首页|针刺联合口服盐酸氟桂利嗪胶囊治疗椎动脉型颈椎病患者的效果分析

针刺联合口服盐酸氟桂利嗪胶囊治疗椎动脉型颈椎病患者的效果分析

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目的:评估椎动脉型颈椎病(CSA)患者接受针刺联合口服盐酸氟桂利嗪胶囊治疗的效果及其对眩晕症状、颈椎功能的影响。方法:选取 2021年 6月—2022年 8月平原县第一人民医院收治的 86例CSA患者为研究对象,按随机数字表法分为对照组与研究组,各43例。对照组采用口服盐酸氟桂利嗪胶囊治疗,研究组采用针刺联合口服盐酸氟桂利嗪胶囊治疗。两组均治疗 2周。对比两组临床疗效、眩晕症状、颈椎功能、血流动力学指标及血清学因子。结果:研究组治疗总有效率为 95。35%,高于对照组的 79。07%,差异有统计学意义(P<0。05)。治疗后,两组颈性眩晕症状与功能评估量表评分及一氧化氮水平均高于治疗前,且研究组均高于对照组,两组椎-基底动脉的平均血流速度、收缩期峰值血流速度、舒张末期血流速度均快于治疗前,且研究组均快于对照组,两组颈椎功能障碍指数评分及纤维蛋白原水平均低于治疗前,且研究组均低于对照组,差异均有统计学意义(P<0。05)。结论:针刺颈夹脊穴等穴位联合口服盐酸氟桂利嗪胶囊能够有效治疗CSA,改善其颈椎功能及血流动力学指标,调节血清学因子水平。
Effects of Acupuncture Combined with Oral Flunarizine Hydrochloride Capsule on Patients with Cervical Spondylosis of Vertebral Artery Type
Objective:To evaluate the effect of acupuncture combined with oral Flunarizine Hydrochloride Capsule on vertigo symptoms and cervical spine function in patients with cervical spondylosis of vertebral artery type(CSA).Methods:A total of 86 CSA patients admitted to the First People's Hospital of Pingyuan County from June 2021 to August 2022 were selected as the study objects,and divided into a control group and a study group according to random number table method,with 43 cases in each group.The control group received oral Flunarizine Hydrochloride Capsule treatment,and the study group received acupuncture combined with oral Flunarizine Hydrochloride Capsule.Both groups were treated for 2 weeks.The clinical efficacy,vertigo symptoms,cervical spine function,hemodynamic indexes and serological factors were compared between the two groups.Results:The clinical effective rate of the study group was 95.35%,which was higher than 79.07%of the control group,the difference was statistically significant(P<0.05).After treatment,the scores of Evaluation Scale for Cervical Vertigo and nitric oxide level in both groups were higher than before treatment,and the study group were higher than the control group,the vertebral-basilar artery mean blood flow velocity,peak systolic blood flow velocity and end-diastolic blood flow velocity in both groups were faster than before treatment,the study group were faster than the control group,the average scores of Neck Disability Index and fibrinogen in both groups level were lower than before treatment,and the study group were lower than the control group,the differences were statistically significant(P<0.05).Conclusion:Acupuncture at Jingjiaji points and other points combined with oral Flunarizine Hydrochloride Capsule can effectively treat the CSA,which is beneficial to relieve the patient's symptoms of vertigo,improve the cervical spine function and hemodynamic indexes,and adjust the level of serological factors.

Cervical spondylosis of vertebral artery type prickJingjiaji pointsFlunarizine Hydrochloride CapsuleSymptoms of vertigoCervical spine functionHemodynamics

贾丽君、王丽娜、宫娟娟、付金焕

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山东省平原县第一人民医院康复医学科,山东 德州 253000

椎动脉型颈椎病 针刺 颈夹脊穴 盐酸氟桂利嗪胶囊 眩晕症状 颈椎功能 血流动力学

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)