标准旋牵手法治疗椎动脉型颈椎病的学术特色初探

Preliminary Probe into Academic Features of Normal Rotation-Traction Manipulation in Treating Vertebral Artery Type of Cervical Spondylosis

目的:观察标准旋牵手法治疗椎动脉型颈椎病的临床疗效。方法:将600例符合病例入选标准的椎动脉型颈椎病患者随机分为A、B、C3组,每组200例。A组应用标准旋牵手法治疗;B组应用旋转扳法治疗;C组应用颈椎牵引治疗。3组治疗均1次/周,4次为1个疗程。观察3组患者两侧椎动脉(VA)、基底动脉(BA)的收缩峰期血流速度(Vpeak)、舒张末期血流速度(Vmi n)、搏动指数(PI)、阻力指数(RI)值。结果:总有效率A组为92.00%,B组为83.00%,C组为63.00%。3组总有效率两两比较,差异有统计学意义(P<0.05)。Vpeak、Vmi n、PI、RI等血流参数治疗前后组内相比差异有统计学意义(P<0.05),治疗后组间相比差异有统计学意义(P<0.05)。结论:标准旋牵手法治疗椎动脉型颈椎病疗效确切。

Objective： To observe clinical effects of normal rotation-traction manipulation in treating vertebral artery type of cervical spondylosis. Method： Six hundred patients were randomly divided into A, B, C groups, 200 cases each group. A group received normal rotation-traction manipulation; B group were given with rotation manipulation; C group were administered with cervical traction. Once each week, one session was four times. VA, V peak ofBA, V rain, PI and RI were observed. Result： Total effective rate of A group was 92.00%, B group 83.00% and C group 63.00%, comparisons among three groups showed statistical meaning（P〈0.05）. Comparison within one group before and after treating indicated statistical meaning in V peak, V min, PI, RI and others （P〈0.05）. Comparison among three groups manifested statistical meaning （P〈0.05）. Conclusion： Normal rotation-traction manipulation is an effective method for vertebral artery type of cervical spondylosis.