定眩活血汤配合针灸治疗椎动脉型颈椎病（气滞血瘀证）临床疗效观察

【作者】 吴永安；

【导师】 王勇；

【作者基本信息】 湖南中医药大学 ， 中医骨伤科学， 2012， 硕士

【摘要】 目的：本研究的主要目的在于观察定眩活血汤配合针灸治疗椎动脉型颈椎病(气滞血瘀证)的临床疗效及安全性。方法：将60例椎动脉型颈椎病(气滞血瘀证)患者采用随机数字表法分为治疗组和对照组,两组病例均为30例。治疗组30例患者煎服定眩活血汤和针灸基础治疗,对照组30例患者口服颈复康颗粒和针灸基础治疗。在治疗前和治疗三周后分别对治疗组和对照组病例进行症状评分和观察辅助检查包括血液流变学和左右椎动脉、基底动脉血流速度指标变化情况,同时观察患者血常规、肝肾功能等治疗前后变化情况。结果：研究表明治疗组与对照组在治疗椎动脉型颈椎病方面,均有不同程度的疗效,治疗组总体疗效(症状体征、血液动力、血液流变及功能评定)高于对照组,差异无统计学意义,并且在改善其某些症状体征方面有其独特优势。结论：1、定眩活血汤配合针灸治疗的临床总体疗效高于颈复康颗粒配合针灸治疗,治疗组总有效率为93.3%,对照组总有效率为90%,并且其在改善椎动脉型颈椎病(气滞血瘀证)的某些症状及体征方面有其独特优势,能改善椎-基动脉的血液流变学和血液动力学,能提高患者生活质量。2、在研究期间患者未出现明显的不良反应,具有安全可靠性。更多还原

【Abstract】 Objective:The main objective of this study to observe the effects of Dingxuanhuoxue decoction on Cervical Spondylosis of Vertebral Artery,analysis the clinical efficacy and safety.Methods:A random number table,60cases were divided into Dingxuanhuoxue decoction(treatment group) and Jing Fu Kang particles(control group),the group were all30cases,Pre-treatment particles balance the two groups when compared to comparable.In the treatment of three weeks before and after treatment,respectively,the treatment group and control group patients symptom score and observation,including examination of hemorheology and left and right vertebral artery blood flow velocity changes in indicators.Result:The study shows that Dingxuanhuoxue decoction the treatment group with the control group Jing Fu Kang particle group in the treatment of Cervical Spondylosis of Vertebral Artery,the effect of varying degrees, And after the treatment group overall efficacy in the treatment of clinical symptoms and signs to improve the situation and hemorheology and left and right vertebral artery blood flow velocity than the control group,the difference has not statistical significance.Conclusion:1.Dingxuanhuoxue decoction can improve the quality of life and the symptoms of patients,who are the Cervical Spondylosis of Vertebral Artery.the total effective rate was90%. Jing Fu Kang particles of the total effective rate was93.3%2.Dingxuanhuoxue decoction has use value in clinical practice considering its minimal side effects.更多还原