世界中医药
文章摘要
引用本文:杨才德1 鱼灵会1 于灵芝1 赵 惠2 宋建成1 王丽华1 程 涛3 陈积慧1 付旺宁1 王 剑1.针刀枢椎棘突松解术对椎动脉型颈椎病疗效评价[J].世界中医药,2014,9(01):.  
针刀枢椎棘突松解术对椎动脉型颈椎病疗效评价
Therapeutic Evaluation of Needle-knife Lysis on Spinous Process of the Second Cervical Vertebrae in Treating Vertebral Artery Cervical Spondylosis
投稿时间:2013-04-17  
DOI:10.3969/j.issn.1673-7202.2014.01.032
中文关键词:  椎动脉型颈椎病  枢椎棘突  针刀松解术
English Keywords:Vertebral artery cervical spondylosis  The spinous process of the second cervical vertebrae  Needle-knife
基金项目:2011年甘肃省普通中医药科研立项资助课题(编号:GZK-2011-37)
作者单位
杨才德1 鱼灵会1 于灵芝1 赵 惠2 宋建成1 王丽华1 程 涛3 陈积慧1 付旺宁1 王 剑1 1 兰州大学第一医院东岗院区,兰州,730020
2 陇南市中医院,陇南,746000
3 甘肃省中医药研究院,兰州,730000 
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中文摘要:
      目的:探求针刀枢椎棘突松解术对椎动脉型颈椎病的临床疗效。方法:将87例患者随机分为A、B组,A组43例采用针灸治疗;B组44例采用单纯针刀枢椎棘突松解术治疗。结果:A组治愈率60.47%,B组81.82%,两组比较(P<0.05)的差异有统计学意义。B组治疗前后,对椎动脉(VA)和基底动脉(BA)进行检测,其收缩峰期血流速度(VP)、舒张末期血流速度(Vm)显著上升,博动指数(PI)、阻力指数(RI)显著下降,差异具有统计学意义(P<0.05或P<0.01)。结论:针刀枢椎棘突松解术对椎动脉型颈椎病患者有确切疗效,值得临床推广。
English Summary:
      To observe the clinical effects of needle-knife lysis on the spinous process of the seconcervial vertebrae in treating vertebral artery cervical spondylosis. Methods: Eighty-seven patients with vertebral artery cervical spondylosis were randomly divided into two groups: objective group adopted needle-knife, control group adopted acupuncture treatment for Xue points. Results: Cure rate was 81.82% in the objective group, and 60.47% in the control group. Differences between the cured rates of the two groups were extremely remarkable (P<0.05). To observe the numerical value of transcranial Doppler, compared to the changes, the differences are extremely significant (P<0.05 or P<0.01). Conclusion: Treatment with needle-knife for vertebral artery cervical spondylosis is effective, thus is suggested to use clinically.
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