治形调气整脊推拿治疗椎动脉型颈椎病的临床体会

Clinical Experience of Body-Shaping, Qi-Regulating and Spinal-Adjusting Tuina for Cervical Spondylosis of Vertebral Artery Type

摘要: 椎动脉型颈椎病为临床常见颈椎病分型，以体位诱发的发作性眩晕、头痛、视物障碍、猝倒为典型表现，核心病理改变为椎–基底动脉供血不足，该病在颈椎病中占比20%~25%。当下数字化办公普及，人群长期低头伏案，致使CSA发病率持续上升且发病趋于年轻化，青年患者逐年增多，已由传统中老年退行性病变演变为伏案人群高发公共卫生问题。本病不仅可因突发猝倒引发骨折、颅脑外伤等意外损伤，眩晕症状还易诱发焦虑情绪，形成恶性循环，严重损害患者身心健康与日常生活、工作质量。

Abstract: Cervical spondylosis of vertebral artery type is a common type of cervical spondylosis in clinical practice, characterized by positional paroxysmal vertigo, headache, visual disturbance and drop attacks. Its core pathological change is insufficient vertebrobasilar blood supply, accounting for 20% to 25% of all cervical spondylosis cases. With the popularization of digital office work, people tend to bow their heads and work at desks for a long time, leading to a continuous rise in the incidence of CSA with a younger onset age, and an increasing number of young patients. It has evolved from a degenerative disease prevalent in middle-aged and elderly people into a public health problem prevalent among desk-bound workers. Sudden drop attacks caused by the disease may result in injuries such as fractures and craniocerebral trauma, while vertigo tends to induce anxiety, creating a vicious cycle that severely impairs patients’ physical and mental health as well as their daily life and work quality.