| BackgroudCervical vertebral artery disease is a common type of cervical disease, a variety of pathological changes in the vertebral-basilar artery, is the most important reason for CSA. Manipulation, an effective treatment of cervical spondylosis of vertebral artery, its clinical results have been confirmed by many scholars. Different manipulation technical operation points are different, but their ultimate goal is to improve the vertebral-basilar artery blood supply. Previous research focused on the determination of basal arterial blood flow by TCD. However, the study of hemodynamic of vertebral artery itself lacks detailed information currently. This study make use of ridge treating technique to intervene the treatment of CSA, on the one hand emphasize relieving of vertebral-Basilar arteries of stimuli by that Rotational reduction, on the other hand stress the "fine tuning" to improve the safety of manipulation.ObjectiveThis topic is based on observation vertebral artery hemodynamic changes during treatment by a randomized controlled test, to study the zhiji manipulation and vertebral artery hemodynamic correlation.MethodsThe patients were from orthopaedic department of Zhuhai Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine during January 2014 to Demecber 2014. This was a randomized controlled trial, and patients were equally divided into zhiji manipulation treatment group and Conventional treatment group. Both groups received treatment, while Additional zhiji manipulation therapy in the treatment group. Two groups received vertebral artery color Doppler ultrasonography before and after treatment to obtained hemodynamic information (the vertebral artery diameter and blood flow velocity and blood flow and hemodynamics), analysis of correlation between hemodynamic and manipulation.ResultsTwo groups of cases appeared no statistically significant gender differences in the age distribution, duration, sexy. Prior to treatment, both groups hemodynamic data (vertebral artery diameter, flow rate, flow), balanced, consistent baseline Data analysis within the zhiji manipulation treatment group showed:Vertebral artery diameter before and after treatment are:3.25 ± 0.640,3.35 ± 0.565, P<0.01, with significant statistical differences;Mean blood flow velocity before and after treatment:15.17 ± 4.267,20.03+6.011, P<0.01, with significant statistical differences;Average blood flow before and after treatment:78.20±30.910,94.03±41.656, P<0.01, with significant statistical differences.Data analysis within the conventional therapy group showed:Vertebral artery diameter before and after treatment are as follows:3.25±0.549,3.25 ±0.505, two groups of P>0.05, with no statistically significant difference; Mean blood flow velocity before and after treatment:16.78±5.028,17.33± 4.096, two P<0.05, with statistically significant difference; Average blood flow before and after treatment:78.73±38.813,80.15±33.066, P<0.05, with statistically significant difference.Data analysis between the two groups after treatment data showed: Treatment and control groups of vertebral artery diameter:3.35±0.565,3.38 ±0.470, P>0.05, with no statistically significant difference; group and the control group mean blood flow velocity:20.03±6.011,17.33±4.096, P<0.05, with statistically significant difference; Blood flow of the treatment group and the control group average:94.03±40.656,80.1533.066, P<0.05, with statistically significant difference.ConelusionZhiji manipulation can significantly improve blood supply of vertebral artery,:which is expressed in speeding up mean blood flow velocity of vertebral artery, increasing vertebral artery blood flow. There was no statistically significant differences of vertebral artery diameter after treatment of Ridge manipulation... |
PDF Full Text Request