CAJ | 학술논문

目的：观察脑电仿生电刺激配合牵引治疗椎基底动脉供血不足性眩晕（ VBIV ）的经颅多普勒超声（TCD）和眩晕量表评估的变化，探讨脑电仿生电刺激配合牵引治疗椎基底动脉供血不足性眩晕的作用机制。方法将44例VBIV患者，随机分为脑仿生电刺激配合牵引治疗组（综合组）和牵引对照组（牵引组）。治疗前及治疗2疗程后检查TCD并进行眩晕量表的评估，观察脑电仿生刺激配合牵引治疗对VBIV患者血流速度及患者症状与功能状况的影响。结果综合组显效率为63．3％，牵引组显效率为7．1％。2组显效率比较，差异有统计学意义（ P ＜0．01）；治疗后较治疗前，综合组与牵引组双侧椎动脉和基底动脉收缩期颅内血流峰速均有明显提高（ P ＜0．05），综合组优于牵引组，差异有统计学意义（ P ＜0．05）。结论脑电仿生电刺激配合牵引治疗VBIV可改善该类型颈椎病的双侧椎动脉和基底动脉收缩期血流峰速度，临床疗效较显著。
목적：관찰뇌전방생전자격배합견인치료추기저동맥공혈불족성현훈（ VBIV ）적경로다보륵초성（TCD）화현훈량표평고적변화，탐토뇌전방생전자격배합견인치료추기저동맥공혈불족성현훈적작용궤제。방법장44례VBIV환자，수궤분위뇌방생전자격배합견인치료조（종합조）화견인대조조（견인조）。치료전급치료2료정후검사TCD병진행현훈량표적평고，관찰뇌전방생자격배합견인치료대VBIV환자혈류속도급환자증상여공능상황적영향。결과종합조현효솔위63．3％，견인조현효솔위7．1％。2조현효솔비교，차이유통계학의의（ P ＜0．01）；치료후교치료전，종합조여견인조쌍측추동맥화기저동맥수축기로내혈류봉속균유명현제고（ P ＜0．05），종합조우우견인조，차이유통계학의의（ P ＜0．05）。결론뇌전방생전자격배합견인치료VBIV가개선해류형경추병적쌍측추동맥화기저동맥수축기혈류봉속도，림상료효교현저。
Objective To study the data variations in Transcranial Doppler Ultrasound ( TCD) and vertigo scale on vertebra-basilar insufficient vertigo ( VBIV ) under treatments of electrical stimulus of simulated-brain wave ( ESSBW ) coordinating with traction, and discuss on the mechanism .Methods Forty-four patients with VBIV were randomly divided into two groups .Comprehensive group was given ESSBW coordinating with traction;traction control group was given only traction.Before the treatments and two weeks later , the patients were estimated by TCD and vertigo scale to observe the effects on blood flowing rate and functional status of VBIV patients .Results Effective rate of comprehensive group (63.3%) and traction group (7.1%) had a significant difference ( P <0.01).After the treatments, the blood flowing speeds of two sides vertebral arteries and basilar artery of the two groups were all increased distinctly .Compared with traction group , the comprehensive group was preceded characterizing with a more significant clinical efficacy ( P <0.05).Conclusion It could promote the blood flowing speeds of two sides vertebral arteries and basilar artery under the treatments of ESSBW coordinating with traction.