世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
9期
14-15,16
,共3页
椎动脉型颈椎病%针灸%手法%血浆内皮素
椎動脈型頸椎病%針灸%手法%血漿內皮素
추동맥형경추병%침구%수법%혈장내피소
Cervical vertebral artery disease%Acupuncture%Technique%Endothelin
目的：研究中医针灸联合五步手法治疗椎动脉型颈椎病，对患者血浆内皮素（ET）的影响，并探讨其临床价值。方法以2013年6月—2014年6月我院收治的90例椎动脉型颈椎病患者为研究对象，行随机数字表法均分为观察组与对照组各45例。观察组予中医针灸联合五步手法治疗；对照组予常规牵引治疗。以7d为1疗程，共治疗4疗程。观察临床疗效，并统计治疗前、治疗程结束时患者血浆ET水平、症状积分，行Pearson相关性分析确定血浆ET水平与症状积分相关性。结果观察组总显效率（75.6% vs 40.0%）显著高于对照组；两组血浆ET水平、症状积分均呈下降趋势（P<0.05），且各时间点对比，观察组均明显优于对照组，组间对比差异有统计学意义（P<0.05）。对患者总体行相关性分析，各疗程结束后，血浆ET水平均与症状积分呈负相关（P<0.05）。结论中医针灸联合五步手法治疗椎动脉型颈椎病，疗效较传统牵引治疗更为确切，这可能与其能更有效地抑制血浆内皮素水平有关。
目的：研究中醫針灸聯閤五步手法治療椎動脈型頸椎病，對患者血漿內皮素（ET）的影響，併探討其臨床價值。方法以2013年6月—2014年6月我院收治的90例椎動脈型頸椎病患者為研究對象，行隨機數字錶法均分為觀察組與對照組各45例。觀察組予中醫針灸聯閤五步手法治療；對照組予常規牽引治療。以7d為1療程，共治療4療程。觀察臨床療效，併統計治療前、治療程結束時患者血漿ET水平、癥狀積分，行Pearson相關性分析確定血漿ET水平與癥狀積分相關性。結果觀察組總顯效率（75.6% vs 40.0%）顯著高于對照組；兩組血漿ET水平、癥狀積分均呈下降趨勢（P<0.05），且各時間點對比，觀察組均明顯優于對照組，組間對比差異有統計學意義（P<0.05）。對患者總體行相關性分析，各療程結束後，血漿ET水平均與癥狀積分呈負相關（P<0.05）。結論中醫針灸聯閤五步手法治療椎動脈型頸椎病，療效較傳統牽引治療更為確切，這可能與其能更有效地抑製血漿內皮素水平有關。
목적：연구중의침구연합오보수법치료추동맥형경추병，대환자혈장내피소（ET）적영향，병탐토기림상개치。방법이2013년6월—2014년6월아원수치적90례추동맥형경추병환자위연구대상，행수궤수자표법균분위관찰조여대조조각45례。관찰조여중의침구연합오보수법치료；대조조여상규견인치료。이7d위1료정，공치료4료정。관찰림상료효，병통계치료전、치료정결속시환자혈장ET수평、증상적분，행Pearson상관성분석학정혈장ET수평여증상적분상관성。결과관찰조총현효솔（75.6% vs 40.0%）현저고우대조조；량조혈장ET수평、증상적분균정하강추세（P<0.05），차각시간점대비，관찰조균명현우우대조조，조간대비차이유통계학의의（P<0.05）。대환자총체행상관성분석，각료정결속후，혈장ET수평균여증상적분정부상관（P<0.05）。결론중의침구연합오보수법치료추동맥형경추병，료효교전통견인치료경위학절，저가능여기능경유효지억제혈장내피소수평유관。
Objective: Research on acupuncture combined with a five-step manual therapy of cervical vertebral artery disease, the impact on plasma endothelin (ET), and to explore its clinical value.Mehtod: Select our hospital 90 cases of vertebral artery type cervical spondylosis study.from June in 2013 to June to 2014.Were randomly divided into observation group and control group of 45 cases. I observed group acupuncture therapy combined with a ifve-step approach; the control group received conventional traction. To 7d for a course of treatment, a total of four cycles of treatment. Clinical efifcacy and statistics before treatment, at the end of the treatment process of plasma ET levels in patients, symptom score, OK Pearson correlation analysis to determine the level of ET correlated with symptom score.Result: The total effective rate in the observation group (75.6% vs 40.0%) was signiifcantly higher; two levels of plasma ET, symptom scores were decreased (P<0.05), and at each time point compared the observation group were signiifcantly better than the control group , comparison between the two groups was statistically signiifcant difference (P<0.05). Correlation analysis of patients overall line, after the end of each treatment, plasma ET levels were negatively correlated with symptom scores (P<0.05).Conclusion: Acupuncture combined with a five-step manual therapy of cervical vertebral artery disease, the efifcacy of more precise than conventional traction therapy, which may be related to more effectively inhibit endothelin levels.
