摘要
目的探讨椎动脉型颈椎病的一种较为理想的治疗方法。方法我院收治的70例椎动脉型颈椎患者，随机分为治疗组（35例）和对照组（35例）。两组前3d治疗方法相同。第4d对照组开始用10％葡萄糖注射液250ml＋复方丹参注射液10ml静脉滴注，连用6d；治疗组改用当归注射液静滴及封闭，连用6d。两组治疗后均作疗效及脑血流图比较。结果治疗组痊愈12例（34．29％），显效17例（48．57％），好转5例（14．28％），无效1例（2．86％）。对照组痊愈9例（25．71％），显效19例（54．29％），好转4例（11．43％），无效3例（8．57％）。两组疗效及比较差异有显著性（P〈0．01）。结论颈椎动脉处解剖复杂，邻近生命中枢，手术风险大操作困难，术后后遗症严重，手法、颈牵亦有一定局限性，本疗法可缓解血管平滑肌痉挛，使血管扩张，血流加快，操作简单、方便、安全，值得临床应用。
Objective To explore an ideal method to treat cervical spondylosis of vertebral artery type. Methods We retrospectively investigated 70 patients with cervical spondylosis of vertebral artery type from Feb. 2000 to Feb. 2011. They were randomly divided into a therapy group （ 35 cases） and a control group （ 35 cases）. All patients were treated with the same method for the first 3 days. The control group was treated with 250 ml of 10% glucose injection and 10 ml of compound salvia injection for 6 days;the therapy group was treated with intravenous drip of angelica injection and local blocking for 6 days. Effectiveness and rheoencephalogram were compared after treatment. Results 12 patients in the therapy group were completely cured （34.29%）, 17 were marked effect （48.57%）, 5 were improved （ 14.28% ） ,1 was invalid（2.86% ） ;the improvement of rheoencephalogram was especially conspicuous（P 〈0.01 ）. 9 patients in the control group were completely cured （25.71%）, 19 were marked effect （54.29%） ,4 were improved （ 11.43% ） and 3 were invalid（ 8.57% ）. There was significant difference between two groups. Conclusion Anatomic structure of vertebral arteries are complex, surgical risk is high with severe sequelae. Therefore, traction and massage are both limited. This method can relieve the cramp of vascular smooth muscles, dilate vessels and accelerate blood flow. It is simple, convenient, safe and effective, which is worth extension.
出处
《医学新知》
CAS
2013年第2期110-111,113,共3页
New Medicine
关键词
当归注射液
椎动脉
颈椎病
静脉滴注
封闭
Angelica injection
Vertebral artery
Cervical spondylosis
Intravenous drip
Local blocking
