Clinical Observation Of The Long's Manipulation About The Treatment Of The Cervical Angina Research And Basic Study Of Spinal Related Disease

Significance: Spinal related disease that was studied in the recent years is one of the popular disciplines. As an emerging interdisciplinary study, cervical angina pectoris research and the theory are in the relative mature period of the spinal related disease, and its related research and the reports are more than other diseases. At present, a party pathogenesis of cervical angina is recognised, but not yet completely expounds its morbidity reason and the mechanism. With the changes of the living conditions and working conditions, the disease incidence of the cervical angina pectoris is advancing year by year, and has the youth oriented tendency. Because the clinicians are light to this sickness idea, in addition the rationale endlessly consummates, and the situations of misdiagnosis or missed diagnosis occur sometimes influence seriously the patient's survival quality. This research is about observating the clinical morbidity situation of the cervical angina pectoris to analyze the cestrum's dislocation distributed situation by statistical method, and to analyze the pathogenesis of the cervical angina pectoris that the different segments of the spine result in, to make sure disposition of the dislocation of the disease in the cervical vertebrae and thoracic vertebrae, and further to instruct the clinical diagnosis and the treatment of this sickness; to increase the clinician's overall level of the clinician, and can realize correctly and diagnose this sickness.After near 40 years' clinical using and the generalization, the bone-setting technique of Long is well-known in the internal and oversea area, by its "convenient, painless, safe and effective" , its good treatment result and safe treatment technique get high praise by general patients and clinicians. By contrasting the curative effect of bone-setting technique of Long and tradition rotatory manipulation, so that we study the mechanism of the technique replacement, infuse the new vigor to the manipulation and promote the manipulation forward.Objective: By collecting the clinical cases, we analyze the clinical cervical and thoracic vertebra dislocation of the trier who is meeting the standards of cervical angina by statistics and study the morbidity segment mechanism, and elucidate its different segment distributed situation in clinical morbidity, and contrastively analysis the curative effection of the bone-setting technique of Long and tradition rotatory manipulation.Methods: This research adopts the research technique of random, comparisonal, single blind method, will carry 70 example cases which conform to the diagnostic criteria and internalize criteria to divide into the treatment group and the control group stochastically, and unificationaly analyze the dislocation materials of two groups of all cervical and thoracic vertebra cases, to analyze the sole centrum, the different segments, the cervical vertebras, the thoracic vertebra, the cervical and thoracic vertebra accounts for the proportion respectively in the cervical angina pectoris morbidity, to discuss the respective pathogenesis. Using the Seattle Angina Questionnaire (SAQ) to carry on the grading quantification to the cervical angina pectoris patient cardinal symptoms, and to carry on statistics analysis to around its clinical care effect, the treatment meter score and the course of treatment.Results :1st, the thoracic vertebra dislocation occupies the cervical angina pectoris morbidity 18%; The cervical vertebra dislocation morbidity approximately composes trying 30%; At the same time cervical and thoracic vertebra the two dislocation occupies possesses trying 52%; 2nd, the cervical vertebra center segment, the lower segment, thoracic vertebra upside segment each segments may have the cervical angina pectoris, but its respective pathogenesis is different; 3rd, after two groups treatment, the clinical curative effect comparison, the total effectiveness has the significance difference (P<0. 05) ; 4th, The two groups after treatment compared their SAQ score, has the unusual significance difference(P<0.01); Between the two groups after treatment compared SAQ score, the two existence significance difference (P<0.05) ;5th, the treatment of the number of two groups compared, has the unusual significance difference (P<0.01) .Conclusions: 1st, the cases which have dislocation of the cervical and thoracic vertebra at the same time occupy the cervical angina pectoris clinical morbidity half, the next is the cervical vertebra, is the thoracic vertebra once more, therefore must determine its morbidity segment in the clinical diagnosis and treatment; 2nd, the cervical vertebra center segment, the cervical vertebra lower segment, the thoracic vertebra upside segment may have the angina pectoris symptom, the cervical vertebra center segment easy to be accompanied by the slow movement of the heart; The lower segment of cervical vertebra easy to be accompanied by atrial fibrillation; The thoracic vertebra upside segment easy to be accompanied by ventricular extrasystole or atrial premature beats; 3rd, two manipulation have the curative effect to the cervical angina pectoris, but the result of the bone-setting technique of Long is more obvious than the tradition rotatory manipulation effect; 4th, through the research, it can be obtained that the bone-setting technique of Long in the treatment cervical and thoracic facet joint dislocation, has the characteristics such as security specifications, the remarkable curative effect and so on, and it is suitable to promote in clinical .