丛刺电针法治疗椎动脉型颈椎病的fMRI脑功能成像研究

摘要：目的：研究丛刺电针治疗椎动脉型颈椎病的 fMRI脑功能成像。方法：20名椎动脉型颈椎病患者均来自南方医科大学南方医院和珠江医院，按随机数字表法分为观察组和对照组，对应随机数字为偶数者为观察组，奇数者为对照组，每组10例。2组患者均给予针灸治疗，观察组给予丛刺电针法治疗，对照组给予常规电针法治疗。比较2组治疗前后椎动脉型颈椎病体征积分及椎动脉、基底动脉血流速度，并评价疗效。结果：观察组总有效率为100．00％（10／10），对照组为60．00％（6／10），差异均具有统计学意义（P＜0．05）。与治疗前相比，观察组与对照组体征积分均明显减小，椎动脉、基底动脉血流速度均明显增快，差异具有统计学意义（P＜0．05）；与对照组相比，观察组体征积分减小以及椎动脉、基底动脉血流速度增快更为明显，差异具有统计学意义（ P＜0．05）。结论：丛刺法能够把对颈部的刺激由原来点状刺激扩展到面状刺激，使刺激面积增加，明显提高了疗效，值得临床推广应用。jiang Hospital ， were randomly divided into observation group and control group ， the corresponding random number is even as theobserva-tion group， odd as control group ，10 cases in each group ．Two groups of patients were given acupuncture treatment ， the observation group was given cluster electric acupuncture treatment ， the control group was given routine electric acupuncture treatment ．Two groups were compared before and after treatment of cervical spondylosis of vertebral artery type integral and signs of vertebral artery and basilar artery blood flow velocity， and evaluate the effect．Results：the total efficiency of the observation group was 100％（10／10）， the control group was 60％（6／10）， the differences were statistically significant （P ＜0．05）．Compared with before treatment， the observation group and the control group symptom scores were significantly reduced ， vertebral artery ， basilar artery blood flow velocity was significantly increased ， the difference was statistically significant （ P ＜0．05）；compared with the control group ， the observation group decreased and symptom integral vertebral artery， basilar artery blood flow velocity increased more significantly ， statistically significant differences （P ＜0．05）． Conclusion：cluster needling could take on the neck of the stimulus from the original extended topunctate stimuli planar stimulation ， the stimulation area increased ， significantly improve thecurative effect ， it might be worthy of clinical application ．