自创推拿手法治疗椎动脉型颈椎病64例临床观察

Clinical Observation on 64 Cases of Cervical Spondylosis of Vertebral Artery Type Treated by Self-innovated Tuina Manipulation

目的探讨自创推拿手法对椎动脉型颈椎病患者的临床症状及脑血流图的影响。方法将126例患者随机分为治疗组和对照组,治疗组64例采用自创手法治疗,对照组62例按照常规方法操作,观察两组患者的临床症状消失时间和脑血流图改变。结果治疗组各项临床症状改善均优于对照组,且差异均有统计学意义(P<0.05);治疗后脑血流速度除对照组右颈内动脉差异有统计学意义(P<0.05)外,两组其余指标差异均无统计学意义。结论自创推拿手法可明显改善椎动脉型颈椎病患者的临床症状,但不能改变其病理性结构基础,椎动脉型患者治疗后脑血流图检查未见明显改变。

Objective To observe the therapeutic effect of self-innovated Tuina manipulation on the cervical spondylosis of vertebral artery type. Methods Totally 126 cases were randomized into treatment group and control group. The treatment group （64 cases） was treated by the self-innovatod Tuina manipulations and the control group （62 cases） was treated by routine manipulation methods. The improvement of headache, dizziness, neck pain and rheoencephalogram was observed. Results in the treatment group, the im- provement of headache, dizziness, neck pain was more significant than that of the control group （P^0. 05）. There was no significant improvement in rheoencephalogram of both groups except for right internal carotid artery. Conclusion The self-innovated manipula- tion can improve the clinical symptoms of vertebral artery type cervical spondylosis,but is not able to change the pathological structural basis of the neck. The rheoencephalogram after treatment is not significantly improved.