颈椎后前向松动术和牵引后颈椎后前向松动术对椎动脉血流量的影响  

Effects of cervical mobilization and cervical traction on vertebral artery blood flow

作　　者：陈勇[1] 夏俊文[1] 汤智伟[1] 郭铁成[1] 洪恺[2] Chen Yong Xia Jun- wen Tang Zhiwei Guo Tiecheng Hong Kai(Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medi- cal College, Huanzhong University of Science and Technology, Wuhan 430030, Chin)

机构地区：[1]华中科技大学同济医学院附属同济医院康复医学科,武汉430030 [2]华中科技大学同济医学院附属同济医院超声影像科,武汉430030

出　　处：《中华物理医学与康复杂志》2016年第10期768-771,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：湖北省自然科学基金项目（2014CFB974）

摘　　要：目的研究单纯的后前向松动（单纯松动术）和持续牵引的同时行后前向关节松动（牵引松动术）对椎动脉血流量的影响。方法选取健康受试者30例。所有受试者均接受单纯松动术和牵引松动术干预，2种干预方案的顺序随机，每种干预间歇2d。于每次干预前、后采用彩色超声多普勒诊断仪采集椎动脉的血流动力学参数。结果单纯松动术干预后，受试者的收缩峰值血流速度[（46．32±4．98）cm／s]、舒张末期血流速度[（17．47±3．39）cm／s]、平均血流速度[（27．12±9．01）cm／s]、阻力指数[（0．70±0．06）]分别与治疗前比较，差异无统计学意义（P〉0．05）。牵引松动术干预后，受试者的收缩峰值血流速度[（45．98±5．10）cm／s]、舒张末期血流速度[（18．01±4．27）cm／s]、平均血流速度[（26．09±6．89）cm／s]、阻力指数[（0．70±0．09）]分别与治疗前比较，差异均无统计学意义（P〉O．05）。结论颈椎后前向松动和牵引松动产生的椎间运动对椎动脉血流量无影响。Objective To investigate the effect of posteroanterior cervical mobilization with and without cer- vical traction on blood flow in the vertebral artery. Methods Thirty healthy female volunteers （aged 19 to 25） were recruited and randomly divided into groups to receive either posteroanterior cervical mobilization or mobilization com- bined with traction. The order of administration of the mobilization and traction was randomized, with an interval of 2 days between the interventions. Color-flow Doppler ultrasound was used to measure the velocity of vertebral artery flow before and after the treatment. Results No significant differences in the average peak systolic velocity, end dias- tolic velocity or blood flow velocity were observed after mobilization alone compared with before the treatment. After the combined mobilization and traction there was also no significant difference in those indicators or in the resistance index compared with before the intervention. Conclusion Neither posteroanterior cervical mobilization, cervical traction nor their combination has any significant effect on blood flow in the vertebral artery.

关 键 词：后前向松动手法 牵引松动 椎动脉血流量 

分 类 号：R274.9[医药卫生—中西医结合]