关键词: 椎动脉型颈椎病, 呼吸模式重建, 隔姜灸, 灸量, 随机对照试验

Abstract: Objective To observe the effects of functional exercise for respiratory pattern reconstruction combined with different amounts of ginger separated moxibustion on symptoms such as dizziness，neck and shoul⁃ der pain，and headache in patients with cervical spondylosis of vertebral artery type，in order to provide a safe and effective treatment for clinical treatment of cervical spondylosis of vertebral artery type. Methods 120 patients with cervical spondylosis of vertebral artery type who met the inclusion criteria were randomly divided into four groups： Treatment group 1（conventional acupuncture + electroacupuncture + massage + respiratory mode reconstruction functional exercise combined with ginger separated moxibustion for 3 zhuang），treatment group 2（conventional acupuncture + electroacupuncture + massage + respiratory mode reconstruction functional exercise combined with ginger separated moxibustion for 6 zhuang），and treatment group 3（conventional acupuncture+electroacupuncture+ massage + respiratory mode reconstruction functional exercise combined with ginger separated moxibustion for 9 zhuang），and the control group（conventional acupuncture+electroacupuncture+massage+warm moxibustion）had 30 cases in each group. The scores of the cervical vertigo symptom and function scale（ESCV）and visual analogue scale（VAS）were recorded before and after treatment，as well as at the first and third months following treatment. Results Before treatment，there was no significant difference in ESCV and VAS scores among the four groups （P > 0.05）After treatment，ESCV scores in groups 1，2，and 3 were higher than those in the control group（all P < 0.05），with group 3 having the highest（P < 0.05）；The VAS scores of treatment groups 1，2，and 3 were lower than those of the control group（all P < 0.05），with group 3 having significantly lower VAS scores than the other three groups（P < 0.05）. Conclusion Functional exercise for respiratory pattern reconstruction combined with ginger separated moxibustion can significantly improve symptoms such as dizziness，neck and shoulder pain，and headache in patients. The greater the amount of moxibustion，the better the efficacy. This therapy is safe and has no side effects，and is worthy of clinical promotion. 

Key words: