中医骨伤手法配合天麻钩藤饮治疗椎动脉型颈椎病临床观察
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Clinical Observation of Bone-setting Manipulation in Chinese Medicine Combined with Tianma Gouteng Yin for Cervical Spondylosis of Vertebral Artery Type
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    摘要:

    目的:观察中医骨伤手法配合天麻钩藤饮治疗椎动脉型颈椎病的临床疗效。方法:将104例椎动脉型颈椎病患者随机分为对照组与观察组各52例,对照组采用天麻钩藤饮治疗,观察组给予中医骨伤手法配合天麻钩藤饮治疗。比较2组临床疗效,分析治疗前后血流动力学指标的变化,统计不良反应发生情况。结果:观察组总有效率9 4.23%,对照组总有效率7 8.85%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组收缩期峰值流速(P S V)、时间平均流速(T M F V)均较治疗前提升(P<0.05),血管搏动指数(P I)、阻力指数(R I)均较治疗前下降(P<0.05);观察组P S V、T M F V均高于对照组(P<0.05),P I、R I均低于对照组(P<0.05)。2组治疗过程中均未发生不良反应。结论:中医骨伤手法配合天麻钩藤饮治疗椎动脉型颈椎病,可有效改善患者的症状及血流动力学指标,效果优于单纯使用天麻钩藤饮治疗。

    Abstract:

    Objective:To observe the clinical effect of bone-setting manipulation in Chinese medicine combined with Tianma Gouteng yin for cervical spondylosis of vertebral artery type.M e th o d s:Divided 104 cases of patients with cervical spondylosis of vertebral artery type into the control group and the observation group randomly,52 cases in each group.Both groupsreceived Tianma Gouteng yin for treatment,whilethe observation group additionally received bone-setting manipulation in Chinese medicine.Compared the clinical effect in both groups,analyzed the changes of hemodynamic parameters before and after treatment,and statistically analyzed the occurrence of adverse reactions.R e s u lts:The total effective rate was 94.23%in the observation group and 78.85%in the control group,difference being significant(P<0.05).After treatment,peak systolic velocity(PSV)and temporal mean flow velocity(TMFV)in both groups were both higher than those before treatment(P < 0.05),and pulsatility index(PI)and resistance index(RI)were both lower than those before treatment(P < 0.05);PSV and TMFV in the observation group were both higher than those in the control group(P < 0.05),and PI and RI were both lower than those in the control group(P<0.05).During the treatment for both groups,there were no adverse reactions.Conclusion:Bone-setting manipulation in Chinese medicine combined with Tianma Gouteng yin for cervical spondylosis of vertebral artery type can effectively improve the symptoms and hemodynamic parameters in patients,and its clinical effect is better than that of the simple application of Tianma Gouteng yin for treatment.

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李仕杰,覃伟.中医骨伤手法配合天麻钩藤饮治疗椎动脉型颈椎病临床观察[J].新中医,2018,50(6):121-123

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  • 在线发布日期: 2018-06-05
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