CAJ | 학술논문

目的：：观察仰头摇正手法配合压灸法治疗椎动脉型颈椎病的近期、远期疗效。方法：椎动脉型颈椎病患者90例随机分为联合组、手法组及压灸组各30例,联合组予手法联合压灸法治疗,手法组、压灸组分别予手法或压灸治疗。治疗前后运用眩晕评估评分量表(DARS)、眩晕残障评估量表(DHI)和经颅多普勒超声(TCD)进行基底动脉(BA)、左侧椎动脉(LVA)、右侧椎动脉(RVA)的平均血流速度(Vm)的变化疗效评估,并随访至疗程结束后3个月,观察患者眩晕复发情况。结果：治疗20次后,3组 DHI 评分、DARS 评分及 BA、LVA、RVA 的 Vm 均较治疗前明显下降(P <0.05)；且联合组更低于手法组及压灸组(P <0.05),手法组与压灸组比较差异无统计学意义。随访3个月,联合组复发率及 DHI 评分明显低于手法组及压灸组(P <0.05),手法组与压灸组比较差异无统计学意义。结论：仰头摇正法结合压灸法治疗椎动脉型颈椎病疗效显著并可减少复发,改善患者生活质量,值得于临床中运用推广。
목적：：관찰앙두요정수법배합압구법치료추동맥형경추병적근기、원기료효。방법：추동맥형경추병환자90례수궤분위연합조、수법조급압구조각30례,연합조여수법연합압구법치료,수법조、압구조분별여수법혹압구치료。치료전후운용현훈평고평분량표(DARS)、현훈잔장평고량표(DHI)화경로다보륵초성(TCD)진행기저동맥(BA)、좌측추동맥(LVA)、우측추동맥(RVA)적평균혈류속도(Vm)적변화료효평고,병수방지료정결속후3개월,관찰환자현훈복발정황。결과：치료20차후,3조 DHI 평분、DARS 평분급 BA、LVA、RVA 적 Vm 균교치료전명현하강(P <0.05)；차연합조경저우수법조급압구조(P <0.05),수법조여압구조비교차이무통계학의의。수방3개월,연합조복발솔급 DHI 평분명현저우수법조급압구조(P <0.05),수법조여압구조비교차이무통계학의의。결론：앙두요정법결합압구법치료추동맥형경추병료효현저병가감소복발,개선환자생활질량,치득우림상중운용추엄。
Objective:To obverse the short-term and long-term clinical effects of manipulation named YANG-TOUYAOZHENG combined with moxibustion for cervical spondylosis of artery type.Method:Ninety patients with cervical spondylosis of artery type were devided into three groups randomly:combined group,manipulation group and moxibustion group (n=30 each group).The combined group was treated by manipulation combined with moxi-bustion,and the control groups were treated by manipulation and moxibustion respectively.Before and after treat-ment,all patients were assessed by DARS and DHI to evaluate the curative effect,and examined by TCD to evalute the changes in the mean velocity (Vm)of the basilar artery,and left and right vertebral artery.The recurrence was followed up for 3 months.Result:Compared with the data before the treatment,DHI scores,DARS scores and Vm of the basilar artery,and left and right vertebral artery were significantly reduced after treatment (P <0.05),more significantly in the combined group than in the rest two groups,but there was no significant difference between the manipulation group and moxibustion group.During the follow-up period of 3 months,the recurrence rate and DHI scores in the combined group were significantly reduced as compared with the rest two groups,but there was no sig-nificant difference between the manipulation group and moxibustion group.Conclusion:Manipulation named YANG-TOUYAOZHENG combined with moxibustion is effective for the cervical spondylosis of artery type,can reduce the recurrence and improve the quality of life,that is recommended in the clinic application.