颈椎复元丹结合力学平衡枕治疗椎动脉型颈椎病  

Treatment of Vertebral Artery Type Cervical Spondylosis by Cervical Vertebra Restoration Pill Combined with Mechanical Balance Pillow

作　　者：王上增[1] 黄俊卿[1] 宋晓光[1] 李帅垒[1] 郑福增[1] 

机构地区：[1]河南中医学院第二附属医院,郑州450002

出　　处：《中国实验方剂学杂志》2016年第3期179-182,共4页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：2013河南省重点中医学科(专科)学术带头人培养项目(2013ZY03029)

摘　　要：目的:探讨口服颈椎复元丹及外用力学平衡枕治疗椎动脉型颈椎病的临床可行性及效果。方法:2011年3月—2013年4月治疗组对160例椎动脉型颈椎病患者采用颈椎复元丹结合颈椎力学平衡枕治疗,对照组160例服用天麻蜜环菌片配合颈椎牵引治疗,10 d为1个疗程,休息1 d后,开始下1个疗程,两组均治疗3个疗程。治疗后1年主要从治疗前后经颅多普勒超声,颈椎弓顶距变化、颈椎眩晕症状与功能评分及临床疗效进行疗效评定。结果:检测结果显示,治疗组椎基底动脉收缩峰期及舒张末期的血流量、弓顶距的改善、颈椎眩晕症状与功能评估积分的改善明显大于对照组,比较差异有统计学意义(P<0.05)。临床疗效评定,治疗组有效率96.2%,对照组有效率72.5%,比较差异有统计学意义(P<0.05)。结论:颈椎复元丹结合颈椎力学平衡枕治疗椎动脉型颈椎病疗效显著,能改善颈椎的生理曲度,提高椎动脉的顺应性从而增加脑部的血供,重建颈椎生物力学的稳定性。Objective： To explore the curative effect and clinical feasibility of cervical vertebra restoration pill combined with mechanical balance pillow in treating vertebral artery type cervical spondylosis.Method： From Mar 2011 to Apr 2013,160 patients with vertebral artery type cervical spondylosis were treated with cervical vertebra restoration pill combined with mechanical balance pillow. Another 160 patients as control group were treated by taking gastrodia tuder halimasch tablets with cervical traction. They were treated with 10 days per course,and the next course began after 1 day of rest,in a total of 3 courses. After one year of treatment,they were evaluated for the curative effect according to changes of transcranial Doppler ultrasonography and cervical arch roof pitch changes,cervical vertigo symptom and function scores. Result： Test results showed thatthe improvement of blood flow during the systolic peak period of the vertebral basilar artery and the end diastasis period,cervical arch roof pitch,cervical vertigo symptom and improvement of function scores after treatmentin the treatment group were significantly greater than those in control group,withstatistically significant difference between these two groups（ P〈0. 05）. In respect of clinical efficacy,the effective rate was 96. 2% in treatment group,higher than 72. 5% in control group,with statistically significant difference between these two groups（ P〈0. 05）.Conclusion： The method of cervical vertebra restoration pillcombined with mechanical balance pillow has significant efficacy in treating vertebral artery type cervical spondylosis,can improve the physiological curvature of cervical spine,improve the compliance of vertebral artery and thus increase the brain blood supply,and reconstruct biomechanical stability of cervical vertebra.

关 键 词：颈椎复元丹 力学平衡枕 椎动脉型颈椎病 牵引 

分 类 号：R287[医药卫生—中药学]