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[目的]观察牵引及针灸联合氟桂利嗪与补肾活血通络方治疗椎动脉型颈椎病疗效。[方法]使用随机平行对照方法,将50例住院患者按随机数字表法分为两组。对照组25例盐酸氟桂利嗪胶囊10mg/次,1次/d;补肾活血通络方(当归、丹参各15g,川芎、红花各6g,威灵仙、桃仁、桂枝、葛根、赤芍、天麻、菊花、白芷各10g,全虫3g,珍珠母20g)1剂/d,水煎200mL,早晚口服。治疗组25例牵引及针灸:取坐位,颈椎枕颔带牵引,颈部稍前屈,牵引质量约为5kg,20min/次,1次/d。牵引后针灸,取颈夹脊穴、大椎、风池、风府、百会等穴位,行平补平泻手法,留针20min,1次/d。氟桂利嗪与补肾活血通络方治疗同对照组。两组均连续治疗30d为1疗程。观测临床症状、VAS评分、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈20例,显效4例,有效1例,无效0例,总有效率100.00%。对照组痊愈10例,显效4例,有效4例,无效7例,总有效率72.00%。治疗组疗效优于对照组(P<0.05)。[结论]牵引及针灸联合氟桂利嗪与补肾活血通络方治疗椎动脉型颈椎病效果显著,值得推广。
[Objective] To observe the curative effect of traction and acupuncture combined with Flunarizine and Bushen Huoxue Tongluo Prescription on vertebral artery type cervical spondylosis. [Methods] Randomized parallel method was used to divide 50 inpatients into two groups according to random number table. The control group of 25 flunarizine hydrochloride capsules 10mg / time, 1 / d; Bushen Huoxue Tongluo Fang (Angelica, Salvia 15g, Chuanxiong, safflower 6g, Clematis, peach kernel, cassia twig, Pueraria, red Shao, Tianma, chrysanthemum, Angelica 10g, all insects 3g, mother of pearl 20g) 1 / d, decoction 200mL, morning and evening oral. The treatment group of 25 cases of traction and acupuncture: Take the seat, cervical pillow with traction, slightly flexed neck, traction quality is about 5kg, 20min / time, 1 time / d. Traction after acupuncture, take Jiaji points, Ojo, wind pool, wind House, Baihui and other points, line Pingzao diarrhea practices, needle 20min, 1 / d. Flunarizine and Bushen Huoxuetongluo treatment with the control group. Continuous treatment of both groups 30d for a course of treatment. Observed clinical symptoms, VAS score, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Result] In the treatment group, 20 cases were cured, 4 cases were markedly effective, 1 case effective, 0 ineffective and the total effective rate was 100.00%. The control group recovered 10 cases, 4 cases markedly effective in 4 cases, 7 cases, the total effective rate 72.00%. The treatment group was better than the control group (P <0.05). [Conclusion] The traction and acupuncture combined with Flunarizine and Bushen Huoxue Tongluo Recipe have significant effect on vertebral artery type cervical spondylosis and worth popularizing.