[1]郭姜,王得志,丁全茂.颈椎三扳法治疗颈性眩晕的临床观察[J].中医正骨,2012,24(07):17-19.
　GUO Jiang*,WANG De-zhi,DING Quan-mao.*.Clinical observation on the curative effect of three-type pulling method on cervical vertigo[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(07):17-19.
点击复制

颈椎三扳法治疗颈性眩晕的临床观察()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期数:
2012年07期
页码:
17-19
栏目:
临床研究
出版日期:
2012-07-30

文章信息/Info

Title:
Clinical observation on the curative effect of three-type pulling method on cervical vertigo
作者:
郭姜; 王得志; 丁全茂
中国中医科学院广安门医院,北京 100053
Author(s):
GUO Jiang*; WANG De-zhi; DING Quan-mao.*
Guang'anmen Hospital of China Academy of Chinese Medical Sciences,Beijing 100053,China
关键词:
眩晕 颈椎病 推拿; 脊柱 治疗; 临床研究性
Keywords:
Vertigo;  Cervical spondylosis;  Manipulation; spinal;  Therapies; investigational
摘要:
目的:观察颈椎三扳法治疗颈性眩晕的临床疗效。方法:将符合要求的60例患者随机分为实验组和对照组,每组30例。实验 组采用颈椎三扳法治疗,对照组采用常规手法治疗。均每周治疗2次,共治疗5周。分别于治疗前和治疗5周后采用椎动脉型颈椎病 症状评分标准对2组患者的临床症状进行评分,同时采用自拟的疗效评定标准在治疗5周后评定2组患者的临床疗效。结果:①症状 评分。治疗前2组患者的眩晕、颈肩痛、头痛评分比较,差异无统计学意义(t=-0.648,P=0.519; t=-1.000,P=0.321; t=- 1.645,P=0.105); 治疗5周后实验组患者的眩晕、颈肩痛、头痛评分均小于对照组(t=-6.193,P=0.000; t=-6.874,P=0.000; t=-8.678,P=0.000)。②临床疗效。治疗5周后2组患者临床疗效比较,实验组优于对照组(Z=-2.286,P=0.022)。结论:颈椎三扳法 能有效改善颈性眩晕患者的眩晕、头痛及颈肩痛症状,临床疗效显著,是治疗该病的有效方法。
Abstract:
Objective:To observe the clinical curative effect of three-type pulling method on cervical vertigo.Methods:Sixty patients met the requirements were randomly divided into experimental group and control group,30 cases in each group.Patients in the experimental group were administrated with three-type pulling method in cervical vertebra,while the others in the control group were administrated with common manipulations.Clinical symptoms of patients in the 2 groups were scored according to symptom scoring criteria of vertebral artery type of cervical spondylosis before the treatment and after 5 weeks of treatment respectively.After 5 weeks of treatment,the clinical curative effects of patients in the 2 groups were evaluated according to the self-designed standard of curative effect.Results:①There were no statistical difference in scores of vertigo,neck and shoulder pain and headache of patients between the 2 groups before the treatment(t=-0.648,P=0.519; t=-1.000,P=0.321; t=-1.645,P=0.105).After 5 weeks of treatment,scores of vertigo,neck and shoulder pain and headache of patients in the experimental group were lower than those of control group(t=-6.193,P=0.000; t=-6.874,P=0.000; t=-8.678,P=0.000).②Affter 5 weeks of treatment,clinical curative effect of experimental group was better than that of control group(Z=- 2.286,P=0.022).Conclusion:Three-type pulling method in cervical vertebra can effectively relieve the symptoms of vertigo,headache,neck and shoulder pain for patients with cervical vertigo,therefore,it is an effective method in the treatment of cervical vertigo.

参考文献/References:

[1] 罗开涛,钱立锋,高峰,等.温针灸配合脑电仿生仪治疗颈性眩晕的临床研究[J].中医正骨,2011,23(4):11-12.
[2] 李大年.现代神经内科学[M].济南:山东科学技术出版社,2009:137.
[3] 罗才贵.推拿治疗学[M].北京:人民卫生出版社,2006:69.
[4] 张盛强,石星,张继平.穴位手法推拿治疗椎动脉型颈椎病临床疗效及其对血流动力学的影响[J].中医正骨,2005,17(8):11- 12.
[5] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:186.
[6] 黄有荣,安连生,刘汝专,等.非手术治疗颈性眩晕的临床疗效观察[J].中医正骨,2010,22(3):10-13.
[7] 金圣博,李明珠,韩 明舫.扳法结合针刺对颈性眩晕患者疗效及椎-基底动脉血流的影响[J].辽宁中医药大学学报,2011,13(4):234-236.
[8] 史林辉.龙氏正骨推拿治疗颈源性眩晕45例小结[J].中医药导报,2011,17(3):64-65.
[9] 何光亮.三维颈椎牵引治疗颈性眩晕的临床体会[J].医学理论与实践,2011,24(4):424.
[10] 左金良,韩建龙,邱思强,等.颈脊神经节到颈交感神经节的神经纤维联系在颈性眩晕发病中的意义[J].中国临床医 学,2011,18(2):255-256.
[11] 曾顺军,曹淑华.穴位注射治疗寰枢关节紊乱引起颈性眩晕30例疗效观察[J].云南中医中药杂志,2011,32(1):43-44.
[12] 张美程,陈海友,林英华,等.整脊调曲手法配合中药内服治疗颈性眩晕疗效观察[J].中医正骨,2010,22(1):45-46.

相似文献/References:

[1]杜诚恳,董倔强,王海磊,等.冯氏脊柱定点旋转复位手法治疗急性腰扭伤的疗效观察[J].中医正骨,2012,24(09):24.
　DU Cheng-ken*,DONG Jue-jiang,WANG Hai-lei,et al.Observation on the curative effect of Feng's rotatory reduction manipulation at fixed points of spine in the treatment of acute lumbar sprain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(07):24.
[2]胡思进,王志栋,罗进林,等.腰椎侧隐窝狭窄症两种中医疗法的对比研究[J].中医正骨,2012,24(02):14.
　HU Si-jin*,Wang ZHI-dong,LUO Jin-lin,et al.Contrast study on the treatment of lumbar lateral recess stenosis with two Traditional Chinese medicine therapy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(07):14.

备注/Memo

备注/Memo:
2012-05-05收稿 2012-06-14修回
基金项目:中国中医科学院广安门医院推拿科学科培育专项课题(20091218)
更新日期/Last Update: 2012-07-30