摘要
目的:探讨脊柱定点旋转复位手法治疗颈性眩晕的治疗作用及对颈椎动脉痉挛指数和寰枢关节位移指数的影响。方法:2002年1月至2008年5月将收治的颈性眩晕168例患者随机分成治疗组和对照组,每组84例。治疗组男22例,女62例;对照组男24例,女60例。治疗组患者采用脊柱定点旋转复位手法治疗,对照组使用辨证中药方治疗,观察治疗前后两组的症状评分、颈椎动脉痉挛指数(RI)、寰枢关节的位移指数(ADI),并对其进行比较。结果:脊柱定点旋转复位手法治疗后患者临床症状、体征积分有了明显下降,其中治疗组眩晕(2.75±1.01)分,颈肩痛(1.58±0.36)分,头痛(0.39±0.09)分,恶心、呕吐(1.58±1.30)分,耳鸣(0.48±0.32)分,旋颈试验阳性(0.59±0.21)分;对照组眩晕(5.68±2.02)分,颈肩痛(3.12±1.82)分,头痛(1.86±0.65)分,恶心、呕吐(3.25±0.69)分,耳鸣(1.64±0.61)分,旋颈试验阳性(1.79±0.67)分。颈椎动脉痉挛指数、寰枢关节的位移指数有了明显改善,其中治疗组颈椎动脉痉挛指数为0.54±0.07,对照组颈椎动脉痉挛指数为0.52±0.13;治疗组寰枢关节的位移指数为2.92±0.82,对照组寰枢关节的位移指数为4.50±1.32。结论:运用脊柱定点旋转复位手法治疗颈性眩晕,能够准确纠正单个或多个椎体移位,恢复椎体的正常位置,减少和消除对椎动脉的压迫和刺激,缓解前庭迷路缺血,解除眩晕症状。
Objective：To explore the role of fixed point spin reduction of spinal manipulation therapy in the treatment of cervical vertigo and its effect on cervical artery spasm index（RI） and atlantoaxial displacement index（ADI）. Methods：From January 2002 to May 2008,168 patients with cervical vertigo were randomly divided into treatment group （84 cases） and the control group （84 cases）,22 males and 62 females in treatment group;24 males and 60 females in control group. The patients of treatment group and control group were respectively treated with fixed point spin reduction of spinal manipulation therapy and dialectical prescription. The score of symptoms and signs,RI,ADI were observed and compared between two groups. Results：The score of symptoms and signs markedly decreased after treatment,in treatment group：vertigo had（2.75±1.01） scores, neck shoulder pain（1.58±0.36）,headache（0.39±0.09）,nausea vomiting（1.58±1.30）,ear noises（0.48±0.32）,positive neck rotation test （0.59±0.21）;and in control group：vertigo had （5.68±2.02） scores,neck shoulder pain （3.12±1.82）,headache （1.86±0.65）,nausea vomiting （3.25±0.69）,ear noises （1.64±0.61）,positive neck rotation test （1.79±0.67）. Cervical artery spasm index and atlantoaxial displacement index had been significantly improved,cervical artery spasm index was respectively 0.54±0.07 and 0.52±0.13,atlantoaxial displacement index was respectively 2.92±0.82 and 4.50±1.32 between treatment group and control group. Conclusion：Fixed point spin reduction of spinal manipulation therapy for cervical vertigo can accurately correct single or multiple vertebral body displacement,restore normal spinal position,reduce the oppression and stimulus of the vertebral artery,release ischemia of vestibular labyrinth,eliminate symptoms of vertigo.
出处
《中国骨伤》
CAS
2010年第2期99-101,共3页
China Journal of Orthopaedics and Traumatology
关键词
颈椎病
眩晕
骨科
手法
病例对照研究
前瞻性研究
Cervical spondylosis
Vertigo
Manipulation
orthopedic
Case control studies
Prospective studies
