论文部分内容阅读
目的:探讨电脑中频联合百会穴艾灸治疗椎动脉型颈椎病的临床疗效.方法:选取126例椎动脉型颈椎病患者,按随机数字法分为对照组及治疗组各63例.两组均予常规西医治疗,治疗组再予电脑中频联合百会穴艾灸治疗.比较两组治疗前后症状量化积分、临床体征评分、生活质量评分的变化,评估临床疗效.结果:治疗后两组患者头痛眩晕、视物不清、耳鸣耳聋、猝倒、颈椎侧弯后伸不适症状量化积分及总分均高于同组治疗前(P＜0.05),治疗后治疗组患者头痛眩晕、视物不清、耳鸣耳聋、颈椎侧弯后伸不适症状量化积分及总分均高于同期对照组(P＜0.05).治疗后两组患者击顶试验、椎动脉扭曲试验、颈屈伸试验评分及总分均低于同组治疗前(P＜0.05),治疗后治疗组患者击顶试验、椎动脉扭曲试验、颈屈伸试验评分均总分均低于同期对照组(P＜0.05).治疗后两组患者日常活动能力、疼痛/不舒服、焦虑/抑郁评分均高于同组治疗前(P＜0.01),治疗后治疗组患者日常活动能力、疼痛/不舒服、焦虑/抑郁评分均高于同期对照组(P＜0.05).愈显率对照组为55.6％,治疗组为80.9％,组间差异有统计学意义(P＜0.01).结论:电脑中频联合百会穴艾灸治疗椎动脉型颈椎病,可有效改善患者临床症状、体征,提高患者生活质量.“,”Objective:To evaluate the clinical efficacy of computer frequency treatment combined with Baihui(DU20) moxibustion on patients with vertebral artery type of cervical spondylosis.Methods:The 126 patients with vertebral artery type of cervical spondylosis were randomly divided into control group (63 cases) and study group (63 cases) according to the random number method.Two groups were treated with conventional western medicine treatment;the study group was given computer frequency treatment combined with Baihui moxibustion.The symptom scores,clinical signs score and quality of life score changes of the two groups before and after the treatment were compared,to assess the clinical efficacy.Results:After treatment two groups of patients with headache and dizziness,blurred vision,tinnitus and deafness,cataplexy,cervical lateral flexion symptoms quantify integral and total score were higher than the same group before treatment (P＜0.05);After treatment study group of patients with headache and dizziness,blurred vision,tinnitus and deafness,cervical lateral bending extensor discomfort symptoms quantify integral and total scores were higher than those of the control group (P＜ 0.05).After treatment two groups of patients with vertebral artery twist test,impact test,cervical flexion test scores and total scores were lower than the same group before treatment (P＜0.05);after treatment of patients in the study group of top attack test,vertebral artery twisting test,cervical flexion test scores of total score were lower than the control group (P＜0.05).After treatment two groups of patients with activities of daily living,pain/ discomfort,anxiety/depression scores were higher than the same group before treatment (P＜0.01);after treatment of patients in the study group activities of daily living,pain/discomfort,anxiety/depression scores were higher than those in the control group (P＜0.05).The healing rate of the control group was 55.6％,the study group was 80.9％,the difference was statistically significant (P＜0.01).Conclusion:Computer frequency treatment combined with Baihui moxibustion can effectively improve the clinical symptoms and signs,improve the quality of life of patients with vertebral artery type cervical spondylosis.