首页|强力定眩片联合手法对椎动脉型颈椎病血液流变学及预后的改善研究

强力定眩片联合手法对椎动脉型颈椎病血液流变学及预后的改善研究

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目的 研究强力定眩片联合手法对椎动脉型颈椎病血液流变学及预后的改善情况.方法 选取嵊州市中医院2012年11月~2014年11月椎动脉型颈椎病患者106例,抽签随机分为观察组与对照组,每组53例,给予对照组患者手法治疗,给予观察组患者强力定眩片联合手法治疗,比较2组患者临床治疗有效率和治疗前后全血高切黏度、全血低切黏度、血浆黏度、全血还原黏度、红细胞压积、红细胞聚集指数、纤维蛋白原等血液流变学参数变化情况,对2组患者进行为期1年的随访观察,比较1年期间的复发率.结果 观察组患者的临床治疗总有效率为92.45%较对照组77.36%显著较高(P<0.05);观察组患者全血低切黏度(7.01±1.52)mPa·s、全血还原黏度(1.18±0.28)mPa·s、纤维蛋白原(3.91±0.94)g/L水平较对照组(7.88±1.65)mPa·s、(1.47±0.34)mPa·s、(4.51±0.98)g/L显著较低(P<0.05);观察组患者的复发率为13.21%较对照组30.19%显著较低(P<0.05).结论 强力定眩片联合手法治疗椎动脉型颈椎病疗效显著,患者全血黏度降低,血液循环功能得到改善,治疗后复发率低,值得临床上应用推广.
Study on the improvement of hemorheology and prognosis of cervical spondylosis of vertebral artery by combination of strong dingxuan tablet
Objective To study the improvement of hemorheology and prognosis of vertebral artery type cervical spondylosis by combination of strong Dingxuan tablet.Methods106 cases of vertebral artery type cervical spondylopathy were randomly divided into observation group and control group.Fifty-three patients in each group were treated with manipulation in the control group, and the patients in the observation group were enrolled.The blood viscosity, whole blood low shear viscosity, plasma viscosity, whole blood reduction viscosity, hematocrit, erythrocyte aggregation index, fibrinogen and so on were compared between the two groups before and after treatment.Rheological parameters of the situation, the two groups of patients for 1 year follow-up observation, compared with 1 year recurrence rate.ResultsThe total effective rate was 92.45% in the observation group and 77.36% in the control group (P<0.05).The whole blood low shear viscosity (7.01±1.52) mPa·s, the whole blood viscosity (1.18±0.28) g/L was significantly higher than that in the control group (7.88±1.65) mPa·s, (1.47±0.34) mPa·s, (4.51±0.98) g/L, respectively (P<0.05).The recurrence rate was 13.21% in the observation group and 30.19% in the control group (P<0.05).ConclusionThe combination of strong Dingxuan tablet combined with manipulation of vertebral artery type cervical spondylopathy is significant, the blood viscosity of the patients is reduced, the blood circulation function is improved, the recurrence rate after treatment is low, and it is worthy of clinical application.

strong dizziness tabletsmanipulationvertebral artery type cervical spondylosishemorheology

王金磊、童辉

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嵊州市中医院康复科,浙江嵊州312400

嵊州市中医院超声科,浙江嵊州312400

强力定眩片 手法 椎动脉型颈椎病 血液流变学

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(5)
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