旋提手法治疗椎动脉型颈椎病的临床研究  

Clinical Research of Rotation-traction Manipulation on Cervical Spondylosis of Vertebral Artery Type

作　　者：高景华[1] 朱立国[1] 谢利民[2] 李俊杰[3] 罗杰[1] 王尚全[2] 张清[1] 杨克新[1] 李金学[1] 刘秀芹[1] 张威[1] 赵国东[1] 王海军[1] 金秀钧[1] 张跃[2] 王红东[3] 

机构地区：[1]中国中医科学院望京医院,北京100102 [2]中国中医科学院广安门医院 [3]北京电力医院

出　　处：《中国中医骨伤科杂志》2011年第7期17-19,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：中国中医科学院优势病种项目;课题编号:CACMS05Y-10331

摘　　要：目的：探讨旋提手法治疗椎动脉型颈椎病的临床疗效。方法：选用多中心、随机对照研究方法治疗椎动脉型颈椎病,符合方案数据177例,随机分为旋提手法治疗组87例,颈椎牵引治疗组90例;男性43例,女性134例;年龄35~55岁,平均年龄47.2岁;病程最长5年,最短1月;疗程14d,旋提手法治疗组隔日1次,共7次,颈椎牵引组每日1次,共14次。通过观察治疗前后头晕、颈椎活动度、头痛、等指标的变化,经统计学分析进行疗效评定,并对两种方法的疗效进行比较。结果：治疗2周后的总体疗效,手法组总有效率为98.8%,牵引组总有效率为84.09%,手法组优于牵引组,旋提手法组对改善眩晕症状、颈椎活动度、头痛症状的效果优于牵引组。结论：旋提手法治疗椎动脉型颈椎病是一种值得选择的治疗方法。Objective：To detect the effects of rotation-traction manipulation in the treatment of cervical spondylosis of vertebral artery type.Methods：A multi-center,randomized control study was conducted.A total of 177 cases of cervical spondylosis of vertebral artery type were randomly divided into manipulation group（87 cases） and traction group（90 cases）.There were 43 males and 134 females,with a mean age of 47.2 years（range 35 to 55 years）.The course of disease was from 1 month to 5 years,while,the course of treatment was 14 days.The patients were treatment once every two days with 7 treatments in manipulation group,and treatment every day with 14 treatments in the traction group.The indexes of dizziness,active degree of cervical vertebrate,and headache were recorded and analyzed before and after treatment for evaluating the curative effect.Results：The total effective rate in the manipulation group（98.8%） was significantly higher than the traction group（84.09%） two weeks after treatment.Rotation-traction manipulation was superior to traction only for improving clinical symptom,such as dizziness,active degree of cervical vertebrate,and headache.Conclusion：The rotation-traction manipulation is worthy for treatment of cervical spondylosis of vertebral artery type.

关 键 词：旋提手法 颈椎牵引 椎动脉型颈椎病 疗效 

分 类 号：R681.55[医药卫生—骨科学]