下颈椎不稳与椎动脉型颈椎病相关性的临床研究

A Clinical Study on the Correlation of Lower Cervical Vertebral Instability with Cervical Spondylotic Vertebral Arteriopathy

目的:观察比较电针与牵引治疗椎动脉型颈椎病的临床疗效,并分析其与下颈椎不稳的相关性。方法:将170例椎动脉型颈椎病患者随机分为电针组85例,牵引组85例,观察治疗效果,在治疗前后进行椎动脉型颈椎病功能量表评分,颈椎稳定性评估。结果:电针组治愈率为40.00%,总有效率96.48%;牵引组治愈率为18.85%,总有效率85.88%。2组比较差异有统计学意义(P<0.01),2组治疗前后自身比较,功能量表评分均降低,X线平片显示,其角位移和水平位移均减少,差异均有统计学意义(P<0.01),且电针组优于牵引组,差异有统计学意义(P<0.01);功能量表评分的降低与角位移和水平位移的减少具有相关性。结果:电针治疗椎动脉型颈椎病的效果优于牵引治疗,其疗效与下颈椎稳定性的改善相关。

Objective：To compare the clinical efficacy of electroacupuncture with traction in treating cervical spondylotic vertebral arteriopathy,and to analyze the correlation of cervical spondylotic vertebral arteriopathy with lower cervical vertebral instability.Methods： One hundred and seventy patients with cervical spondylotic vertebral arteriopathy were randomly allocated to a treatment group of 85 cases and a control group of 85 cases.The treatment group received electroacupuncture and the control group received traction.The therapeutic effects were evaluated.The score was counted using a function scale and lower cervical vertebral stability was assessed before and after treatment.Results：The cure rate and the total efficacy rate were 40.0% and 96.48%,respectively,in the treatment group and 18.85% and 85.88%,respectively,in the traction group;there was a statistically significant difference between the two groups（P0.01）.The function scale score and both the angular and horizontal displacements on the X-ray plain film were decreased in the two groups after treatment as compared with before.There were statistically significant pre-/post-treatment differences in both（P0.01）.They were improved more in the treatment group than in the control group（P0.01）.And the decrease of the function scale score was correlated with the decrease of both the angular and horizontal displacements.Conclusion：The effect of electroacupuncture is superior to that of traction in treating cervical spondylotic vertebral arteriopathy.And it was correlated with the improvement in lower cervical vertebral instability.