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1、ClinicalinvestigationoftheimpactofthespasmolysisandpromotingbloodcirculationincervicalvertebralarterydiseasefunctionalassessmentpointsandtranscranialDopplerultrasoundSpeciality：OrthopedicsofTCMAuthor：ZouMingmingTutor：Prof.HaoYankeAbstractObjective：First,
2、throughclinicalobservationandobjectiveevaluationoftheclinicalefficacyofantispasmodicBloodCirculationforTreatingCSA.Second,preliminarystudytheantispasmodicBloodCirculationforTreatingCSAchangesintranscranialDopplerultrasound(TCD)todeepentheunderstandingoft
3、hepathogenesisofCSA.Methods:102casesofcervicalspondyloticvertebralarteriopathy(2011.3~2011.11,includingbothclinicalandhospitalizedpatients)wererandomlydividedintotwogroups.GroupⅠweretreatedwithJingkangningandgroupⅡwithSibelium.Thenevaluatethecurativeeff
4、ectbeforeandaftertherapy,withtranscranialDopplerultrasound(TCD)astheevaluationcriterion.Analysistheobjectiveindicatorandrationalsymptomgradewithinandamonggroups.Results:Aftertwoperiodsoftreatment,bothgroupshaveobviousimprovementinclinicalsyndromegrade(Th
5、edegreeofdizziness,nausea,vomiting,cataplexy,headachesituation,necktenderness,shoulderandneckpain,cervicalactivity,neckrotationtestandaggregatedpoints)(P＜0.05).Therewasnoobviousdifferencebetweenthesetwogroups(P>0.05).BothsidesTCDcriterion(Resistanceindex
6、(RI),pulseindex(PI),peaksystolicvelocity(Vs),end-diastolicvelocity(Vd),time-averagedflowvelocity(Vm).Bothgroupshaveobviousimprovementaftertwoperiodsoftreatment（P<0.05）.Noobviousdifferenceshowesbetweenthesetwogroups(P>0.05).GroupⅠ:curedpatients29cases,dis
7、tinctlyefficiency11cases,efficiency8cases,inefficacy3cases.GroupⅡ:curedpatients25cases,distinctlyefficiency17cases,efficiency4cases,inefficacy5cases.Thereisnoobviousdifferencebetweenthetwogroupsinclinicalsyndromegrade（P<0.05）.Conclusion：1.BothJingkangnin
8、gandSibeliumhavedistinctimprovementofclinicalsyndromeintreatingpatientswithvertebralarterytypeofcervicalspondylosisaftertwoperiodsoftreatment.2.TCDcriterionshaveobviousimprovementinbothgroupsaftertwoperiodsoftreatment.3.Th
