体外反搏加牵引治疗椎动脉型颈椎病

目的寻求治疗椎动脉型颈椎病的更有效的方法。方法临床确诊的椎动脉型颈椎病患者90例，男48例，女42例。随机分为三组：反搏组30例，实施单纯体外反搏治疗，用广州产WFB-V型体外反搏装置，气囊压力0．035～0．04MPa，每次治疗50～60min，每日1次，10次为1个疗程；牵引组30例，做单纯牵引治疗，用英国产AKRON-8908型颈椎牵引装置，取坐位，选适当牵引角度，治疗重量取5～15kg，每次治疗15～20min．每日1次，10次为1个疗程；综合组30例，同时应用上述两种方法治疗。结果单纯体外反搏和单纯牵引治疗对椎动脉型颈椎病有一定疗效，体外反搏加牵引综合治疗有显著疗效。反搏组与牵引组比较，差异无统计学意义(P＞0．05)；综合组分别与反搏组、牵引组比较，差异有统计学意义(均P＜0．01)。结论故体外反搏加牵引治疗椎动脉型颈椎病是有效的治疗方法。

Intervention of the patients with vertebral artery type of cervical syndrome by use of external counterpulsation and cervical traction therapy

Objective To investigate the value of external counterpulsation and cervical traction therapy on patients with vertebral artery insufficiency syndrome. Methods Based on the criteria of clinical diagnosis, 90 patients with vertebral artery insufficiency syndrome were randomized into three groups. The group A was treated with external counterpulsation (30 cases), the group B with cervical traction (30 cases)and the group C with cervical traction plus external counterpulsation (30 cases). Results There was better therapeutic effects in group C as compared with groups A and B (P<0.01). No difference was revealed between groups A and B (P>0.05). Conclusion External counterpulsation and traction therapy are effective in the treatment of the vertebral artery insufficiency syndrome.