四位一体整脊法治疗颈性眩晕的临床研究

发布时间：2018-05-30 19:38

本文选题：颈性眩晕 + 四位一体　；参考：《河南中医药大学》2016年硕士论文

【摘要】：目的:本课题旨在基于观察研究颈性眩晕(cervical vertigo,CV)患者治疗前后的椎-基底动脉血流速度、颈性眩晕症状与功能评估量表评分等指标,证实四位一体整脊法对CV具有良好的治疗作用。方法:筛选河南省中医院骨病二科2015年4月至2015年12月门诊及病房的18-65岁的CV患者60例,均符合纳入标准,设立治疗组与对照组,其中治疗组有30例患者,包含男性12例,女性18例,应用牵引、整脊手法、中药汤剂半夏白术天麻汤口服及颈部功能锻炼的方法,即四位一体整脊法。对照组有3 0例患者,其中男性1 1例,女性1 9例,运用常规手法,其余三项与治疗组相同。两组操作顺序均为:牵引→手法→锻炼→中药,每天一次,10次为一疗程,连续治疗两个疗程,分别在治疗前后观察记录每个患者的颈性眩晕症状与功能评估量表评分、椎-基底动脉血流速度等指标,评估两组患者治疗后恢复情况,记录各项数据并给予统计学分析。结果:治疗组治疗后的椎-基底动脉血流速度、颈性眩晕症状与功能评估量表评分均高于对照组。治疗组治疗后颈性眩晕症状与功能评估量表评分为(25.02±2.42)分,对比对照组的(21.28±2.48)分,差异有统计学意义(p0.05);治疗组治疗后的左侧椎动脉收缩峰期血流速度为(54.40±6.89)cm/s,右侧椎动脉为(55.27±7.37)cm/s,基底动脉为(57.43±7.11)cm/s,对照组分别为左侧椎动脉(50.57±6.73)c m/s,右侧椎动脉(4 9.9 0±7.2 4)c m/s,基底动脉(5 2.3 7±6.9 5)c m/s,两组血管分别比较差异均有统计学意义(p0.05)。治疗组治疗后的左侧椎动脉舒张末期血流速度为(25.67±4.12)cm/s,右侧椎动脉为(25.73±4.37)cm/s,基底动脉为(29.07±4.72)cm/s,对照组分别为左侧椎动脉(23.37±4.33)cm/s,右侧椎动脉(23.30±4.46)cm/s,基底动脉(26.60±4.40)cm/s,两组血管分别比较差异均有统计学意义(p0.05)。最终治疗组治愈10例,显效14例,有效5例,无效1例,总有效率96.67%,对照组治愈6例,显效8例,有效10例,无效6例,总有效率80.00%,两组比较差异有统计学意义(P0.05)。两组均无严重不良事件发生。通过对各个数据进行统计学分析,证明相对于采用常规手法的对照组,四位一体整脊法临床治疗效果更好,患者病情改善更佳。结论:经过系统的临床观察、统计学分析,结果示:对照组与治疗组患者病情均有改善,且在治疗过程中均具有较高的安全性。四位一体整脊法在缓解患者眩晕等临床症状体征、改善患者的生活与工作状况、增加患者治疗信心等方面均优于对照组的治疗方法,四位一体整脊法治疗CV疗效肯定,安全可靠。
[Abstract]:Objective: to investigate the blood flow velocity of vertebrobasilar artery, symptom and function evaluation scale of cervical vertigo before and after treatment in patients with cervical vertigo. It has been proved that the quadrilateral chiropractic method has a good therapeutic effect on CV. Methods: 60 CV patients aged 18-65 years from April 2015 to December 2015 in Department of Osteopathy, Henan traditional Chinese Medicine Hospital were selected, all of which met the inclusion criteria. A treatment group and a control group were set up. There were 30 patients in the treatment group, including 12 males. Eighteen cases of female were treated with traction, chiropractic manipulation, traditional Chinese medicine decoction Banxia Atractylodes Tianma decoction, oral administration and neck function exercise, that is, quadrilateral chiropractic method. There were 30 patients in the control group, including 11 males and 19 females. The other three items were the same as those in the treatment group. The operation order of the two groups was as follows: traction manipulation exercises Chinese medicine, 10 times a day as a course of treatment and two consecutive courses of treatment. The symptoms of cervical vertigo and the score of function evaluation scale were recorded before and after treatment. The blood flow velocity of vertebrobasilar artery was used to evaluate the recovery of the two groups after treatment and the data were recorded and analyzed statistically. Results: the blood flow velocity of vertebrobasilar artery, the symptom of cervical vertigo and the score of function evaluation in the treatment group were higher than those in the control group. The scores of symptom and function evaluation scale of cervical vertigo were 25.02 卤2.42 in the treatment group and 21.28 卤2.48 in the control group. The peak systolic velocity of left vertebral artery in treatment group was 54.40 卤6.89 cm / s, the right vertebral artery was 55.27 卤7.37 cm / s, the basilar artery was 57.43 卤7.11 cm / s, the control group was 50.57 卤6.73 cm / s, the right vertebral artery was 49.90 卤7.2 cm / s, the basilar motility was 57.43 卤7.11 cm / s, respectively. There were significant differences in blood vessels between the two groups (P 0.05). The end diastolic velocity of left vertebral artery was 25.67 卤4.12 cm / s, the right vertebral artery was 25.73 卤4.37 cm / s, the basilar artery was 29.07 卤4.72 cm / s, the control group was 23.37 卤4.33 cm / s of left vertebral artery, 23.30 卤4.46 cm / s of right vertebral artery and 26.60 卤4.40 cm / s of basilar artery respectively. In the final treatment group, 10 cases were cured, 14 cases were effective, 5 cases were effective, 1 case was ineffective. The total effective rate was 96.67%. In the control group, 6 cases were cured, 8 cases were effective, 10 cases were effective, 6 cases were ineffective, and the total effective rate was 80.005.The difference between the two groups was statistically significant (P 0.05). No serious adverse events occurred in both groups. Through the statistical analysis of the data, it was proved that compared with the control group, the four-in-one chiropractic therapy was more effective and the patient's condition was improved better. Conclusion: after systematic clinical observation and statistical analysis, the results showed that the patients in the control group and the treatment group were improved and had higher safety in the course of treatment. The four-in-one chiropractic method was superior to the control group in relieving the clinical symptoms and signs such as vertigo, improving the living and working condition of the patients, increasing the patients' confidence in treatment, etc. The curative effect of the four-in-one chiropractic therapy on CV was positive. Safe and reliable.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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