穴位组织松解与埋线合脊柱微调手法治疗颈性眩晕的临床研究

穴位组织松解与埋线合脊柱微调手法治

疗颈性眩晕的临床研究

（作者：__________ 单位： ___________ 邮编： ___________ ）

作者：刘保新，王力平,徐敏,黄承军,唐福宇，娄宇明，梁柱, 王继,梁冬波,唐汉武

【摘要】【目的】观察穴位软组织松解与皮下埋线合脊柱微调

手法治疗颈性眩晕的临床疗效。【方法】将160例颈性眩晕患者随机分为对照组与治疗组各80例。对照组给予尼莫地平与西比灵口服治疗，治疗组采用穴位软组织松解与皮下埋线合脊柱微调手法治疗。分别治疗2个月后,观察临床疗效与治疗前后经颅多普勒（TCD ）左椎动脉（LVA）、右椎动脉（RVA）、基底动脉（BA）等收缩期血流速度的改变情况。【结果】治疗2个月后治疗组疗效优于对照组（P0 01）。对照组与治疗组治疗后LVA、RVA及BA的平均血流速度均较治疗前明显上升（P0]05或P0]01）,其中治疗组上升更明显（与对照组比

较,P0[01 ）。随访6个月，治疗组复发率低于对照组（P0]01）。【结论】穴位软组织松解与埋线合脊柱微调手法治疗颈性眩晕能有效改善患者的眩晕症状与脑血流，疗效确切。

【关键词】颈性眩晕/中医疗法穴位埋线疗法脊柱微调手法Abstract: ObjectiveTo investigate the therapeutic effect of releas ing soft tissue plus embedd ing catgut at acupo ints and spine fine adjust ing man ipulati on on cervical vertigo. Methods One

hun dred and sixty cervical vertigo patie nts were equally randomized into two groups: the control group was given

nimodipine and flunarizine tablets, and the treatment group

received releas ing soft tissue plus embedd ing catgut at acupo ints and spine fine adjusting manipulation. After treatment for two mon ths, the therapeutic effect in both groups was evaluated, and the cha nges of the maximum flow rate in left vertebral artery (LVA), right vertebral artery (RVA) and basilar artery (BA) were recorded by transcranial Doppler sonography(TCD ) before and after treatment. ResultsThe results of Ridit test showed that the therapeutic effect in the treatme nt group was superior to that in the con trol group (P0 ]01). After treatme nt for two mon ths, the average blood flow rate in LVA, RVA and BA was in creased in both groups (P0_05 or P0_01 compared with that before treatment), and the in crease in the treatme nt group was obvious as compared with that in the control group

(P0]01). The result of 6month follow[up showed that the recurre nee rate in the treatme nt group was lower than that in the control group (P0]01). Conclusion Releasing soft tissue plus embeddi ng catgut at acupo in ts

a nd spine fine adjust ing man ipulatio n have certa in effect for the treatme nt of cervical vertigo by relievi ng vertigo and improvi ng cerebral blood flow .

Key words: CERVICAL VERTIGO/TCM therapy;ACUPOINT CATGUT EMBEDDING THERAP Y;SPINE FINE ADJUSTING MANIPULATION

颈性眩晕是由颈椎退行性变引起的一种继发性眩晕症。本课题组自2006年8月至2008年12月，对颈性眩晕患者以穴位组织松解与埋线合脊柱微调手法进行治疗，疗效显著,并与西药治疗对比观察, 现将结果报道如下。

1资料与方法

1.1病例选择标准本组160例均来源于我院骨科门诊或住院的颈性眩晕患者。

1.1.1诊断标准参照文献[1]:①头痛、位置性眩晕,有猝然发作病史；②旋颈试验阳性；③颈部僵硬，颈部有压痛或放射痛，伴有心悸、耳鸣、耳聋、恶心、呕吐等交感神经症状；④ X线片示颈椎曲度改变或有钩椎关节侧后方或后关节部增生、颈椎退变、关节不稳等改变；⑤排除其他眼源性或耳源性眩晕。

1.1.2 纳入标准符合诊断标准，年龄在20〜60岁，签署知情同意书。

1.1.3 排除标准①内科疾病如高血压、低血压、脑血管意外、梅