探讨牵引联合山莨菪碱治疗椎动脉型颈椎病临床研究.docxVIP

探讨牵引联合山萇君碱治疗椎动脉型颈椎病临床研究云南省昆明市莲花骨伤科门诊部650000【摘要】目的：研究分析牵引联合静滴山艇著碱治疗椎动脉型颈椎病的临床效果观察。方法：此次研究的对象是选择63例椎动脉型颈椎病患者。将其临床资料进行回顾性分析，并随机分为治疗组(牵引联合静滴山奁著碱治疗)、对照1 组(牵引治疗)和对照2组(静滴山億著碱治疗)，每组21例。3组均以7d为「个疗程，共治疗2个疗程。治疗前后询问并记录患者的头晕、头痛等变化，并使用椎动脉型颈椎病的功能评定量表评价日常综合能力变化。结果：治疗后，3 组患者的头晕、头痛等症状均有不同程度的缓解，治疗组与其他2组比较，差异有统计学意义(PIt; 0.05)；3组患者的牛活综合能力评分均降低，与治疗前比较，治疗组总评分减少差异有统计学意义(PIt; 0.05),对照1组、对照2组的总评分减少差异无统计学意义(Pgt; 0.05)0结论：牵引联合静滴山艇著碱治疗椎动脉型颈椎病的临床疗效好，不仅能直接解除患者的临床症状，还能提高患者的日常综合能力，可推广于临床。【关键词】椎动脉型颈椎病；牵引；山茂君碱；疗效[Abstract] Objective： To observe the clinical effect of traction combined withintravenous drip of anisodamine in the treatment of vertebral artery type of cervical spondylosis. Methods： the study was to select 63 patients with vertebral artery type of cervical spondylosis. The retrospective analysis of the clinical data were analyzed, and were randomly divided into treatment group (traction combined with in trave no us a nisodami ne treatme nt), con trol group 1 (tracti on) an d the c on trol group 2 (intravenous anisodamine treatment), 21 cases in each group. The 3 groups were treated with 7 d for 1 courses, 2 courses of treatment. Before and after treatment, the patients were asked to record the changes of dizziness and headache, and the function of the vertebral artery type of cervical spondylosis was used to evaluate the daily comprehensive ability. Results： after the treatment, 3 groups of patients with different degrees of ease of dizziness, headache and other symptoms, the treatment group compared with the other 2 groups, the differenee was statistically significant (P lt; 0.05)； the 3 groups life comprehensive ability scores were reduced, compared with before treatments the treatment group reduced the total score difference was statistically significant (P lt; 0.05), control group 1, control group total score of 2 to reduce the differenee was not statistically significant(P gt; 0.05) ? Conclusion： the clinical curative effect of traction combined with intravenous drip of anisodamine i