颈灵合剂配合推拿整复治疗椎动脉型颈椎病的临床研究  

Clinical Research on Jingling Mixture with Massage for Treating Vertebral Artery Type of Cervical Disease

作　　者：胡卫玉 刘智宇 杨松柏 许可 孙思杰 刘盛华 张万桂 

机构地区：[1]宜昌市中医医院超声科,湖北宜昌443003

出　　处：《辽宁中医杂志》2012年第5期856-859,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：宜昌市科技局立项课题(A04303-18)

摘　　要：目的:观察颈灵合剂配合推拿整复法治疗椎动脉型颈椎病临床疗效。方法:将500例患者随机分为3组,治疗组200例服用颈灵合剂配合推拿整复;对照组(1)150例仅服用颈灵合剂治疗。对照组(2)150例仅以推拿整复治疗,3组均以10天为1疗程,治疗3个疗程。主要观察3组临床疗效、彩色多普勒血流动力学变化(TCD、CDFI)、治疗前后主要症状积分及血液流变学(血浆黏度值)各项指标的变化。结果:颈灵合剂配合推拿整复治疗椎动脉型颈椎病的总有效率100%(治愈率69.5%),显著高于对照组(1)(颈灵合剂组)的90%(治愈率38.7%)及对照组(2)(推拿整复组)的78.8%(治愈率30.7%)(P<0.01)。结论:颈灵合剂配合推拿整复法治疗椎动脉型颈椎病的临床疗效显著,能有效地缓解血管痉挛,降低血液黏稠度,从而改善椎动脉供血不足的症状。Objective：The clinical efficacy of Jingling mixture combined with massage for treating vertebral artery type cervical spondylosis was obsevered.Methods：500 patients were randomly divided into three groups,200 patients in the treatment group took Jingling mixture and massage;150 cases in the control group 1 only took Jingling mixture treatment.150 cases in the control group 2 were only given massage therapy,10 days was a course treatment and all patients were treated for 3 courses.Three groups were observed including mainly clinical effect,hemodynamic changes color Doppler（TCD,CDFI）,the main symptom scores before and after treatment and blood rheology（plasma viscosity）of the indicators.Results：The total efficiency of Jingling mixture combined with massage of treating vertebral artery type cervical spondylosis was 100%（cure rate 69.5%）,significantly higher than control group 1（Jingling mixture group）90%（cure rate 38.7%）and control group 2（massage group）78.8%（cure rate 30.7%）（P0.01）.Conclusion：Jingling mixture and massage treatment has significant clinical effect on vertebral artery type cervical spondylosis.The treatment can effectively relieve spasm and reduce blood viscosity so as to improve the symptoms of vertebral artery insufficiency.

关 键 词：颈灵合剂 推拿整复 椎动脉型颈椎病 

分 类 号：R681.55[医药卫生—骨科学]