旋提扳法治疗椎动脉型颈椎病的临床观察

Clinical Observation on Vertebral Artery Type of Cervical Spondylosis Treated with Rotating,Lifting and Wrenching Technique

目的:探讨旋提扳法治疗椎动脉型颈椎病的疗效和安全性。方法:将59例患者分为治疗组(旋提扳法组)32例,对照组(理筋手法组)27例。治疗1疗程,每周2次,共4次,其中51例患者获随访(时间为4周),观察治疗前后患者疗效,并参照相关的椎动脉型颈椎病功能评定量表予以评分。结果:治疗组与对照组总体疗效比较,差异有统计学意义(P<0.01),说明治疗组疗效优于对照组。32例治疗组患者愈显率为81%,27例对照组患者愈显率为66%。结论:旋提扳法能明显改善椎动脉型颈椎病患者的临床症状,手法安全,疗效好,临床易于操作,患者易接受和配合,临床疗效满意。

Objective：To investigate the curative effect and safety of rotating, lifting and wrenching technique in treating of vertebral artery type of cervical spondylosis. Methods： Fifty--nine patients were randomly divided into treatment group （32 cases treated with rotating, lifting and wrenching technique） and control group （27 cases treated with tendon--soothing maneuver）. All the patients received their corresponding treatment twice a week for 2 weeks. Among these patients, 51 cases were followed up for 4 weeks. The effective rate was observed before and after the treatment according to the functional scale for vertebral artery type of cervical spondylosis. Results：The total effective rate was 81% in treatment group and 66 % in control group, and there was significant difference of total curative effect between the two group （P〈0.01）. Conclusion：Rotating, lifting and wrenching technique can greatly ameliorate the patients＇ clinical symptoms, and is a safe, easy and effective therapy for vertebral artery type of cervical spondylosis.