| 王睿,孙栋,罗华送.寰枢整复手法治疗气滞血瘀型椎动脉型颈椎病的临床观察[J].浙江中西医结合杂志,2020,30(11): |
| 寰枢整复手法治疗气滞血瘀型椎动脉型颈椎病的临床观察 |
| Clinical Effect Analysis of Spinal Manipulation Therapy for the Treatment of Cervical Spondy-losis of Vertebral Artery Type Combine with Atlanto-axial Joint Instability |
| 投稿时间：2020-06-27 修订日期：2020-09-01 |
| DOI： |
| 中文关键词: 椎动脉型颈椎病 气滞血瘀型 寰枢关节 整复手法 |
| 英文关键词:spinal manipulation therapy cervical spondy-losis of vertebral artery type atlanto-axial joint instability transcranial doppler |
| 基金项目:浙江省基础公益研究计划项目(LGF20H270009) |
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| Objective: To investigate the clinical effect of spinal manipulation therapy for the treatment of cervical spondy-losis of vertebral artery type (CSA) combine with atlanto-axial joint instability. Methods: A deep analysis of previous randomized controlled trial was performed on 51 CSA combine with atlanto-axial joint instability patients from January 2016 to September 2019. The treatment group (n=27) accepted spinal manipulation therapy, while the control group (n=24) was treated with electro-acupuncture therapy. The effectiveness and changes of hemodynamic indexes of vertebra-basilar arterial system in the two groups before and after treatment were observed and compared. Results: The improvement of all the hemodynamic indexes in the treatment group was more significant than that in the control group (P<0.05). After treatment,the clinical effective rate was 96.30% in the treatment group and 87.50% in the control group,the difference being significant (P<0.05). Conclusion: Spinal manipulation therapy can improve the symptoms of CSA combine with atlanto-axial joint instability effectively. However, the assessment of the patient before treatment is necessary. |
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