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拔伸手法力度对椎动脉型颈椎病椎-基底动脉供血的相关性临床研究
Hits: 1803   Download times: 1219   Received:August 26, 2003    
作者Author单位UnitE-Mail
成钢 CHENG Gang 湖南中医学院第三附属医院,湖南株洲412000 The Third Affiliated Hospital of Hunan College of TCM chenggang1025@sina.com 
王德瑜 WANG De yu 湖南省中医药学校  
邵湘宁 SHAO Xiang ning 湖南省中医药学校  
江永桂 JIANG Yong gui 湖南中医学院第三附属医院,湖南株洲412000 The Third Affiliated Hospital of Hunan College of TCM  
詹育和 ZHAN Yu he 湖南省中医药学校  
韩玲 HAN Ling 湖南中医学院第三附属医院,湖南株洲412000 The Third Affiliated Hospital of Hunan College of TCM  
谭李红 TAN Li hong 湖南省中医药学校  
期刊信息:《中国骨伤》2004年17卷,第3期,第138-141页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:湖南省卫生厅中医科研基金课题 (200067)


目的:探讨推拿间歇性拔伸法与椎动脉型颈椎病椎基底动脉供血的相关性。

方法:将符合纳入标准的病人随机分为4组,每组30例,分别设治疗A、B、C组和对照D组。做推拿基础手法后,3个治疗组分别采用研究手法,进行不同力量的拔伸(A组为体重的1/10、B组为体重的1/7、C组为体重的1/5),对照D组不进行拔伸。

结果:通过临床疗效和治疗前后TCD检测左右椎动脉及基底动脉Vs、Vd及Vm参数进行对比,经统计学分析,治疗A、B、C组与对照D组比较,P<0.01,其差别有统计学意义。治疗B组与治疗A、C组比较,P<0.01,其差别也有统计学意义。

结论:拔伸力在体重的1/7时,临床疗效最好且椎基底动脉供血情况改善最明显。
[关键词]:颈椎病  骨科手法  血液循环
 
Pulling and stretching manipulation force on cervical vertebral disease and relevant clinical research on blood supply of basilar artery
Abstract:

Objective:To research intermittent traction manipulation on cervical vertebral disease and its relevant blood supply of basilar artery.

Methods:Patients who conformed to the standard were divided into 4 groups, 30.per group.Group A,B,C were treating groups while group D was contrasting one.After the normal tactics,testing traction manipulation with different force were applied in the three treating groups(Group A:1/10.of patient’s weight Group B:1/7 of patient’s weight.Group C:1/5 of patient’s weight) but not in Group D.

Results:Based on the therapeutic effects and the comparison of Vs,Vd and Vm of left and right vertebraterial and basilar arteries tested by TCD between before and after treatment,according to the statistical analysis,the comparison between treating groups and contrasting group had the statistical significance(P<0.01).

Conclusion:When the tractive force is 1/7 of patient’s weight,the therapeutic effect is the best and the improvement of blood supply of basilar vertebra artery is the most apparent.
KEYWORDS:Cervical spondylopathy  Orthopedic manipulation  Blood circulation
 
引用本文,请按以下格式著录参考文献:
中文格式:成钢,王德瑜,邵湘宁,江永桂,詹育和,韩玲,谭李红.拔伸手法力度对椎动脉型颈椎病椎-基底动脉供血的相关性临床研究[J].中国骨伤,2004,17(3):138~141
英文格式:CHENG Gang,WANG De yu,SHAO Xiang ning,JIANG Yong gui,ZHAN Yu he,HAN Ling,TAN Li hong.Pulling and stretching manipulation force on cervical vertebral disease and relevant clinical research on blood supply of basilar artery[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(3):138~141
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