[1]周政东 简聪 周政良.三联疗法治疗椎动脉型颈椎病的疗效观察[J].中国中医骨伤科杂志,2019,27(02):29-32.
　ZHOU Zhengdong JIAN Cong ZHOU Zhengliang.Clinical Observation of Triple Therapy on Vertebral ArteryType of Cervical Spondylosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(02):29-32.
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三联疗法治疗椎动脉型颈椎病的疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年02期
页码:
29-32
栏目:
临床论著
出版日期:
2019-02-15

文章信息/Info

Title:
Clinical Observation of Triple Therapy on Vertebral ArteryType of Cervical Spondylosis
文章编号:
1005-0205(2019)02-0029-04
作者:
周政东1 简聪1 周政良2
1南方科技大学医院(广东 深圳,518055)
Author(s):
ZHOU Zhengdong1 JIAN Cong1 ZHOU Zhengliang2
1Hospital of Southern University of Science and Technology, Shenzhen 518055,Guangdong China.2People’s Hospital of Longhua New District in Shenzhen City,Shenzhen 518109,Guangdong China.
关键词:
手法整脊;  桃红四物汤加味内服与热敷;  椎动脉型颈椎病;  疗效观察
Keywords:
manual spinal rotation massage;  Taohong Siwu decoction and hot fomentation;  vertebral artery type of cervical spondylosis;  clinical observation
分类号:
R681.5
文献标志码:
A
摘要:
观察侧卧后伸位拔伸旋转整脊手法,联合桃红四物汤加味内服与热敷三联治疗椎动脉型颈椎病的临床疗效。方法:将60例诊断为椎动脉型颈椎病的患者,采用侧卧后伸位拔伸旋转整脊手法联合桃红四物汤加味内服与热敷三联治疗,把椎动脉型颈椎病的三大主要症状及功能积分列为观测项目,并引入日常生活、工作、心理及社会适应指标,根据《颈性眩晕症状与功能评估量表》对所有项目采用量表法评估,进行疗效判定,随访6个月,对治疗结果进行统计学分析。结果:痊愈30例,显效15例,有效12例,无效3例,总有效率95%; 治疗前后结果比较差异有统计学意义(P<0.01)。结论:侧卧后伸位拔伸旋转整脊手法联合桃红四物汤加味内服与热敷三联治疗椎动脉型颈椎病疗效显著,该疗法安全可靠,适合临床推广应用。
Abstract:
To observe the clinical effect of triple therapy on vertebral artery type of cervical spondylosis with the combination of lateral lying back extension position and extension rotation cervical manipulation, Taohong Siwu decoction and hot fomentation. Methods: Sixty patients diagnosed of vertebral artery type of cervical spondylosis were applied triple therapy, namely, the combination of lateral lying back extension position and extension rotation cervical manipulation, Taohong Siwu decoction and hot fomentation. Three main symptoms and functional scores of vertebral artery type cervical spondylosis were listed as observational items, and the indexes of daily life, work, psychology and social adaptation were introduced. All the items were evaluated by the scale according to the cervical vertigo symptoms and functional assessment scales, and the curative effect was evaluated and followed-up for half a year. The treatment results were analyzed statistically. Results: There are 30 cases cured, 15 cases markedly effective, 12 cases effective, 3 cases ineffective, with the total effective rate 95%. The results before and after treatment were statistically significant(P<0.01). Conclusion: The clinical effect of triple therapy on vertebral artery type of cervical spondylosis with the combination of lateral lying back extension position & extension rotation cervical manipulation, Taohong Siwu decoction(ad ux int)and hot fomentation is remarkably significant, and it is suitable for clinical application.

参考文献/References:

[1] 孙宇,陈琪福.第二届颈椎病专题座谈会纪要[J].中华外科杂志,1993,13(8):472.
[2] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994.
[3] 郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,1993:58-59.
[4] 张清,孙树椿.椎动脉型颈椎病的发病机理的研究概况[J].中国中医骨伤科杂志,1998,6(4):59-61.
[5] 何伟,张俐,王维佳.骨病临床研究[M].北京:北京科学技术出版社,2006:25-28.
[6] 李宇明,邬黎平,翁凤泉,等.颈椎不同体位下拔伸旋转手法对椎间盘髓核内压力的影响[J].广州中医药大学学报,2009,26(5):433-437.
[7] WU L P,LI Y K,LIANG B J,et al. Morphological changes of the in vitro cervical vertebral canal and its cast form during flexion,extension,and lateral ben ding[J].J Manipulative Physiol Ther,2010,33(2):132-137.
[8] 张锦平,罗家良,李义凯.牵扳手法对腰椎髓核内压力影响的实验研究[J].中国中医骨伤科杂志,2001,9(2):21-24.
[9] 李义凯,朱青安,钟世镇.牵引对颈椎髓核内压力影响的实验研究[J].中华理疗杂志,1998,21(2):94-95.
[10] 李采宁,杨米雄.椎动脉型颈椎病的病因病机与治疗进展[J].中医正骨,2008,20(2):66-69.
[11] 廖信祥.椎动脉型颈椎病发病机理的研究进展[J].颈腰痛杂志,2006,27(2):151-152.
[12] 王元周,王军良.分型治疗椎动脉型颈椎346 例[J].陕西中医,2007,28(1):65-67.
[13] 姜宏,施杞.颈椎病疗效评定的研讨[J].中国中医骨伤科杂志,1996,4(4):47-50.
[14] 范炳华,王鹏,徐泉珍.推拿对颈性眩晕的椎动脉形态学及血流速的影响[J].中国骨伤,2009,22(5):354-356.
[15] 龙层花.脊椎病因治疗学[M].北京:世界图书出版公司,2012:96-120.
[16] 梁爱军,黄嘉琪,刘志.仰卧位手法牵引在椎动脉型颈椎病治疗中的应用[J].实用中西医结合临床,2016,16(4):22-23.
[17] 金玉盛,王琪.椎动脉型颈椎病治疗中血液流变学的应用价值评价[J].河北中医,2017,39(7):1111-1112.
[18] 顾灵溪.针灸推拿在椎动脉型颈椎病治疗中的应用效果观察[J].中医中药,2017,15(7):191-192.

备注/Memo

备注/Memo:
1南方科技大学医院(广东 深圳,518055)2广东深圳市龙华区人民医院
更新日期/Last Update: 2019-02-15