万氏改良推拿手法治疗C_1-C_2失稳型颈椎病的研究

Study of Wanshi Manipulation on C_1-C_2 Vertibrobasilar Insufficiency

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.