尼莫地平治疗椎基底动脉供血不足的临床报告

目的 观察尼莫地平对椎基底动脉供血不足 (VBI)患者的疗效。 方法 对 60例BVI患者分别用尼莫地平 (治疗组 )和脉络宁 (对照组 )静滴治疗 ,疗程 14d ,对比观察其临床疗效及经颅多普勒超声 (TCD)、血液流变学改变。 结果 治疗组起效时间快 ,2 4h内有效率为 66 7% ,72h内达 93 3% ,总有效率达 93 3% ;对照组分别为6 7%、16 7%、40 %。治疗组TCD及血液流变学指标改善明显 ,2组比较差异有显著性 (P <0 0 1) ,未见明显毒副作用。 结论 尼莫地平治疗VBI安全有效。

药疗并用理疗治疗椎基底动脉供血不足临床观察

椎基底动脉供血不足(vertebrobas insufficiency,VBI)是中老年人的常见病,近年来发病呈年轻化的趋向.临床常出现发作性颈性眩晕,可伴有恶心、呕吐、耳鸣、听力下降、视物模糊、眼球震颤、平衡障碍等症状,严重影响患者的工作和生活.我们采用药物结合理疗治疗36例椎基底动脉供血不足患者,并与药物治疗组进行对照,取得满意效果,报道如下.

天麻素联合苦碟子注射液治疗后循环缺血性眩晕40例

目的:探讨天麻素联合苦碟子注射液治疗后循环缺血性眩晕的临床疗效。方法:两组均采用天麻素,治疗组加苦碟子注射液治疗。结果:两组患者治疗后椎基底动脉血流速度较治疗前均明显加快,组内差异显著(P<0.05)。治疗组总有效率为97.50%,显著高于对照组的84.20%(P<0.05)。结论:本方法能够有效的恢复椎基底动脉血流速度,值得应用。

Clinical observation on cervical chiropractic for cervical spondylosis of vertebral artery type

Objective：To observe the curative effect of cervical chiropractic for cervical spondylosis of vertebral artery type （CSA） and to explore its possible mechanism.Methods：Sixty CSA patients were randomly divided into two groups.Thirty patients in the treatment group were treated with chiropractic manipulation for cervical vertebrae,once every other day,7 treatments in total.The other 30 patients in the control group received oral administration of flunarizine hydrochloride,10 mg per night,for 14 d.Cervical vertigo and functional assessment scale and transcranial cerebral Doppler （TCD） were measured before treatment and 7 days after treatment.Results：The total effective rate was 96.7% in the treatment group and 83.3% in the control group.The curative rate was 66.7% in the treatment group and 20% in the control group.The differences between the two groups in the total effective rate and the curative rate were statistically significant （both P〈0.05）.The scores of cervical vertigo symptom and functional assessment after treatment in both groups were significantly higher than those before treatment （both P〈0.01）;the difference between the two groups was statistically significant （P〈0.05）.After treatment,the maximum systolic velocity （Vs）,the maximum diastolic velocity （Vd）,the mean velocity （Vm）,the pulsatility index （PI） and the vascular resistance index （RI） in both groups were significantly improved compared with those before the treatment （all P〈0.01）;there were significant differences between the two groups （all P〈0.05）.Conclusion：Cervical chiropractic is an effective method for CSA,and its curative effect is better than that of flunarizine hydrochloride alone.Its mechanism may relate to correcting cervical instability.

Clinical observation on warm needling moxibustion plus tuina for cervical spondylosis of vertebral artery type

