推拿对颈性眩晕的椎动脉形态学及血流速的影响

Influence of manipulation on arteria vertebralis morphology and blood flow speed of cervical vertigo

目的:通过观察疗前疗后颈性眩晕患者椎动脉血流速以及椎动脉形态学改变情况,探讨推拿对颈性眩晕的治疗效果。方法:颈性眩晕患者45例,男27例,女18例;年龄25～60岁,平均41.6岁;病程2周～5年。采用TCD检测椎动脉血流速,3D-CTA检查椎动脉形态学作为观察指标。根据其形态学改变不同节段定位,采用三部推拿法观察对椎动脉血流速及形态学的影响。结果:45例推拿前后眩晕主症评分明显改善,差异有统计学意义(P<0.001);血流减慢患者及血流增快患者推拿前后Vm比较,差异均有统计学意义(P<0.01)。部分患者椎动脉形态学有改变。结论:推拿对颈性眩晕椎动脉形态学改变所致的血流速异常有双向调节作用,并能使部分血管形态发生逆转性改变。

Objective：To discuss the influence of manipulation on cervical vertigo arteria vertebralis morphology and blood flow speed. Methods：Forty-five patients with cervical vertigo included 27 males and 18 females with an average age of 41.6 years old ranging from 25 to 60. The course of disease was from 2 weeks to 5 years. TCD were applied to test arteria vertebralis blood flow speed and 3D-CTA applied to inspect arteria vertebralis morphology as the observation targets. According to the morphology change different stage localization,the 3-step manipulation were adopt to observe the arteria vertebralis blood flow speed and the morphology influence. Results：After cervical manipulation, the scoring of vertigo symptoms were improved remarkable （P〈0.001） ; Among the patients of blood flow speed reduced and the patients of blood flow speed increased, the Vm before treament compared with after treament,there were statistical difference （P〈0.01）. The arteria vertebralis morphology partial patient had changed. Conclusion： The cervical manipulation exceptionally has the bidirectional control action to arteria vertebralis morphology change and blood flow speed in the cervical vertigo,and can cause the partial blood tubular-shaped condition to have the reversal changed.