下颈椎不稳与椎动脉型颈椎病相关性的临床研究

目的:观察比较电针与牵引治疗椎动脉型颈椎病的临床疗效,并分析其与下颈椎不稳的相关性。方法:将170例椎动脉型颈椎病患者随机分为电针组85例,牵引组85例,观察治疗效果,在治疗前后进行椎动脉型颈椎病功能量表评分,颈椎稳定性评估。结果:电针组治愈率为40.00%,总有效率96.48%;牵引组治愈率为18.85%,总有效率85.88%。2组比较差异有统计学意义(P<0.01),2组治疗前后自身比较,功能量表评分均降低,X线平片显示,其角位移和水平位移均减少,差异均有统计学意义(P<0.01),且电针组优于牵引组,差异有统计学意义(P<0.01);功能量表评分的降低与角位移和水平位移的减少具有相关性。结果:电针治疗椎动脉型颈椎病的效果优于牵引治疗,其疗效与下颈椎稳定性的改善相关。

A Clinical Study on the Correlation of Lower Cervical Vertebral Instability with Cervical Spondylotic Vertebral Arteriopathy

Objective:To compare the clinical efficacy of electroacupuncture with traction in treating cervical spondylotic vertebral arteriopathy,and to analyze the correlation of cervical spondylotic vertebral arteriopathy with lower cervical vertebral instability.Methods: One hundred and seventy patients with cervical spondylotic vertebral arteriopathy were randomly allocated to a treatment group of 85 cases and a control group of 85 cases.The treatment group received electroacupuncture and the control group received traction.The therapeutic effects were evaluated.The score was counted using a function scale and lower cervical vertebral stability was assessed before and after treatment.Results:The cure rate and the total efficacy rate were 40.0% and 96.48%,respectively,in the treatment group and 18.85% and 85.88%,respectively,in the traction group;there was a statistically significant difference between the two groups(P<0.01).The function scale score and both the angular and horizontal displacements on the X-ray plain film were decreased in the two groups after treatment as compared with before.There were statistically significant pre-/post-treatment differences in both(P<0.01).They were improved more in the treatment group than in the control group(P<0.01).And the decrease of the function scale score was correlated with the decrease of both the angular and horizontal displacements.Conclusion:The effect of electroacupuncture is superior to that of traction in treating cervical spondylotic vertebral arteriopathy.And it was correlated with the improvement in lower cervical vertebral instability.