摘要
目的:观察仰卧位旋按手法对椎动脉型颈椎病患者椎动脉血流速度的影响,并与颈椎牵引作用效果进行比较。方法:①选择1999-09/2001-01福建中医学院附属人民医院颈椎病专科门诊就诊的椎动脉型颈椎病患者60例。均对治疗方案及检测指标知情同意。②按随机抽签法将患者分为2组:治疗组(n=30,男10例,女20例)和对照组(n=30,男12例,女18例)。治疗组:采用仰卧位旋按手法治疗,隔2d行1次手法,10次为1个疗程。对照组:采用坐位布托带颈椎牵引,隔2d日牵引1次,10次为1个疗程。③于治疗前和治疗1个疗程后采用经颅多谱勒超声仪(AUS-128DP深圳产)检测双侧椎动脉收缩期血流速度、舒张期血流速度、平均血流速度。④计量资料差异比较采用t检验。结果:椎动脉型颈椎病患者60例均进入结果分析。两组治疗前椎动脉血流速度差异不明显(P>0.05)。治疗组患者治疗后椎动脉收缩期血流速度、舒张期血流速度、平均血流速度明显快于治疗前和对照组治疗后(P<0.05～0.01)。对照组患者治疗后双侧椎动脉收缩期血流速度和右侧椎动脉舒张期血流速度明显较治疗前加快(P<0.05)。结论:仰旋按手法可改善椎动脉型颈椎病患者椎动脉血流速度,且其作用效果强于单纯颈椎牵引。
AIM： To observe the effect of elinostatie manipulation in supine position on the flow velocity of vertebral artery in patients with cervical spondylosis （CSA） of vertebral artery type, and compare with cervical traction. METHODS： ①Sixty inpatients with CSA between September 1999 and January 2001 were selected from People＇s Hospital Affiliated to Fujian College of Traditional Chinese Medicine, and all subjects knew and agreed with the treatment as well as the inspecting indexes. ②Patients were randomly divided into two groups： treatment group （n=30, 10 males, 20 females） and control group （n=30, 12 males, 18 females）. Treatment group： patients were treated with the clinostatic manipulation in supine position once every three days for totally 10 times as one course. Control group： patients were treated with cervical spinal traction in a sitting position once every three days for totally 10 times as one course. ③The systolic velocity （Vs）, diastolic velocity （Vd） and mean blood speed （Vm） of vertebral artery in patients before and after the treatment were examined by Transcranial Doppler Sonography （the AUS-128DP Shenzhen）. ④ Differences in measurement data were compared with t test. RESULTS： A total of 60 cases with CSA were involved in the analysis of results. The differences in blood flow velocity of anterior vertebral artery between two groups before treatment were not significant （P 〉 0.05）. The vertebral artery systolic velocity, diastolic velocity and mean blood speed of patients in the treatment group after treatment were obviously faster than patients in the control group before treatment （P 〈 0.05-0.01）. Bilateral vertebral artery systolic velocity and diastolic velocity of the right lateral in patients of the control group after treatment were significantly faster than patients in the control group before treatment （P 〈 0.05）. CONCLUSION： The blood flow velocity of vertebral artery of patients with CSA can be significantly ameliorated by clinostatic manipulation in supine position, and the effect of which is better than that of cervical traction.
出处
《中国临床康复》
CSCD
北大核心
2006年第35期90-91,共2页
Chinese Journal of Clinical Rehabilitation
