分析电针项六针联合化瘀颈痹汤治疗椎动脉型颈椎病（CSA）的临床疗效。【方法】 采用回顾性研究方法，收集 2021年5月至2023年5月海口市中医医院收治的126例CSA患者，根据治疗方案的不同分为观察组59例和对照组67例。观 察组给予电针项六针联合化瘀颈痹汤治疗，对照组给予常规针刺联合化瘀颈痹汤治疗。治疗2周为1个疗程，2组均治疗2个 疗程。观察2组患者治疗前后颈椎功能障碍指数（NDI）的变化情况，以及颈椎生理曲度的情况，比较2组患者治疗前后血液 流变学与血流动力学指标的变化情况，并评价2组患者的临床疗效。【结果】（1）观察组总有效率为96.61%（57/59），对照组为 77.61%（52/67）。观察组疗效优于对照组，差异有统计学意义（P＜0.05）。（2）治疗后，2组患者的NDI评分及颈椎生理曲度均 明显改善（P＜0.05），且观察组在改善NDI评分及颈椎生理曲度方面明显优于对照组，差异有统计学意义（P＜0.05）。（3）治疗 后，2组患者的全血高切黏度、全血低切黏度、血浆黏度及纤维蛋白原均明显改善（P＜0.05），且观察组在改善全血高切黏 度、全血低切黏度、血浆黏度及纤维蛋白原方面明显优于对照组，差异均有统计学意义（P＜0.05）。（4）治疗后，2组患者的 前椎-基底动脉收缩期峰流（Vs）、平均血流速度（Vm）、血管搏动指数（PI）及阻力指数（RI）均明显改善（P＜0.05），且观察组 在改善Vs、Vm、PI及RI方面明显优于对照组，差异有统计学意义（P＜0.05）。【结论】 电针项六针联合化瘀颈痹汤治疗椎动 脉型颈椎病疗效显著，能明显改善患者的颈椎功能，改善血液流变学及血流动力学指标，促进患者颈椎功能的康复。

To analyze the clinical efficacy of nape needling at six points with electroacupuncture combined with Huayu Jingbi Decoction in the treatment of cervical spondylotic vertebralartery （CSA）. Methods A retrospective study was conducted to collect 126 patients with CSA admitted to Haikou Hospital of Traditional Chinese Medicine from May 2021 to May 2023. According to different treatment regimens，they were divided into observation group （59 cases） and control group （67 cases）. The observation group was treated with nape needling at six points with electroacupuncture combined with Huayu Jingbi Decoction，while the control group was treated with conventional acupuncture combined with Huayu Jingbi Decoction. Two weeks was a course of treatment，and both groups were treated for two courses. The changes of neck disability index（NDI） and cervical physiological curvature were observed before and after treatment in the two groups. The changes of hemorheology and hemodynamic indexes were compared before and after treatment between the two groups，and the clinical efficacy of the two groups was evaluated. Results （1）The total effective rate of the observation group was 96.61% （57/59）， and the control group was 77.61%（52/67）. The efficacy of the observation group was superior to that of the control group，and the difference was statistically significant （P＜0.05）.（2）After treatment，the NDI scores and cervical physiological curvature of the patients in the two groups were significantly improved（P＜0.05）， and the observation group was significantly superior to the control group in improving the NDI scores and cervical physiological curvature，with a statistically significant difference （P＜0.05）.（3）After treatment，the whole blood high cut viscosity，whole blood low cut viscosity，plasma viscosity and fibrinogen of patients in the two groups were significantly improved （P＜0.05），and the observation group was significantly superior to the control group in improving whole blood high cut viscosity，whole blood low cut viscosity，plasma viscosity and fibrinogen，and the differences were statistically significant （P＜0.05）.（4）After treatment，the Vs，Vm，PI and RI of the two groups of patients were significantly improved （P＜0.05）， and the observation group was significantly superior to the control group in improving Vs，Vm，PI and RI，with statistically significant differences（P＜0.05）. Conclusion Nape needling at six points with electroacupuncture combined with Huayu Jingbi Decoction has remarkable efficacy in the treatment of cervical spondylotic vertebralartery，which can significantly improve the cervical spine function of the patients，improve the blood rheology and haemodynamic indexes，and promote the recovery of the cervical spine function of the patients.

R246.9

海南省卫生健康行业科研项目（编号：21A200428）