摘要
目的:观察针刀结合美式整脊治疗颈性眩晕的临床疗效。方法:选择60例颈性眩晕患者,采用随机数字表法分为2组各30例。对照组采用针刀疗法治疗,观察组采用针刀结合美式整脊治疗,每周治疗1次,共治疗3次。分别在治疗前、治疗1个疗程后1周,治疗1个疗程后3个月,评估颈性眩晕症状与功能评估量表积分,测量齿突与寰椎侧块间隙差值(VBLADI),并最终进行评判疗效。结果:治疗1个疗程后1周、治疗1个疗程后3个月,2组眩晕积分、头颈肩积分、日常工作及社会心理适应积分均高于治疗前,且观察组眩晕积分、头颈肩积分、日常工作以及社会心理适应积分均高于对照组,差异均有统计学意义(P<0.05)。治疗1个疗程后1周、治疗1个疗程后3个月,2组VBLADI低于治疗前,且观察组VBLADI低于对照组,差异均有统计学意义(P<0.05)。眩晕积分与VBLADI呈负相关性,眩晕积分越小,眩晕症状越严重,寰齿错位越严重。临床疗效痊愈率观察组40.00%,对照组16.60%,差异有统计学意义(P<0.05)。结论:基于骨正筋柔针刀结合美式整脊治疗颈性眩晕优于单纯使用针刀治疗。
Objective:To observe the clinical effect of acupotomy combined with American chiropractic for cervical vertigo.Methods:A total of 60 cases of patients with cervical vertigo were selected and divided into two groups according to the random number table method,with 30 cases in each group.The control group was treated with acupotomy,and the observation group was treated with acupotomy combined with American chiropractic.Both groups were treated for three times,and once a week.Before treatment,one week after the first course of treatment,and three months after the first course of treatment,the scores of Cervical Vertigo Symptoms and Function Assessment Scale were evaluated,and variance of bilateral lateral atlantodental interval(VBLADI)was measured,and the curative effects were finally evaluated.Results:One week after the first course of treatment and three months after the first course of treatment,the scores of vertigo,head,neck and shoulder,daily work,and psychosocial adaptation in the two groups were higher than those before treatment,and the scores of vertigo,head,neck and shoulder,daily work,and psychosocial adaptation in the observation group were higher than those in the control group,differences being significant(P<0.05).One week after the first course of treatment and three months after the first course of treatment,VBLADI in the two groups was lower than that before treatment,and VBLADI in the observation group was lower than that in the control group,differences being significant(P<0.05).There was a negative correlation between vertigo scores and VBLADI:the smaller the vertigo score,the more serious the vertigo symptoms,and the more serious the atlantodental dislocation.The cure rate of clinical effect was 40.00%in the observation group and 16.60%in the control group,differences being significant(P<0.05).Conclusion:Bonesetting and sinew-softening acupotomy combined with American chiropractic for cervical vertigo is better than simple application of acupotomy.
作者
叶喜喜
樊沛
卢迪
周奕
YE Xixi;FAN Pei;LU Di;ZHOU Yi
出处
《新中医》
CAS
2023年第10期134-138,共5页
New Chinese Medicine
基金
温州市基础性科研项目(Y20190268)
国家自然科学基金青年项目(81702660)。
关键词
颈性眩晕
骨正筋柔
针刀
美式整脊
颈性眩晕症状与功能评估量表积分
Cervical vertigo
Bonesetting and sinew-softening
Acupotomy
American chiropractic
Cervical Vertigo Symptoms and Function Assessment Scale
