推拿及手法松解椎枕肌群合仰卧旋转扳法治疗椎动脉型颈椎病的疗效分析(1)
[摘要] 目的 分析推拿及手法松解椎枕肌群合仰卧旋转扳法治疗椎动脉型颈椎病的临床疗效。方法 方便选取2017年9月—2018年9月在该院治疗的120例椎动脉型颈椎病患者，随机分为对照组60例和观察组60例，两组患者均采用推拿治疗。观察组在此基础上给予手法松解椎枕肌群合仰卧旋转扳法治疗，进行两组临床疗效观察。 结果 治疗后，观察组总有效率91.67%，明显高于对照组的70.00%。两组间治疗效果对比差异有统计学意义(χ2=0.078， P<0.05)。结论 推拿及手法松解椎枕肌群合仰卧旋转扳法治疗椎动脉型颈椎病疗效显著，值得临床推广应用。
[关键词] 推拿;手法松解椎枕肌群;仰卧旋转扳法;椎动脉型颈椎病
[中图分类号] R274 [文献标识码] A [文章编号] 1674-0742(2020)04(a)-0163-03
[Abstract] Objective To expIore the clinical effect of massage and Supine Rotation manipulation in the treatment of vertebral artery cervical spondylosis. Methods Convenient selection 120 patients with vertebral artery cervical spondylosis treated in the hospital from September 2017 to September 2018 were randomly divided into the control group (60 patients) and the observation group (60 patients). Both groups were treated with massage therapy. On this basis， the observation group was treated with manipulation to release the vertebral occipital muscle group and supine rotation manipulation， and the clinical efficacy of the two groups was observed. Results After treatment， the statistical significance of the observation group was 91.67%， which was significantly higher than that of the control group 70.00%. The comparison of treatment effect between the two groups the different was statistically significant(χ2=0.078， P<0.05). Conclusion Massage and supine rotation manipulation to release the vertebra occipital muscle in the treatment of vertebral artery type cervical spondylopathy are effective and worthy of clinical application.
[Key words] Massage; Manipulation to release the vertebral occipital muscle; Supine rotation; Vertebral artery type cervical spondylosis
椎動脉型颈椎病又称椎动脉压迫综合症;是指由于颈椎及其周围软组织发生退行性变，加之各种机械和动力因素刺激和压迫椎动脉，导致血管狭窄和折曲而产生以椎-基底动脉供血不足为主要症状的症候群[1]。该型是颈椎病中常见的一种类型，据临床统计有70%以上的颈椎病伴有椎动脉受累表现[2]。主要表现为眩晕、头痛、眼花、耳鸣、颈痛等，严重时可出现短暂性晕厥和猝倒;该病的发生，严重的影响了人们的学习、工作和生活。该文自2017年9月—2018年9月方便选取该院治疗的120例椎动脉型颈椎病患者进行分组治疗比较，发现采用推拿及手法松解椎枕肌群合仰卧旋转扳法治疗疗效显著，现报道如下。
1 资料与方法
1.1 一般资料
方便选取在该院治疗的120例椎动脉型颈椎病患者作为研究对象，所有患者均签署知情同意书，并经新乡市市直机关医院伦理委员会批准，将其随机分为对照组60例和观察组60例，其中对照组中男性38例，女性22例，平均年龄(39.53±9.41)岁，平均病程(5.74±5.80)年。观察组中男性36例，女性24例，平均年龄(40.22±10.75)岁，平均病程(6.00±5.46)年。两组患者的性别、年龄及病程等一般资料比较差异无统计学意义(P>0.05)。具有可比性。
1.2 诊断标准
参照1993年第二届全国颈椎病专题座谈会制定的椎动脉型颈椎病诊断标准[3]拟定标准：①有慢性劳损或外伤史;②颈部僵硬、疼痛不适，触诊有条索或结节;③眩晕、头痛、眼花、耳鸣、有体位性猝倒等;④旋颈试验阳性;⑤X线片示：正位示横空间距变小，钩椎关节增生;侧位示颈椎生理曲度平直或弯曲;斜位示椎间孔变小;张口位示齿状且位置不居中;⑥有CT和MRI的影像学支持;⑦TCD显示椎-基底动脉供血不足。, 百拇医药(毛磊)
[关键词] 推拿;手法松解椎枕肌群;仰卧旋转扳法;椎动脉型颈椎病
[中图分类号] R274 [文献标识码] A [文章编号] 1674-0742(2020)04(a)-0163-03
[Abstract] Objective To expIore the clinical effect of massage and Supine Rotation manipulation in the treatment of vertebral artery cervical spondylosis. Methods Convenient selection 120 patients with vertebral artery cervical spondylosis treated in the hospital from September 2017 to September 2018 were randomly divided into the control group (60 patients) and the observation group (60 patients). Both groups were treated with massage therapy. On this basis， the observation group was treated with manipulation to release the vertebral occipital muscle group and supine rotation manipulation， and the clinical efficacy of the two groups was observed. Results After treatment， the statistical significance of the observation group was 91.67%， which was significantly higher than that of the control group 70.00%. The comparison of treatment effect between the two groups the different was statistically significant(χ2=0.078， P<0.05). Conclusion Massage and supine rotation manipulation to release the vertebra occipital muscle in the treatment of vertebral artery type cervical spondylopathy are effective and worthy of clinical application.
[Key words] Massage; Manipulation to release the vertebral occipital muscle; Supine rotation; Vertebral artery type cervical spondylosis
椎動脉型颈椎病又称椎动脉压迫综合症;是指由于颈椎及其周围软组织发生退行性变，加之各种机械和动力因素刺激和压迫椎动脉，导致血管狭窄和折曲而产生以椎-基底动脉供血不足为主要症状的症候群[1]。该型是颈椎病中常见的一种类型，据临床统计有70%以上的颈椎病伴有椎动脉受累表现[2]。主要表现为眩晕、头痛、眼花、耳鸣、颈痛等，严重时可出现短暂性晕厥和猝倒;该病的发生，严重的影响了人们的学习、工作和生活。该文自2017年9月—2018年9月方便选取该院治疗的120例椎动脉型颈椎病患者进行分组治疗比较，发现采用推拿及手法松解椎枕肌群合仰卧旋转扳法治疗疗效显著，现报道如下。
1 资料与方法
1.1 一般资料
方便选取在该院治疗的120例椎动脉型颈椎病患者作为研究对象，所有患者均签署知情同意书，并经新乡市市直机关医院伦理委员会批准，将其随机分为对照组60例和观察组60例，其中对照组中男性38例，女性22例，平均年龄(39.53±9.41)岁，平均病程(5.74±5.80)年。观察组中男性36例，女性24例，平均年龄(40.22±10.75)岁，平均病程(6.00±5.46)年。两组患者的性别、年龄及病程等一般资料比较差异无统计学意义(P>0.05)。具有可比性。
1.2 诊断标准
参照1993年第二届全国颈椎病专题座谈会制定的椎动脉型颈椎病诊断标准[3]拟定标准：①有慢性劳损或外伤史;②颈部僵硬、疼痛不适，触诊有条索或结节;③眩晕、头痛、眼花、耳鸣、有体位性猝倒等;④旋颈试验阳性;⑤X线片示：正位示横空间距变小，钩椎关节增生;侧位示颈椎生理曲度平直或弯曲;斜位示椎间孔变小;张口位示齿状且位置不居中;⑥有CT和MRI的影像学支持;⑦TCD显示椎-基底动脉供血不足。, 百拇医药(毛磊)
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