CAJ | 학술논문

目的：探讨针灸加颈椎牵引治疗椎动脉型颈椎病的临床疗效。方法选择我院2011年1月至2014年1月收治入院的椎动脉型颈椎病患者200例，随机分配，其中对照组100例仅采用西医治疗，观察组100例采用在西药处方的基础上给予针灸配合颈椎牵引治疗，随访6～12月，比较两种方法的临床疗效。结果观察组治疗后总有效率为94．0％，对照组为80．0％。两组治疗效果都较好，但观察组治疗效果更好，两组比较差异显著有统计学意义，P＜0．05；两组患者治疗前基底动脉和椎动脉平均血流速度比较差异无统计学意义（P＞0．05）；治疗后观察组和对照组的基底动脉和椎动脉平均血流速度均有改善，但观察组改善更明显，两组比较差异显著有统计学意义，P＜0．05；两组均未见严重不良反应和并发症。经随访调查发现观察组仅6例有复发（6．0％），对照组有15例复发（15．0％）。两组比较差异显著有统计学意义，P＜0．05。结论针灸加颈椎牵引治疗椎动脉型颈椎病疗效显著，且复发率低，值得临床推广应用。
목적：탐토침구가경추견인치료추동맥형경추병적림상료효。방법선택아원2011년1월지2014년1월수치입원적추동맥형경추병환자200례，수궤분배，기중대조조100례부채용서의치료，관찰조100례채용재서약처방적기출상급여침구배합경추견인치료，수방6～12월，비교량충방법적림상료효。결과관찰조치료후총유효솔위94．0％，대조조위80．0％。량조치료효과도교호，단관찰조치료효과경호，량조비교차이현저유통계학의의，P＜0．05；량조환자치료전기저동맥화추동맥평균혈류속도비교차이무통계학의의（P＞0．05）；치료후관찰조화대조조적기저동맥화추동맥평균혈류속도균유개선，단관찰조개선경명현，량조비교차이현저유통계학의의，P＜0．05；량조균미견엄중불량반응화병발증。경수방조사발현관찰조부6례유복발（6．0％），대조조유15례복발（15．0％）。량조비교차이현저유통계학의의，P＜0．05。결론침구가경추견인치료추동맥형경추병료효현저，차복발솔저，치득림상추엄응용。
Objective To investigate the clinical efficacy of acupuncture plus cervical traction treatment of cervical spondylosis of vertebral artery type.Methods 200 patients with vertebral artery type of cervical spondylosis patients in our hospital from 2011 January -2014 year in January admitted to the hospital were randomly assigned to one of 100 cases in the control group were only treated with western medicine, the observation group of 100 cases was treated with acupuncture and traction for the treatment of Western medicine in prescription, patients were followed up for 6 ~12 months, clinical curative effect comparison of two methods the. Results In the observation group after treatment, the total effective rate was 94%, 80% in the control group. The treatment effect of the two groups are better, but the observation group curative effect is better, the difference between the two groups was statistically significant, P<0.05; mean blood flow velocity of vertebral artery and basilar artery before and there was no significant difference between the treatment of patients in the two groups ( P>0.05);improved the basilar artery and vertebral artery mean blood flow velocity of the observation group and the control group treatment, but the observation group improved more obviously, the difference between the two groups was statistically significant, P<0.05; two groups were no serious adverse reactions and complications. After the follow-up survey found only 6 cases recurrence in observation group ( 6%) , the control group had 15 cases of recurrence (15%).The difference between the two groups was statistically significant, P <0.05. Conclusions The traction in the treatment of vertebral artery type of cervical spondylosis is acupuncture plus cervical vertebra, and the recurrence rate is low, worthy of clinical application.