针刀松解配合整脊对椎动脉型颈椎病X+线片及血流动力学的影响.pdfVIP

·949 · 世界中西医结合杂志2015年第10卷第7期 WorldJournal of Integrated Traditional and Western Medicine 2015，Vol.10，No.7 ·临床研究 · 针刀松解配合整脊对椎动脉型颈椎病 X线片及血流动力学的影响 桂清民 孙德礼 李刚 【摘要】 目的 评估针刀闭合性松解术配合整脊对椎动脉型颈椎病患者的颈椎X线片及血流 动力学影响变化。方法 将92例椎动脉型颈椎病患者随机分为治疗组与对照组，每组46例，治疗组 采用针刀闭合性松解术配合整脊手法治疗，对照组予以盐酸氟桂利嗪与颈复康颗粒。观察两组患者 治疗前后的临床疗效、颈椎X线片变化及患者的椎动脉、基底动脉的血流速度影响变化情况。结果 治疗组患者临床总有效率明显高于对照组（P﹤0.01），治疗组的治疗后X线影像学改善明显优于对 照组（P﹤0.01），患者椎动脉及基底动脉血流速度改善优于对照组（P﹤0.05）。结论 针刀闭合性松 解术与整脊治疗对椎动脉型颈椎病的颈椎X线片的颈椎生理曲度变直或反屈、椎间隙狭窄、椎间孔 狭窄、棘突偏歪、寰枢关节紊乱有明显改善，对椎动脉、基底动脉血液动力学改善明显，其疗效明显优 于常规的药物治疗。 【关键词】 椎动脉型颈椎病；针刀松解术；整脊 ＋ 【中图分类号】R681.5 5 【文献标识码】A Impacts of Acupotome lysis and hiropractic on X-ray Films and Hemo- dynamic in Vertebral Artery Type of ervical Spondlylopathy GUI Qing-min，SUN De-li，LI Gang （Shandong Qufu Chinese Medicine Hospital，Qufu Shandong273100） 【Abstract】 Objective To evaluate the impacts of acupotome closed lysis and chiropractic on X - ray files and hemodynamic in the patients of vertebral artery type of cervical spondylopathy（VACS）.Meth- ods Ninety-twopatientsof VACSwererandomized into atreatment group and a control group，46 casesin each one.Inthetreatmentgroup，theacupotomeclosedlysisandchiropracticwereusedincombination.Inthe control group，flunarizine hydrochloride andjingfukang granules were prescribed.The clinical efficacy，cervi- cal X-ray films and the changes of blood flow velocity in vertebral artery and basilar artery were observed before and after treatment in the two groups.Results The clinical total effective rate in the treatment group was apparently higher than that in the control group（P ﹤0.01）.X-ray imaging was improved obviously，the bloodflow velocity invertebralarteryandbasilararterywereimprovedinthetreatmentgroupascomparedwith