摘要
目的：为旋转复位手法的安全操作及治疗作用机制提供科学依据。方法：采用经颅多普勒（ＴＣＤ）检测５０例颈性眩晕患者（眩晕组）及健康者（对照组，２５例）在实施旋转复位手法使头颈受极度旋转时，以及接受旋转复位手法治疗后椎基底动脉的血流速度。结果：眩晕组转颈后双侧椎动脉流速明显下降（Ｐ＜０．０５），基底动脉流速有所下降；对照组转颈后双侧椎动脉及基底动脉流速下降均不明显。眩晕组双侧椎动脉及基底动脉流速均较对照组明显加快（Ｐ＜０．０５），ＴＣＤ提示椎动脉痉挛或狭窄；经旋转复位手法治疗后颈性眩晕患者症状明显改善或消失，双侧椎动脉及基底动脉流速均明显降低（Ｐ＜０．０５），ＴＣＤ提示椎动脉痉挛或狭窄减轻或消失。结论：旋转复位手法潜伏着导致椎基底动脉急剧供血不足或损伤椎动脉的危险。但如果选用得当，手法正确娴熟，不但能避免损伤和意外，而且能改善椎基底动脉供血。
Objective:To provide scientific bases of safe operation and mechanism of rotatory
reduction manipulation(RRM) on cervical vertigo. Method:Changes of blood flow velocity of
vertebral basilar artery in 50 cases of cervical vertigo were examined with Doppler during and
after the manipulation. Twenty five health subjects were chosen as the control
group.Result:During rotation of head with RRM the BFV of bilateral vertebral artery (VA)
decreased( P <0.05),but the BFV of basilar artery (BA) did not decreased significantly in the VG,
and neither of them decreased significantly in the CG, while neither the VG nor the CG showed
vertigo or other discomforts during the manipulation. The BFV of bilateral VA and BA were
obviously faster in the VG than in the CG ( P <0.05). After treating with RRM for a period of 6
weeks the syndrome improved significantly or disappeared and the BFV of bilateral VA and BA
were lowered ( P <0.05)in the VG. This suggested that the spasm or stenosis of VA and BA in
VG improved as a result of the treatment with RRM. Conclusion:RRM might potentially induce
the risk of sudden vertebrobasilar insufficiency or damages of VA. If this method is used in a
proper way and conducted perfectly, it may not only avoid damages and accidents, but also
improve VBA blood supply.
出处
《中国康复医学杂志》
CAS
CSCD
1999年第3期98-102,共5页
Chinese Journal of Rehabilitation Medicine
基金
香港瑞安康复医学研究发展基金
