世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
1期
89-91
,共3页
杨才德%鱼灵会%于灵芝%赵惠%宋建成%王丽华%程涛%陈积慧%付旺宁%王剑
楊纔德%魚靈會%于靈芝%趙惠%宋建成%王麗華%程濤%陳積慧%付旺寧%王劍
양재덕%어령회%우령지%조혜%송건성%왕려화%정도%진적혜%부왕저%왕검
椎动脉型颈椎病%枢椎棘突%针刀松解术
椎動脈型頸椎病%樞椎棘突%針刀鬆解術
추동맥형경추병%추추극돌%침도송해술
Vertebral artery cervical spondylosis%The spinous process of the second cervical vertebrae%Needle-knife
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（ P＜0.05）的差异有统计学意义。 B组治疗前后，对椎动脉（VA）和基底动脉（BA）进行检测，其收缩峰期血流速度（VP）、舒张末期血流速度（Vm）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（P＜0.05或P＜0.01）。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。
目的：探求針刀樞椎棘突鬆解術對椎動脈型頸椎病的臨床療效。方法：將87例患者隨機分為A、B組，A組43例採用針灸治療；B組44例採用單純針刀樞椎棘突鬆解術治療。結果：A組治愈率60.47％，B組81.82％，兩組比較（ P＜0.05）的差異有統計學意義。 B組治療前後，對椎動脈（VA）和基底動脈（BA）進行檢測，其收縮峰期血流速度（VP）、舒張末期血流速度（Vm）顯著上升，博動指數（PI）、阻力指數（RI）顯著下降，差異具有統計學意義（P＜0.05或P＜0.01）。結論：針刀樞椎棘突鬆解術對椎動脈型頸椎病患者有確切療效，值得臨床推廣。
목적：탐구침도추추극돌송해술대추동맥형경추병적림상료효。방법：장87례환자수궤분위A、B조，A조43례채용침구치료；B조44례채용단순침도추추극돌송해술치료。결과：A조치유솔60.47％，B조81.82％，량조비교（ P＜0.05）적차이유통계학의의。 B조치료전후，대추동맥（VA）화기저동맥（BA）진행검측，기수축봉기혈류속도（VP）、서장말기혈류속도（Vm）현저상승，박동지수（PI）、조력지수（RI）현저하강，차이구유통계학의의（P＜0.05혹P＜0.01）。결론：침도추추극돌송해술대추동맥형경추병환자유학절료효，치득림상추엄。
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.
