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推拿罐对椎动脉型颈椎病的颈部局部微循环灌注量的研究 被引量:5

Study on Clinical Effect of Tuina Cupping on Skin Microcirculation Perfusiotn at Neck
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摘要 目的该研究旨在探索推拿罐治疗椎动脉型颈椎病(cerical spondylosis of vertebral artery type,CSA)颈部局部微循环灌注量的影响。方法纳入CSA患者30例,运用简单随机法分为治疗组与空白组,治疗组为20例,空白组为10例,治疗组采用推拿罐疗法治疗4次,用激光散斑血流成像系统(瑞典帕瑞)记录大椎穴局部及大椎穴为中心颈部局部皮肤血流灌注量,对所得到的数据应用SPSS 22.0统计学分析软件进行统计分析并记录其分析结果。初步探究推拿罐疗法干预CSA颈部局部的微循环血流灌注量变化规律。结果空白对照组皮肤血流量随时间变化差异无统计学意义(P>0.05)。推拿罐手法治疗后大椎穴皮肤血流量及以大椎穴为中心的颈部局部皮肤血流量升高,随时间延长逐渐降低,至推拿罐后25 min与推拿罐治疗前比较无统计学意义(P>0.05);第4次推拿罐基础血流量与空白组对照有统计学意义(P<0.05)。结论推拿罐可改善CSA患者机体微循环,提高CSA患者颈部局部皮肤微循环灌注量。 Objective This study was designed to explore the effect of Tuina cupping on local microcirculation perfusion of cervical spondylosis of vertebral artery type(CSA).Methods Thirty CSA patients were divided into therapy group and control group,20 patients in therapy group and 10 patients in control group.The therapy group were treated with Tuina cupping for four times.The laser astigmatism blood flow imaging system(Parry,Sweden)was used to record the regional cerebral blood perfusion of the locality and center of Dazhui(GV14).SPSS 22.0 statistical analysis software was applied to the statistical analysis of obtained data and the analysis results were recorded.It preliminarily study the variation of microcirculation blood perfusion in the cervical spine of CSA in the treatment of Tuina cupping.Experimental research results showed there was no significant difference in skin blood flow with time in the control group(P>0.05).After treatment with Tuina cupping,the blood flow of Dazhui(DU14)and the local skin blood flow of the cervical vertebrae centered on Dazhui(DU14)were increased gradually with time,and there was no statistical difference before and 25 min after treatment of Tuina cupping(P>0.05).The basal blood flow of the fourth treatment was statistically significant(P<0.05).Conclusion Tuina cupping can improve the microcirculation of CSA patients′skin and improve the skin microcirculation perfusion.
作者 李飞 陈泽林 程晓燕 陈波 LI Fei;CHEN Zelin;CHENG Xiaoyan;CHEN Bo(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Tianjin Hexi Hospital of Traditional Chinese Medicine,Tianjin 300202,China;Tianjin Jinnan District Xianshuigu Town Health Center,Tianjin 300350,China)
出处 《辽宁中医杂志》 CAS 2021年第8期197-200,257,共5页 Liaoning Journal of Traditional Chinese Medicine
基金 国家自然科学基金面上项目(81573882) 国家重点研发计划(2019YFC1712200,2019YFC1712204)
关键词 椎动脉型颈椎病 推拿罐 微循环灌注量 激光散斑 vertebral artery type of cervical spondylosis Tuina cupping dizziness microcirculation perfusion laser speckle
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