摘要
目的对于行常规器械牵引有不良反应的椎动脉型颈椎病患者,尝试使用仰卧位手法牵引进行治疗,以提高该类疾病的治疗效果。方法按随机数字表法将45例常规器械牵引有不良反应的椎动脉型颈椎病患者分为观察组(n=22)和对照组(n=23)。对照组采用药物、理疗、颈部制动和推拿的方法进行治疗,观察组则在上述方法的基础上增加仰卧位手法牵引,由专人对每位患者的疗效进行评定和记录。结果经过30次治疗后,对观察组和对照组的每位患者进行疗效评定,总有效率分别为90.91%和65.22%;观察组治疗前后采用经颅多普勒超声(TCD)比较血流速度,差异有统计学意义(P<0.05)。结论椎动脉型颈椎病在传统的治疗方法中增加仰卧位手法牵引可以显著改善颈椎牵引有不良反应的患者的颈部动脉血流状态,提高临床治疗效果。
Objective To observe the effect of traction-manipulation in supine position for patients with vertebral artery cervical spondylosis who had had untoward reaction to the conventional mechanical traction.Methods Totally 45 patients who had had untoward reaction to the conventional mechanical traction were divided into control（n=22） and observation（n=23） group according to random number table.The patients in the control group were treated by medicine,physical therapy and Chinese traditional massage.The patients in the observation group were additionally done by traction-manipulation in supine position.Before treatment and after 30 times treatment,the results of the therapy were assessed by specially-assigned persons.Results After 30-time treatment,the total effective rate was 90.91% for the observation group and 65.22% for the control group.And the transcranial Doppler ultrasonography（TCD） showed that there was significant difference in blood flow speed（P〈0.05）.Conclusion Traction-manipulation in supine position combined with conventional method could remarkably improve the cervical artery blood for patients with vertebral artery cervical spondylosis,increasing clinical effects.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第10期1173-1175,共3页
Chinese General Practice
关键词
椎动脉型颈椎病
仰卧位
手法牵引
Vertebral artery cervical spondylosis
In supine position
Traction-manipulation
