调气活血法治疗椎动脉型颈椎病气滞血瘀证的临床疗效视察.pdfVIP

提 要 目的：应用调气活血法，以导师经验方调气活血汤治疗椎动脉型颈椎病气滞血瘀 证患者，观察其临床疗效，以验证从调理气机、活血化瘀法治疗椎动脉型颈椎病的临 床可行性，探讨气滞血瘀导致椎动脉型颈椎病的机理，发掘中医药治疗颈椎病的新思 路及方法。 方法：选取符合标准的病例60例，随机分为治疗组和对照组各30例，治疗组予 调气活血汤，水煎服日一剂，早晚各一次服用。对照组予颈复康颗粒口服，每次 1 袋, 每日2次。两组均治疗4周为1疗程，连续治疗2个疗程，治疗8周后判定临床 总疗效，症状、体征及颈椎病治疗成绩、椎动脉型颈椎病功能(FS-CSA)、颈性眩晕症 状与功能积分变化。 结果：临床总有效率治疗组 93.3%，对照组 60.0%，经统计学处理表明，治疗组 优于对照组（R 治疗＜R 对照 ），同时治疗组临床症状与体征、颈椎病治疗成绩、椎动脉 型颈椎病功能、颈性眩晕症状与功能的积分明显改善。 结论：具有调理气机，活血化瘀作用的调气活血汤能明显改善患者临床症状，提 高患者日常生活、工作能力以及心理和社会适应能力，从调气活血角度论治椎动脉型 颈椎病确有良好的临床疗效。 关键词 椎动脉型颈椎病；气滞血瘀证；临床研究 Clinical Research on cervical spondylosis of verteb alartery type of qi- stagnancy and blood-stasis syndrome treated from the treatment of regulating qi and activating blood circulation Speciality：Neurology, Internal Medicine of Traditional Chinese Medicine Author ：Zhang Yunlong Tutor ：Professor Sun Xiqing Abstract Objective：To treat the cervical spondylosis of verteb alartery type(CSA) with the syndrome of qi- stagnancy and blood-stasis by the method of regulating qi and activating blood circulation with tiaoqihuoxue decoction from prescriptionsof the mentor and to observe the clinical effect.So as to verify the clinical feasibility of treating the cervical spondylosis of verteb alartery type from qi- stagnancy and blood-stasis syndrome and probe the mechanism of CSA caused by the blood stasis . Explore new ideas and methods of Chinese medicine to treat with the CSA. Methods ：60 patients were chosen according to inclusive criteria and divided randomly into treatment group and control group. The treatment group were given tiaoqihuoxue decoction, while the control group took 1bag jingfukang particle two time