Objective: To observe the clinical effect of warm needling moxibustion plus Kai Qing Long Suo tuina therapy (opening the Qing Long lock, one type of 'Eight and a Half Locks' tuina therapy) for cervical spondylosis of vertebral artery type (CSA). Methods: Sixty patients with CSA were randomly allocated into an observation group or a control group, with 30 cases in each group. The observation group was treated with warm needling moxibustion plus Kai Qing Long Suo tuina therapy, while the control group was treated with warm needling moxibustion alone. Warm needling moxibustion was conducted once every other day and tuina was con ducted once a day, 7-day treatme nts for one course. The clin ical efficacy and vertebral artery blood flow was observed after one course of treatment. Results: After treatment, the total effective rate was 93.3% in the observation group versus 80.0% in the control group, and there was a significant differenee between the two groups (P<0.05). After treatment, the systolic blood flow velocity of vertebral artery increased in both groups, with statistical significanee compared with that before treatment (both P<0.05), and the blood flow velocity in the observation group was faster than that in the control group, with statistical significanee between the two groups (P<0.05). Conclusion: Both warm needling moxibustion plus Kai Qing Long Suo tuina therapy and warm needling moxibustion alone are both effective for CSA, can improve the systolic blood flow velocity of vertebral artery. The curative effect of warm needling moxibusiton plus Kai Qing Long Suo tuina therapy is better than that of warm needling moxibustion alone.

Therapeutic observation of acupuncture plus tuina for cervical vertigo

Objective:To evaluate the clinical efficacy of acupuncture plus tuina in treating cervical vertigo (CV).Methods:One hundred CV patients were randomized into an observation group and an acupuncture group by the random number table,with 50 cases in each group.The acupuncture group received acupuncture at Xiang Ba Zhen (eight acupoints on the nape);the observation group received tuina treatment in addition to the Xiang Ba Zhen acupuncture.The two groups were both treated once every other day for 10 sessions in total.The two groups were examined by transcranial cerebral Doppler (TCD) before and after the treatment,and their therapeutic efficacies were evaluated.Results:After the treatment,the mean velocity (Vm) of vertebral artery (VA) and basilar artery (BA) showed significant improvement in both groups (all P＜0.001);there were significant differences in the Vm of VA and BA between the two groups (both P＜0.05).The total effective rate was 100.0％ in the observation group versus 82.0％ in the acupuncture group,and the difference was statistically significant (P＜0.01).Conclusion:Xiang Ba Zhen acupuncture as a monotherapy or used together with tuina can improve CV,but Xiang Ba Zhen plus tuina can produce a more significant efficacy.

Treatment of 157 Cases of Cervical Spondylosis of Vertebral Artery Type by TuinaTherapy

Objective： To observe the clinical efficacy of tuina therapy in the treatment of cervical spondylosis of vertebral artery type. Methods： One hundred and tiffy-seven cases of cervical spondylosis of vertebral artery type were treated by tuina therapy, three times a week. Ten treatments made up one course and one to two courses of treatment was performed. During tuina treatment, other modalities that may affect tuina effects were discontinued. The patients were surveyed three months after tuina treatment. Results： Among the 157 cases, 109 cases obtained marked effectiveness, 26 cases improvement and 6 cases ineffectiveness; 16 cases were not surveyed. The total effective rate was 86.6%. Conclusion： Tuina therapy has excellent effects on cervical spondylosis of vertebral artery type.

Observation on Clinical Efficacy of Acupuncture Therapy for Posterior Circulation Ischemia Vertigo

Objective： To observe the clinical efficacy of acupuncture for posterior circulation ischemia vertigo （PCIV）. Methods： A total of 71 PCIV cases were randomly allocated into an acupuncture group （37 cases） and a medication （oral Flunarizine Hydrochloride） group （34 cases）. After 6 weeks of treatment, the therapeutic efficacies in the two groups were analyzed. Results： After treatment, the mean blood flow velocities （VM） of both the vertebral artery （VA） and the basilar artery （BA） in acupuncture group were significantly increased, showing statistical differences when compared with the pre-treatment result of the same group （P〈0.05）; despite some decrease in pulsatility index （PI） after treatment, there was no statistical difference when compared with the pre-treatment result. After treatment, the mean blood flow velocities of both VA and BA in the medication group were increased, showing statistical differences when compared with the pre-treatment result of the same group （P〈0.05）; there was no statistical difference in PI before and after the treatment （P〉0.05）. Regarding the improvement of VM, the acupuncture group was superior to the medication group, showing a statistical difference （P〈0.05）; there was no statistical difference in PI improvement between the two groups. Considering from the clinical efficacy, both acupuncture and medication are effective. However, acupuncture obtained a significantly better effect than medication （P〈0.05）. Conclusion： Acupuncture therapy can posterior circulation ischemia vertigo. obtain a better effect than oral Flunarizine Hydrochloride for