定点三向仰正法治疗寰枢关节旋转半脱位源性眩晕
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摘要
目的观察定点三向仰正法治疗寰枢关节旋转半脱位源性眩晕的临床疗效及安全性。方法将60例寰枢关节旋转半脱位源性眩晕患者随机分为治疗组和对照组,各30例。治疗组给予定点三向仰正法治疗,1次/d,10次为1疗程;对照组给予坐式牵引治疗,1次/d,6次为1个疗程;2组均治疗2个疗程,疗程间休息1 d。比较2组治疗前后主要症状、体征积分和X线片(ADI、VBLADS)变化情况,评价临床疗效及安全性。结果治疗组和对照组的总有效率分别是93.33%和73.33%,差异有统计学意义(P <0. 05);治疗组主要症状、体征积分和X线片(ADI、VBLADS)情况与对照组比较,差异有统计学意义(P <0. 05)。2组均无不良反应发生。结论定点三向仰正法治疗寰枢关节旋转半脱位源性眩晕较坐式牵引疗法治疗效果好,通过手法整复错位关节,达到通利关节、疏通经络、行气活血的目的,进而改善患者眩晕症状。
Objective Observe clinical efficacy and safety of vertigo caused by atlantoaxial rotatory subluxation byfixed-direction twirling therapy. Methods 60 patients with vertigo caused by atlantoaxial rotatory subluxation divided into treatment group and control group with 30 cases each. The treatment group was treated with fixed-direction twirling therapy, the control group was treated by sitting traction. Two groups were treated once a day, 10 times is a course of treatment for the treatment group, 6 times is a course of treatment for the control group, two courses of rest 1 day, a total of 2 courses of treatment. The main symptoms, signs and X-ray(ADI, VBLADS) were compared between the two groups before and after treatment. The clinical efficacy and safety were evaluated after treatment.Results The total effective rate was 93.33% in the treatment group and 73.33% in the control group, the dif ference is statistically significant.(P < 0.05). The main symptoms, signs and X-ray(ADI, VBLADS) in the treatment group were significantly different from those in the control group(P < 0.05). There were no adverse reactions in both groups. Conclusion Fixed-direction twirling therapy treatment of vertigo caused by atlantoaxial rotatory subluxation is more efficient and safe than sitting traction therapy. This method can play the purpose of promoting the joint, dredging the meridian and activating blood circulation and improve the symptoms of vertigo in patients.
Objective Observe clinical efficacy and safety of vertigo caused by atlantoaxial rotatory subluxation byfixed-direction twirling therapy. Methods 60 patients with vertigo caused by atlantoaxial rotatory subluxation divided into treatment group and control group with 30 cases each. The treatment group was treated with fixed-direction twirling therapy, the control group was treated by sitting traction. Two groups were treated once a day, 10 times is a course of treatment for the treatment group, 6 times is a course of treatment for the control group, two courses of rest 1 day, a total of 2 courses of treatment. The main symptoms, signs and X-ray(ADI, VBLADS) were compared between the two groups before and after treatment. The clinical efficacy and safety were evaluated after treatment.Results The total effective rate was 93.33% in the treatment group and 73.33% in the control group, the dif ference is statistically significant.(P < 0.05). The main symptoms, signs and X-ray(ADI, VBLADS) in the treatment group were significantly different from those in the control group(P < 0.05). There were no adverse reactions in both groups. Conclusion Fixed-direction twirling therapy treatment of vertigo caused by atlantoaxial rotatory subluxation is more efficient and safe than sitting traction therapy. This method can play the purpose of promoting the joint, dredging the meridian and activating blood circulation and improve the symptoms of vertigo in patients.
引文
[1]甘浩.定点垂直牵抖法治疗寰枢关节旋转半脱位的临床研究[D].长春:长春中医药大学,2011.
[2]潘之清.实用脊柱病学[M].上海:上海科技教育出版社,1999:340.
[3]WORTZMAN G.Rotatory fixation of the atlantoaxial joint rotational atlantoaxial subluxation[J].Radiology,1968(90):479.
[4]国家中医药管理局.中医病症诊断疗效标准[S].南京:南京大学出版社,1994:23.
[5]中华中医药学会.中医整脊常见病诊疗指南[S].北京:中国中医药出版社,2012:4.
[6]孙传兴.临床疾病诊断依据治愈好转标准[M].北京:人民军医出版社,2002:511.
[7]王文彪,卢巍,钟世荣,等.中医推拿手法治疗寰枢椎错位颈性眩晕的临床研究[J].时珍国医国药,2016,27(5):1150-1152.
[8]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.
[9]范德辉,林锦坤,张振宁,等.腹针疗法联合龙氏手法治疗寰枢关节半脱位致颈性眩晕[J].中医正骨,2014,26(4):19-22.
[10]周学龙.寰枢关节半脱位合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.
[11]黄胜杰,王和鸣.刍议“筋骨并重”治筋痹[J].中医杂志,2012,53(12):1072-1073.
[2]潘之清.实用脊柱病学[M].上海:上海科技教育出版社,1999:340.
[3]WORTZMAN G.Rotatory fixation of the atlantoaxial joint rotational atlantoaxial subluxation[J].Radiology,1968(90):479.
[4]国家中医药管理局.中医病症诊断疗效标准[S].南京:南京大学出版社,1994:23.
[5]中华中医药学会.中医整脊常见病诊疗指南[S].北京:中国中医药出版社,2012:4.
[6]孙传兴.临床疾病诊断依据治愈好转标准[M].北京:人民军医出版社,2002:511.
[7]王文彪,卢巍,钟世荣,等.中医推拿手法治疗寰枢椎错位颈性眩晕的临床研究[J].时珍国医国药,2016,27(5):1150-1152.
[8]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.
[9]范德辉,林锦坤,张振宁,等.腹针疗法联合龙氏手法治疗寰枢关节半脱位致颈性眩晕[J].中医正骨,2014,26(4):19-22.
[10]周学龙.寰枢关节半脱位合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.
[11]黄胜杰,王和鸣.刍议“筋骨并重”治筋痹[J].中医杂志,2012,53(12):1072-1073.