【作者】 陈立民；

【导师】 董清平；

【作者基本信息】 黑龙江中医药大学 ， 中西医结合临床， 2003， 硕士

【摘要】 椎动脉型颈椎病为一骨科常见疾病。该病临床症状复杂，主要表现为椎动脉系对脑干及迷路供血不全而出现的眩晕、头痛、耳鸣、眼花等症状。在椎动脉型颈椎病治疗中，手法治疗被认为是最有价值的治疗方法之一，而在手法治疗中，以旋转手法为核心的治疗手法是最为常用的方法。目前对于旋转手法治疗椎动脉型颈椎病的研究多集中于临床经验总结，缺乏简单而又方便的客观评价指标。针对这一问题，作者采用彩色多普勒超声断层检查方法，对椎动脉型颈椎病病人治疗前后双侧椎动脉、颈总颈内动脉的收缩峰期血流速度、舒张末期血流速度、搏动指数、阻力指数等数值进行了对比观察，以期对判断旋转手法的治疗效果有一更为简单而方便客观的评价。 本研究结果显示：颈部旋转手法是治疗椎动脉型颈椎病的有效方法之一，可治愈及明显缓解病人的眩晕、头痛、耳鸣、眼花等症状，正确的诊断及适应证的选择是取得良好临床效果的关键。彩色多普勒超声断层是一项较为简便的检查方法，临床上设备较为普及，易于广泛开展。椎动脉血流参数测定可反映椎基底动脉系统的血供情况，为旋转手法治疗椎动脉型颈椎病提供了简单而方便的客观评价指标。更多还原

【Abstract】 Cervical spondylosis is common in clinic. It often causes a lot of symptom such as vertigo, headache, tinnitus, blurring of vision as to ischemia of brain stem internal ear. The therapy of maneuvers is now recognized to be one of the best ways. The therapeutic effect is no less than the surgeral treatment.Among the treatments of cervical spondylosis, maneuver has been considered one of most effective methods. At present studies in maneuver most focus on clinical treatment and short of essentially case-controlled studies, following-up survey and objectively estating index of therapeutic effects. According to those problems, author adopted the Doppler ultrasonic examination. Controlled observations are conducted on the bilateral vertebral artery, internal carotid artery’s systole velocity of blood flow, end-diastolic phase’s velocity of blood flow, pulsating index, and resistant index before and after therapy.The study show: rotational maneuver is effective method, It’s can heal and markedly alleviate patient’s symptom such as vertigo, headache, blurring of vision et al. The vertebral artery’s blood flow parameter improved markedly before and after treament. The Doppler ultrasonic technique can apply to detection of the cerebrals blood supply, judgment the state of disease and objectively estate therapeutic effects. It’s of great value in determining the patient’s condition and objectively estating therapeutic effects.更多还原