LAUSR

ObjectiveTo observe the clinical effect of liver-regulating and blood-tonifying acupuncture in the treatment of cervical spondylosis of vertebral artery type.MethodsA total of 60 cases meeting the inclusion criteria were randomized into an observation group and a control group, 30 cases in each group. Cases in the observation group received liver-regulating and blood-tonifying acupuncture, in which Jiaji (EX-B 2) points of C3-C7, Ganshu (BL 18) and Geshu (BL 17) were used; cases in the control group received routine acupuncture treatment in which jiaji (EX-B2) points of C3-C7 were used. Both groups received 5 times of treatment in a week with a 2-day rest, symptoms evaluation was done after 4 weeks of treatment, and then therapeutical effect was evaluated.ResultsThe total effective rate was 90.0% in the observation group, 73.3% in the control group, and inter-group comparison showed a statistical significance (P<0.05). After treatment, the symptoms and signs scores in both groups all substantially dropped, showing statistical significances (both P<0.05); inter-group comparison showed that the improvements in subscales of dizziness, pressing pain along vertebrae and revolve-cervix test in the observation group were superior than those in the control group, showing statistical significances (all P<0.05), while the inter-group comparisons of subscales of headache and vomiting and nause didn’t show any statistical significances after treatment (both P<0.05).ConclusionLiver-regulating and blood-tonifying acupuncture is effective in treating cervical spondylosis of vertebral artery type, and it can significantly improve patients’ symptoms and signs.摘要目的观察调肝养血针刺法治疗椎动脉型颈椎病的临床疗效。方法将60 例符合纳入标准的患者按随 机数字表法分为观察组和对照组, 每组30 例。观察组接受调肝养血针刺法, 取穴为颈3-7 夹脊穴, 肝俞和膈俞; 对照组予普通针刺, 取穴为颈3-7 夹脊穴。两组均每星期治疗5 次, 休息2 d, 治疗4 星期后观察两组症状及体征 评分变化, 并评价临床疗效。结果观察组总有效率为90.0%, 对照组为73.3%, 两组差异有统计学意义(P<0.05)。 治疗后两组症状、体征评分均较本组治疗前下降, 组内差异有统计学意义(P<0.05); 组间比较, 观察组眩晕、椎 旁压痛点及旋颈试验改善情况优于对照组, 组间差异有统计学意义(均P<0.05), 而头痛、恶心呕吐改善情况两组 差异无统计学意义(均P>0.05)。结结论调肝养血针刺法治疗椎动脉型颈椎病疗效确切, 能明显改善患者的临床症 状和体征。