【摘要】 目的观测旋转手法对脑动脉粥样硬化患者血流动力学及粥样斑块的影响,为颈椎旋转手法的安全使用提供依据。方法选择32例均经彩色多普勒诊断仪证实为脑动脉粥样硬化的中老年患者,观察颈椎旋转手法对其血流动力学指标及粥样斑块大小的影响。结果旋转手法作用下,脑动脉的最大流速Vmax明显增大,血流阻力指标PI和RI明显减小(P<0.05)。手法前后粥样斑块的大小分别为2.1mm×1.2mm和2.2mm×1.3mm(P>0.05).结论颈椎旋转手法能显著地影响中老年脑动脉的血流动力学状况,但不会引起动脉粥样斑块的脱落。更多还原

【Abstract】 Objective To observe effect of cervical rotational manipulation on hemodynamic and plaque in patients with atherosclerosis,and to provide the evidence for its safe use.Methods 32 middle-aged and aged patients with arteriosclerosis in this research were underwent color Doppler ultrasound diagnostic instrument diagnosis.The following hemodynamic indexes:Vmax,PI and RI were measured.Results The artery Tamax significantly increased after rotational manipulation.PI and RI significantly reduced(P<0.05).No significant change in plaque size before and after manipulation(2.1 mm×1.2 mm and 2.2 mm×0.3 mm respectively)(P>0.05).Conclusion The cerebral artery hemodynamic conditions can be significantly affected by cervical rotational manipulation,however,which does not cause the shedding of atherosclerotic plaque.更多还原