摘要
背景:交感型颈椎病病因、发病机制尚不明确,目前无明确的客观检查标准,经颅多普勒超声仪能够直接对椎-基底动脉系统进行血流动力学监测,可作为交感神经型颈椎病诊断的一项客观指标。高压氧治疗对交感型颈椎病患者椎基底动脉血流速度影响的报道较少。目的:观察高压氧治疗对交感神经型颈椎病患者椎基底动脉血流速度及疗效的影响。方法:将交感神经型颈椎病患者随机分为2组,观察组采用德国吕内堡医疗公司的电脑控制脉冲牵引和多人空气加压高压氧舱治疗;对照组仅采用德国吕内堡医疗公司的电脑控制脉冲牵引治疗。治疗前后均采用经颅多普勒超声仪检查右椎动脉、左椎动脉、基底动脉多普勒血流速度的变化情况。结果与结论:观察组血流减慢41例患者在治疗后双侧椎动脉、基底动脉血流速明显增快(P<0.01);血流增快22例患者治疗后双侧椎动脉、基底动脉血流速明显减低(P<0.01)。对照组患者除左椎动脉收缩期血流速度及基底动脉舒张期血流速度有改变外,余无明显改变。观察组患者治愈率及总有效率显著高于对照组(P<0.01)。提示高压氧对交感神经型颈椎病患者椎基底动脉血流速度有明显改善作用,具有双相调节性,血流速度监测可作为交感神经型颈椎病诊断和疗效判定的一项客观依据。同时高压氧是治疗交感神经型颈椎病较有效的方法。
BACKGROUND： The cause and the mechanism of sympathetic nerve type of cervical spondylosis are unclear, and there is no objective checking standard. Transcranial Doppler ultrasound apparatus can directly monitor the blood flow velocity of vertebro-basilar artery and can be considered as the significantindicator to diagnose the sympathetic nerve type of cervical spondylosis. However, reports on the effect of hyperbaric oxygen on blood flow velocity of vertebrobasilar artery in sympathetic nerve type of cervical spondylosis are rare. OBJECTIVE： To assess the efficacy of hyperbaric oxygen to blood flow velocity of vertebro-basilar artery in sympathetic nerve type of cervical spondylosis. METHODS： The patients with sympathetic nerve type of cervical spondylosis were randomly divided into two groups. The observation group took the computer-controlled pulse traction （Lueneburg health care cempany, Germany） and hyperbaric oxygen therapy. Control group barely using computer-controlled pulse traction （Lueneburg health care company, Germany）. The bilateral vertebral artery and basilar artery were detected with Doppler examination before and after treatment. RESULTS AND CONCLUSION： The bilateral vertebral arteries and basilar artery blood flow in 41 patients with low blood flow velocity in the observation group were significantly increased （P 〈 0.01）; the bilateral vertebral arteries and basilar artery blood flow in 22 patients with high blood flow velocity were decreased significantly （P 〈 0.01）. In the control group, the blood flow velocity in systolic left vertebral artery and diastolic basilar artery was changed and others were not changed. The cure rate and the efficient rate in the observation group were significantly higher than those in the control group （P 〈 0.01）. Hyperbaric oxygen can bilateral regulate the velocity of vertebro-basilar artery in sympathetic nerve type of cervical spondylosis. And the blood flow velocity motoring can be used as an objective basis to the diagnosis and treatment of sympathetic nerve type of cervical spondylosis, While, hyperbaric oxygen is a more effective therapy for sympathetic nerve type of cervical spondylosis.
出处
《中国组织工程研究》
CAS
CSCD
2013年第9期1665-1672,共8页
Chinese Journal of Tissue Engineering Research
关键词
骨关节植入物
骨损伤基础实验
高压氧
交感神经型
颈椎病
椎动脉
基底动脉
血流速度
双相调节
经颅多普勒超声
治愈率
疗效
骨关节植入物图片文章
bone and joint implants
basic experiment of bone injury
hyperbaric oxygen
sympathetic type
cervical spondylosis
vertebral artery
basilar artery
blood flow velocity
biphasic regulation
transcranial Dopplerultrasound
cure rate
efficacy
photographs-containing paper of bone and joint implants
