CAJ | 학술논문

目的：观察针灸治疗法对椎动脉型颈椎病(CSA﹚患者症状体征总积分的影响。方法选择我院2013年7月~2014年7月收治的80例CSA患者，按照随机数字表法分成对照组与观察组，每组各40例。对照组患者给予常规药物治疗，观察组患者在对照组基础上，采用针灸法治疗。对比两组患者的临床疗效、治疗前后的症状体征总积分。结果观察组治疗的总有效率92.50%，显著高于对照组的70.00%，差异有统计学意义(P<0.05﹚；观察组与对照组患者治疗后的症状体征总积分均显著低于治疗前，但观察组治疗后的症状体征总积分显著低于对照组，差异均有统计学意义(P<0.05﹚；两组患者治疗后的两侧椎动脉Vs、Vd值等均明显升高，而观察组治疗后的两侧椎动脉收缩期峰值流速(Vs﹚、舒张末期峰值流速(Vd﹚值均显著高于对照组，差异均有统计学意义(P<0.05﹚。结论采用针灸法治疗椎动脉型颈椎病，可提高临床治疗效果，显著改善症状体征总积分，值得广泛推广。
목적：관찰침구치요법대추동맥형경추병(CSA﹚환자증상체정총적분적영향。방법선택아원2013년7월~2014년7월수치적80례CSA환자，안조수궤수자표법분성대조조여관찰조，매조각40례。대조조환자급여상규약물치료，관찰조환자재대조조기출상，채용침구법치료。대비량조환자적림상료효、치료전후적증상체정총적분。결과관찰조치료적총유효솔92.50%，현저고우대조조적70.00%，차이유통계학의의(P<0.05﹚；관찰조여대조조환자치료후적증상체정총적분균현저저우치료전，단관찰조치료후적증상체정총적분현저저우대조조，차이균유통계학의의(P<0.05﹚；량조환자치료후적량측추동맥Vs、Vd치등균명현승고，이관찰조치료후적량측추동맥수축기봉치류속(Vs﹚、서장말기봉치류속(Vd﹚치균현저고우대조조，차이균유통계학의의(P<0.05﹚。결론채용침구법치료추동맥형경추병，가제고림상치료효과，현저개선증상체정총적분，치득엄범추엄。
Objective To observe the acupuncture treatment on patients with cervical spondylotic arteriopathy (CSA﹚whose total symptom and sign scores. Methods A total of 80 cases of patients with CSA hospitalized from July 2013 to July 2014 were selected, according to the random number table method, they were divided into control group and obser-vation group, 40 cases of each group, patients of the control group were given routine drug treatment, patients of the observation group were given acupuncture treatment on the basis of the control group. The clinical curative effect, the total integral of symptoms and signs before and after treatment of patients of two groups were compared. Results The total effective rate of the observation group was 92.50%,it was the observation group and the control group higher than that of 70.00%of control group, the difference had statistical significance(P<0.05﹚;the Vs, Vd values of both sides of the vertebral artery of the two groups after treatment were significantly improved, while the vertebral artery of the both sides of peak systolic velocity of bilateral vertebral artery(Vs﹚of observation group, diastolic peak velocity(Vd﹚ were significantly higher than those of control group, the difference had statistical significance (P<0.05﹚. Conclusion Using the acupuncture in treatment of patients with vertebral artery type of cervical spondylosis, it can im prove the clinical effect, and it can significantly improve total symptom and sign scores, which is worth promoting widely.