摘要
【目的】观察穴位软组织松解与皮下埋线合脊柱微调手法治疗颈性眩晕的临床疗效。【方法】将160例颈性眩晕患者随机分为对照组与治疗组各80例。对照组给予尼莫地平与西比灵口服治疗,治疗组采用穴位软组织松解与皮下埋线合脊柱微调手法治疗。分别治疗2个月后,观察临床疗效与治疗前后经颅多普勒(TCD)左椎动脉(LVA)、右椎动脉(RVA)、基底动脉(BA)等收缩期血流速度的改变情况。【结果】治疗2个月后治疗组疗效优于对照组(P<0.01)。对照组与治疗组治疗后LVA、RVA及BA的平均血流速度均较治疗前明显上升(P<0.05或P<0.01),其中治疗组上升更明显(与对照组比较,P<0.01)。随访6个月,治疗组复发率低于对照组(P<0.01)。【结论】穴位软组织松解与埋线合脊柱微调手法治疗颈性眩晕能有效改善患者的眩晕症状与脑血流,疗效确切。
Objective To investigate the therapeutic effect of releasing soft tissue plus embedding catgut at acupoints and spine fine adjusting manipulation on cervical vertigo. Methods One hundred and sixty cervical vertigo patients were equally randomized into two groups： the control group was given nimodipine and flunarizine tablets, and the treatment group received releasing soft tissue plus embedding catgut at acupoints and spine fine adjusting manipulation. After treatment for two months, the therapeutic effect in both groups was evaluated, and the changes of the maximum flow rate in left vertebral artery （LVA）, right vertebral artery （RVA） and basilar artery （BA） were recorded by transcranial Doppler sonography （TCD） before and after treatment. Results The results of Ridit test showed that the therapeutic effect in the treatment group was superior to that in the control group （P 〈0. 01）. After treatment for two months, the average blood flow rate in LVA, RVA and BA was increased in both groups （P 〈0. 05 or P 〈0.01 compared with that before treatment）, and the inerease in the treatment group was obvious as compared with that in the control group （P 〈 0.01 ）. The result of 6-month follow-up showed that the recurrence rate in the treatment group was lower than that in the control group （P 〈 0.01 ）. Conclusion Releasing soft tissue plus embedding catgut at acupoints and spine fine adjusting manipulation have certain effect for the treatment of cervical vertigo by relieving vertigo and improving cerebral blood flow.
出处
《广州中医药大学学报》
CAS
2010年第2期123-125,129,共4页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
颈性眩晕/中医疗法
穴位埋线疗法
脊柱微调手法
CERVICAL VERTIGO/TCM therapy
ACUPOINT CATGUT EMBEDDING THERAPY
SPINE FINE ADJUSTING MANIPULATION
