资料

选取2014年1月～2015年12月在我院接受治疗的经临床、CT或X线确诊符合椎动脉型颈椎病诊断标准的98例椎动脉型颈椎病患者作为研究对象，按照随机数字表法分为对照组（49例）和研究组（49例）。……