辨证推拿治疗椎动脉型颈椎病及其对血液流变学和脑血流的影响  

Effect of Tuina Therapy with Syndrome Differentiation on Cervical Spondylosis of Vertebral Artery Type and its Influence on Blood Rheology and Cerebral Blood Flow

作　　者：黄锦军[1] 庞军[1] 雷龙鸣[1] 粟胜勇[1] 黄锦文 何育风[1] 

机构地区：[1]广西中医学院第一附属医院推拿科,广西壮族自治区南宁市530023 [2]广西壮族自治区玉林市中医院

出　　处：《中医杂志》2009年第1期43-45,65,共4页Journal of Traditional Chinese Medicine

基　　金：广西壮族自治区科技攻关计划项目(桂科攻0632007-2D)

摘　　要：目的观察辨证推拿对椎动脉型颈椎病临床症状、体征及血液流变学和脑血流参数的影响。方法将150例患者随机分为观察组和对照组,每组75例,对照组采用常规推拿治疗,治疗组在常规推拿治疗基础上加用辨证推拿手法,每天1次,每周5次,共治疗4周。观察两组治疗前后的临床症状、体征评分及血液流变学和脑血流参数的变化。结果观察组和对照组分别有74例和72例患者进入结果分析。治疗后两组主要症状、体征评分及血液流变学和脑血流参数均有所改善(P<0.05或P<0.01),治疗组优于对照组(P<0.05)。结论在改善椎动脉型颈椎病临床症状、体征及血液流变学和椎-基底动脉血流动力学方面,辨证推拿优于常规推拿疗法。Objective To observe the effect of Tuina therapy with syndrome differentiation on the symptoms and signs of cervical spondylosis of vertebral artery type and its influence on the indices of blood rheology and cerebral blood flow. Methods The 150 patients were randomized into the observed and control groups with 75 in each. The control group was treated by the routine Tuina therapy while the observed group by Tuina therapy with syndrome differentiation. The treatment was given once a day, 5 times a week, 4 weeks in all, for the observation on the scores of clinical symptoms and signs and the changes of indices of blood rheology and cerebral blood flow. Results The effect of 74 patients in the observed group and 72 in the control group were analyzed finally. The scores of main symptoms and signs of the two groups and the indices of blood rheology and cerebral blood flow were all improved （P〈0.01 or P〈0.05）, but the effect the observed group was better （P〈0.05）. Conclusion In relieving the symptoms and signs and improving the blood theology and blood flow of vertebral basilar artery, the Tuina therapy with syndrome differentiation was better in effect than the routine Tuina therapy （P〈0.01 or P〈0.05）.

关 键 词：椎动脉型颈椎病 辨证论治 推拿疗法 

分 类 号：R244.1[医药卫生—针灸推拿学]