摘要
Objective： To observe the clinical efficacy of combined massage and traction technique in the treatment of cervical spondylosis of vertebral artery type （CSA）. Methods： Ninety-eight cases of cervical spondylosis of vertebral artery type were randomized into two groups, a treatment group in which 50 cases were treated by traditional massage and traction technique, and a control group in which 48 cases were treated by traditional massage. Results： After treatment, the mean velocity （Vm） of vertebral artery （VA） and basilar artery （BA） were improved markedly in the treatment group （P〈0.05）; and there was a significant difference between the two groups after treatment （P〈0.01）. In the treatment group, 17 cases were cured and 22 cases obviously improved; and the rate of cure and marked effective was 78.0%, the total effective rate was 98.0%. In the control group, 8 cases were cured and 10 cases obviously improved, the rate of cure and marked effective was 37.5% and the total effective rate was 89.6%. There was a significant difference in the rate of cure and marked effective between the two groups （P〈0.01）. Conclusion： Combined massage and traction technique has better results than single traditional massage in the treatment of CSA.
目的:观察推拿配合牵提手法治疗椎动脉型颈椎病的临床疗效。方法:将患者随机分为两组,观察组50例,在传统推拿手法基础上加用牵提手法治疗。对照组48例采用传统推拿手法。结果:治疗后两组椎动脉(Vertebral Artery,VA)和基底动脉(Basilar Artery,BA)的平均血流速度(Mean Velocity,Vm)均有改善,观察组治疗前后比较,P<0.05,差异有统计学意义。治疗后两组差异有统计学意义(P<0.01)。观察组痊愈17例,显效22例,愈显率78.0%,总有效率98.0%;对照组痊愈8例,显效10例,愈显率37.5%,总有效率89.6%。两组之间愈显率比较,P<0.01,差异具有统计学意义。结论:传统推拿加牵提手法治疗椎动脉型颈椎病疗效优于传统推拿手法治疗。
