摘要
目的:观察颈部端提手法治疗寰枢椎半脱位的疗效并探讨其治疗机制。方法:将140例寰枢椎半脱位患者随机分为两组,试验组70例予颈部端提手法,对照组70例用颈部仰卧位扳法,对比两组的临床疗效。结果:颈部端提手法在改善颈枕部疼痛、减小寰齿前间隙及齿状突轴线与寰椎轴线偏移距离疗效方面均优于颈部仰卧位扳法(P<0.01),其总有效率达90%。结论:颈部端提手法可有效缓解或消除颈部疼痛、通过纠正寰枢椎的异常解剖位移及生物力学关系而取得显著疗效。
Objective： To observe the therapeutic results of pulling up the neck on atlantoaxial subluxation concomitant and to explore its mechanism. Methods： 140 patients with atlantoaxial subluxation concomitant were randomly divided into two groups. The observation group with 70 cases was treated by pulling up the neck, and the control group with 70 cases was treated by pulling manipulation on supine position. The therapeutic effects of the two groups were compared. Results： Pulling up the neck could improve cervical occipital pain, reduce the front gap of the atlanto-occipital clearance and the axis offset distance of atlas efficacy, which was superior to supine pulling and turning the neck （P〈0.01）, and the total effective rate was 90%. Conclusion： Pulling up the neck could effectively alleviate or eliminate pain in the neck, by correcting the atlanto-axial displacement abnormal anatomy and biomechanics of relations and achieve remarkable results.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2014年第4期1278-1280,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
寰枢椎半脱位
手法
端提法
扳法
随机对照试验
Atlantoaxial subluxation
Manipulation
Pulling up the neck
Pulling manipulation
Randomizedcontrolled trial
