旋提手法对椎动脉型颈椎病患者经颅多普勒相关指标的影响

发布时间：2017-12-28 20:04

本文关键词：旋提手法对椎动脉型颈椎病患者经颅多普勒相关指标的影响　出处：《中医杂志》2017年18期 　论文类型：期刊论文

【摘要】：目的观察旋提手法对椎动脉型颈椎病患者经颅多普勒(TCD)指标的影响,探讨TCD的临床价值。方法 195例椎动脉型颈椎病患者随机分为治疗组(96例)和对照组(99例)。治疗组采用旋提手法治疗,隔日1次;对照组采用牵引疗法,每日1次。于治疗前和治疗2周后进行TCD检查,观测双侧椎动脉和基底动脉血流量相关指标[包括收缩期血流速度峰值(Vp)、平均血流速度(Vm)、舒张末期血流速度(Vd)、脉动指数(PI)]的变化。结果与正常组同侧比较,治疗前两组患者椎动脉双侧Vp、Vm、Vd水平及基底动脉Vp、Vm水平均明显升高(P0.05或P0.01)。与本组同侧治疗前比较,治疗组治疗后双侧椎动脉Vp、PI水平降低,基底动脉Vp、Vm水平明显降低(P0.05或P0.01);对照组治疗后双侧椎动脉Vp降低、左侧PI水平升高(P0.05或P0.01)。治疗组治疗后基底动脉Vm水平亦明显低于对照组治疗后(P0.05)。两组治疗前后基底动脉Vd、PI水平差异均无统计学意义(P0.05)。结论旋提手法可改善椎动脉型颈椎病患者TCD指标,从而改善椎-基底动脉血流速度,TCD可作为椎动脉型颈椎病的疗效评价指标之一。
[Abstract]:Objective To observe the effect of manipulative manipulation on the index of transcranial Doppler (TCD) in patients with vertebral artery type of cervical spondylosis, and to explore the clinical value of TCD. Methods 195 cases of vertebral artery type cervical spondylosis were randomly divided into the treatment group (96 cases) and the control group (99 cases). The treatment group was treated with revolving manipulation, 1 times a day, and the control group was treated with traction therapy, 1 times a day. TCD examination was performed before treatment and 2 weeks after treatment. The related indexes of bilateral vertebral artery and basilar artery blood flow were observed, including systolic blood flow velocity peak (Vp), mean blood flow velocity (Vm), end diastolic blood flow velocity (Vd) and pulsation index (PI)]. Results compared with the same side of the normal group, the levels of Vp, Vm, Vd and Vp and Vm of the basilar arteries in the two groups were significantly increased (P0.05 or P0.01). Compared with the ipsilateral treatment group, the levels of Vp and PI in bilateral vertebral artery decreased after treatment, and the levels of Vp and Vm in basilar artery were significantly decreased (P0.05 or P0.01). After treatment, Vp in bilateral vertebral artery decreased and the level of left PI increased (P0.05 or P0.01) in control group. The Vm level of the basilar artery in the treatment group was significantly lower than that of the control group after treatment (P0.05). There was no significant difference in the level of Vd and PI of basilar artery before and after treatment in the two groups (P0.05). Conclusion rotational manipulation can improve the TCD index of vertebral artery type of cervical spondylosis, and improve the blood flow velocity of vertebral basilar artery. TCD can be used as an index for evaluating the curative effect of cervical spondylosis of vertebral artery type.
【作者单位】：中国中医科学院望京医院;中国中医科学院广安门医院;国家电网有限公司北京电力医院;
【基金】：国家中医药管理局国家中医临床研究基地业务建设科研专项(JD2X2012122) 中国中医科学院科技创新优势团队建设项目(YS1304);中国中医科学院优势病种项目(CACMS05Y-1033)
【分类号】：R244.1
【正文快照】： 椎动脉型颈椎病又称为颈性眩晕,是颈椎病变累及椎动脉后刺激交感神经引起的一系列临床症状,椎-基底动脉供血不足是本病的直接病因[1-2]。经颅多普勒(transcrianial dappler,TCD)能够动态监测动脉血流速变化,是反映椎-基底动脉血流速度的常规检查[3-4]。本课题组采用多中心、前

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