经颅彩色多普勒超声(TCCS)结合旋颈试验评估针刀治疗椎动脉型颈椎病的临床价值  

Clinical value of transcranial color Doppler ultrasound(TCCS)combined with cervical rotation test in evaluating the treatment of vertebral artery type cervical spondylosis with needle knife therapy

作　　者：彭恭顺 钟伟 祝丽松 范凌燕 王宪瑞 吴翠萍 陈丽雪 Peng Gongshun;Zhong Wei;Zhu Lisong;Fan Lingyan;Wang Xianrui;Wu Cuiping;Chen Lixue(Nankang District Traditional Chinese Medicine Hospital,Ganzhou,Jiangxi 341400,China)

机构地区：[1]江西省赣州市南康区中医院,江西赣州341400

出　　处：《首都食品与医药》2024年第1期47-49,共3页Capital Food Medicine

基　　金：江西省中医药管理局科技计划项目(项目编号:2022B296)。

摘　　要：目的探讨经颅彩色多普勒超声(TCCS)结合旋颈试验评估针刀治疗椎动脉型颈椎病(CSA)的临床价值。方法选取赣州市南康区中医院针灸康复科收治的60例CSA患者作为研究对象,通过TCCS结合旋颈试验观察经针刀治疗14天前后双侧椎动脉及基底动脉的收缩期流速(Vp)、舒张期流速(Vd)、平均速度(Vm)、搏动指数(PI)的血流参数变化,评估针刀治疗椎动脉型颈椎病的疗效及TCCS的临床价值。结果治疗14天后,CSA患者左侧椎动脉(LVA)的Vp、Vd、Vm与治疗前相比均升高,PI与治疗前相比降低,差异有统计学意义(P<0.05);治疗14天后,CSA患者右侧椎动脉(RVA)的Vp、Vd、Vm与治疗前相比均升高,PI与治疗前相比降低,差异有统计学意义(P<0.05);治疗14天后,CSA患者基底动脉(BA)的Vp、Vd、Vm与治疗前相比均升高,PI与治疗前相比降低,差异有统计学意义(P<0.05);治疗前,60例CSA患者旋颈试验均为阳性,治疗14天后,CSA患者旋颈试验阳性33例,与治疗前比较,差异有统计学意义(P<0.05)。结论采用TCCS评估针刀治疗CSA患者可以直观地识别颅内血管,动态观察颅内血管的走行及血流充盈情况,结合旋颈试验可以更准确地获得椎-基底动脉系统的血流动力学改变信息。Objective To explore the clinical value of transcranial color Doppler ultrasound(TCCS)combined with cervical rotation test in evaluating the treatment of vertebral artery type cervical spondylosis(CSA)with needle knife therapy.Methods A total of 60 CSA patients hospitalized and outpatients in the acupuncture and moxibustion Rehabilitation Department of Nankang District Hospital of Traditional Chinese Medicine were selected as the research objects.The changes of blood flow parameters of systolic velocity(Vp),diastolic velocity(Vd),average velocity(Vm)and pulsatility index(PI)of bilateral vertebral artery and basilar artery before and after 14 days of acupotomy were observed through TCCS combined with neck rotation test,and the efficacy of acupotomy in treating vertebral artery type cervical spondylosis and the clinical value of TCCS were evaluated.Result After 14 days of treatment,the Vp,Vd,and Vm of LVA in CSA patients increased compared to before treatment,while the PI decreased compared to before treatment,with a statistically significant difference(P<0.05);after 14 days of treatment,the Vp,Vd,and Vm of RVA in CSA patients increased compared to before treatment,while the PI decreased compared to before treatment,with a statistically significant difference(P<0.05);after 14 days of treatment,the Vp,Vd,and Vm of BA in CSA patients increased compared to before treatment,while the PI decreased compared to before treatment,with a statistically significant difference(P<0.05);before treatment,all 60 CSA patients had a positive neck rotation test.After 14 days of treatment,33 CSA patients had a positive neck rotation test,and the difference was statistically significant(P<0.05)compared to before treatment.Conclusion Using TCCS to evaluate needle knife needle therapy for CSA patients can intuitively identify intracranial blood vessels,dynamically observe the course and blood flow filling of intracranial blood vessels,and combined with neck rotation test,more accurate information on hemodynamic changes in the vertebral ba

关 键 词：椎动脉型颈椎病 经颅彩色多普勒超声 旋颈试验 针刀 

分 类 号：R681.55[医药卫生—骨科学]