[1]贾承明,杨皓然,伍 均,等.脊柱牵引状态下定点整复手法联合颈眩方治疗椎动脉型颈椎病真实世界临床研究[J].陕西中医,2024,(5):675-678,682.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.023]
　JIA Chengming,YANG Haoran,WU Jun,et al.Real world clinical observation on the treatment of vertebral artery type cervical spondylosis by fixed-point manipulation in spinal traction combined with Jingxuan prescription[J].,2024,(5):675-678,682.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.023]
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脊柱牵引状态下定点整复手法联合颈眩方治疗椎动脉型颈椎病真实世界临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年5期
页码:
675-678,682
栏目:
长安医学
出版日期:
2024-05-05

文章信息/Info

Title:
Real world clinical observation on the treatment of vertebral artery type cervical spondylosis by fixed-point manipulation in spinal traction combined with Jingxuan prescription
作者:
贾承明1; 杨皓然2; 伍 均3; 杨淑彬1; 李晓妮1; 贺惠琼1; 赵 茜1; 党建军1
(1.陕西省中医医院,陕西 西安 710003; 2.陕西中医药大学,陕西 咸阳 712046; 3.西安大兴医院,陕西 西安 710016)
Author(s):
JIA Chengming; YANG Haoran; WU Jun; YANG Shubin; LI Xiaoni; HE Huiqiong; ZHAO Qian; DANG Jianjun
(Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an 710003,China)
关键词:
椎动脉型颈椎病;  脊柱牵引状态下定点整复手法;  颈眩方;  真实世界;  筋骨理论;  中医流派
Keywords:
Cervical spondy lopathy of vertebral artery;  Fixed-point manipulation in spinal traction;  Jingxuan prescription;  The real world;  Muscles and bones theory;  Schools of traditional Chinese medicine
分类号:
R 658.53
DOI:
DOI:10.3969/j.issn.1000-7369.2024.05.023
文献标志码:
A
摘要:
目的:观察脊柱牵引状态下定点整复手法联合颈眩方治疗椎动脉型颈椎病的真实世界临床疗效。方法:选择椎动脉型颈椎病患者300例。脊柱牵引状态下定点整复手法治疗每2天1次,口服颈眩方1剂/d,连续治疗2周。通过视觉模拟(VAS)、颈椎功能障碍指数调查问卷(NDI)、SF-36评分、眩晕症状(VSS-C)量表和经颅多普勒(TCD)、椎动脉彩超等指标对其临床疗效进行评价。结果:与治疗前比较,治疗后患者的VAS评分、NDI评分、VSS-C评分下降,差异有统计学意义(P<0.05)。治疗后2周和治疗后1周比较差异有统计学意义(P<0.05)。与治疗前比较,治疗后1、2、4、8周患者SF-36量表评分显著升高,差异有统计学意义(P<0.05)。病程大于6个月的患者比病程小于6个月的患者治疗后生活质量评分升高更显著。通过比较治疗前后TCD与椎动脉彩超检测指标,发现收缩期峰值血流速度显著升高,而阻力指数明显下降,且椎动脉管径略有增宽,差异有统计学意义(P<0.05)。结论:基于真实世界临床脊柱牵引状态下定点整复手法联合颈眩方治疗椎动脉型颈椎病疗效可靠。
Abstract:
Objective:To observe the real-world clinical effect of fixed-point manipulation in spinal traction combined with Jingxuan prescription in the treatment of vertebral artery type cervical spondylosis.Methods:A total of 300 patients with vertebral artery type cervical spondylosis meeting the inclusion criteria were selected.Fixed-point manipulation in spinal traction was treated once every 2 days,and 1 dose of Jingxuan prescription was taken orally1day for 2 weeks.The clinical effect was evaluated by visual analogue(VAS),cervical dysfunction Index questionnaire(NDI),SF-36 score,vertigo symptom(VSS-C)scale,transcranial Doppler(TCD)and vertebral artery color ultrasound.Results:Compared with before treatment,VAS score,NDI score and VSS-C score of patients after treatment decreased,and the difference was statistically significant(P<0.05).The difference between 2 weeks after treatment and 1 week after treatment was statistically significant(P<0.05).Compared with before treatment,SF-36 scores of patients at 1,2,4 and 8 weeks after treatment were significantly higher,and the difference was statistically significant(P<0.05).Patients with a disease course of more than 6 months had a significantly higher quality of life score after treatment than patients with a disease course of less than 6 months.By comparing TCD and vertebral artery color ultrasound detection indexes before and after treatment,it was found that the peak systolic blood flow velocity increased significantly,while the resistance index decreased significantly,and the vertebral artery diameter widened slightly,the difference was statistically significant(P<0.05).Conclusion:Based on real-world clinical results,fixed-point manipulation in spinal traction combined with Jingxuan prescription are effective in the treatment of vertebral artery type cervical spondylosis.

