摘要
目的:探讨穴位手法推拿治疗对椎动脉型颈椎病患者眩晕、颈肩痛、头痛症状的改善状况,并以经颅多普勒检测其血液流变学变化为量化评估标准进行治疗前后自身对照比较。方法:实验于2001-01/2003-12在佛山市中医院推拿科完成。选择诊断明确的椎动脉型颈椎病患者60例,采用穴位手法推拿治疗。先于风池、风府穴施用按、揉、指掐等手法,约5min,接着于肩井穴施用滚法、拿法,约5min,再于双侧太阳穴施用环揉手法约3min,并点按百会、按揉翳风约3min,最后结合按、揉、滚等手法作用于颈项肩背部,待肌肉放松后,行颈椎关节拔伸手法,约5min,1次/d,3周为1个疗程。治疗前后进行自拟的临床症状评分(严重影响工作、学习和日常生活,不能坚持工作为重度均计3分,影响工作、学习和日常生活,但能坚持工作为中度计2分,对工作生活影响不大为轻度计1分,无计0分)评估其眩晕、颈肩痛及头痛症状改善情况;经颅多普勒检查评估基底及左、右椎动脉血流变化情况,测量参数为收缩期最大血流速度、舒张末期最大血流速度、平均血流速度、时间平均血流速度、血流量。60例患者均知情同意。结果:实验纳入标准的患者60例,治疗前后经颅多普勒检查资料完整的有40例,20例由于资料不完整未进入结果分析。①临床症状评分结果:治疗后眩晕、颈肩痛、头痛计分较治疗前明显降低(1.0±0.6,2.4±0.5;0.9±0.6,2.3±0.7;0.8±0.8,2.1±0.6,P<0.05,P<0.01)。②基底动脉血流变化结果:治疗后基底动脉收缩期最大血流速度、平均血流速度、时间平均血流速度较治疗前明显增高犤(57±9,50±11;37±8,33±7;25±6,22±6)cm/s,P<0.01)犤,舒张末期最大血流速度与治疗前相比增高不明显犤(27±7),(25±9)cm/s,(P>0.05)犦。③椎动脉血流变化结果:治疗后左侧椎动脉收缩期最大血流速度、舒张末期最大血流速度、平均血流速度、时间平�
AIM:To investigate the effect of acupoint massage therapy in ameliorating dizziness,cervicodynia and omalgia,headache,and undertake self-control comparison taking the hemorheological changes detected with transcranial Doppler as the standard of the quantitative evaluation. METHODS:The study was conducted in the Department of Massage,Foshan Hospital of Traditional Chinese Medicine between January 2001 and December 2003.Sixty patients diagnosed as vertebral artery type of cervical spondylosis were treated with acupoint massage.The acupoints of Fengch'ih and Fengfu were massaged with the methods of on-the-point pressing,kneading and finger pressing for 5 minutes,and then the Chienching acupoint was massaged with the rolling and rotating manipulation and the grasping manipulation for 5 minutes,after that bilateral Taiyang acupoints were kneading rotationally for 3 minutes,and the Paihui acupoint was kneaded and Yifeng acupoint was pressed and kneaded for about 3 minutes,finally the maneuvers of on-the-point pressing,kneading pulse,and rolling and rotating manipulation were used together on neck,shoulder and back.After the relaxation of muscle,the joints of cervical vertebra was pulled and extended for 5 minutes,once a day for 3 weeks as a course.The ameliorations of the symptoms of dizziness,cervicodynia and omalgia,and headache were assessed with the self-designed clinical symptom scores(Having serious influence on work,study and daily life,and being unable to go on working was regarded as be severe counting 3 points;Having impact on work,study and daily life,but being able to go on working as be moderate counting 2 points;Having little influence on work and daily life as be mild counting 1 point;None counting 0 point).The hemorheological changes of basilar artery,left and right vertebral arteries were evaluated with transcranial Doppler examination,using the indexes of systolic peak velocity,end diastolic peak velocity,mean velocity,time mean velocity and blood flow.All the 60 patients agreed to take part in the st
出处
《中国临床康复》
CSCD
北大核心
2005年第22期16-17,共2页
Chinese Journal of Clinical Rehabilitation
