针刀治疗颈性眩晕57例疗效研究
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摘要
目的研究针刀治疗颈性眩晕的疗效。方法收集自2015年2月至2017年2月来源于上海市金山区廊下镇和山阳镇社区卫生服务中心57例颈性眩晕患者,在治疗前按照《颈性眩晕症状和功能评估量表》初评,按照中医的理论和慢性软组织损伤的理论,分7次治疗,每次10个部位;治疗1个疗程后和半年后各评估1次,得出针刀治疗颈性眩晕的疗效。结果根据《中医病症诊断疗效标准》疗效评定,经过针刀治疗后总有效率为98. 25%,治愈率为91. 23%;半年后随访总有效率为92. 98%,治愈率为91. 23%。治疗后和治疗半年后疗效对比,差异无统计学意义。治疗后及治疗半年后症状与功能评分均较治疗前明显升高(P <0. 05),差异有统计学意义,但治疗后与治疗半年后症状与功能评分及改善指数比较差异无统计学意义。结论针刀治疗颈性眩晕短期和长期疗效均比较显著,值得在基层推广。
Objective To explore the therapeutic effects of acupotomy on cervical vertigo. Methods From February 2015 to February 2017,57 cases of cervical vertigo were collected from Langxia Community Health Service Center and Shanyang Community Service Center. Before treatment,the cases were preliminarily evaluated according to Assessment scale of the symptoms and function of cervical vertigo. In compliance with TCM theory and the theory of chronic soft tissue injury,the cases were treatment for 7 treatments,10 sites in each time. The evaluation was done after one course of treatment and in half a year after treatment and the effects of acupotomy were obtained on cervical vertigo. Results According to the effect assessment in Criteria of diagnosis and therapeutic effects of disorders in TCM,the total effective rate was98. 25% and the curative rate was 91. 23%. In the follow-up after half a year,the total effective rate was 92. 98% and the curative rate was 91. 23%. The differences were not significant in the effects at the moment after treatment and in half a year after treatment. The differences were not significant in the scores of symptoms and function as well as the index improvement at the moment after treatment and in half a year after treatment. Conclusion Acupotomy achieves the significant short-term and long-term effects. Hence,this therapy deserves to be promoted in the primary-level clinics.
Objective To explore the therapeutic effects of acupotomy on cervical vertigo. Methods From February 2015 to February 2017,57 cases of cervical vertigo were collected from Langxia Community Health Service Center and Shanyang Community Service Center. Before treatment,the cases were preliminarily evaluated according to Assessment scale of the symptoms and function of cervical vertigo. In compliance with TCM theory and the theory of chronic soft tissue injury,the cases were treatment for 7 treatments,10 sites in each time. The evaluation was done after one course of treatment and in half a year after treatment and the effects of acupotomy were obtained on cervical vertigo. Results According to the effect assessment in Criteria of diagnosis and therapeutic effects of disorders in TCM,the total effective rate was98. 25% and the curative rate was 91. 23%. In the follow-up after half a year,the total effective rate was 92. 98% and the curative rate was 91. 23%. The differences were not significant in the effects at the moment after treatment and in half a year after treatment. The differences were not significant in the scores of symptoms and function as well as the index improvement at the moment after treatment and in half a year after treatment. Conclusion Acupotomy achieves the significant short-term and long-term effects. Hence,this therapy deserves to be promoted in the primary-level clinics.
引文
[1]曾建勇,范洪武,张云涛,等.颈性眩晕的病理机制、诊断和治疗[J].临床与病理杂志,2015,35(8):1564-1569.
[2]国家中医药管理局.中医病证诊断疗效标准[M].北京:中国医药科技出版社,2012:189-190.
[3]李增春,陈德玉,吴德升,等.第三届全国颈椎病专题座谈会纪要[J].中华外科杂志,2008,46(23):1796-1799.
[4]朱汉章.针刀医学原理[M].北京:人民卫生出版社,2002:422.
[5]王楚怀,卓大宏.颈性眩晕患者症状与功能评估的初步研究[J].中国康复医学杂志,1998,13(6):245-247.
