针刀加手法治疗椎动脉型颈椎病132例  

Clinical Observation on 132 Cases of Vertebral Artery Cervical Spondylopathy Treated with Acupotomy and Manipulation

作　　者：于金龙 刘江涛 YU Jinlong;LIU Jiangtao(Aviariow Industry Xiangyang Hospital,441002)

机构地区：[1]航空工业襄阳医院,441002

出　　处：《航空航天医学杂志》2021年第4期389-390,共2页Journal of Aerospace medicine

摘　　要：目的介绍针刀加手法治疗椎动脉型颈椎病的方法,并对其机理进行探讨。方法对2011年01月—2019年01月收治并随访的椎动脉型颈椎病病人132例,采用针刀在枕后及肩部诸肌起止点的松解治疗之后,配合朱氏手法进行调衡治疗。术后半年评价疗效。结果术后无不良反应,大多数症状在一次治疗之后即可减轻,病例均在治疗1-2个月内康复。经10-36个月的随访,无加重复发病例。疗效优79例,良21例,可27例,差5例,治疗优良率:75.75%。其中寰枕间隙变窄或消失类占89.3%,多间隙椎间盘膨出、突出及反弓者占52.4%。结论针刀加手法治疗方法合理,痊愈率高,适应人群广泛且依从性好,较好的保护了更多的患者免受开刀之苦,避免了长期服药无效和医保大量治疗资金的浪费。Objective To evaluate the efficacy of the acupotomy coordinated with traditional manipulation in the treatment of vertebral artery type cervical spondylosis and discuss its mechanism. Methods 132 patients with vertebral artery type cervical spondylosis admitted from January 2011 to January 2019 were selected as the study subjects. All patients were treated with acupuncture at the start and end points of the back of the occiput and shoulder muscles, and coordinated with Zhu′s maneuver for balance treatment. The curative effect was evaluated six months after the operation. Results There were no adverse reactions after the operation, most of the symptoms could be relieved after one treatment. All cases recovered within 1-2 months after treatment. After 10-36 months follow-up, there was no recurrence. The curative effect was excellent in 79 cases, good in 21 cases, fair in 27 cases, and poor in 5 cases. The excellent and good treatment rate was 75.75%. The narrowing or disappearing of the atlanto-occipital space accounted for 89.3%, and the multi-space intervertebral disc bulging, herniation and reversion accounted for 52.4%. Conclusions Acupotomy combined with traditional manipulation is a reasonable and high cure rate method. It can adapt to a wide range of people and has good compliance. It can better protect more patients from the pain of surgery, and avoid the long-term ineffectiveness of medication and the waste of medical insurance funds.

关 键 词：椎动脉型颈椎病 顽固性头晕 针刀加手法 

分 类 号：R681.55[医药卫生—骨科学]