双向交替牵引手法配合低频电刺激治疗椎动脉型颈椎病的疗效观察

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1、维普资讯http://www.cqvip.com中华物理医学与康复杂志20073箜鲞箜塑!!!!!!!!!!：．临床研究．双向交替牵引手法配合低频电刺激治疗椎动脉型颈椎病的疗效观察金建明周沈贤吴雪莲方敏姚波【摘要l目的评价双向交替牵引手法配合低频电刺激治疗椎动脉型颈椎病的临床疗效，并探讨其作用机制。方法椎动脉型颈椎病患者83例，随机分为观察组和对照组。观察组患者43例，采用双向交替牵引手法和低频电刺激治疗；对照组患者4O例，采用颈椎牵引和低频电刺激治疗。治疗前、后均行经颅多普勒超声(TCD)检查，观察2组患者收

2、缩期血流速度的变化。结果①2组治疗后总有效率分别为95．3％和75％，其中观察组治愈率为65．1％，对照组为25％，2组间总有效率及治愈率差异均有统计学意义(P<0．O1)。②治疗后2组椎基底动脉(VBA)血流速度均有改善(P<0．05)，与对照组比较，观察组VBA血流速度的改善更为明显(P<0．05)。结论双向交替牵引手法配合低频电刺激是更为有效的治疗椎动脉型颈椎病的方法。【关键词】椎动脉型颈椎病；经颅多普勒；牵引；低频电刺激Theefectsofbidirectionalalternatetractionm

3、anipulationpluslowfrequencyelectricstimulationonverte．bral-artery-typecervicalspondylosisfiNJian·ming，ZHOUShen—xian，WUXue—lian，FANGMin．YAOBo．’Departmentofmassotherapy，ZhejiangProvinceWangfiangshanSanatorium，Hangzhou310024，ChinaCorrespondingauthor：YAOBo，Email

4、：jiangherenjia@sina．corn【AbstractlObjectiveToinvestigatethevalueofbidirectionalalternatetractionmanipulationpluslowfre—quencyelectricstimulationonpatientswithvertebral-artery—typecervicalspondylosis．Methods83patientswithver．tebral-artery-typecervicalspondylo

5、sisdiagnosedbasedontheclinicaldiagnosiscriteriawererandomlydividedintoanobservationgroup(43cases)andacontrolgroup(40Cases)．Theobservationgroupwastreatedwithbidirectionalal—ternatetractionmanipulationpluslowfrequencyelectricstimulation，whilethecontrolgroupwit

6、hcervicaltractionpluslowfrequencyelectricstimulation．Transcranialdoppler(TCD)wasusedtoexaminethebloodflowvelocityinverte—brobasilararterybeforeandaftertherehabilitationtreatmentinbothgroups．Theeffectoftheinterventiononbothgroupswithregardtothebloodvelocitywa

7、sanalyzed．ResultsThetotaleffectiveratesinthetwotreatmentgroupswere95．3％and75％．respectively．Theclinicalhealingratewas65．1％intheobservationgroupand25％inthecontrolgroup．Thereweresignificantdifferencesinthetotaleffectiverateandclinicalhealingratebetweenthetwogro

8、ups(P<0．O1)．Thebloodflowvelocityinbothgroupswasincreasedsignificantlyaftertreatment(P<0．05)，andthevelocityofbloodflowinvertebrobasilararteryintheobservationgroupwasincreasedtoasignificantlygreat