周天推督调脊手法、刺血和穴位注射三联疗法治疗颈性眩晕的临床观察
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摘要
目的:探讨周天推督调脊手法、刺血和穴位注射三联疗法治疗颈性眩晕的临床效果。方法:将96例病人随机分成观察组和对照组。观察组采用周天推督调脊手法、刺血和穴位注射三联疗法治疗,对照组采用常规推拿手法治疗。结果:两组有效率分别为97.92%和89.58%,差异有统计学意义(P <0.01)。观察两组患者的组间及组内治疗前后的眩晕评分量表,观察组与对照组在治疗后相比,观察组评分明显减少,差异有统计学意义(P <0.01)。结论:三联疗法治疗颈性眩晕颈性眩晕疗效显著。
Objective: To explore the clinical effects of cervical vertigo treatment using the triple therapy of the cycle continuous pushing Du meridian chiropractic therapy, pricking blood therapy and acupuncture point injection. Methods:A total of 96 patients were randomly divided into the observation group and the control group. The observation group was treated with the triple therapy of the cycle continuous pushing Du meridian chiropractic therapy, pricking blood therapy and acupuncture point injection. The control group was treated with routine massotherapy. Results: The effective rate of 2 groups were 97.92% and 89.58%, which was with statistical significance(P < 0.01). Vertigo evaluation scores were observed within groups and between groups before and after treatment. After treatment, the score of observation group was significantly reduced compared with the control group, which was with statistical significance(P < 0.01). Conclusion: The triple therapy had obvious therapeutic effects in the treatment of cervical vertigo.
Objective: To explore the clinical effects of cervical vertigo treatment using the triple therapy of the cycle continuous pushing Du meridian chiropractic therapy, pricking blood therapy and acupuncture point injection. Methods:A total of 96 patients were randomly divided into the observation group and the control group. The observation group was treated with the triple therapy of the cycle continuous pushing Du meridian chiropractic therapy, pricking blood therapy and acupuncture point injection. The control group was treated with routine massotherapy. Results: The effective rate of 2 groups were 97.92% and 89.58%, which was with statistical significance(P < 0.01). Vertigo evaluation scores were observed within groups and between groups before and after treatment. After treatment, the score of observation group was significantly reduced compared with the control group, which was with statistical significance(P < 0.01). Conclusion: The triple therapy had obvious therapeutic effects in the treatment of cervical vertigo.
引文
1白晓东,叶启彬,邢更彦,等.颈性眩晕患者的寰枢椎影像学特征.中国康复理论与实践,2007,13(2):160-161.
2康甫,汪青春,叶勇光.旋转扳法和穴位推拿治疗青年颈性眩晕的随机对照试验.中国骨伤,2008,21(4):270-272.
3陈红亮.理筋通督手法治疗颈性眩晕临床研究.中医学报,2016,31(6):910-912.
4中华医学会神经病学分会,中华神经科杂志编辑委员会.眩晕诊治专家共识,中华神经科杂志,2010,43(5):369-374.
5宋柏林,于天源,罗才贵.推拿治疗学.北京:人民卫生出版社,2012:91.
6国家中医药管理局.中华人民共和国标准经穴定位.北京:中国标出版社,1990:20,23,33.
7 Honrubia V,Bell T S,Harris M R,et al.Quantitative evaluation of dizziness characteristics and impact on quality of life.Am J Otol,1996,17(4):595-602.
8 Jacobson G P,Newman C W.The development of the Dizziness Handicap Inventory.Arch Otolaryngol Head Neck Surg,1990,116(4):424-427.
9孙传兴.临床疾病诊断依据治愈好转标准.北京:人民军医出版社,2002:511.
10中国中医药管理局.中医病证诊断疗效标准.南京:南京大学出版社,1994:23.
11 Neuhauser H K,von Brevern M,Radtke A,et al.Epidemiology of vestibular vertigo:a neurotologic survey of the general population.Neurology,2005,65:898-904.
12 Ryanms Cope S,Cervical vertigo.Lancet,1955,2:1355-1358.
13李焰生.不该再使用“颈性眩晕”的概念.第二军医大学学报.2017,38(11):1366-1369.
14 Brandtt Bronstein A M.Cervical vertigo.J Neurol Neurosurg Psychiatry,2001,71:8-12.
15 von Brevern M,Radtke A,Lezius F,et al.Epidemiology of benign paroxysmal positional vertigo:a population based study.J Neurol Neurosurg Psychiatry,2007,79(7):710-715.
16季伟华,邹静,李颖,等.3270例门诊头晕患者的病因分析.神经病学与神经康复学杂志,2009,6(1):9-12.
17朱海军,华海燕.针刺风池、颈夹脊、百会穴治疗颈源性眩晕的疗效比较.世界中医药,2016,11(12):2274-2277.
18胡云.半夏白术天麻汤加味配合针刺治疗颈源性眩晕疗效观察.实中医中医药杂志,2017,33(7):754.
19苟刚.推拿理筋点穴联合颈舒颗粒与倍他司汀治疗颈源性眩晕随机平行对照研究.实用中医内科杂志,2017,31(11):59-60.
