牵引推拿治疗椎动脉型颈椎病110例临床观察

对110例椎动脉型颈椎病患者进行了临床观察。其中男82人,女28人,平均年龄56.29岁。97人接受了颈牵和推拿治疗,颈率平均44.13次,推拿平均33.92次。另外对单纯牵引推拿组与加口服活血扩张血管药物组以及单纯牵引推拿组与加静滴低分子右旋糖酐组进行了比较,x_2检验,两组间无显著差异。文章对椎动脉型颈椎病的发生、诊断、治疗以及推拿作用机制进行了探讨。

CLINICAL OBSERVATION OF EFFECTS OF TRACTION AND MANIPULATION IN PATIENTS WITH VERTEBROARTERIAL TYPE OF CERVICAL SPONDYLOPATHY

Clinical observation was undertaken on patients with vertebroarterial type ofcervical spondylopathy who were treated with necktraction and manipulation, of110 patients, there were 82 men and 28 women. The average age was 56.29 yearsold. 102 of 110 patients had vertigo. In 91 patients with which vertigo wasassociated with body position, most of them also had abnormal hearing and visionand headche and hoarseness, etc. Examination: The positive rate of Jackson Test and Rotating-head Test was83.33%. The degenerative changes could be seen on the X-ray films of the cer-vical vertebrae. 55.95% of them suffered from eyeground arteriosclerosis, 40.78%hyperlipemia, 42.16%. hypertension, 36.17% ECG abnormality. Treatment: of 110 patients, 97 were treated with neck traction and manipu-lation. The average times of neck-traction of whom were 44.13, the averagetimes of manipulation 33.92. In addition, we compared one group which usedtraction and manipulation with another one that used traction and manipulationtogether with drip transfusion of dextran. Chi-spuare Test showed no signifi-cant difference between the two groups. Conclusion 1. The information in the paper indicated close relationship between verte-broarterial type of cervical spondylopathy and atherosclerosis. 2. Diagnosis of the disease could be done after excluding a few diseasessuch as Meniere's disease and hemicranie and sympathetic type of cervicalvertebrae, etc. 3. After vertebroarterial angiography, the patients suffering from the diseasetreated with surgery if conservative therapy had no effect. 4. The paper also studied the mechanism of neck-traction and manipulation on vertebroarterial type of cervical spondylopathy.