| 摘要: |
| 目的：观察李氏“醒脑通络”针法联合半夏白术天麻汤治疗痰浊中阻型椎动脉型颈椎病（cervical spondylosis of vertebral artery type，CSA）的临床疗效。方法：选取痰浊中阻型CSA患者120例，将其随机分为治疗组和对照组，每组各60例。对照组采用半夏白术天麻汤治疗，治疗组在对照组基础上加用李氏“醒脑通络”针法治疗，2组均连续治疗2周。比较2组治疗前后颈性眩晕症状与功能改善情况（evaluation scale for cervical vertigo，ESCV）评分、疼痛视觉模拟评分法（visual analogue scale，VAS）评分、中医证候积分、双侧椎动脉及椎基底动脉血流速度，并评价临床疗效。结果：总有效率治疗组为91.67%（55/60），对照组为75.00%（45/60），2组比较，差异有统计学意义（P<0.05）。2组ESCV评分、疼痛VAS评分、中医证候积分、双侧椎动脉及椎基底动脉血流速度治疗前后组内比较及治疗后组间比较，差异均有统计学意义（P<0.05）。结论：李氏“醒脑通络”针法联合半夏白术天麻汤能有效改善痰浊中阻型CSA患者头晕目眩、颈项部僵硬疼痛等临床症状，改善双侧椎动脉及椎基底动脉血流速度，值得临床推广。 |
| 关键词: 椎动脉型颈椎病 痰浊中阻型 中医药疗法 李氏“醒脑通络”针法 半夏白术天麻汤 |
| DOI： |
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| Clinical effect of Li’s acupuncture for restoring consciousness and dredging collaterals combined with Banxia Baizhu Tianma decoction in treatment of cervical spondylosis of vertebral artery type with phlegm-turbidity obstructing the middle: An analysis of 60 cases |
| WANG Xinyi,ZHANG Yi |
| (Shandong University of Traditional Chinese Medicine, Jinan 250014, Shandong, China;Zibo Hospital of Traditional Chinese Medicine, Zibo 255000, Shandong, China) |
| Abstract: |
| Objective: To investigate the clinical effect of Li’s acupuncture for restoring consciousness and dredging collaterals combined with Banxia Baizhu Tianma decoction in the treatment of cervical spondylosis of vertebral artery type （CSA） with phlegm-turbidity obstructing the middle. Methods: A total of 120 CSA patients with phlegm-turbidity obstructing the middle were randomly divided into treatment group and control group, with 60 patients in each group. The patients in the control group received Banxia Baizhu Tianma decoction, while those in the treatment group received Li’s acupuncture for restoring consciousness and dredging collaterals in addition to the treatment in the control group, and both groups were treated for 2 consecutive weeks. The two groups were compared in terms of evaluation scale for cervical vertigo （ESCV）, Visual Analogue Scale （VAS） score, traditional Chinese medicine （TCM） syndrome score, and blood flow velocity in both vertebral arteries and the vertebral basilar artery before and after treatment, and clinical outcome was assessed. Results: There was a significant difference in overall response rate between the treatment group and the control group ［91.67% （55/60） vs 75.00% （45/60）, P < 0.05］. After treatment, both groups had significant changes in ESCV score, VAS pain score, TCM syndrome score, and blood flow velocity in both vertebral arteries and the vertebral basilar artery, and there were significant differences in these indicators between the two groups after treatment （P < 0.05）. Conclusion: For CSA patients with phlegm-turbidity obstructing the middle, Li’s acupuncture for restoring consciousness and dredging collaterals combined with Banxia Baizhu Tianma decoction can effectively improve the symptoms of dizziness, cervical stiffness, and cervical pain and blood flow velocity in both vertebral arteries and the vertebral basilar artery, and therefore, it holds promise for clinical application. |
| Key words: cervical spondylosis of vertebral artery type phlegm-turbidity obstructing the middle traditional Chinese medicine treatment Li’s acupuncture for restoring consciousness and dredging collaterals Banxia Baizhu Tianma decoction |
