中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
26期
31-33
,共3页
王政%杨豫川%吴红%刘芬%李斌%杨胜银
王政%楊豫川%吳紅%劉芬%李斌%楊勝銀
왕정%양예천%오홍%류분%리빈%양성은
苗药熏蒸%椎动脉型颈椎病%效果
苗藥熏蒸%椎動脈型頸椎病%效果
묘약훈증%추동맥형경추병%효과
Miao medicine fumigation%Vertebral artery type of cervical spondylosis%Effect
目的：探讨苗药熏蒸治疗椎动脉型颈椎病的效果。方法将2012年1月~2013年12月在贵州省凯里市中医医院进行治疗的183例椎动脉型颈椎病患者分为对照组73例和治疗组110例，对照组采用通经活络、活血化瘀中药治疗，配合穴位电疗敷贴，治疗组采用苗药熏蒸颈部，对两组临床效果进行比较。结果对照组基本治愈率为18.2%(13/73)，显效率为36.4%(27/73)，无效率为45.5%(33/73)，总有效率为54.5%(40/73)。治疗组基本治愈率为38.6%(42/110)，显效率为56.8%(62/110)，无效率为4.6%(5/110)，总有效率为95.5%(105/110)。治疗组与对照组比较，差异有高度统计学意义(χ2=27.13，P<0.01)。结论苗药熏蒸能够促进颈动脉的血流量，使缺血性损伤得到缓解，同时促进炎性物质的吸收和代谢，使椎动脉的刺激、压迫减轻进而消除，从而能够快速缓解症状，使患者减少痛苦，具有很高的治愈率和有效率，并有无创、操作简单、药物价廉易得、安全性高等优点，值得对其进行继续研究并推广使用。
目的：探討苗藥熏蒸治療椎動脈型頸椎病的效果。方法將2012年1月~2013年12月在貴州省凱裏市中醫醫院進行治療的183例椎動脈型頸椎病患者分為對照組73例和治療組110例，對照組採用通經活絡、活血化瘀中藥治療，配閤穴位電療敷貼，治療組採用苗藥熏蒸頸部，對兩組臨床效果進行比較。結果對照組基本治愈率為18.2%(13/73)，顯效率為36.4%(27/73)，無效率為45.5%(33/73)，總有效率為54.5%(40/73)。治療組基本治愈率為38.6%(42/110)，顯效率為56.8%(62/110)，無效率為4.6%(5/110)，總有效率為95.5%(105/110)。治療組與對照組比較，差異有高度統計學意義(χ2=27.13，P<0.01)。結論苗藥熏蒸能夠促進頸動脈的血流量，使缺血性損傷得到緩解，同時促進炎性物質的吸收和代謝，使椎動脈的刺激、壓迫減輕進而消除，從而能夠快速緩解癥狀，使患者減少痛苦，具有很高的治愈率和有效率，併有無創、操作簡單、藥物價廉易得、安全性高等優點，值得對其進行繼續研究併推廣使用。
목적：탐토묘약훈증치료추동맥형경추병적효과。방법장2012년1월~2013년12월재귀주성개리시중의의원진행치료적183례추동맥형경추병환자분위대조조73례화치료조110례，대조조채용통경활락、활혈화어중약치료，배합혈위전료부첩，치료조채용묘약훈증경부，대량조림상효과진행비교。결과대조조기본치유솔위18.2%(13/73)，현효솔위36.4%(27/73)，무효솔위45.5%(33/73)，총유효솔위54.5%(40/73)。치료조기본치유솔위38.6%(42/110)，현효솔위56.8%(62/110)，무효솔위4.6%(5/110)，총유효솔위95.5%(105/110)。치료조여대조조비교，차이유고도통계학의의(χ2=27.13，P<0.01)。결론묘약훈증능구촉진경동맥적혈류량，사결혈성손상득도완해，동시촉진염성물질적흡수화대사，사추동맥적자격、압박감경진이소제，종이능구쾌속완해증상，사환자감소통고，구유흔고적치유솔화유효솔，병유무창、조작간단、약물개렴역득、안전성고등우점，치득대기진행계속연구병추엄사용。
Objective To explore the clinical efficacy of Miao medicine fumigation in the treatment of 110 cases with vertebral artery type of cervical spondylosis. Methods 183 patients with vertebral artery type of cervical spondylosis ad-mitted to Kaili City Hospital of Traditional Chinese Medicine from January 2012 to December 2013 were divided into the control group of 73 cases and the treatment group of 110 cases. The control group received the traditional Chinese medicine therapy and the acupoint sticking therapy through the meridians to promote blood circulation and to remove blood stasis. The treatment group received the Miao medicine fumigation treatment to the neck. The clinical effect of the two groups was analyzed. Results For the control group, 18.2%(13/73) of the patients showed full recovery, 36.4%(27/73) showed significant improvement, and 45.5%(33/73) showed no improvement, resulting in a total effectiveness rate of 54.5% (40/73). For the treatment group, 38.6% (42/110) showed full recovery, 56.8% (62/110) showed significant im-provement, and 4.6% (5/110) showed no improvement, resulting in a total effectiveness rate of 95.5% (105/110). There was a statistically significant difference between the two groups (χ2=27.13, P< 0.01). Conclusion Miao medicine fumi-gation is very effective in treating the cervical spondylosis. It improves local blood circulation and promotes the absorp-tion and metabolism of inflammatory substances. It seems to increase blood flow to the vertebral artery, and alleviate the stress of the vascular endothelial cells in ischemic injury to quickly relieve symptoms and the pain of patients. It has advantages of simple operation, noninvasiveness, low cost, high security, and the demonstrated high efficacy, the Miao medicine fumigation treatment is worthy of further research and deserves to be promoted as one of the options for treating the cervical spondylosis.
