ABSTRACT
ObjectiveTo investigate the effect of gentle moxibustion on hemorheology in cervical spondylotic vertebral arteriopathy of qi-blood deficiency type.MethodSixty patients diagnosed with cervical spondylotic vertebral arteriopathy of qi-blood deficiency typewere randomly allocated to treatment and control groups, 30 cases each. The control group received conventional acupuncture at cervical Huatuo jiaji(Ex-B2)points and the treatment group, gentle moxibustion in addition. TCD was performed before and after treatment to observe hemorheological changes in the two groups. The clinical therapeutic effects were evaluated.ResultThe total efficacy rate was 96.7% in the treatment group and 90.0% in the control group. There was a statistically significant difference in therapeutic effect between the two groups (P<0.05). There were statistically significant pre-/post-treatment differences in TCD indicators in the two groups (P<0.05). Vertebrobasilar blood flow was improved more in the treatment group (P<0.05).ConclusionGentle moxibustion can improve vertebrobasilar blood flow to a greater extent in cervical spondylotic vertebral arteriopathy. It is clinically an effective way to treat cervical spondylotic vertebral arteriopathy.
ABSTRACT
Objective To observe the clinical efficacy of acupuncture at the nine acupoints on nape in treating vertebrobasilar ischemia (VBI). Methods Totally 100 VBI patients were randomized into a treatment group and a control group, 50 in each group. The treatment group was intervened by acupuncture at Fengfu (GV 16), Fengchi (GB 20), Wangu (GB 12), Tianzhu (BL 10), and Jiaji (EX-B 2, C3);while the control group was by oral administration of Nimodipine tablets. The parameters in Transcranial Doppler (TCD) and Dizziness Assessment Rating Scale (ADRS) were observed before and after intervention, and the clinical efficacies were compared. Results The TCD parameters were significantly changed in the treatment group after intervention (P<0.05). The TCD parameters [Vs (RVA), Vd (BA, LVA), Vm (BA, RVA), PI (BA)] were significantly changed in the control group after intervention (P<0.05). After intervention, there were significant differences in comparing the TCD parameters [Vs (BA, LVA, RVA), Vd (BA, RVA), Vm (BA, LVA), PI (BA)] between the two groups (P<0.05). The DARS average scores were significantly changed in both groups after 7-day treatment (P<0.01). The DARS average scores after the whole intervention were significantly different from that after 7-day treatment in both groups (P<0.01). There were significant differences in comparing the DARS average scores between the two groups after 7-day intervention and after the whole intervention (P<0.01). The recovery-markedly effective rate and total effective rate were respectively 76.0%and 98.0%in the treatment group versus 44.0%and 96.0%in the control group, and there was a significant difference in comparing the recovery-markedly effective rate (P<0.05). Conclusions Acupuncture at the nine nape acupoints is an effective method in treating VBI.