摘要
【目的】探讨中药息晕方联合旋提手法治疗椎动脉型颈椎病(CSA)所致眩晕的临床疗效。【方法】将70例CSA患者随机分为治疗组和对照组,每组各35例。对照组给予常规按摩和颈部牵引治疗,治疗组在对照组常规按摩治疗的基础上给予颈椎旋提手法联合中药息晕方治疗,疗程为2周。观察2组患者治疗前后椎动脉型颈椎病功能评定量表(FS-CSA)评分和颈椎活动度评分的变化情况,评价2组患者的临床疗效和安全性。【结果】(1)治疗2周后,治疗组的总有效率为94.3%(33/35),对照组为74.3%(26/35),治疗组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的FS-CSA评分及颈椎活动度评分均较治疗前明显改善(P<0.05),且治疗组对FS-CSA评分及颈椎活动度评分的改善作用均明显优于对照组,差异均有统计学意义(P<0.05)。(3)治疗过程中,2组患者均未出现胸闷、心悸、恶心呕吐或眩晕症状加重等不良反应情况。【结论】中药息晕方联合旋提手法治疗CSA所致眩晕的临床疗效确切,能有效恢复颈椎原有的活动功能,缓解患者的眩晕症状,且安全性较高。
Objective To explore the clinical effect of Chinese medicine Xiyun Prescription combined with rotatinglifting manipulation for the treatment of vertigo caused by cervical spondylosis of vertebral artery type(CSA).Methods Seventy CSA patients were randomly divided into treatment group and control group,with 35 cases in each group. The control group was given conventional massage and cervical traction,and the treatment group was treated by Chinese medicine Xiyun Prescription orally combined with rotating-lifting manipulation on the basis of the treatment for the control group. The treatment for the two groups covered 2 weeks. Before and after treatment,the scores of functional scale for cervical spondylosis of vertebral artery type(FS-CSA)and the scores of the range of motion(ROM)of cervical vertebra in the two groups were examined. After treatment,the clinical efficacy and safety of the two groups were evaluated. Results(1)After 2 weeks of treatment, the total effective rate of the treatment group was 94.3%(33/35)and that of the control group was 74.3%(26/35). The clinical efficacy in the treatment group was superior to that in the control group, and the difference was statistically significant(P<0.05).(2)After treatment,the scores of FS-CSA and ROM of cervical vertebra in the two groups were much improved in comparison with those before treatment(P<0.05),and the improvement of the scores of FS-CSA and ROM of cervical vertebra in the treatment group was superior to that in the control group,the difference being statistically significant(P<0.05).(3)During the treatment,no adverse reactions of chest distress,palpitation,nausea or vomiting were found in the two groups. Conclusion Chinese medicine Xiyun Prescription combined with rotating-lifting manipulation exerts certain effect for the treatment of CSA,and the combined therapy is effective and safe on recovering the ROM of cervical vertebra and relieving the vertigo symptoms.
作者
张彬
池科德
吴俊哲
黄森
徐强
ZHANG Bin;CHI Ke-De;WU Jun-Zhe;HUANG Sen;XU Qiang(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 524800 Guangdong,China;Guangzhou University of Chinese medicine,Guangzhou 510006 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2020年第10期1860-1864,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省科技计划项目(编号:2018A020078)。
关键词
息晕方
旋提手法
椎动脉型颈椎病
眩晕
临床研究
Xiyun Prescription
rotating-lifting manipulation
cervical spondylosis of vertebral artery type
vertigo
clinical study
