摘要
目的:观察定点旋转复位法配合针刀治疗颈性眩晕的临床疗效。方法:采用随机数字法将100例符合要求的患者分为2组各50例。对照组采用针刀治疗。观察组在对照组治疗的基础上采用定点旋转复位法进行正骨治疗。治疗前后临床症状与功能情况评价,记录基底动脉(BA)、左右椎动脉(LVA、RVA)的平均血流速度(Vm),治疗前后各检测1次。结果:观察组总有效率达96.00%,高于对照组的82.00%,差异有统计学意义(χ~2=5.005,P <0.05)。治疗后,2组患者眩晕、颈肩痛、头痛、日常生活及工作、心理及社会适应和总分评分均升高(P <0.01)。治疗后观察组除头痛外,其它指标评分和总分均高于对照组(P <0.01)。治疗后2组患者的BA、LVA和RVA速度均较治疗前增快(P <0.01)。治疗后观察组患者的BA、LVA和RVA均快于对照组(P <0.01)。结论:定点旋转复位法配合针刀治疗颈性眩晕能减轻临床症状,改善患者椎-基底动脉血流状态,提高临床疗效。
Objective:To observe the clinical effect of rotating reduction at fixed points combined with acupotomy for cervical vertigo. Methods:Divided 100 eligible cases of patients into two groups according to the random number table method,50 cases in each group. The control group was treated with acupotomy. The observation group was additionally treated with rotating reduction at fixed points for bone-setting. Evaluated the clinical symptoms and functional status before and after treatment,and recorded the velocity of mean blood flow (Vm) of the basilar artery (BA) and the left and right vertebral arteries(LVA,RVA). Results:The total effective rate was 96.00% in the observation group,higher than that of 82.00% in the control group,the difference being significant(χ^2=5.005, P<0.05). After treatment,scores of dizziness,neck pain,shoulder pain,headache,daily life and work,psychological and social adaptation as well as the total scores in the two groups were all increased(P<0.01). After treatment,except for the score of headache, the scores of other indexes and total scores in the observation group were higher than those of the control group (P<0.01). After treatment,the speed of BA,LVA and RVA in the two groups was increased when compared with that before treatment(P<0.01). After treatment, the speed of BA, LVA and RVA in the observation group was faster than that of in the control group (P<0.01). Conclusion: Rotating reduction at fixed points combined with acupotomy for cervical vertigo can improve the clinical symptoms, improve the blood flow velocity of vertebro-basilar artery,and improve clinical effect.
出处
《新中医》
CAS
2018年第12期197-200,共4页
New Chinese Medicine
关键词
颈性眩晕
定点旋转复位法
针刀
中医疗法
Cervical vertigo
Rotating reduction at fixed points
Acupotomy
Chinese medicine therapy
