活血通络汤联合卧位平衡手法治疗椎动脉型颈椎病的疗效及对动脉血流速度的影响

目的:研究活血通络汤联合卧位平衡手法治疗椎动脉型颈椎病(CSA)的疗效及对动脉血流速度的影响。方法:选取2015年10月-2017年6月佛山市中医院推拿科收治的CSA患者105例作为研究对象。将其以随机抽签原则分成观察组(n=53)以及对照组(n=52)。对照组予以盐酸氟桂利嗪胶囊口服治疗,观察组则在对照组的基础上予以活血通络汤联合卧位平衡手法治疗,两组均进行为期4周的治疗。比较两组临床疗效、治疗前后临床症状与颈椎功能变化情况、动脉血流速度以及颈椎屈伸活动情况。结果:观察组治疗总有效率为98.11%,高于对照组的88.46%,差异有统计学意义(P0.05)。治疗后两组患者临床症状以及颈椎功能各项评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P0.05)。治疗后两组患者左椎动脉、右椎动脉的舒张期血流速度(Vd)、收缩期血流速度(Vs)均高于治疗前,且观察组高于对照组,差异有统计学意义(P0.05)。治疗后两组患者颈椎曲度、颈椎屈伸活动度均高于治疗前,且观察组高于对照组,差异有统计学意义(P0.05)。结论:活血通络汤联合卧位平衡手法治疗CSA的疗效较好,有利于缓解患者临床症状,改善动脉血流速度以及颈椎病理状况。

Effect of Huoxue Tongluo Decoction Combined with Horizontal Balance Technique in the Treatment of Cervical Spondylosis of Vertebral Artery Type and Its Influence on the Artery Blood Flow Velocity

ABSTRACT Objective: To study the effect of Huoxue Tongluo decoction combined with horizontal balance technique in the treatment of cervical spondylosis of vertebral artery type (CSA) and its influence on the artery blood flow velocity. Methods: 105 patients with CSA who were treated in the department of massage of the Foshan Hospital of traditional Chinese Medicine from October 2015 to June 2017 were selected as the research object. The patients were divided into the observation group (n=53) and the control group (n=52) by the random draw principle. The control group was received Flunarizine Hydrochloride Capsules oral treatment, the observation group was given Huoxue Tongluo decoction combined with horizontal balance technique on the basis of control group. The patients in two groups were treated for 4 weeks. The clinical efficacy, the changes of clinical symptoms and function of cervical vertebra, arterial blood flow velocity and flexion and extension activity of the cervical spine of the two groups before and after treatment were compared. Results: The total effective rate of treatment in the observation group was 98.11%, which was higher than 88.46% of the control group, and the difference was statistically significant(P<0.05). After treatment, the clinical symptoms and cervical function scores of the two groups were all higher than those before treatment, and the observation group was higher than that of the control group, the difference was statistically significant (P<0.05). After treatment, the diastolic blood flow velocity (Vd) and systolic blood flow velocity (Vs) of the left vertebral artery and right vertebral artery in the two groups were all higher than those before treatment, and the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). After treatment, the cervical curvature and flexion and extension activity of the two groups were higher than those before the treatment, and the observation group was higher than the control group, the difference was statistically significant (P<0.05). Conclusion: The curative effect of Huoxue Tongluo decoction combined with horizontal balance technique in the treatment of CSA is better, and it is beneficial to relieve the clinical symptoms, improve the arterial blood flow velocity and the pathological condition of the cervical vertebra.