脑仿生电刺激配合中频电疗治疗椎动脉型颈椎病

Bionic electrical stimulation of brain with medium frequency electrotherapy for treatment of cervical spondylopathy of vertebral artery type

目的:观察脑仿生电刺激配合中频电疗(MFE)对椎动脉型颈椎病(CSA)的治疗作用。方法:CSA患者300例,随机分为观察组和对照组各150例,2组均给予药物对症支持治疗,观察组加用脑仿生电刺激配合MFE。治疗前后采用经颅多普勒(TCD)检测基底动脉(BA)、椎动脉(VA)、大脑中动脉(MCA)、大脑前动脉(ACA)平均血流速度。结果:治疗2周后,观察组BA、VA、MCA及ACA平均血流速度均较治疗前及对照组治疗后明显增快(P<0.05),对照组治疗前后比较差异无统计学意义。治疗后及6个月后随访,2组临床疗效比较,观察组总有效率均明显高于对照组(P<0.01)。结论:脑仿生电刺激配合MFE对CSA患者有明显的治疗作用,可有效缓解眩晕等临床症状。

Objective：To observe the curative effectiveness of the brain bionic electrical stimulation in combination with medium frequency electrotherapy （MFE） on cervical spondylosis of vertebral artery type （CSA）. Methods： Three hundreds CSA patients were randomly divided into observation group and control group （n= 150 each group）. Both groups were given drug administration. The patients in observation group were given the brain bionic electrical stimulation combined with MFE additionally. Before and after treatment, transcranial Doppler （TCD） was used to measure mean blood flow velocity of basilar artery （ BA）, vertebral artery （ VA）, middle cerebral artery （MCA） and the anterior cerebral artery（ACA）. Results： After treatment for 2 weeks, the mean blood flow velocity of BA, VA, MCA and ACA in observation group was significantly increased as compared with pretreatment and control group af- ter treatment（P^0.05）. There was no significant difference of the mean blood flow velocity in the control group before and after treatment. During a follow-up period of six months, the overall clinical effective rate in observation group was significantly higher than in control group （P〈0.01）. Conclusion：The brain bionic electrical stimulation in combination with MFE in CSA patients exerts obvious therapeutic effectiveness, which can effectively relieve clinical symptoms such as dizziness.