推拿联合天麻钩藤饮化裁治疗颈性眩晕的疗效观察

发布时间：2019-06-21 19:17

【摘要】：目的：观察推拿联合中药天麻钩藤饮化裁治疗颈性眩晕的临床疗效。方法：将符合纳入标准的80例患者随机分为推拿组及推拿、口服中药组,两组均为40例,推拿结合中药组在推拿组的基础上,服用天麻钩藤饮化裁治疗,比较两组的临床疗效,并通过临床症状的改善、功能评估表评分及TCD指标等的变化评价其疗效。结果：临床疗效：推拿结合中药组总有效率明显优于单纯推拿组。颈性眩晕症状及功能评估表评分：两组在治疗后评分均明显高于治疗前；推拿结合中药组治疗前后评分差值明显高于推拿组。椎-基动脉血流动力学变化：两组治疗后双侧椎动脉(VA)及基底动脉(BA)收缩期流速峰值(Vs)均较治疗前有明显改善,推拿结合中药组疗效优于单纯推拿组。结论：1.推拿结合中药天麻钩藤饮化裁临床疗效显著,能够显著改善患者临床症状。2.推拿结合中药天麻钩藤饮化裁作用机制可能是通过调节小关节紊乱,促进局部软组织炎症的吸收,起到改善椎动脉供血。3.推拿结合中药天麻钩藤饮化裁优于单纯推拿手法治疗,说明传统手法配合中药对某些疾病可以起到双重治疗作用。
[Abstract]:Objective: to observe the clinical effect of massage combined with Tianma Gouteng decoction in the treatment of cervical vertigo. Methods: 80 patients who met the inclusion criteria were randomly divided into massage group (n = 40) and massage group (n = 40). The patients in massage combined with traditional Chinese medicine group were treated with Tianma Gouteng decoction on the basis of massage group. The clinical efficacy of the two groups was compared, and the curative effect was evaluated by the improvement of clinical symptoms, the score of function evaluation form and TCD index. Results: the total effective rate of massage combined with traditional Chinese medicine group was significantly better than that of simple massage group. The scores of symptoms and function evaluation table of cervical vertigo: the scores of the two groups after treatment were significantly higher than those before treatment, and the difference of scores before and after treatment in the massage combined with traditional Chinese medicine group was significantly higher than that in the massage group. Hemodynamic changes of vertebral-basal artery: after treatment, the peak systolic velocity (Vs) of bilateral vertebral artery (VA) and basilar artery (BA) in both groups were significantly improved compared with those before treatment, and the curative effect of massage combined with traditional Chinese medicine group was better than that of simple massage group. Conclusion: 1. Massage combined with Tianma Gouteng decoction has remarkable clinical effect and can significantly improve the clinical symptoms of patients. 2. The mechanism of massage combined with Tianma Gouteng decoction may be to improve the blood supply of vertebral artery by regulating the disorder of facet joint and promoting the absorption of local soft tissue inflammation. 3. Massage combined with traditional Chinese medicine Gastrodia elata is superior to massage alone, indicating that traditional manipulation combined with traditional Chinese medicine can play a dual role in the treatment of some diseases.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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