[6]王文春,张安仁,卢家春,等.改良《颈性眩晕症状与功能评估量表》在椎动脉型颈椎病中医临床中的应用及评价[J].西南军医,2007,9(4):145-146.
[7]柳百智.略论针刀[J].中国中医药现代远程教育,2012,10(11):30-33.
[8]谢志祥,陈亮,曹爱娟,等.针刀医学在社区医疗中的发展优势[J].世界最新医学信息文摘,2016,16(85):43.
[9]石东平,李中实,李子荣.颈性眩晕发病机制研究进展[J].中日友好医院学报,2006,20(6):359-361.
[10]何及,樊东升,孙宇.颈性眩晕[J].中国实用内科杂志,2011,31(6):414-415.
[11]姜高赟.针刀治疗颈性眩晕72例疗效观察[J].世界最新文摘信息,2016,16(20):192-194.
[12]周雷鸣.针刀治疗颈性眩晕症临床观察[J].中医临床研究,2014,6(23):25-26.
[13]李军,叶秀兰,唐占英,等.整颈三步九法推拿治疗颈性眩晕患者60例临床观察[J].中医杂志,2013,54(24):2110-2113.
[14]李建萍,蔡俊,干霞曼.不同方法治疗颈性眩晕疗效对比观察[J].中国针灸,2011,31(5):405-408.
[15]唐占英,胡志俊,肖静,等.针刀松解枕下肌群治疗颈性眩晕的临床随机对照观察[J].上海中医药杂志,2015,49(1):41-43.
[16]宣哲人.宣哲人软组织外科学[M].上海:文汇出版社,2009:308-309.
[17]陈领.无痛针刀疗法[M].北京:人民卫生出版社,2016:132.
[18]刘文英,于广莹,金鸿宾.颈性眩晕的诊治国内进展[J].中国矫形外科杂志,2014,22(1):55-58.
[2]国家中医药管理局.中医病证诊断疗效标准[M].北京:中国医药科技出版社,2012:189-190.
[3]李增春,陈德玉,吴德升,等.第三届全国颈椎病专题座谈会纪要[J].中华外科杂志,2008,46(23):1796-1799.
[4]朱汉章.针刀医学原理[M].北京:人民卫生出版社,2002:422.
[5]王楚怀,卓大宏.颈性眩晕患者症状与功能评估的初步研究[J].中国康复医学杂志,1998,13(6):245-247.
[6]王文春,张安仁,卢家春,等.改良《颈性眩晕症状与功能评估量表》在椎动脉型颈椎病中医临床中的应用及评价[J].西南军医,2007,9(4):145-146.
[7]柳百智.略论针刀[J].中国中医药现代远程教育,2012,10(11):30-33.
[8]谢志祥,陈亮,曹爱娟,等.针刀医学在社区医疗中的发展优势[J].世界最新医学信息文摘,2016,16(85):43.
[9]石东平,李中实,李子荣.颈性眩晕发病机制研究进展[J].中日友好医院学报,2006,20(6):359-361.
[10]何及,樊东升,孙宇.颈性眩晕[J].中国实用内科杂志,2011,31(6):414-415.
[11]姜高赟.针刀治疗颈性眩晕72例疗效观察[J].世界最新文摘信息,2016,16(20):192-194.
[12]周雷鸣.针刀治疗颈性眩晕症临床观察[J].中医临床研究,2014,6(23):25-26.
[13]李军,叶秀兰,唐占英,等.整颈三步九法推拿治疗颈性眩晕患者60例临床观察[J].中医杂志,2013,54(24):2110-2113.
[14]李建萍,蔡俊,干霞曼.不同方法治疗颈性眩晕疗效对比观察[J].中国针灸,2011,31(5):405-408.
[15]唐占英,胡志俊,肖静,等.针刀松解枕下肌群治疗颈性眩晕的临床随机对照观察[J].上海中医药杂志,2015,49(1):41-43.
[16]宣哲人.宣哲人软组织外科学[M].上海:文汇出版社,2009:308-309.
[17]陈领.无痛针刀疗法[M].北京:人民卫生出版社,2016:132.
[18]刘文英,于广莹,金鸿宾.颈性眩晕的诊治国内进展[J].中国矫形外科杂志,2014,22(1):55-58.
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