CAJ | 학술논문

目的通过临床治疗退行性下颈椎不稳症并颈性眩晕的疗效,探讨颈椎失稳与颈性眩晕的发病关系.方法回顾性研究退行性下颈椎不稳症并颈性眩晕64例,随机分为两组,A组采用静滴生脉针和红花针,口服倍他司汀口服液；B组在A组基础上行床边颈椎牵引,两组疗效欠满意者采用手术治疗.检测治疗前后椎动脉血流变化及对疗效进行评价,统计分析.结果治疗后椎动脉血流( Vs、Vd、RI)比治疗前有所改善,但差异无统计学意义(P＞0.05)；A组有效率为56.25％,B组有效率为81.25％,B组疗效优于A组(P＜0.05),差异有统计学意义.结论颈椎失稳是颈性眩晕发病的重要原因之一,维持颈椎的稳定性是治疗退行性下颈椎不稳症并颈性眩晕的重要方法.
목적 통과림상치료퇴행성하경추불은증병경성현훈적료효,탐토경추실은여경성현훈적발병관계.방법 회고성연구퇴행성하경추불은증병경성현훈64례,수궤분위량조,A조채용정적생맥침화홍화침,구복배타사정구복액；B조재A조기출상행상변경추견인,량조료효흠만의자채용수술치료.검측치료전후추동맥혈류변화급대료효진행평개,통계분석.결과 치료후추동맥혈류( Vs、Vd、RI)비치료전유소개선,단차이무통계학의의(P＞0.05)；A조유효솔위56.25％,B조유효솔위81.25％,B조료효우우A조(P＜0.05),차이유통계학의의.결론 경추실은시경성현훈발병적중요원인지일,유지경추적은정성시치료퇴행성하경추불은증병경성현훈적중요방법.
Objective To explore the relationship between cervical spine instability and cervical vertigo by analyzing the efficacy of therapies for degenerative instability of lower cervical spine and cervical vertigo.Methods The data on 64 with degenerative instability of lower cervical spine and cervical vertigo were retrospectively analyzed.All the patients were randomly assigned to receive intravenous Shengmai injection,Honghua injection,and oral betahistine Hydrochloride solution ( group A )or bedside cervical traction in addition to the therapies in the group A ( group B ).The patients without ideal efficacy received surgical treatment.The changes in vertebral artery blood flow were detected and the efficacy was assessed.Results As compared with the baseline, vertebral artery blood flow did not change significantly after treatment ( P＞ 0.05 ).Group B was superior to group A in the effectiveness rate ( 81.25％ vs.56.25％,P ＜ 0.05 ).Conclusions Cervical spine instability is one of the important causes of cervical vertigo.Maintenance of cervical spine stability is an important method for the treatment of degenerative instability of lower cervical spine and cervical vertigo.