杜氏通督理筋手法配合牵引电针治疗椎动脉型颈椎病的临床疗效观察

目的:观察杜氏通督理筋手法配合牵引、电针治疗椎动脉型颈椎病的临床疗效。方法:93例椎动脉型颈椎病患者,男40例,女53例;年龄21～70岁,平均46.39岁。治疗组48例采用杜氏通督理筋手法配合牵引、电针治疗;对照组45例采用牵引配合电针治疗,7d、14d、21d后,分别观测两组患者主观症状(眩晕、颈肩痛、头痛等)、客观体征(Jackson’s试验、椎A扭曲试验、Spling’s试验)及TCD血流速度变化等指标并比较其临床疗效。结果:①两组患者主观症状及客观体征等指标的改善情况,差异均有统计学意义(P<0.05);②治疗组治疗后椎-基底动脉平均血流速度显著下降,两组比较有非常显著性差异(P<0.01);临床疗效治疗组优于对照组。结论:杜氏理筋手法配合配合牵引、电针操作简单,疗效肯定,患者易接受和配合,能明显改善椎动脉型颈椎病的临床症状,显著降低椎—基底动脉平均血流速度,建议作为椎动脉型颈椎病的常规治疗方法之一在临床推广应用。

Observation onTherapeutic Effects of Massage by Mr. Du Combined with Traction and Electro-acupuncture on Vertebral Artery. Type of Cervical Spondylosis

Objective： To observe the clinical effects of treating vertebral artery type cervical spondylosis by massage of Mr. Du combined with traction and electro- acupuncture. Methods： 93patients were involved with CSA, including 40males and 53females, the average age was 46. 39years, from 21to 70years. They were respectively divided into trial group and control group, 48cases in trial group and 45cases in control group. The patients in trial group were treated with massage of Mr. Du com- bined with traction and electro-acupuncture. The patients in control group were treated with traction and electro-acupuncture. AfterTd, 14d, 21d, the indexes which included subjective symptoms （dizziness, neck and shoulder pain, headache）, objec- tive signs （Jackson＇s test, vertebral artery distortion＇s test, Spling＇s test） and TCD blood flow rate change were researched and the clinical effects were compared in the test. Result： ①The result of statistical analysis demonstrated that there were significant difference of the clinical effects in two groups （P〈0. 05） ; ②The average blood flow rate of vertebral artery and basal artery had obviously decreased in the methods of treatment group. The curative effect of trial group was better than that of control group. Conclusion： Massage of Mr. Du combined with traction and electro-acupuncture has a convenient, safe, and exact effect on treating vertebral artery type of cervical spondylosis, obviously improving clinical symptoms of vertebral artery type of cervical spondylosis and decreasing average blood flow rate of vertebral artery and basal artery, which is worthy of promotion and applica- tion in the clinic.