血塞通片联合牵引理疗治疗椎动脉型颈椎病80例

Xuesetong Tablets Combined with Traction Physiotherapy for Treating 80 Cases of Cervical Spondylosis of Vertebral Artery Type

目的观察应用血塞通片联合牵引理疗治疗椎动脉型颈椎病80例。方法将诊断明确的160例患者随机均分为2组各80例。对照组采用牵引理疗联合口服倍他司汀片每次6 mg、3次/d。治疗组采用牵引理疗联合血塞通片口服治疗,1次50～100 mg、3次/d,连续治疗4周。观察并记录两组患者经颅多普勒检查(TCD)治疗前后变化情况、疗效以及药物副作用。结果治疗4周后,治疗组患者症状TCD检查显示比对照组均显著改善,且差异有统计学意义(P<0.05)。治疗组总有效率为90.00%,显著高于对照组的总有效率(73.75%),两组比较差异具有统计学意义(P<0.05)。在治疗过程中未见明显不良反应。结论采用牵引理疗和血塞通片治疗椎动脉型颈椎病临床疗效显著,且副作用小,可在临床上推广使用。

Objective To investigate the efficacy of Xuesetong Tablets combined with the traction physiotherapy for treating 80 cases of cervical spondylosis of vertebral artery type. Methods 160 cases of cervical spondylosis of vertebral artery type were randomly divided into 2 groups,80 cases in each group. The control group was given the traction physiothexapy combined with oral Betahistine Tablets 6 mg once,3 times daily,while the treatment group was treated with the traction physiotherapy combined with Xuesetong Tablets 50- 100 mg once,3 times daily,for successive 4 weeks. The clinical symptoms,therapy efficacy and side effects were observed and recorded by trauscranial Doppler （TCD） detection before and after treatment. Results After 4- week treatment,the clinical symptoms detected by TCD were significantly improved in the treatment group compared to the control group with statistical difference between the two groups （P 〈 0.05）.The total effective rate was 90.00% in the treatment group,which was significantly higher than 73.75% in the control group, showing statistical difference between them（P 〈 0.05） .There are no obvious adverse reactions in the course of treat- ment. Conclusion Traction physiotherapy combined with Xuesetong Tablets has a significant clinical effect in the treatment of cervical spondylosis of vertebral artery type with less side effects,which can be popularized in clinical practice.