仰卧整复法治疗颈椎不稳所致颈性眩晕的经颅多普勒超声和X线观察

doi:10.3736/jcim20030409

Abstract

Objective

To observe the transcranial Doppler ultrasonography and X-ray changes of cervical vertigo patients caused by cervical instability before and after the manipulation treatment in supine position.

Methods

Sixteen cervical vertigo patients who underwent supine manipulation treament were reviewed retrospectively. After the treatment, the changes of transcranial Doppler ultrasonography of cervical vertebral artery and X-ray of cervical spine were observed.

Results

Before the treatment, the mean blood flow velocity of vertebral artery was (48.6±3.1) cm/s, much higher than that of the normal group (P<0.05), the means of the horizontal displacement of C_3,4 and C_4,5 were (3.18±0.42) mm and 93.46±0.26) mm respectively. After the treatment, the blood flow velocity and the C_3,4 horizontal displacement decreased significantly (P<0.05). The effective rate of the manipulation treatment was 100%.

Conclusion

The manipulation treatment is an effective method for cervical vertigo patients caused by cervical instability, and the effect is correlated with the improvement of the blood flow of cervical artery and the restoration of cervical stability.

Key words: manipulation therapy, cervical vertebrae, vertibral artery, ultrasonography, Doppler, transcranial, X-ray diagnostic

CLC Number:

R244.1

Li Chen, Hong-sheng Zhan. An transcranial Doppler ultrasonography and X-ray study of cervical vertigo patients treated by manipulation in supine position. Journal of Chinese Integrative Medicine, 2003, 1(4): 262-264.

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URL: http://www.jcimjournal.com/EN/10.3736/jcim20030409

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组别	n		左侧椎动脉		右侧椎动脉		基底动脉
组别	n		Vp	Vm	Vp	Vm	Vp	Vm
正常对照组	16		48.6±5.6	42.3 ±3.4	50.7±4.6	43.4±5.3	52.6±9.4	46.9±8.7
治疗组	16	治疗前	52.3±4.5	48.6±3.1*	54.8±6.2	49.7±4.9*	55±6.7	48.3±7.8
治疗组	16	治疗后	44.5±4.3	39.2±3.5^△	52.9±5.5	41.2±3.6^△	56.8±7.5	44.5±6.6

组别	n		C_2,3	C_3,4	C_4,5	C_5,6	C_6,7
正常对照组	16		1.06±0.21	1.25±0.33	1.42±0.34	1.64±0.42	1.92±0.36
治疗组	16	治疗前	2.26±0.41	3.18±0.42*	3.46±0.26*	2.03±0.46	1.58±0.47
治疗组	16	治疗后	2.01±0.36	2.25±0.35	3.28±0.35	2.15±0.17	1.86±0.42

An transcranial Doppler ultrasonography and X-ray study of cervical vertigo patients treated by manipulation in supine position

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