针刀枢椎棘突松解术对椎动脉型颈椎病疗效评价

目的:探求针刀枢椎棘突松解术对椎动脉型颈椎病的临床疗效。方法:将87例患者随机分为A、B组,A组43例采用针灸治疗;B组44例采用单纯针刀枢椎棘突松解术治疗。结果:A组治愈率60.47%,B组81.82%,两组比较(P0.05)的差异有统计学意义。B组治疗前后,对椎动脉(V A)和基底动脉(B A)进行检测,其收缩峰期血流速度(V P)、舒张末期血流速度(V m)显著上升,博动指数(PI)、阻力指数(RI)显著下降,差异具有统计学意义(P0.05或P0.01)。结论:针刀枢椎棘突松解术对椎动脉型颈椎病患者有确切疗效,值得临床推广。

Therapeutic Evaluation of Needle-knife Lysis on Spinous Process of the Second Cervical Vertebrae in Treating Vertebral Artery Cervical Spondylosis

Objective：To observe the clinical effects of needle-knife lysis on the spinous process of the seconcervial vertebrae in treatingvertebral artery cervical spondylosis .Methods： Eighty-seven patients with vertebral artery cervical spondylosis were randomly dividedinto two groups： objective group adopted needle-knife, control group adopted acupuncture treatment for Xue points .Results： Cure ratewas 81.82% in the objective group, and 60.47% in the control group.Differences between the cured rates of the two groups were ex -tremely remarkable （P〈0.05）.To observe the numerical value of transcranial Doppler , compared to the changes, the differences areextremely significant （P〈0.05 or P〈0.01）.Conclusion： Treatment with needle-knife for vertebral artery cervical spondylosis is ef -fective, thus is suggested to use clinically.