| Objective: To explore the therapeutic effect of tuina cupping combined with pricking bloodletting therapy on cervical spondylosis of vertebral artery type (qi stagnation and blood stasis type). Methods: A total of 84 patients with cervical spondylosis of vertebral artery type (qi stagnation and blood stasis type) admitted to our hospital from April 2021 to November 2023 were selected and divided into control group (n=42, mecobalamin tablets+conventional acupuncture treatment) and study group (n=42, mecobalamin tablets+tuina cupping combined with pricking bloodletting therapy) by random number table method. The visual analogue scale (VAS) score, cervical vertigo symptom and function assessment scale (ESCV) score, vertebral artery type cervical spondylosis function assessment scale (FS-CSA) score, inflammatory mediator level [interleukin (IL)-6, tumor necrosis factor-α (TNF-α)], vascular endothelial function index level [endothelin-1 (ET1), nitric oxide (NO)], vertebral artery blood flow velocity index level [systolic blood flow velocity (Vs), diastolic blood flow velocity (Vp), vascular pulsation index (PI), vascular resistance index (RI)] were compared in two groups. Results:After treatment, the VAS score, ESCV score and FS-CSA score of the two groups decreased, and the decrease of the study group was greater than that of the control group (P<0.05). After treatment, the levels of serum IL-6, TNF-α and ET-1 in the two groups decreased, and the decrease in the study group was greater than that in the control group. Serum NO level increased, and the increase in the study group was greater than that in the control group (P<0.05). After treatment, the PI and RI of the two groups decreased, and the decrease of the study group was greater than that of the control group. Vs and Vp increased, and the increase in the study group was greater than that in the control group (P<0.05). Conclusion: Tuina cupping combined with pricking bloodletting therapy in the treatment of cervical spondylosis of vertebral artery type (qi stagnation and blood stasis type), can effectively improve the vertebral artery blood flow velocity and vertigo symptoms, promote the recovery of cervical spine function, and reduce the degree of pain in the body, which may be related to the regulation of inflammatory factor levels and vascular endothelial function. |
