拔伸手法力度对椎动脉型颈椎病椎-基底动脉供血的相关性临床研究

Pulling and stretching manipulation force on cervical vertebral disease and relevant clinical research on blood supply of basilar artery

目的 :探讨推拿间歇性拔伸法与椎动脉型颈椎病椎 基底动脉供血的相关性。方法 :将符合纳入标准的病人随机分为 4组 ,每组 30例 ,分别设治疗A、B、C组和对照D组。做推拿基础手法后 ,3个治疗组分别采用研究手法 ,进行不同力量的拔伸 (A组为体重的 1/ 10、B组为体重的 1/ 7、C组为体重的1/ 5 ) ,对照D组不进行拔伸。结果 :通过临床疗效和治疗前后TCD检测左右椎动脉及基底动脉Vs、Vd及Vm参数进行对比 ,经统计学分析 ,治疗A、B、C组与对照D组比较 ,P <0 0 1,其差别有统计学意义。治疗B组与治疗A、C组比较 ,P <0 0 1,其差别也有统计学意义。结论 :拔伸力在体重的 1/ 7时 ,临床疗效最好且椎 基底动脉供血情况改善最明显。

Objective:To research intermittent traction manipulation on cervical vertebral disease and its relevant blood supply of basilar artery.Methods:Patients who conformed to the standard were divided into 4 groups, 30 per group.Group A,B,C were treating groups while group D was contrasting one.After the normal tactics,testing traction manipulation with different force were applied in the three treating groups(Group A:1/10 of patient's weight Group B:1/7 of patient's weight.Group C:1/5 of patient's weight) but not in Group D.Results:Based on the therapeutic effects and the comparison of Vs,Vd and Vm of left and right vertebraterial and basilar arteries tested by TCD between before and after treatment,according to the statistical analysis,the comparison between treating groups and contrasting group had the statistical significance(P<0 01).Conclusion:When the tractive force is 1/7 of patient's weight,the therapeutic effect is the best and the improvement of blood supply of basilar vertebra artery is the most apparent.