端托法治疗椎动脉型颈椎病:超声影像学和实验室检查评估  

TCD observation of the hand-traction manipulation on the cervical spondylosis of the vertebral artery type

作　　者：徐贵龙[1] 欧惠熙[1] 

机构地区：[1]解放军第四二一医院,广东广州510318

出　　处：《中国临床康复》2002年第14期2128-2129,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的观察端托法治疗椎动脉型颈椎病患者的疗效。方法对120例椎动脉型颈椎病患者用端托法治疗一个疗程(治疗组),30例同病患者服用颈复康治疗相同天数(对照组)。观察治疗前后经颅多普勒(TCD)各项指标、外周血红细胞超氧化物歧化酶(SOD)、血浆脂质过氧化物(LPO)和6酮前列环素Fla(PGFla)浓度变化。结果治疗组总有效率为96.7%,对照组为80.0%,前者显著好于后者(P<0.01),影像学和实验室结果中,治疗组治疗后TCD、SOD、LPO及PGF1a等指标也明显优于对照组(P<0.01)。结论端托法治疗椎动脉型颈椎病是有效的。Objective To assess the effect of hand traction manipulation on cervical spondylosis of the vertebral artery type(CSA).Methods 120 cases of patients with CSA were treated with hand traction manipulation,and TCD indices of vertebral artery (VA) and basilar artery (BA),such as peak systolicvelocity (Vpeak),end diastolic velocity(Vmin),pulsatility index(PI),and resistance index (RI),were examined before and after treatment and analyzed statistically.Results The Vpeak and Vmin were significantly elevated,while PI and RI dropped significantly.Conclusion The blood supply of the brain could be improved by hang traction manipulation,and bring a definite therapeutic effect for CSA.

关 键 词：端托法 椎动脉型颈椎病 手法治疗 经颅多普勒 疗效评估 

分 类 号：R681.55[医药卫生—骨科学]