牵引推拿治疗椎动脉型颈椎病的血液流变学观察

THE TREATMENT OF VERTEBRAL-ARTERY-TYPE CERVICAL SPONDYLOSIS BY TRACTION AND MASSAGE:A Clinical Rheological Study

为了解椎动脉型颈椎病患者的血液流变学变化 ,将 4 2例正常人及 4 5例椎动脉型颈椎病患者的晨起空腹静脉血作比较 ,再在牵引推拿治疗前后抽取 4 5例椎动脉型颈椎病患者的晨起空腹静脉血作比较。检测全血黏度及血浆黏度、纤维蛋白原、血沉、红细胞压积、红细胞聚集指数、红细胞变形指数、红细胞电泳指数等指标 ,以均值±标准差 ( x±S)表示 ,采用方差齐性检验及t检验进行统计学处理。结果显示椎动脉型颈椎病组全血黏度、血浆黏度、血沉、红细胞比积、纤维蛋白原皆明显高于正常对照组 ,P <0 .0 1;椎动脉型颈椎病组红细胞聚集指数、红细胞变形指数、红细胞电泳指数同正常对照组相比有显著性差异 ,P <0 .0 5 ;在治疗前后血沉、红细胞比积无明显差异 ,P >0 .0 5 ,其他诸指标皆有显著性差异。表明血液流变学异常是椎动脉型颈椎病的重要病理变化 ;治疗前后的病情变化同血液流变学的变化呈正相关 ;

In order to study the rheological changes in vertebral-artery-type cervical spondylosis (TATCS), the morning fasting vein blood of 45 cases of TATCS was compared with that of 42 normal volunteers and with that of 45 cases of TATCS treated by traction and massage; the hematological indices, such as the whole blood viscosity (WBV), plasma viscosity (PV), fibrinogen (FG), blood sedimentation (BS), hematocrit, hemagglutination index, erythrocyte metamorphosis index and erythrocyte electrophoresis index, etc were detected and the data were expressed by the mean±SD (X±S) and statistically treated by homogeneity test of variance and t test. The results showed that WBV, PV, BS, hematocrit, and FG of TATCS group were significantly higher than those of the normal control (P < 0.01); except for the pre- and post- treatment BS and hematocrit (P > 0.05), other indices had significant differences in the pre- and post-treatment comparison. It was suggested that the abnormal rheology is an important pathological change of TATCS; the disease conditions change before and after the treatment is positively correlated with the rheological change; the TCM traction and massage is an effective measurement for treating TATCS.