摘要
目的:探索经颅多普勒(TCD)超声在万氏改良旋转复位手法治疗颈椎C_1-C_2失稳的诊断及疗效的评定价值。方法:按临床诊断标准收集椎动脉C_1-C_2失稳型颈椎病患者157例(疾病组),对照组为年龄相近的健康人群38例。采用德国进口的DWL-X-4型彩色经颅多普勒超声仪于万氏改良推拿手法治疗C_1-C_2失稳型颈椎病前后对脑血管血流进行检测分析。结果:疾病组(治疗前)椎基底动脉血流速度明显低于对照组(P<0.05);疾病组(治疗前)TCD异常率为90.6%,治疗后椎基底动脉系血流速度明显改善(P<0.05)与对照组相比无显著差异(P>0.05)。结论:TCD可作为椎动脉C_1-C_2失稳型颈椎病患者辅助诊断及疗效评定的参考依据。
Objective:To evaluate the diagnostic and curative effect of Wanshi reforming maneuver manipulation(WRMM) on C1-C2 vertibrobasilar insufficiency (VBI)by transcranial Doppler ultrasound (TCD). Methods: 157 VBI (C1-C2)patients (the VBI group)and 38 healthy persons of similar age(the control group)were studied. DWL-X-4 multicolor TCD made in German was applied to detect and analyze the VBI patients cerebral vessels blood flow before and after the treatment of WRMM. Results:Blood flow velocity of arteria basilaris of the VBI group was slower than that of the control group obviously(P〈0.05)and the TCD abnormal rate of the VBI group was 90.6% before treatment of WRMM. The blood flow velocity of the VBI group improved a lot (P〈0.05)after treatment. It was not different from that of the control group (P〉0.05). Conclusion : TCD can be considered as the reference of auxiliary diagnosis and curative effect evaluation for VBI.
出处
《世界中西医结合杂志》
2008年第2期106-107,共2页
World Journal of Integrated Traditional and Western Medicine
关键词
经颅多普勒超声
椎动脉C1-C2失稳型颈椎病
旋转复位手法
Transcranial Doppler ultrasound
C1-C2 vertibrobasilar insufficiency
WANSHI reforming maneuver manipulation