Objective:To observe the effect of catgut-embedding therapy at five neck points in the treatment of cervical spondylotic arteriopathy(CSA)and analyze its effects on the hemodynamics of patients with CSA.Methods:Using the computer randomization method,72 patients with CSA were divided into a catgut-embedding therapy group(n=36,none dropped out)and a western medication group(n=36,none dropped out).In the catgut-embedding therapy group,the therapy was applied to five neck points,i.e.bilateral Jǐngjiājǐ(颈夹脊)at C5,bilateral Jǐngjiājǐ(颈夹脊)at C6,and Dàzhuī(大椎GV14)once a week.One 3-week treatment session was required.In the western medication group,flunarizine hydrochloride 5 mg capsules were administered orally once daily for 3 weeks.Efficacy was assessed before and after 3 weeks treatment using a functional evaluation scale for cervical spondylotic arteriopathy(FS-CSA).Changes in vertebral-basilar arterial hemodynamics,serum nitric oxide(NO)level,and plasma endothelin(ET)level were detected.Results:Efficacy was assessed when the treatment session was completed.The total efficacy rate was sig-nificantly higher in the catgut-embedding therapy group(86.1％)than in the western medication group(61.1％;P＜0.01).The after treatment FS-CSA score was reduced compared with baseline score in both groups(P＜0.05),and the reduction in the catgut-embedding therapy group was superior to that in the Western medication group(P＜0.05).Compared with baseline,the flow velocity and pulsatility index of the bilateral vertebral and basilar arteries increased at each period in both groups(P＜0.05)except for the left systolic velocity of the vertebral artery after treatment.The increase in the catgut-embedding therapy group was greater than that in the western medication group(P＜0.05).After treatment,the serum NO concentration was increased and the plasma ET concentration was reduced compared to base-line in both groups(P＜0.05),while the improvements in the catgut-embedding therapy group were superior to those in the western medication group(P＜0.05).Conclusion:The clinical efficacy in the catgut-embedding therapy group was superior to that in the west-ern medication group.Catgut-embedding therapy at five neck points may effectively improve psycholog-ical and functional conditions,promote vertebral basilar arterial supply,and relieve clinical symptoms in patients with CSA.

刘德柱;马瑀彤;颜敬彧;方殿伟;冯楚文;刘征

黑龙江中医药大学,哈尔滨150040,中国;黑龙江中医药大学附属第一医院,哈尔滨150040,中国

世界针灸杂志（英文版）

[1]刘德柱;马瑀彤;颜敬彧;方殿伟;冯楚文;刘征-."颈五针"穴位埋线治疗椎动脉型颈椎病疗效及对血流动力学的影响:随机临床试验)[J].世界针灸杂志（英文版）,2022(04):317-323

ngji,GV14,flunarizine,psycholog

穴位埋线治疗,椎动脉型颈椎病,对血流动力学,随机临床试验,Objective,To,observe,catgut,embedding,therapy,five,neck,points,treatment,cervical,spondylotic,arteriopathy,CSA,analyze,its,effects,hemodynamics,patients,Methods,Using,computer,randomization,method,were,divided,into,none,dropped,out,western,medication,In,was,applied,bilateral,夹脊,C5,C6,zhu,大椎,One,session,required,hydrochloride,capsules,administered,orally,daily,weeks,Efficacy,assessed,before,after,using,functional,evaluation,scale,FS,Changes,vertebral,basilar,arterial,serum,nitric,oxide,level,plasma,endothelin,ET,detected,Results,when,completed,total,efficacy,rate,sig,nificantly,higher,than,score,reduced,compared,baseline,both,groups,reduction,superior,that,Compared,flow,velocity,pulsatility,arteries,increased,each,period,except,left,systolic,artery,greater,After,concentration,while,improvements,those,Conclusion,clinical,Catgut,may,effectively,conditions,promote,supply,relieve,symptoms

0.378564