EECP and Traction Therapy Can Relieve Symptoms of Rotational Vertebrobasilar Insufficiency 體外反搏治療可緩解旋轉性頸椎 基底動脈 供應不足的症狀

Source From 資料來源 : https://journals.lww.com/spinejournal/abstract/2010/07010/enhanced_external_counterpulsation_and_traction.2.aspx

EECP and Traction Therapy Can Relieve Symptoms of Rotational Vertebrobasilar Insufficiency

STUDY DESIGN:

Clinical trial of patients with rotational vertebrobasilar insufficiency (VBI) resulting from cervical spondylosis.

OBJECTIVE:

To investigate the effectiveness of enhanced external counterpulsation (EECP) and traction therapy for these patients.

SUMMARY OF BACKGROUND DATA:

EECP would reduce arterial stiffness and vascular resistance, and increase regional blood flow of vertebral arteries, thus may ameliorate symptoms in these patients.

METHODS:

One hundred sixty-three patients who were clinically suspected rotational VBI caused by cervical spondylosis were enrolled in this study. They were randomly allocated into 3 groups: EECP + traction, EECP, and traction group. All patients and 50 healthy volunteers received transcranial color Doppler examination of the vertebral artery and basilar artery in both a neutral cervical spine position and a rotational position.

RESULTS:

Within 3 days after treatment, 47 (84%) patients in EECP + traction group, 32 (61%) patients in EECP group, and 8 (15%) patients in traction group achieved successful outcomes, while at 3 months’ follow-up, 45 (80%) patients in EECP + traction group, 34 (64%) in EECP group, and 3 (6%) in traction group achieved successful outcomes. With head rotation, the percentage of reduction of blood flow velocities of the vertebrobasilar artery (VBA) in patients was much greater than that of the healthy volunteers (P < 0.01). After treatment, rotational blood flow velocity reduction percentage of VBA in each treatment group was much lower than that of each group before treatment. EECP + traction group experienced the greatest decrease of rotational blood flow velocity reduction percentage of VBA, while EECP group experienced second greatest.

CONCLUSION:

EECP and traction therapy can relieve the symptoms of rotational VBI, improve the rotational reduction of vertebrobasilar blood flow, and reduce the increased arterial impedance.

「體外反搏治療可緩解旋轉性頸椎 基底動脈 供應不足的症狀」

研究設計

對因頸椎椎間盤退化引起的頸椎 基底動脈 供應不足(VBI)的患者進行臨床試驗。

目標

研究體外反搏治療(EECP)和牽引療法對這些患者的效果。

背景簡介

EECP可以減少動脈硬化和血管阻力,增加椎動脈的血流,從而改善這些患者的症狀。

方法

本研究納入了163名臨床懷疑的因頸椎椎間盤退化引起的旋轉性VBI患者。他們被隨機分為3組:EECP+牽引組、EECP組和牽引組。所有患者和50名健康志願者在頸椎中性位和旋轉位,接受頸椎動脈和 基底動脈 的頭顱顏色多普勒超聲檢查。

結果

治療後3天內,EECP+牽引組有47名(84%)患者,EECP組有32名(61%)患者,牽引組有8名(15%)患者的症狀明顯改善;而在3個月的後續隨訪中,EECP+牽引組有45名(80%)患者,EECP組有34名(64%)患者,牽引組有3名(6%)患者獲得成功結果。在頭部旋轉時,患者的椎 基底動脈 (VBA)血流速度減少的百分比遠大於健康志願者(P < 0.01)。治療後,每個治療組的VBA旋轉血流速度減少百分比均明顯低於治療前的相應組別。EECP+牽引組的VBA旋轉血流速度減少百分比下降最大,而EECP組次之。

結論

EECP和牽引療法可緩解旋轉性VBI的症狀,改善頸椎 基底動脈 血流的旋轉減少,並減少動脈阻抗的增加。

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