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目的 综合应用物理疗法治疗老年人椎-基底动脉供血不足(VBI),观察临床疗效。方法 将80 例VBI患者分两组,治疗组采用激光血管内照射疗法(ILIB)、颈部理疗和常规药物治疗;对照组给予常规药物治疗。疗程7~12d。观察和比较临床表现和经颅多普勒超声(TCD)改变。结果 治疗组显效12 例,好转25 例,总有效率92. 5%;对照组显效1例,好转25例,总有效率65%;治疗组TCD指数有明显改善,两组比较有显著性差异。结论 综合应用物理疗法治疗老年人VBI是安全有效的。
Objective To comprehensively apply physiotherapy to treat vertebrobasilar insufficiency in the elderly (VBI) and observe the clinical curative effect. Methods Eighty patients with VBI were divided into two groups. The treatment group was treated with laser intravascular irradiation (ILIB), neck physiotherapy and conventional drugs. The control group was given conventional drug treatment. Course of treatment 7 ~ 12d. The clinical manifestations and transcranial Doppler ultrasound (TCD) changes were observed and compared. Results In the treatment group, 12 cases were markedly improved, 25 cases improved, and the total effective rate was 92.5%. In the control group, 1 case was markedly improved and 25 cases improved. The total effective rate was 65%. The TCD index of the treatment group was significantly improved, with significant difference between the two groups . Conclusion The comprehensive application of physical therapy in elderly VBI is safe and effective.