双向交替牵引手法配合低频电刺激治疗椎动脉型颈椎病的疗效观察

目的评价双向交替牵引手法配合低频电刺激治疗椎动脉型颈椎病的临床疗效，并探讨其作用机制。方法椎动脉型颈椎病患者83例，随机分为观察组和对照组。观察组患者43例，采用双向交替牵引手法和低频电刺激治疗；对照组患者40例，采用颈椎牵引和低频电刺激治疗。治疗前、后均行经颅多普勒超声（TCD）检查，观察2组患者收缩期血流速度的变化。结果①2组治疗后总有效率分别为95.3％和75％，其中观察组治愈率为65．1％，对照组为25％，2组间总有效率及治愈率差异均有统计学意义（P〈0．01）。②治疗后2组椎基底动脉（VBA）血流速度均有改善（P〈0．05），与对照组比较，观察组VBA血流速度的改善更为明显（P〈0．05）。结论双向交替牵引手法配合低频电刺激是更为有效的治疗椎动脉型颈椎病的方法。

The effects of bidirectional alternate traction manipulation plus low frequency electric stimulation on vertebral-artery-type cervical spondylosis

Objective To investigate the value of bidirectional alternate traction manipulation plus low frequency electric stimulation on patients with vertebral-artery-type cervical spondylosis. Methods 83 patients with vertebral-artery-type cervical spondylosis diagnosed based on the clinical diagnosis criteria were randomly divided into an observation group (43 cases) and a control group (40 cases). The observation group was treated with bidirectional alternate traction manipulation plus low frequency electric stimulation, while the control group with cervical traction plus low frequency electric stimulation. Transcranial doppler (TCD) was used to examine the blood flow velocity in vertebrobasilar artery before and after the rehabilitation treatment in both groups. The effect of the intervention on both groups with regard to the blood velocity was analyzed. Results The total effective rates in the two treatment groups were 95.3% and 75% , respectively. The clinical healing rate was 65. 1% in the observation group and 25% in the control group. There were significant differences in the total effective rate and clinical healing rate between the two groups (P<0.01). The blood flow velocity in both groups was increased significantly after treatment (P<0.05) ,and the velocity of blood flow in vertebrobasilar artery in the observation group was increased to a significantly greater extent when compared with the control group (P <0. 05). Conclusion The bidirectional alternate traction manipulation plus low frequency electric stimulation are effective in the treatment of the vertebral-artery-type cervical spondylosis.