文献类型：期刊文献

中文题名：坐位端提旋扳手法联合盐酸氟桂利嗪胶囊口服治疗椎动脉型颈椎病55例临床观察

英文题名：Clinical observation on 55 patients with vertebral artery type of cervical spondylosis treated by the holding-lifting-rotating-pulling manipulation in sitting position combined with Flunarizine Hydrochloride Jiaonang

作者：刘建军[1];董万涛[1];宋敏[2];温孝明[1];张春慕[1];刘保健[1]

第一作者：刘建军

机构：[1]甘肃中医药大学附属医院关节外科,甘肃兰州730020;[2]甘肃中医药大学中医临床学院,甘肃兰州730000

第一机构：甘肃中医药大学第二附属医院

年份：2016

卷号：33

期号：3

起止页码：77

中文期刊名：甘肃中医学院学报

外文期刊名：Journal of Gansu College of Traditional Chinese Medicine

基金：甘肃中医药大学附属医院中青年基金项目(gsfy-09-1)

语种：中文

中文关键词：椎动脉型颈椎病;坐位端提旋扳手法;盐酸氟桂利嗪胶囊;临床研究

外文关键词：vertebral artery type of cervical spondylosis;holding-lifting-rotating-pulling manipulation in sitting position;Flunarizine Hydrochloride Jiaonang;clinical study

摘要：目的观察坐位端提旋扳手法联合盐酸氟桂利嗪胶囊口服治疗椎动脉型颈椎病的临床疗效。方法将110例符合椎动脉型颈椎病诊断标准的患者进行随机配对设计,分成治疗组和对照组,各55例。对照组采用盐酸氟桂利嗪胶囊口服治疗,治疗组在对照组治疗方法的基础上联合坐位端提旋扳手法。2组均以2周为1个疗程,1个疗程后评定疗效,并比较2组治疗前、1个疗程后、随访3月后的症状、体征积分及TCD各项指标结果。结果治疗组总有效率为96.36%,对照组为83.64%,2组比较差异有统计意义(P<0.05);治疗组症状、体征积分显著低于对照组(P<0.01),左椎动脉收缩期血流速度(Vp)、左椎动脉平均血流速度(Vm)、左椎动脉舒张末期血流速度(Vd)、右椎动脉Vp、右椎动脉Vm、基底动脉Vp等TCD指标改善显著优于对照组(P<0.05或P<0.01)。结论坐位端提旋扳手法联合盐酸氟桂利嗪胶囊口服可有效改善椎动脉型颈椎病的主要症状、体征及TCD指标,方法可行,疗效可靠。
Objective To observe the clinical effect of the holding-lifting-rotating-pulling manipulation in sitting position combined with Flunarizine Hydrochloride Jiaonang in treating vertebral artery type of cervical spondylosis. Methods 110 patients with vertebral artery type of cervical spondylosis were randomly divided into treatment group and control group,55 cases each. The control group took Flunarizine Hydrochloride Jiaonang orally. Based on that,the treatment group was intervened with the holding-lifting-rotating-pulling manipulation additionally,2 weeks as one course. The efficacy was assessed after one course. Several indexes including symptoms in 3-month followup,scores of physical signs and TCD test were compared between two groups before and after treatment. Results The total effective rate of the treatment group was 96. 36% and that of the control group was 83. 64%,the difference was significant( P<0.01). The scores of symptoms and physical signs of the treatment group were obviously lower than that of the control group( P<0.05). The treatment group’s indexes of TCD test improved more than that of the control group( P < 0. 05 or P < 0. 01). Conclusion The combination therapy can effectively improve the symptoms,physical signs and indexes of TCD test of cervical spondylosis. It is feasible and reliable.