筋骨并举靶点推拿法治疗椎动脉型颈椎病的疗效观察

目的:观察筋骨并举靶点推拿法在治疗椎动脉型颈椎病方面的临床疗效。方法:选取我科收治的椎动脉型颈椎病的患者65例,按照随机数字表法分组,治疗组33例,对照组32例。治疗组采用筋骨并举靶点推拿法,对照组采用常规推拿法,分析眩晕症状与功能评估量表评分、血流动力及临床有效率等指标的改变。结果:治疗前将两组患者分别运用颈性眩晕症状与功能评估量表进行评估,并结合两组患者左侧椎动脉平均血流速度(Vm)、椎动脉内径、阻力指数(RI)进行比较,差异无统计学意义(P>0.05)。治疗后,患者的症状及各项指标均有改善,治疗组在眩晕、日常生活、心理等症状评分以及椎动脉平均血流速度(Vm)和阻力指数(RI)方面的效果均优于对照组,有统计学意义(P<0.05)。筋骨并举靶点推拿法的总有效率为97.0%,高于常规推拿组的81.3%,差异有统计学意义(P<0.05)。结论:与常规推拿法相比,筋骨并举靶点推拿法能提高椎动脉型颈椎病患者的眩晕症状与功能评估量表评分,改善椎动脉平均血流速度(Vm)、阻力指数(RI),值得临床上进一步推广和应用。

Observation on the curative effect of vertebral artery type cervical spondylopathy treated by massage of the target point of muscles and bones

Abstract Objective: To observe the clinical effect of massage on the treatment of vertebral artery type cervical spondylopathy. Methods: Select 65 patients with vertebral artery type cervical spondylosis admitted to our department and divide them into a treatment group of 33 cases and a control group of 32 cases according to the random number table method. The treatment group used both muscles and bones and target-point massage, and the control group used conventional massage to analyze the changes in the vertigo symptoms and function assessment scale scores, hemodynamics, and clinical effectiveness. Results: Before treatment, the two groups of patients were assessed using the cervical vertigo symptom and function assessment scale, and combined with the hemodynamic indicators of the two groups of patients (the average blood flow velocity of the left vertebral artery, the inner diameter of the vertebral artery, and the resistance index). In comparison, the difference was not statistically significant (P>0.05). The symptoms and hemodynamic indicators of the patients were improved after the two methods of treatment, and the treatment group had excellent effects in improving patients'' dizziness, daily life, psychology, and vertebral artery average blood flow velocity (Vm) and resistance index (RI). In the control group, it was statistically significant (P<0.05). The total effective rate of musculoskeletal target massage was 97.0%, which was higher than 81.3% in the conventional massage group, and the difference was statistically significant (P<0.05). Conclusion: The treatment of vertebral artery type cervical spondylosis is more obvious in the treatment of vertebral artery type cervical spondylopathy, and it is worthy of further promotion and application in clinical practice.