20李迎真,张清松,尹建平,等.电针配合药棒疗法治疗颈源性眩晕临床观察.实用中医药杂志,2017,33(4):248-349.
21邓中平.推拿手法联合刺五加注射液治疗颈椎病性眩晕临床疗效观察.实用心脑肺血管病杂志,2011,19(12):2140.
22丁东福.手法复位配合推拿整脊治疗颈源性眩晕的临床观察.光明中医,2018,33(9):1295-1297.
23范炳华,许丽,林敏,等.颈性眩晕的椎动脉孔内段(V2段)血管形态病理学改变.浙江中仄药天学学报,2015,39(1):1-5.
24陈达祥,梁庆华.颈椎手法推拿结合针灸治疗颈性眩晕的临床研究.世界中医药,2013,8(5):549-551.
25王石,鹿青,体颖.整脊手法治疗131例颈性眩晕疗效分析及对眩晕性疾病的再认识.世界中医药,2013,8(5):551-554.
26梁茂新,王雪峰.中医疗效评价指标和方法研究需要解决的认识问题.世界科学技术-中医药现代化,2006,8(1):31-35.
27江瑜,田永明,范明文,等.足三里穴位注射防治化疗后白细胞减少的疗效观察.光明中医,2013,28(11):2333-2334.
2康甫,汪青春,叶勇光.旋转扳法和穴位推拿治疗青年颈性眩晕的随机对照试验.中国骨伤,2008,21(4):270-272.
3陈红亮.理筋通督手法治疗颈性眩晕临床研究.中医学报,2016,31(6):910-912.
4中华医学会神经病学分会,中华神经科杂志编辑委员会.眩晕诊治专家共识,中华神经科杂志,2010,43(5):369-374.
5宋柏林,于天源,罗才贵.推拿治疗学.北京:人民卫生出版社,2012:91.
6国家中医药管理局.中华人民共和国标准经穴定位.北京:中国标出版社,1990:20,23,33.
7 Honrubia V,Bell T S,Harris M R,et al.Quantitative evaluation of dizziness characteristics and impact on quality of life.Am J Otol,1996,17(4):595-602.
8 Jacobson G P,Newman C W.The development of the Dizziness Handicap Inventory.Arch Otolaryngol Head Neck Surg,1990,116(4):424-427.
9孙传兴.临床疾病诊断依据治愈好转标准.北京:人民军医出版社,2002:511.
10中国中医药管理局.中医病证诊断疗效标准.南京:南京大学出版社,1994:23.
11 Neuhauser H K,von Brevern M,Radtke A,et al.Epidemiology of vestibular vertigo:a neurotologic survey of the general population.Neurology,2005,65:898-904.
12 Ryanms Cope S,Cervical vertigo.Lancet,1955,2:1355-1358.
13李焰生.不该再使用“颈性眩晕”的概念.第二军医大学学报.2017,38(11):1366-1369.
14 Brandtt Bronstein A M.Cervical vertigo.J Neurol Neurosurg Psychiatry,2001,71:8-12.
15 von Brevern M,Radtke A,Lezius F,et al.Epidemiology of benign paroxysmal positional vertigo:a population based study.J Neurol Neurosurg Psychiatry,2007,79(7):710-715.
16季伟华,邹静,李颖,等.3270例门诊头晕患者的病因分析.神经病学与神经康复学杂志,2009,6(1):9-12.
17朱海军,华海燕.针刺风池、颈夹脊、百会穴治疗颈源性眩晕的疗效比较.世界中医药,2016,11(12):2274-2277.
18胡云.半夏白术天麻汤加味配合针刺治疗颈源性眩晕疗效观察.实中医中医药杂志,2017,33(7):754.
19苟刚.推拿理筋点穴联合颈舒颗粒与倍他司汀治疗颈源性眩晕随机平行对照研究.实用中医内科杂志,2017,31(11):59-60.
20李迎真,张清松,尹建平,等.电针配合药棒疗法治疗颈源性眩晕临床观察.实用中医药杂志,2017,33(4):248-349.
21邓中平.推拿手法联合刺五加注射液治疗颈椎病性眩晕临床疗效观察.实用心脑肺血管病杂志,2011,19(12):2140.
22丁东福.手法复位配合推拿整脊治疗颈源性眩晕的临床观察.光明中医,2018,33(9):1295-1297.
23范炳华,许丽,林敏,等.颈性眩晕的椎动脉孔内段(V2段)血管形态病理学改变.浙江中仄药天学学报,2015,39(1):1-5.
24陈达祥,梁庆华.颈椎手法推拿结合针灸治疗颈性眩晕的临床研究.世界中医药,2013,8(5):549-551.
25王石,鹿青,体颖.整脊手法治疗131例颈性眩晕疗效分析及对眩晕性疾病的再认识.世界中医药,2013,8(5):551-554.
26梁茂新,王雪峰.中医疗效评价指标和方法研究需要解决的认识问题.世界科学技术-中医药现代化,2006,8(1):31-35.
27江瑜,田永明,范明文,等.足三里穴位注射防治化疗后白细胞减少的疗效观察.光明中医,2013,28(11):2333-2334.