王欣，蔡林，黄师，解维芳，吴静.体外反搏加牵引治疗椎动脉型颈椎病的转颈TCD观察[J].中华物理医学与康复杂志,2003,(10):.-
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| 体外反搏加牵引治疗椎动脉型颈椎病的转颈TCD观察 |
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| DOI： |
| 中文关键词: 体外反搏 牵引 椎动脉 颈椎病 治疗 评定 |
| 英文关键词: Vertebral artery Cervical vertebrae Treatment Evaluation |
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| 中文摘要: |
| 目的观察体外反搏加牵引治疗椎动脉型颈椎病的疗效。 方法按临床诊断标准收集椎动脉型颈椎病患者86例，平均年龄52.3岁，对照组为60例年龄相近的健康人，采用EME-4040型经颅多普勒超声仪，对患病组和对照组，以及患病组治疗前、后和转颈时的椎动脉（VA）、基底动脉（BA）峰值血流速度（Vp），平均血流速度（Vm）进行检测分析。 结果治疗前患病组椎基底动脉（VBA）流速明显低于对照组（P<0.01）。患病组治疗前转颈可使血流减慢(P<0.01)，治疗后转颈血流无变化（P>0.05）。 结论转颈彩色多普勒超声TCD可作为椎动脉型颈椎病的诊断及疗效评定的一种手段，体外反搏加牵引是治疗椎动脉型颈椎病的有效方法之一。 |
| 英文摘要: |
| Objective To investigate the value of external counterpulsation and traction therapy on patients with vertebral artery insufficiency syndrome by use of transcranial Doppler (TCD). MethodsBased on the criteria of clinical diagnosis, 86 patients with vertebral artery insufficiency syndrome and 60 healthy persons were examined by EME-4004 type TCD. The peak velocity (Vp) and mean velocity (Vm) of blood flow of the vertebral artery (VA) and basilar artery (BA) were detected and analyzed before and after rehabilitation treatment. ResultsThe blood flow velocities of the vertebrobasilar artery (VBA) of the patient group were much lower than that of the control group (P<0.01). The blood flow velocity decreased when rotating neck before treatment (P<0.01) and had no significant difference after treatment (P>0.05). ConclusionTCD examination while rotating neck could provide valuable information for the diagnosis and rehabilitation assessment of patients with vertebral artery insufficiency syndrome. External counterpulsation and traction therapy are effective in the treatment of the vertebral artery insufficiency syndrome. |
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