刺络疗法对神经根型颈椎病患者局部血流灌注量的影响

Influence of collateral puncture on local blood perfusion in patients with cervical spondylosis of nerve root type

关键词:  刺络疗法  神经根型颈椎病  血流灌注量  针刺  夹脊穴

Key words:  therapy with collateral puncture  nerve root cervical spondylosis  blood perfusion  acupuncture  Jiaji point

摘要:

[目的] 通过观察神经根型颈椎病患者局部血流灌注量的变化,初步探寻刺络疗法治疗神经根型颈椎病的作用机制。[方法] 分别运用刺络疗法与针刺夹脊穴的方法干预神经根型颈椎病患者共57例,在以疼痛评级指数(VAS)评价疗效的同时,运用激光散斑血流仪观察两组患者大椎、肩井(患侧)血流灌注量变化。[结果] 两组患者干预前后VAS均有显著降低(P<0.01);两组患者两穴血流灌注量在干预后均有显著升高(P<0.05),刺络疗法组比针刺夹脊穴组升高幅度大(P<0.05)。[结论] 刺络疗法与针刺夹脊穴都能够增加神经根型颈椎病患者局部血流灌注量,其中刺络疗法的影响更突出。

Abstract:

[Objective] To explore the mechanism of collateral pncture in treating nerve root cervical spondylosis through observing the change of local blood perfusion in patients with nerve root cervical spondylosis. [Methods] The 57 patients with nerve root cervical spondylosis were intervened with collateral pncture and acupuncturing Jiaji. Contineously with evaluating the curative effect with VAS, the change of blood perfusion at DaZhui and JianJing of the patients was observed by laser speckle flowmeter. [Results] VAS scores were reduced significantly after intervention between two groups (P<0.01). Blood perfusion of two acupoints was increased significantly after collateral pncture and acupuncture (P<0.05). The blood perfusion of collateral pncture group was increased higher than that of acupuncture group (P<0.05). [Conclusion] Therapy with collateral puncture and acupuncture can increase the local blood perfusion of patients with nerve root cervical spondylosis, and the impacts of collateral puncture are much more outstanding.