摘要
目的:探讨旋转扳法和穴位推拿对青年颈性眩晕患者椎基底动脉流速的影响和两种手法的疗效差异。方法:76例表现为椎基底动脉异常高流速状态的青年颈性眩晕患者随机分为旋转扳法组(A组,38例)和穴位推拿组(B组,38例),分别施加相应的治疗手法。应用经颅超声多普勒(TCD)检测手法前后椎基底动脉流速并观察流速改变和临床疗效。结果:治疗1周后:B组左侧椎动脉、基底动脉及A组椎基底动脉流速明显下降,两组间左侧椎动脉流速改变差异有统计学意义(P<0.01);治疗3周后:A、B两组中左侧椎动脉、右侧椎动脉和椎基底动脉流速较治疗前均有明显下降(P<0.01),两组间左右椎动脉流速改变差异均有统计学意义(P<0.01)。临床疗效B组优于A组(P<0.05)。结论:在主要表现为高流速状态改变的青年颈性眩晕患者的手法治疗中,穴位推拿对椎基底动脉流速的影响较旋转扳法明显并可能具有比其更好的疗效。
Objective：To explore the effects of rotatory reduction manipulation and acupoint massage on blood flow velocity of vertebrobasilar artery（VBA）in younger cervical vertigo of high velocity,and to observe the difference of clinical therapeu-tic effect between two manipulations. Methods：Seventy-six patients who diagnosed as high flow velocity of younger cervical vertigo were randomly divided into rotatory reduction manipulation group（group A,38 cases）and acupoint massage group（group B,38 cases）. The changes of flow velocity of VBA before and after treatment were observed using transcranial Doppler（TCD） and the therapeutic effects were observed also. Results：The mean flow velocity in left vertebral artery（LVA）and basilar artery（BA）of group B and in BA of group A were significantly decreased as compared with those before treatment（P〈0.05,P〈0.01） 1 week after treatment,and there was significant difference in the change of mean flow velocity in LVA between two groups （P〈0.01）. The mean velocity in LVA,right vertebral artery（RVA）and BA were obviously lower than those before treatment in two groups（P〈0.01）3 weeks after treatment. There was obvious difference in LVA,RVA between two groups（P〈0.01）. The therapeutic effect of group B was superior to that of group A（P〈0.05）. Conclusion：The effect of acupoint massage on flow velocity of VBA was superior to that of rotatory reduction manipulation,and the therapeutic effect of acupoint massage might be better than that of rotatory reduction manipulation in treating younger cervical vertigo of high flow velocity.
出处
《中国骨伤》
CAS
2008年第4期270-272,共3页
China Journal of Orthopaedics and Traumatology
关键词
眩晕
手法
骨科
椎动脉
随机对照试验
Vertigo
Manipulation,orthopedic
Vertebral artery
Randomized controlled trials
