韦丽丽+曹军勇+陈南萍+汤小敏+马久力+文锦

[摘要]目的 探讨针刺结合艾灸脑空穴治疗椎动脉型颈椎病的效果。方法 选取2016年6月～2017年6月我院康复科收治的椎动脉型颈椎病患者60例，随机分为两组，分别采用针刺结合艾灸治疗（观察组30例）和针刺治疗（对照组30例），比较两组患者的临床效果。结果 观察组治疗后的椎动脉（VA）和基底动脉（BA）的平均血流速度（Vm）值均明显高于治疗前，且高于同一时期的对照组，治疗总有效率（96.7%）高于对照组（80.0%），差异有统计学意义（P<0.05）。结论 针刺结合艾灸脑空穴治疗椎动脉型颈椎病，能够加快脑血流速度，提高治疗效果。

[关键词]针刺；艾灸；脑空穴；椎动脉型颈椎病；脑血流速度变化

[中图分类号] R681.5+3 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0133-03

Effect of acupuncture combined with moxibustion at Naokong acupoint in the treatment of vertebral artery type of cervical spondylosis

WEI Li-li1 CAO Jun-yong2 CHEN Nan-ping1 TANG Xiao-min1 MA Jiu-li1 WEN Jin1

1.Department of Rehabilitation Medicine，the Fourth Affiliated Hospital of Nanchang University in Jiangxi Province，Nanchang 330002，China；2.Nanchang Massage Hospital in Jiangxi Province，Nanchang 330006，China

[Abstract]Objective To investigate the effect of acupuncture combined with moxibustion at Naokong acupoint in treatment of vertebral artery type of cervical spondylosis.Methods 60 patients with vertebral artery type of cervical spondylosis treated in department of rehabilitation of our hospital from June 2016 to June 2017 were selected，and they were randomly divided into two groups and they were treated with acupuncture plus moxibustion therapy （30 cases in observation group） and acupuncture therapy （30 cases in control group） respectively.The clinical effect between the two groups was compared.Results The post-operative average blood flow velocity （Vm） of vertebral artery （VA） and basilar artery （BA） of observation group were significantly higher than those before treatment and higher than those of control group at the same period.The total effective rate of observation group （96.7%） was higher than that of control group （80.0%） with significant difference （P<0.05）.Conclusion Acupuncture combined with moxibustion at Naokong acupoint treating vertebral artery type of cervical spondylosis can accelerate the cerebral blood flow velocity and inprove the therapeutic effect.

[Key words]Acupuncture；Moxibustion；Naokong acupoint；Vertebral artery type of cervical spondylosis；Cerebral blood flow velocity change

頸椎病患者的发病率随着人们生活方式、工作方式的改变，已逐渐呈上升趋势。目前对于椎动脉型颈椎病的治疗主要有手术治疗和保守治疗，因手术治疗对患者创伤大，风险高，对术者要求较高，多数患者仍采取保守治疗，仅有部分保守治疗无效、病情严重的患者采用手术治疗。在保守治疗中，西药治疗也只能暂时缓解症状，且有一定的副作用。而中医治疗（针灸、推拿疗法等）有着独特的作用。本研究探讨针刺结合艾灸脑空穴治疗椎动脉颈椎病对脑血流速度变化的影响。

1资料与方法

1.1一般资料

选取2016年6月～2017年6月我院康复科收治的椎动脉型颈椎病患者60例，按照单盲、随机、对照的原则分为两组，观察组30例：男性16例，女性14例；年龄20～75岁，平均（48.6±2.3）岁；病程3 d～9年，平均病程（2.9±0.7）年。对照组30例：男性15例，女性15例；年龄21～73岁，平均（49.2±2.1）岁；病程4 d～9年，平均（3.1±0.8）年。本研究经医学伦理委员会批准后进行。……