参考文献/References:

[1] 杨文通,赵继荣,陈文,等.基于“肝肾同源”理论探析椎动脉型颈椎病治疗思路[J].陕西中医,2021,42(12):1742-1744.
[2] 陈洋,罗建.中医非药物疗法治疗椎动脉型颈椎病研究进展[J].按摩与康复医学,2021,12(14):86-87.
[3] 王楠,唐田,徐文强,等.中医手法治疗椎动脉型颈椎病研究进展[J].中国中医骨伤科杂志,2019,27(8):84-88.
[4] 王鹏,赵晶晶,郭蕾蕾,等.脊柱定点旋转复位手法联合中医药枕治疗颈型颈椎病的临床研究[J].颈腰痛杂志,2023,44(6):1042-1044.
[5] 贾承明,党建军,李强,等.党建军脊柱牵引状态下定点整复手法治疗颈椎病经验总结[J].陕西中医,2020,41(6):796-798.
[6] 杨庆宇,刘占兵,肖飞.针灸治疗椎动脉型颈椎病临床疗效及对患者脑血流的影响[J].陕西中医,2019,40(8):1131-1133,1137.
[7] 杨亦含,胡元会,陈婷,等.基于真实世界的中医临床科研大数据平台研发现状、不足及展望[J].中国中医基础医学杂志,2022,28(11):1882-1886.
[8] 魏明月,陈敏,胥婷,等.临床科研场景下医疗数据安全开放共享平台设计[J].中国数字医学,2021,16(7):27-32.
[9] 闫红静,习旭涛,朱琰,等.阿托伐他汀治疗椎动脉型颈椎病合并眩晕症的临床研究[J].陕西医学杂志,2018,47(4):512-514.
[10] 任勇,吴建梅,苏靖.浮针联合Mulligan手法治疗椎动脉型颈椎病的疗效观察及对血清TXB2、TNF-α、NSE水平及血流动力学的影响[J].上海针灸杂志,2023,42(11):1177-1183.
[11] GEETE D B,MHATRE B S,VERNON H.Cross-cultural adaptation and psychometric validation of the hindi version of the neck disability index in patients with chronic neck pain[J].Spine(Phila Pa 1976),2023,48(23):1663-1669.
[12] 刘艳伟,孟爱霞,于瑞杰,等.星状神经节阻滞联合度洛西汀治疗交感神经型颈椎病的临床观察[J].中国疼痛医学杂志,2022,28(11):834-838.
[13] 钟泳诗,姚润开,项礼,等.彩色多普勒超声诊断中年人椎动脉型颈椎病的临床价值[J].影像研究与医学应用,2022,6(5):59-61.
[14] 王静.超声多普勒检查在椎动脉型颈椎病患者诊断中的应用及中医康复治疗效果评估研究[J].现代医用影像学,2023,32(2):382-385,390.
[15] 叶超,陈婧,史永梅,等.不同证候颈椎病患者TCD指标的特点及与年龄、证候间的相关性研究[J].现代中西医结合杂志,2018,27(22):2406-2411.
[16] 伍均,党建军,杨淑彬,等.党建军“筋重于骨”学术思想治疗颈椎病经验撷要[J].陕西中医,2023,44(5):640-643.
[17] 辛荣超,党建军,樊效鸿,等.脊柱牵引状态下定点整复手法治疗颈性眩晕的临床研究[J].中医药导报,2021,27(12):103-106,118.
[18] 张博星,党建军,贾承明,等.长安朱氏骨伤流派治疗颈椎病学术思想撷要[J].陕西中医,2021,42(12):1752-1755.
[19] 彭齐峰,付洋,江恒,等.筋骨平衡理论在常见筋伤疾病中的应用探析[J].中国中医急症,2022,31(6):1025-1028.
[20] 王树梓,边全禄.鹿蹄草扩张血管作用的实验研究[J].陕西中医,1989,10(10):473.
[21] 黄灵琳,陈清光,曹莉莉,等.半夏白术天麻汤加减治疗高血压合并颈动脉粥样硬化斑块患者的临床疗效及对其HIF-1α、VEGF、VEGFR2信号通路的影响[J].世界中西医结合杂志,2023,18(11):2238-2243.
[22] 陈潇,刘红梅,赵文灏,等.慢性主观性头晕中药药对常用配伍探析[J].陕西中医,2022,43(11):1628-1631.
[23] 田昕彤,周巍,杨继,等.钩藤及其配伍制剂治疗高血压的研究进展[J].中草药,2023,54(13):4395-4403.
[24] 王豪杰,赵静雅,梁冰,等.心脑舒通胶囊在缺血性脑血管病二级预防中的临床应用价值[J].中国药物滥用防治杂志,2023,29(3):517-520.
[25] 徐浩群,张文静,娄原,等.红景天苷对脑缺血损伤的保护作用及机制研究进展[J].中国实验方剂学杂志,2023,29(15):256-266.

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[2]杨庆宇,刘占兵,肖 飞.针灸治疗椎动脉型颈椎病临床疗效及对患者脑血流的影响[J].陕西中医,2019,(8):1131.
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备注/Memo

备注/Memo:
基金项目:长安朱氏骨伤流派传承工作室项目[陕中医药发(2018)40号]; 陕西省中医药管理局真实世界研究中心项目[陕中医药发(2023)3号]; 陕西省三秦学者创新团队资助项目[陕组通字(2020)45号]; 陕西省中医药管理局科研课题(2021-GJ-LC010); 陕西省中医药管理局科研课题(2021-GJ-JC014); 陕西中医药大学研究生质量提升工程专项课题(CXSJ202310); 陕西中医药大学校级科研课题研究生创新项目(2021CX04)
更新日期/Last Update: 2024-05-09