拇指顶推手法治疗椎动脉型颈椎病临床观察

Clinical observation of manual therapy by thumb pushing on cervical spondylosis of vertebral artery type

目的观察拇指顶推手法治疗椎动脉型颈椎病的临床疗效。方法将60例椎动脉型颈椎病患者随机分为2组,对照组30例采用牵引疗法治疗,治疗组30例采用拇指顶推手法治疗。采用"椎动脉型颈椎病功能评定量表"对患者进行评定,比较2组颈椎功能恢复情况,评分减少越多,代表病情恢复越好。结果治疗后2组颈椎功能评分均减少,治疗后3、7、14d与本组治疗前比较差异均有统计学意义(P<0.05),治疗后7、14d2组同期比较差异有统计学意义(P<0.05),治疗组评分低于对照组。结论拇指顶推手法和牵引疗法均能促进椎动脉型颈椎病患者颈椎功能恢复,拇指顶推手法优于牵引疗法。

Objective To observe the curative effect of manual therapy by thumb pushing on cervical spondylosis of vertebral artery type.Methods Sixty patients with cervical spondylosis of vertebral artery type were randomly divided into treatment group（n=30）and control group（n=30）.Patients in the control group were treated by traction,while those in treatment group received manual therapy by thumb pushing.The therapeutic duration was 14 days in both groups.The patients were assessed by functional scale for cervical spondylosis of vertebral artery type.Result The score of in both groups was decreased in 3,7 and 14 day after treatment.The score in treatment group is lower than that in control group in 7,14 day（P0.05）.Conclusion Manual therapy by thumb pushing can promote the recovery of cervical function on cervical spondylosis of vertebral artery type.