熥敷保健颈托配合脊柱调衡手法治疗椎动脉型颈椎病临床观察

Clinical Observation on Herbal Hot Compress Cervical Collar Combined with Spinal Manipulation in the Treatment for Vertebral Artery Type of Cervical Spondylosis

目的:观察可调式中药熥敷保健颈托配合脊柱调衡手法治疗椎动脉型颈椎病的临床疗效。方法:将椎动脉型颈椎病患者90例随机分为A、B、C 3组,每组30例,3组患者分别用可调式中药熥敷保健颈托、脊柱调衡手法及两种方式联合应用治疗,比较3组的治愈率及血流速度。结果:总有效率B组为96.7%,与A组和C组比较差异有统计学意义(P<0.05);B组颈椎内椎动脉血流量增加优于其他2组。结论:可调式中药熥敷保健颈托配合脊柱调衡手法治疗椎动脉型颈椎病较单纯应用中药熥敷保健颈托及脊柱调衡手法治疗效果更佳。

Objective： To observe clinical effects of adjustable herbal hot compress cervical collar combined with spinal manipulation in treating vertebral artery type of cervical spondylosis （CS）. Methods： Ninety CS patients were randomized into three groups： A, B and C, 30 cases each group, the patients in three groups were treated with adjustable herbal hot compress cervical collar, spinal manipulation, and the combination of both, cure rate and blood flow rate of three groups were compared. Results： Total effective rate of group B was 96.7%, the difference had sta- tistical meaning when group B was compared with group A and C （P〈0.05）. Vertebral artery blood flow increase of group B was superior to these of other two groups. Conclusion： Therapeutic effects of adjustable herbal hot compress cervical collar combined with spinal manipulation are better than the effects of only adjustable herbal hot compress cervical collar or only spinal manipulation in treating vertebral artery type of CS.