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| 活血定眩汤配合针灸治疗椎动脉型颈椎病临床疗效观察 |
| Clinical observation of Huoxue Dingxuan decoction combined with Acupuncture in the treatment of Cervical Spondylosis of vertebral artery Type |
| 投稿时间：2020-05-06 录用日期：2020-05-14 |
| DOI： |
| 中文关键词: 活血定眩汤 椎动脉型颈椎病 针灸治疗 临床观察 |
| 英文关键词: Huoxue Dingxuan decoction Cervical spondylosis of vertebral artery type Acupuncture treatment Clinical observation |
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| 中文摘要: |
| 目的：探讨活血定眩汤配合针刺疗法治疗椎动脉型颈椎病的效果。方法：将104例于我院就诊的椎动脉型颈椎病患者作为研究对象,平均分为两组,治疗组予以活血定眩汤联合中医针灸治疗,对照组予以口服氟桂利嗪胶囊配合针灸治疗。观察对比两组患者治疗后的临床疗效、经颅多普勒血流参数以及疾病复发率。结果：①治疗前2组患者左右椎动脉及基底动脉平均血流速度差异不明显,无统计学差异(P＞0.05)；治疗后两组患者动脉血流速度均提高,且治疗组较对照组流速升高更明显(tL＝5.647,P＜0.05；tR＝6.124,P＜0.05；tS＝5.133,P＜0.05)；②治疗组治疗后的总体疗效明显优于对照组。[治疗组R1＝0.432,95％CL为(0.364,0.501)；对照组R2＝0.567,95％CL为(0.490,0.643)；t＝2.583,P＜0.05)]；③治疗半年后随访,治疗组的复发率及不良反应发生率明显较对照组更低(χ2＝5.626,P＜0.05)；结论：活血定眩汤配合针灸在椎动脉型颈椎病的临床疗效及治疗周期都显著优于氟桂利嗪,而不良反应发生率及复发率均明显低于氟桂利嗪组,活血定眩汤对眩晕患者有积极地治疗作用,值得在临床中推广运用。 |
| 英文摘要: |
| Objective：To explore the effect of Huoxue Dingxuan decoction combined with acupuncture in the treatment of cervical spondylosis of vertebral artery type. Methods: 104 patients with cervical spondylosis of vertebral artery type treated in our hospital were divided into two groups averagely. The treatment group was treated with Huoxue Dingxuan decoction combined with traditional Chinese medicine acupuncture, and the control group was treated with oral flunarizine capsule combined with acupuncture, observe and compare the clinical efficacy, transcranial Doppler blood flow parameters and disease recurrence rate between the two groups after treatment. Results:①Before treatment, there was no significant difference in the mean blood flow velocity of left and right vertebral artery and basilar artery between the two groups(P＞0.05),but after treatment, the arterial blood flow velocity increased in both groups, and the blood flow velocity in the treatment group was significantly higher than that in the control group(tL＝5.647,P＜0.05；tR＝6.124,P＜0.05；tS＝5.133,P＜0.05)；②The overall curative effect of the treatment group was significantly better than that of the control group[R1＝0.432,95％CL(0.364,0.501)；R2＝0.567,95％CL(0.490,0.643)；t＝2.583,P＜0.05)]；③ During the follow-up half a year after treatment, the recurrence rate and the incidence of adverse reactions in the treatment group were significantly lower than those in the control group. (χ2＝5.626,P＜0.05).Conclusion: The clinical efficacy and treatment cycle of Huoxue Dingxuan decoction combined with acupuncture in cervical spondylosis of vertebral artery type are significantly better than that of flunarizine, but the incidence and recurrence rate of adverse reactions in flunarizine group are significantly lower than those in flunarizine group. Huoxue Dingxuan decoction has a positive therapeutic effect on patients with vertigo and is worth popularizing in clinic. |
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