颈椎卧位多向调整手法治疗颈源性眩晕的临床研究

发布时间：2018-07-21 15:30

【摘要】：目的:通过观察颈椎卧位多向调整手法和常规推拿手法治疗颈源性眩晕的临床疗效,初步探讨颈椎卧位多向调整手法的疗效依据和作用机理,为临床治疗颈源性眩晕提供一种安全有效的治疗方法。方法:将符合纳入标准的60例颈源性眩晕患者采用随机数字表法分为观察组和对照组,每组30例。观察组采用颈椎卧位多向调整手法治疗,对照组采用常规推拿手法治疗。疗程结束后,观察两组患者双侧椎动脉Vs、Vd的血流变化及颈源性眩晕症状与功能积分改变,并对所收集的数据进行统计学分析,得出结论。结果:1.颈源性眩晕症状与功能积分:两组患者疗程结束后症状与功能总积分、眩晕积分较治疗前均有改善,差异具有统计学意义(P0.05);两组患者疗程结束后症状与功能总积分,眩晕积分进行组间比较,差异具有统计学意义(P0.01),说明两种治疗方法均能改善患者的症状体征,但观察组症状体征改善明显优于对照组。2.TCD数据:疗程结束后两组患者双侧椎动脉Vs、Vd数值均较治疗前改善,与治疗前进行组内对比,其差异具有统计学意义(P0.05),两组患者疗程结束后双侧椎动脉Vs、Vd值进行组间比较,经t检验P值均小于0.01,具有统计学意义。3.在临床疗效方面:两组的疗效差异具有统计学意义(P0.05),说明观察组疗效优于对照组。结论:1.颈椎卧位多向调整手法能有效缓解患者临床症状,有效改善颈源性眩晕症状与功能。2.颈椎卧位多向调整手法能增加椎动脉供血,有效增加脑部供血。3.颈椎卧位多向调整手法治疗颈源性眩晕临床疗效优于常规推拿手法组,值得临床推广与应用。
[Abstract]:Objective: to observe the clinical effect of cervical vertebra supine position multidirectional adjustment manipulation and conventional massage manipulation in the treatment of cervical vertigo, and to explore the curative effect and mechanism of cervical supine position multidirectional adjustment manipulation. To provide a safe and effective treatment for cervical vertigo. Methods: 60 patients with cervical vertigo were randomly divided into observation group (n = 30) and control group (n = 30). The observation group was treated by multi-directional manipulation of cervical vertebra supine position, and the control group was treated by conventional massage manipulation. After the course of treatment, the changes of blood flow, the symptoms and functional scores of cervical vertigo in bilateral vertebral arteries were observed, and the collected data were statistically analyzed, and the conclusion was drawn. The result is 1: 1. Cervical vertigo symptoms and functional score: the two groups of patients after the end of the course of treatment symptoms and functional total score, vertigo scores were improved compared with before treatment, the difference was statistically significant (P0.05); two groups of patients after the end of the course of treatment symptoms and total functional score, 2 groups of patients after the end of the course of treatment and the total score of function, The dizziness score was compared between the two groups, and the difference was statistically significant (P0.01), which indicated that the two treatment methods could improve the symptoms and signs of the patients. However, the improvement of symptoms and signs in the observation group was significantly better than that in the control group. 2. TCD data: after the treatment, the VsVd values of bilateral vertebral arteries in the two groups were improved compared with those before treatment, and were compared with those before treatment. The difference was statistically significant (P0.05). The VsV d value of bilateral vertebral artery was compared between the two groups after the end of the course of treatment, P value of t test was less than 0.01, with statistical significance. 3. In terms of clinical efficacy: the difference between the two groups was statistically significant (P0.05), indicating that the observation group is better than the control group. Conclusion 1. Multi-directional manipulation in the supine position of cervical spine can effectively relieve the clinical symptoms and improve the symptoms and functions of cervical vertigo. Multi-directional manipulation of cervical vertebra supine position can increase blood supply of vertebral artery and increase blood supply of brain effectively. The treatment of cervical vertigo by multidirectional manipulation in the supine position of cervical spine is better than that in the conventional massage manipulation group, and it is worth popularizing and applying.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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