首页|针灸推拿联合天麻素注射液治疗椎动脉型颈椎病的效果研究

针灸推拿联合天麻素注射液治疗椎动脉型颈椎病的效果研究

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目的:观察对椎动脉型颈椎病的患者采取针灸推拿联合天麻素注射液治疗的有效性。方法:收集天津市红桥区中医医院2020年2月—2022年2月经相关检查明确为椎动脉型颈椎病的92例患者临床资料,以患者就诊顺序分为对照组46 例和观察组 46 例。对照组采取针灸推拿治疗,观察组采取针灸推拿联合天麻素注射液治疗,比较两组临床疗效、血流动力学指标、炎性介质、血管内皮功能以及颈椎病症状分级量化表评分。结果:观察组治疗有效率为 93。47%,高于对照组的 78。26%(P<0。05);观察组治疗后椎动脉-基底动脉平均血流速度高于对照组,椎动脉-基底动脉血管搏动指数、脑血管阻力指数均低于对照组(P<0。05);观察组治疗后IL-1β、IL-6、TNF-α水平均低于对照组(P<0。05);观察组治疗后内皮素-1 水平低于对照组,一氧化氮水平高于对照组(P<0。05);观察组治疗后颈椎病症状分级量化表评分低于对照组(P<0。05)。结论:针灸推拿联合天麻素注射液能够提高椎动脉型颈椎病的治疗效果,下调炎性介质,改善血流动力学指标以及颈椎病症状,值得临床推广应用。
Study on the Effect of Acupuncture and Moxibustion and Massage Combined with Gastrodin Injection in the Treatment of Vertebral Artery Type Cervical Spondylosis
Objective:To observe the effectiveness of acupuncture and moxibustion and massage combined with gastrodin injection in the treatment of patients with vertebral artery type cervical spondylosis.Methods:The clinical data of 92 patients with vertebral artery type cervical spondylosis confirmed by relevant examinations in Tianjin Hongqiao District Hospital of Traditional Chinese Medicine from February 2020 to February 2022 were collected.The patients were divided into control group(46 patients)and observation group(46 patients)according to the order of treatment.The control group was treated with acupuncture and moxibustion and massage,and the observation group was treated with acupuncture and moxibustion and massage combined with gastrodin injection.The clinical efficacy,hemodynamic indexes,inflammatory mediators,vascular endothelial function and cervical spondylosis symptom grading quantization table scores were compared between the two groups.Results:The effective rate of treatment in the observation group was 93.47%,which was higher than 78.26%in the control group(P<0.05).After treatment,the mean blood flow velocity of vertebral artery-basilar artery in the observation group was higher than that in the control group,and the pulsatility index of vertebral artery-basilar artery and cerebrovascular resistance index were lower than those in the control group(P<0.05).After treatment,the levels of IL-1β,IL-6 and TNF-α in the observation group were lower than those in the control group(P<0.05).After treatment,the level of endothelin-1 in the observation group was lower than that in the control group,and the level of nitric oxide was higher than that in the control group(P<0.05).After treatment,the score of cervical spondylosis symptom grading scale in the observation group was lower than that in the control group(P<0.05).Conclusion:Acupuncture and moxibustion and massage combined with gastrodin injection can improve the therapeutic effect of vertebral artery type cervical spondylosis,reduce inflammatory mediators,improve hemodynamic indicators and symptoms of cervical spondylosis,which is worthy of clinical application.

Acupuncture and moxibustion and massageGastrodin injectionCervical spondylosis of vertebral artery typeHemodynamic indicatorsInflammatory mediators

刘雅婧、王平

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天津市红桥区中医医院,天津 30013

天津中医药大学第一附属医院,天津 300192

针灸推拿 天麻素注射液 椎动脉型颈椎病 血流动力学指标 炎性介质

国家中医药管理局项目

2019XZZX-GK006

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.(1)
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