综合治疗椎动脉型颈椎病33例临床观察

Clinical effect of multimodality therapy in treatment of cervical spondylosis of vertebral artery type: An analysis of 33 cases

目的:观察刃针结合Mulligan手法及微波治疗椎动脉型颈椎病的临床疗效。方法:将66例椎动脉型颈椎病患者,随机分为治疗组和对照组各33例。对照组采用Mulligan手法及微波治疗,治疗组在对照组基础上加刃针治疗。结果:愈显率治疗组为84.9%,对照组为60.6%,2组比较,差异有统计学意义(P<0.05)。2组颈性眩晕症状与功能(ESCV)评分、椎动脉及基底动脉血流速度治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P<0.05或P<0.01)。结论:刃针结合Mulligan手法、微波治疗椎动脉型颈椎病有较好的临床疗效。

Objective： To investigate the clinical effect of blade needle combined with Mulligan manipulation and microwave in the treatment of cervical spondylosis of vertebral artery type. Methods： A total of 66 patients with cervical spondylosis of vertebral artery type were randomly divided into treatment group and control group,with 33 patients in each group. The patients in the control group were given Mulligan manipulation and microwave,and those in the treatment group were given blade needle treatment in addition to the treatment in the control group. Results：There was a significant difference in cure and marked response rate between the treatment group and the control group（ 84. 9% vs 60. 6%,P〈0. 05）. After treatment,both groups had significant changes in evaluation scale for cervical vertigo score and blood flow velocity in the vertebral artery and the basilar artery,and there were significant differences in these indices between the two groups（ P〈0. 05 or P〈0. 01）. Conclusion： Blade needle combined with Mulligan manipulation and microwave has a good clinical effect in the treatment of cervical spondylosis of vertebral artery type.