“筋骨调衡”手法治疗椎动脉型颈椎病临床疗效观察

Clinical Observation on Treating CSA by“Jingjin and Bone Balance- regulating”Manipulation

目的:观察"筋骨调衡"手法治疗椎动脉型颈椎病的临床疗效。方法:将60例椎动脉型颈椎病患者随机分为试验组30例,对照组30例。试验组采用松筋、整骨推拿治疗,对照组用传统推拿为主治疗,两组治疗前后均用量表和椎动脉TCD检测,治疗10次后统计结果并分析疗效。结果:试验组临床疗效显著优于对照组(P<0.05);两组治疗前后症状和功能评分及椎-基底动脉平均血流速度组内比较,有非常显著性差异(P<0.01);在提高眩晕症状和功能评分及椎-基底动脉平均血流速度方面组间比较,试验组优于对照组(P<0.05)。结论:"筋骨调衡"手法治疗椎动脉型颈椎病在提高临床疗效、改善血流速度、缓解椎动脉型颈椎病患者症状及恢复功能等方面均有明显的优势,值得临床推广。

Objective： To observe the clinical efficacy of ＂Jingjin and Bone balance- regulating＂manipulation on cervical spondylosis of vertebral artery type. Methods： The treatment group（ n = 30） was treated by Jingjin relaxation and chiropractic therapy and the control group was treated by traditional Tuina therapy（ n = 30）. The clinical efficacy score of symptoms and functional rating scale of CSA and vertebral artery TCD were observed and compared between two groups. Results： The total effective rate in the treatment group was significantly higher than that in the control group（ P 〈0. 05）; there was a statistically significant difference according to the score of symptoms of vertigo and headache within group comparison after one treatment course（ P 〈0. 01）; there was a statistically significant difference according to the score of symptoms of vertigo and headache between two groups after one treatment course（ P 〈0. 05）. Conclusion： ＂Jingjin and Bone Balance- regulating＂manipulation is effective to treat CSA,and it is worth clinical promotion.