Time-Effectiveness Study on the Treatment of Cervical Spondylosis of Vertebral Artery Type by Manipulation
Objective:To observe the timeliness and safety of lifting manipulation in the improvement of vertigo symptoms in patients with cervical spondylosis of vertebral artery type.Methods:From June 2022 to June 2023,90 patients with cervical spondylosis of vertebral artery type were selected.According to the random number table method,they were ran-domly divided into the whole manipulation group,the subacute manipulation group,the acute phase combined with flunari-zine,and the subacute phase combined with manipulation group(group A,B,C),with 30 cases in each group.The patients were given manual therapy within 48 h,after 48 h,flunarizine within 48 h and after 48 h,respectively.The course of treat-ment was 1 week.FS-CSA score was used to observe the vertigo of the patients before treatment,1,3,7 d after treatment and 1 month after follow-up.The changes of ultrasonic hemodynamic indexes of vertebral artery were observed before and after treatment in the three groups.Adverse reactions were recorded.Results:After treatment,the effective rate and clinical control rate of vertigo improvement in the three groups were higher,and group C was better than group A and group B(P＞0.05).After treatment,the FS-CSA scores of the three groups were significantly decreased(P＜0.01).Compared with the con-trol group,the FS-CSA score in group C decreased the most significantly,and it was more significant after 3 d of treatment(P＜0.05 or P＜0.01).After treatment,the PSV and EDV values of the three groups were significantly increased,and the RI value was significantly decreased(P＜0.01).After treatment,the PSV value of the right side and EDV value of the left and right sides in group C were significantly better than those in groups A and B(P＜0.05 or P＜0.01).Conclusion:The lifting maneuver is effective in improving the vertigo symptoms of cervical spondylosis of vertebral artery type.Taking vasodilator drugs within 48 h and applying the lifting maneuver after 48 h can improve the effect better.At the same time,this study can provide reference for the formulation of manual staged treatment of cervical vertigo.
cervical spondylosis of vertebral artery typelifting techniquevertigoeffectiveness of time
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