Nape Needling at Six Points with Electroacupuncture Combined with Huayu J ingbi Decoction in the Treatment of Cervical Spondylotic Vertebralartery:A Retrospective Study
10.13359/j.cnki.gzxbtcm.2024.05.023
- VernacularTitle:电针项六针联合化瘀颈痹汤治疗椎动脉型颈椎病的回顾性研究
- Author:
Fan-Guang ZENG
1
;
Da-Zhong WANG
;
Zheng-Lin LU
Author Information
1. 海口市中医医院,海南海口 570000
- Keywords:
electroacupuncture;
nape needling at six points;
Huayu Jingbi Decoction;
cervical spondylotic vertebralartery;
cervical function;
haemorheology;
haemodynamics
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(5):1244-1249
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical efficacy of nape needling at six points with electroacupuncture combined with Huayu Jingbi Decoction in the treatment of cervical spondylotic vertebralartery(CSA).Methods A retrospective study was conducted to collect 126 patients with CSA admitted to Haikou Hospital of Traditional Chinese Medicine from May 2021 to May 2023.According to different treatment regimens,they were divided into observation group(59 cases)and control group(67 cases).The observation group was treated with nape needling at six points with electroacupuncture combined with Huayu Jingbi Decoction,while the control group was treated with conventional acupuncture combined with Huayu Jingbi Decoction.Two weeks was a course of treatment,and both groups were treated for two courses.The changes of neck disability index(NDI)and cervical physiological curvature were observed before and after treatment in the two groups.The changes of hemorheology and hemodynamic indexes were compared before and after treatment between the two groups,and the clinical efficacy of the two groups was evaluated.Results(1)The total effective rate of the observation group was 96.61%(57/59),and the control group was 77.61%(52/67).The efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After treatment,the NDI scores and cervical physiological curvature of the patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the NDI scores and cervical physiological curvature,with a statistically significant difference(P<0.05).(3)After treatment,the whole blood high cut viscosity,whole blood low cut viscosity,plasma viscosity and fibrinogen of patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving whole blood high cut viscosity,whole blood low cut viscosity,plasma viscosity and fibrinogen,and the differences were statistically significant(P<0.05).(4)After treatment,the Vs,Vm,PI and RI of the two groups of patients were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving Vs,Vm,PI and RI,with statistically significant differences(P<0.05).Conclusion Nape needling at six points with electroacupuncture combined with Huayu Jingbi Decoction has remarkable efficacy in the treatment of cervical spondylotic vertebralartery,which can significantly improve the cervical spine function of the patients,improve the blood rheology and haemodynamic indexes,and promote the recovery of the cervical spine function of the patients.