养血舒筋汤联合卧位平衡手法治疗椎动脉型颈椎病的临床效果

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摘要目的探讨养血舒筋汤和尼莫地平分别结合卧位平衡手法治疗椎动脉型颈椎病的优劣差异。方法选取2015年6月～2017年6月我院收治的64例椎动脉型颈椎病患者进行临床研究，采用随机数字表法将其分为对照组、观察组，每组32例。在观察组中采用养血舒筋汤，对照组患者则予以尼莫地平，两组同时配合卧位平衡手法治疗，均连续治疗6周为1个疗程。1个疗程后分别观察两组患者临床疗效、血液流变学指标（全血黏度、血浆黏度、红细胞压积、血浆纤维蛋白原）以及治疗前后经颅多普勒TCD测定的椎动脉血流量、平均血流速度、椎动脉血管内径等指标变化。结果观察组患者的总有效率高于对照组，差异有统计学意义（P＜0.05）。治疗后，两组血液流变学的指标较治疗前均有明显改善，差异有统计学意义（P＜0.05）；观察组治疗后血液流变学指标改善程度优于对照组，差异有统计学意义（P＜0.05）。治疗后两组的TCD检测指标较治疗前均有明显改善，差异有统计学意义（P＜0.05）；观察组治疗后经颅多普勒TCD检测指标改善程度优于对照组，差异有统计学意义（P＜0.05）。结论养血舒筋汤结合卧位平衡手法治疗椎动脉型颈椎病效果更好，可有效改善血液流变学和TCD相关指标，临床上值得推广。

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	区志坚

关键词 ：养血舒筋汤, 尼莫地平, 椎动脉型颈椎病, 血液流变学, 卧位平衡手法

Abstract：Objective To investigate the difference between application of Nourishing Blood and Relaxing Tendons Decoction plus decubitus balance manipulation and Nimodipine plus decubitus balance manipulation in the treatment of vertebral artery type of cervical spondylosis.Methods Sixty-four patients with vertebral artery type cervical spondylosis admitted to our hospital from June 2015 to June 2017 were selected for clinical study.They were divided into control group and observation group with 32 cases in each group by random number table method.The observation group was treated with Yangxue Shujin decoction，while the control group was treated with nimodipine.Both groups were treated with horizontal balance manipulation for six weeks.After one course of treatment，the clinical efficacy，hemorheology indexes （whole blood viscosity，plasma viscosity，hematocrit，plasma fibrinogen）and vertebral artery blood flow，mean blood flow velocity，vertebral artery blood vessel diameter measured by transcranial Doppler （TCD）before and after treatment were observed.Results The total effective rate in the observation group was higher than that in the control group，the difference was statistically significant （P＜0.05）.After treatment，the hemorheology indexes of the two groups were significantly improved compared with those before treatment （P＜0.05）.The improvement degree of hemorheology index in the observation group was better than that in the control group，the difference was statistically significant （P＜0.05）.TCD detection indexes of the two groups were significantly improved after treatment compared with those before treatment （P＜0.05）.The improvement degree of TCD in observation group was better than that in control group after treatment，the difference was statistically significant （P＜0.05）.Conclusion Application of combination of Nourishing Blood and Relaxing Tendons Decoction plus decubitus balance manipulation has better effect in treatment of vertebral artery type of cervical spondylosis，which can effectively improve hemorheology and TCD-related indexes，and is worthy of clinical promotion.

Key words： Nourishing blood and relaxing tendons decoction Nimodipine Vertebral artery type of cervical spondylosis Hemorheology Decubitus balance manipulation

引用本文:

区志坚. 养血舒筋汤联合卧位平衡手法治疗椎动脉型颈椎病的临床效果[J]. 中国当代医药, 2018, 25(13): 88-91.
OU Zhi-jian. Clinical effect of nourishing blood and relaxing tendons decoction combined with decubitus balance manipulation in the treatment of vertebral artery type of cervical spondylosis. 中国当代医药, 2018, 25(13): 88-91.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2018/V25/I13/88

[1]	田宏.采用西医联合中医理疗治疗椎动脉型颈椎病患者的临床效果[J].基医疗装备，2017，30（21）：154-155.
[2]	董世德.椎动脉型颈椎病的中医诊疗近况[J].按摩与康复医学，2016，7（1）：6-7.
[3]	李磊世.综合疗法治疗椎动脉型颈椎病113例临床疗效[J].继续医学教育，2009，23（6）：51-52.
[4]	王承山，郝海涛.陈童贞.三联疗法治疗椎动脉型颈椎病[J].中医药研究，2000，16（3）：17-18.
[5]	刘元梅.葛根汤加味治疗椎动脉型颈椎病的疗效观察[M].中西医结合心脑血管病杂志，2016，14（9）：1031-1033.
[6]	向虎，李国学.推拿治疗椎动脉型颈椎病的疗效观察[J].当代医学，2013，19（26）：154.
[7]	谢小东.中医骨伤手法及中药内服疗法治疗椎动脉型颈椎病的效果观察[J].河南医学研究，2015，24（4）：112.
[8]	彭泽深，肖晓华.中医治疗椎动脉型颈椎病临床研究概况[J].中医临床研究，2009，1（4）：40-42.
[9]	康世林.中医综合疗法治疗椎动脉型颈椎病61例[J].中医临床研究，2010，2（14）：83.
[10]	王亮.小针刀结合卧位平衡手法治疗椎动脉型颈椎病临床观察[J].实用中医药杂志，2016，32（8）：812-813.
[11]	刘东钱.养血舒筋汤配合卧位平衡手法治疗椎动脉型颈椎病临床疗效及对治疗前后血液流变学影响[J].世界中医药，2017，12（1）：96-103.
[12]	张运国.活血化瘀治疗椎动脉型颈椎病120例[J].山西中医，2004，20（4）：25-26.
[13]	李弘磊.尼莫地平静脉滴注治疗椎动脉型颈椎病临床观察[J].临床荟萃，2005，20（3）：162-163.
[14]	刘顺利.中医治疗椎动脉型颈椎病的临床疗效[J].世界最新医学信息文摘，2016，16（94）：181.
[15]	汪玉良.葛根素联合尼莫地平治疗椎动脉型颈椎病36例[J].浙江中医杂志，2010，45（8）：562.