首页|推拿结合热奄包治疗椎动脉型颈椎病(风寒湿型)的临床研究

推拿结合热奄包治疗椎动脉型颈椎病(风寒湿型)的临床研究

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目的:探究推拿结合热奄包治疗椎动脉型颈椎病(风寒湿型)的临床效果.方法:选取2022 年 1-10 月在赣州市中医院治疗的 105 例椎动脉型颈椎病(风寒湿型)患者作为研究对象,按照患者的治疗意愿,将以上患者分为A组、B组、C组,A组采取推拿治疗,B组采取热奄包治疗,C组采取推拿结合热奄包治疗,三组均治疗 3 个月.比较三组治疗效果、中医症状评分、眩晕残障程度、双侧椎动脉的血流情况.结果:相比A组(65.71%)及B组(80.00%),C组总有效率(91.43%)显著升高(χ2=7.021,P=0.030).治疗后,三组中医症状评分较治疗前均显著改善,且C组患者的眩晕、心悸、耳鸣、头痛、畏寒肢冷及肢体麻木评分均显著低于A组、B组(P<0.05);三组眩晕残障程度评分较治疗前均显著改善,且C组躯体亚表、情绪亚表、功能亚表评分与总分均显著低于A组、B组(P<0.05);三组双侧椎动脉的血流情况较治疗前均显著改善,且C组收缩期血流速度峰值(Vp)、平均血流速度(Vm)、舒张末期血流速度(Vd)均显著低于A组、B组(P<0.05).结论:推拿结合热奄包治疗椎动脉型颈椎病(风寒湿型)患者,其椎动脉血流显著改善,临床症状降低,治疗效果较好.
Clinical Study of Massage Combined with Hot Suffocation Package in the Treatment of Vertebral Artery Type Cervical Spondylosis(Wind-cold-dampness Type)
Objective:To explore the clinical effect of massage combined with hot suffocation package in the treatment of vertebral artery type cervical spondylosis(wind-cold-dampness type).Method:A total of 105 patients with vertebral artery type cervical spondylosis(wind-cold-dampness type)treated in Ganzhou Hospital of Traditional Chinese Medicine from January to October 2022 were selected as research objects,according to the treatment wishes of the patients,the above patients were divided into group A,group B and group C,group A received massage treatment,group B received hot suffocation package treatment,group C was treated with massage combined with hot suffocation package,and all three groups were treated for 3 months.The therapeutic effect,TCM symptom score,degree of vertigo and disability,bilateral vertebral artery blood flow were compared among the three groups.Result:Compared with group A(65.71%)and group B(80.00%),the total effective rate of group C(91.43%)was significantly increased(χ2=7.021,P=0.030).After treatment,TCM symptom scores of the three groups of patients were significantly improved compared to those before treatment,and vertigo,palpitation,tinnitus,headache,cold limb fear and limb numbness scores in group C patients were significantly lower than those in group A and group B(P<0.05);the vertigo disability scores of the three groups were significantly improved compared to those before treatment,and the physical subtable,emotional subscale,functional subscale scores and total score of group C patients were significantly lower than those in group A and group B(P<0.05);bilateral vertebral artery blood flow in the three groups were significantly improved compared to those before treatment,the peak systolic blood flow velocity(Vp),mean blood flow velocity(Vm)and end-diastolic blood flow velocity(Vd)in group C were significantly lower than those in group A and group B(P<0.05).Conclusion:Massage combined with hot suffocation package in the treatment of vertebral artery type cervical spondylosis(wind-cold-dampness type)patients,the vertebral artery blood flow is significantly improved,the clinical symptoms are reduced,and the therapeutic effect is good.

MassageHot suffocation packageVertebral artery type cervical spondylosisVertebral artery

肖娟

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赣州市中医院超声科 江西 赣州 341000

推拿 热奄包 椎动脉型颈椎病 椎动脉

赣州市卫生健康委员会市级科研计划项目

2023-2-074

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(3)
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