复方丹参注射液联合针灸对颈椎病患者血流动力学影响研究.docVIP

复方丹参注射液联合针灸对颈椎病患者血流动力学影响研究 　　摘 要 目的：探讨复方丹参注射液联合针灸对颈椎病患者血流动力学的影响。方法：选取我院康复科颈椎病患者78例，采用随机数字表法将患者分为观察组和对照组，观察组采用复方丹参注射液联合针灸治疗，对照组采用针灸治疗，比较两组治疗前后血流动力学参数（血沉、纤维蛋白原、红细胞电泳时间、全血低切黏度、全血高切黏度和红细胞压积）的差异。结果：观察组治疗有效率明显高于对照组（P0.05）。结论：复方丹参注射液联合针灸治疗颈椎病患者疗效显著，通过显著改善血流动力学参数而达到缓解疼痛和手指麻木等不适症状，值得临床推广应用。 　　关键词 复方丹参注射液 针灸 颈椎病 血流动力学 　　中图分类号：R286； R259 文献标识码：B 文章编号：1006-1533（2015）17-0035-04 　　Study on the effect of compound salvia miltiorrhiza injection combined with acupuncture on the hemodynamics in patients with cervical spondylosis 　　GUO Xiang， XU Lipeng， XU Feng， XIONG Yinyi 　　（Department of Rehabilitation Medicine， The Affiliated Hospital of Jiujiang University， Jiangxi Province， Jiujiang 332000， China） 　　ABSTRACT Objective： To investigate the effect of compound Danshen injection combined with acupuncture on hemodynamics in patients with cervical spondylosis. Methods： Seventy-eight cases of patients with cervical spondylosis from our department were selected and randomly divided into an observation group （treated with compound Danshen injection combined with acupuncture， n=40） and a control group （treated with only acupuncture， n=38） and hemodynamic parameters （ESR， Fib， ESR fibrinogen， erythrocyte electrophoresis time， whole blood low shear viscosity， whole blood viscosity and hematocrit Hct） were compared between two groups before and after treatment. Results： The effective rate of treatment was higher in the observation group than in the control group （P0.05）. Conclusion： Compound salvia miltiorrhiza injection combined with acupuncture can significantly improve hemodynamic parameters and therefore increase curative effect， relieve pain and some uncomfortable symptoms such as finger numbness and so on and is worthy of clinical application. 　　KEY WORDS compound Danshen injection； acupuncture； cervical spondylosis； hemodynamics 　　颈椎病（cervical spondylosis）是康复医学科常见的多发病和常见病，其发生率约为3.8%～17.6%，且逐渐呈现年轻化倾向[1]。颈椎病是指颈椎骨质增生、颈项韧带钙化、颈椎间盘萎缩退化等改变，导致颈部神经、脊髓和血管刺激导致的临床综合征。临床上常见的颈椎病类型有脊髓型、交感型、椎