【摘要】 目的观察比较电针与牵引治疗伴有下颈椎不稳的椎动脉型颈椎病的临床疗效。方法将88例伴有下颈椎不稳的椎动脉型颈椎病患者随机分为治疗组45例和对照组43例,治疗组采用电针治疗,对照组采用牵引治疗。观察治疗效果,并在治疗前后进行功能量表评分,颈椎稳定性评估。结果治疗组治愈率和总有效率分别为40.0%和95.6%,对照组分别为16.3%和86.1%,两组比较差异均具有统计学意义(P<0.01)。两组治疗前后自身比较,功能量表评分均降低,X线摄片显示,其角位移和水平位移均减少,差异均有统计学意义(P<0.01),且治疗组优于对照组(P<0.01)。结论对于伴有下颈椎不稳的椎动脉型颈椎病电针治疗效果优于牵引治疗。更多还原

【Abstract】 Objective To compare the clinical efficacy of electroacupuncture with traction in treating cervical spondylotic vertebral arteriopathy with lower cervical vertebral instability.Methods Eighty-eight patients with cervical spondylotic vertebral arteriopathy accompanied by lower cervical vertebral instability were randomly allocated to a treatment group of 45 cases and a control group of 43 cases.The treatment group received electroacupuncture and the control group,traction.The therapeutic effects were evaluated.The score was counted using a function scale and cervical vertebral stability was assessed before and after treatment.Results The cure rate and the total efficacy rate were 40.0% and 95.6%,respectively,in the treatment group and 16.3% and 86.1%,respectively,in the traction group;there was a statistically significant difference between the two groups(P<0.01).The function scale score and both the angular and horizontal displacements on the X-ray plain film decreased in the two groups after treatment as compared with before.There were statistically significant pre-/post-treatment differences in both(P<0.01).They improved more in the treatment group than in the control group(P<0.01).Conclusions The effect of electroacupuncture is superior to that of traction in treating cervical spondylotic vertebral arteriopathy with lower cervical vertebral instability.更多还原