掌振大椎穴结合牵引治疗椎动脉型颈椎病临床研究  

Clinical study on combined vibrating manipulation at Dazhui and traction in treating cervical spondylotic arteriopathy

作　　者：李伟民[1] 汪伍[1] 许敬人[1] 崔峥[1] 郭琛军[1] 戎健东[1] 金益[1] 叶磊[1] 

机构地区：[1]同济大学附属东方医院,上海200120

出　　处：《上海中医药杂志》2011年第9期54-55,57,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市浦东新区科技发展基金创新攻关项目(PKJ2007-Y24)

摘　　要：目的观察掌振大椎穴结合牵引治疗椎动脉型颈椎病(CSA)的临床疗效及其对椎动脉血流的影响。方法将110例患者随机分为推拿治疗组和理疗对照组,各55例;推拿治疗组采用颈椎牵引结合掌振大椎穴治疗,对照组采用颈椎牵引结合微波治疗,疗程4周。观察临床疗效、眩晕评估量表(ESCV)及椎动脉血流的参数变化。结果治疗组和对照组分别有54例和51例完成全程治疗。治疗组总有效率为92.6%,对照组为76.5%(P<0.05)。治疗后两组ESCV评分均较治疗前明显提高(P<0.01),且治疗组高于对照组(P<0.05)。治疗后治疗组EDV加快(P<0.01),RI下降(P<0.01)及血管内径增加(P<0.05);对照组仅RI降低(P<0.05),且治疗组RI降低较对照组显著(P<0.05)。结论掌振大椎穴结合牵引能有效改善CSA患者眩晕症状及椎动脉血流动力学。Objective To observe the clinical efficacy of combined vibrating manipulation at Dazhui（GVI4） and traction in the treatment of cervical spondylotie arteriopathy（CSA） and its effect on vertebral artery. Methods A total of 110 cases were randomly assigned into treatment group and control group, and treated respectively by vibrating manipulation at Dazhui（GVI4） plus traction and by microwave irradiation plus traction, with a course of 4 weeks. The clinical efficacy, evaluation scale fnr cervical vertigo（ESCV） and the blood flow of the vertebral arteries were evaluated. Results Fifty-four cases were enrolled in the treatment group and 51 cases in the control group. After treatment, the overall effeetive rate was 92.6% in the treatment group and 76.5% in the control group, with a difference between them（ P 〈 0.05 ） ; the ESCV was strikingly increased in both groups（P 〈 0.01 ）, with more significant increase in the treatment group than in the control group （ P 〈 0.05 ）. In the treatment grnup, the end-diastnlie velocity （EDV） increased （ P 〈 0.01 ） , resistance index （RI） decreased （ P 〈 0.01 ） and vascular inner diameter enlarged （ P 〈 0.05 ） ; while only the resistance index （RI） decreased （ P 〈 0.05 ） , with more significant decrease in the treatment group than in the control group（ P 〈 0.05 ）. Conclusion Combined vibrating manipulation at Dazhui（GV14） and traction is effective to improve vertigo and blood flow of the vertebral arteries in CSA.

关 键 词：椎动脉型颈椎病 大椎 掌振法 牵引 

分 类 号：R274[医药卫生—中医骨伤科学]