针刀松解术侧入路治疗椎动脉型颈椎病的效果及对血流动力学水平的影响  

Effect of acupotomy lateral approach in the treatment of vertebral artery type cervical spondylopathy and its influence on the level of hemodynamics

作　　者：王会如 张侠杰 田河水 张俊杰 张俊杰 李嵘[4] 王伟[5] 刘波 WANG Huiru;ZHANG Xiajie;TIAN Heshui;ZHANG Junjie;ZHANG Junjie;LI Rong;WANG Wei;LIU Bo(Department of orthopedic,Hebi Hospital of Traditional Chinese Medicine,Hebi 458030,China;Department of Pain,Hebi Hospital of Traditional Chinese Medicine;Pain Department,Hongyang Hospital of Traditional Chinese Medicine in Qi County;Department of Liver,Gallbladder,Spleen and Stomach,Hebi Hospital of Traditional Chinese Medicine;Neurology Department,the 1’st Affiliated Hospital of Baotou Medical College)

机构地区：[1]濮阳市中医医院骨一科,河南濮阳457001 [2]鹤壁市中医院疼痛科 [3]淇县泓阳中医院疼痛科 [4]鹤壁市中医院肝胆脾胃科 [5]包头医学院第一附属医院神经内一科

出　　处：《包头医学院学报》2021年第2期108-110,114,共4页Journal of Baotou Medical College

摘　　要：目的:观察针刀侧入路治疗椎动脉型颈椎病患者的效果。方法:选取95例椎动脉型颈椎病患者,随机分为对照组和观察组两组。对照组患者47例应用针刀后入路法治疗,观察组患者48例应用针刀侧入路法治疗,术后观察两组患者的治疗有效率,患者左、右两侧椎动脉及基地动脉阻力指数(RI)、平均血流速度(Vm)、收缩期峰值血流速度(PSV)、搏动指数(PI)及舒张末期血流速度(EDV)水平变化,依据颈性眩晕症状与功能检测两组患者的评估量表(ESCV)。结果:观察组患者的总有效率为91.67%,对照组患者的总有效率为76.60%,观察组患者的总有效率高于对照组患者的总有效率(P<0.05);观察组患者的左右两侧椎动脉、基底动脉Vm、PSV、EDV水平及ESCV评分高于对照组(P<0.05);观察组患者的RI、PI水平低于对照组(P<0.05)。结论:针刀侧入路能有效提升椎动脉型颈椎病患者动脉血流速度,改善脑供血,缓解患者症状体征。Objective:To observe the effect of acupotomy lateral approach in the treatment of cervical spondylosis of vertebral artery type.Methods:95 patients with cervical spondylosis of vertebral artery type were randomly divided into control group and observation group;47 patients in the control group were treated with Acupotomy posterior approach,while 48 patients in the observation group were treated with Acupotomy lateral approach.The treatment efficiency of the two groups was observed after operation;the resistance index(RI),mean blood flow velocity(VM)and peak systolic velocity(PSV),pulsatility index(PI),end diastolic velocity(EDV)of left and right vertebral artery and base artery were measured according to the evaluation scale of cervical vertigo symptoms and functions(ESCV).Results:The total effective rate of the observation group was 91.67%,and that of the control group was 76.60%.The total effective rate of the observation group was higher than that of the control group(P<0.05);the VM,PSV,EDV levels and ESCV scores of the left and right vertebral arteries and basilar arteries in the observation group were higher than those in the control group(P<0.05);the RI and PI levels of the observation group were lower than those of the control group(P<0.05).Conclusion:Acupotomy lateral approach can effectively improve the arterial blood flow velocity,improve the cerebral blood supply and relieve the symptoms and signs of patients with cervical spondylosis of vertebral artery type.

关 键 词：针刀松解术 侧入路 椎动脉 颈椎病 

分 类 号：R47[医药卫生—护理学]