[1]金斌,鲍铁周,宋永伟.三联疗法治疗寰枢关节半脱位所致眩晕[J].中医正骨,2013,25(03):44-46.
　JIN Bin*,BAO Tie-zhou,SONG Yong-wei..Curative effect and safety of triple therapy in the treatment of vertigo caused by subluxation of atlanto-axial joint[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(03):44-46.
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三联疗法治疗寰枢关节半脱位所致眩晕()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期数:
2013年03期
页码:
44-46
栏目:
临床研究
出版日期:
2013-03-20

文章信息/Info

Title:
Curative effect and safety of triple therapy in the treatment of vertigo caused by subluxation of atlanto-axial joint
作者:
金斌; 鲍铁周; 宋永伟
河南省洛阳正骨医院,河南 洛阳 471002
Author(s):
JIN Bin*; BAO Tie-zhou; SONG Yong-wei.
*Luoyang Orthopedic-Traumatological Hospital,Luoyang 471002,Henan,China
关键词:
眩晕 寰枢关节 脱位 骨牵引复位法 舒筋整复手法 川芎嗪 治疗; 临床研究性
Keywords:
Vertigo;  Atlanto-Axial joint;  Dislocations;  Skeletal tracting reposition;  Muscle tendon relax reduction;  Tetramethylpyrazine;  Therapies; investigational
摘要:
目的:观察三联疗法即颈椎牵引+盐酸川芎嗪静脉滴注+理筋整脊手法治疗寰枢关节半脱位所致眩晕的临床疗效及安全性。方法:将符合要求的96例寰枢关节半脱位所致眩晕患者随机分为治疗组和对照组,每组48例。治疗组采用颈椎牵引+盐酸川芎嗪静脉滴注+理筋整脊手法治疗,对照组采用颈椎牵引+盐酸川芎嗪静脉滴注治疗。治疗1个疗程后参照《临床疾病诊断依据治愈好转标准》和《中医病证诊断疗效标准》制定疗效评定标准评定2组患者的临床疗效,并于治疗结束后比较2组患者寰枢关节半脱位的改善情况。结果:①治疗组治愈40例,好转7例,无效1例; 对照组治愈30例,好转14例,无效4例; 治疗组临床疗效优于对照组(Z=-2.333,P=0.020); ②治疗组寰枢轴线与齿状突轴线距离的改善及齿状突与两侧块间距差值的改善均优于对照组(t=0.734,P=0.003; t=0.433,P=0.005); ③2组患者不良反应发生率比较,差异无统计学意义(P=1.000)。结论:采用颈椎牵引+盐酸川芎嗪静脉滴注+理筋整脊手法的三联疗法治疗寰枢关节半脱位所致眩晕,能够调整寰椎与枢椎的位置关系,明显改善患者的眩晕症状,疗效确切,且不良反应轻微,值得临床推广应用。
Abstract:
Objective:To observe the clinical curative effect and safety of triple therapy in the treatment of vertigo caused by subluxation of atlanto-axial joint.Methods:Ninety-six patients with vertigo caused by subluxation of atlanto-axial joint who met the requirements were randomly divided into treatment group and control group,48 cases in each group.Patients in the treatment group were administrated with cervical traction combined with intravenous drip of ligustrazine hydrochloride and tendon-regulation and orthopaedic-spinal manipulations,while the others in the control group were administrated with cervical traction combined with intravenous drip of ligustrazine hydrochloride.After one course of treatment,the clinical curative effects were evaluated according to the evaluation criteria in accordance with Standard for Diagnosis basis and Cure Improvement of Clinical Disease and Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes,and the improvements of subluxation of atlanto-axial joint were compared between the 2 groups after the treatment.Results:Forty patients got an excellent result,7 good,and 1 poor in the treatment group; while 30 patients got an excellent result,14 good,and 4 poor in the control group; therefore,the clinical curative effect of treatment group was better than that of control group(Z=-2.333,P=0.020).The treatment group was better than the control group in the improvement of distance between atlantoaxial axis and odontoid process axis,and the improvement of differences of distance between odontoid process and both lateral mass(t=0.734,P=0.003; t=0.433,P=0.005).There was no statistical difference in adverse effects rate between the 2 groups(P=1.000).Conclusion:The triple therapy,composed of cervical traction,intravenous drip of ligustrazine hydrochloride and tendon-regulation and orthopaedic-spinal manipulations,can not only adjust the positional relationship between atlas and axis,but also significantly improve the vertigo symptoms with exact curative effects and mild adverse reactions in the treatment of vertigo caused by subluxation of atlanto-axial joint,it is worth popularizing in clinic.

参考文献/References:

[1] 刘庆华,张明英.环枢关节半脱位的影像诊断[J].中国实用医药,2008,3(5):70.
[2] 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,1994:23.
[3] 孙传兴.临床疾病诊断依据治愈好转标准[M].2版.北京:人民军医出版社,2002:511.
[4] 徐立伟,樊旭,宋凤明.从环枢椎论治颈性眩晕的临床研究[J].辽宁中医药大学学报,2008,10(5):92-93.
[5] 范炳华,吴良浩,张杰,等.椎动脉性眩晕的血管形态学变化及分型研究[J].中国骨伤,2005,18(9):527-529.
[6] 游勇,谢宗贵,胡元明,等.颈性眩晕与环枢关节紊乱的临床和X线表现分析[J].现代医用影像学,2008,17(3):114-115.
[7] 梁树艺.刺络拔罐加手法治疗环枢关节紊乱眩晕症50例[J].福建中医药, 2009,40(1):28-29.
[8] 周学龙.寰枢关节半脱位并眩晕患者的手法治疗[J].中国中医药信息杂志,2008,15(11):58-59.

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更新日期/Last Update: 2013-03-20