通督益脑推拿法为主治疗椎动脉型颈椎病的临床探究.pdfVIP

提 要 目的：本研究以椎动脉型颈椎病患者经颅多普勒（TCD）和症状、体征积分为客 观指标，观察运用“通督益脑推拿法”为主治疗椎动脉型颈椎病的临床疗效，并探讨 其作用机理。 方法：将入选的60例患者随机分为治疗组和对照组，其中治疗组30例，对照组 30例。治疗组采用“通督益脑推拿法”为主进行治疗，对照组采用口服西比灵治疗。 治疗后根据两组TCD和症状、体征前后积分的变化进行综合评价。 结果：两组治疗前后在 TCD 以及症状、体征评分方面均有非常显著性差异 （P0.01），治疗后 VA（s）、VA（m）、VA（PI）以及 BA（s）组间比较，无显著性差 异（P0.05）；治疗后VA（d）、BA（d）、BA（m）、BA（PI）、症状体征评分组间比较， 具有非常显著性差异（P0.01）；治疗组总有效率为 100.00％，对照组总有效率为 93.33％，治疗组优于对照组。 结论：“通督益脑推拿法”为主治疗椎动脉型颈椎病在 TCD 和症状、体征评分以 及总有效率方面均优于西比灵。“通督益脑推拿法”为主治疗椎动脉型颈椎病比单纯 口服西比灵在疗效方面优势明显。本方法具有操作简单，安全，绿色无毒副作用，易 于被患者接受等优点，可以作为患者较理想的治疗方法，值得临床大力推广。 关键词 通督益脑推拿法；椎动脉型颈椎病；临床研究 Clinical Research on the Treatment of Cervical spondylosis of Vertebral artery type （CSA ）by applying Tong-Du and Yi-Nao massage therapy as the main Tuina Method. Speciality: Tuina of TCM Author:Li Chuncheng Tutor: Professor Wang Daoquan Abstract Objective: Based on the objective indicators of scoring the TCD and symptoms, to study the clinical effect of applying “Tong-Du and Yi-Nao massage therapy”as the main method to treat Cervical spondylosis of Vertebral artery type （CSA ）and explore the mechanism. Methods: 60 patients diagnosed as Cervical spondylosis of Vertebral artery type （CSA ）were divided into two groups at random. Among them ,the test group(30) treated by “Tong-Du and Yi-Nao massage therapy” as the main method ；the control group(30) treated by Sibelium Medicine Treatment .The difference in improvement of TCD ,symptoms and physical signs was observed between the patients of two groups after therapy. Results:There are remarkable differences in the improvement of TCD, symptoms and physical signs between the two groups after therapy (p 0.01), and no obvious differences in VA （s