定点旋转复位法复寰枢关节紊乱并颈枕痛的临床分析.pdfVIP

目 录 中文摘要···················································2 英文摘要···················································3 引 言····················································5 正 文····················································6 1 ．临床资料···············································6 1.1 病例选择·················································6 1.2 一般资料·················································6 2 . 治疗······················································7 2 . 1 治疗方法···············································8 2 . 2 观察方法 ················································8 2 . 3 统计方法················································9 3 . 结果·······················································9 3 . 1 临床疗效···············································9 3 . 2 影像学指标变化情况 ··································9 4 . 讨论 ·······················································1 0 结 论·····················································1 6 参考文献····················································1 7 附 录 ···················································1 9 综 述····················································2 2 致 谢·····················································2 8 攻读学位期间发表的学术论文目录 ·····················2 9 作者声明·····················································3 0 个人简历·····················································3 1 1 中 文 摘 要 目 的：本课题从实施定点旋转复位手法整复以颈枕部疼痛为主 要症状的寰枢关节紊乱病证入手，通过观察患者疼痛的缓解程度以及 治疗前后寰齿侧间隙和寰枢关节间隙的位移值改变情况，对定点旋转 复位手法治疗寰枢关节紊乱并颈枕部疼痛病症的疗效进行研究分析， 为定点旋转复位手法治疗寰枢关节紊乱并颈枕部疼痛病症的推广提 供临床理论基础。 方 法：通过实施定点旋转复位手法治疗60 例以颈枕部疼痛为主 要症状的寰枢关节紊乱患者，参照简化的 McGill 疼痛程度问卷调查 表对纳入病例进行治疗前后评分测定以观察其临床疗效，并统计分析 治疗前后齿状突与寰椎侧块差值变化、寰枢关节间隙差值变化情况观 察手法对“骨错缝”的改变情况。 结 果：⑪ 实施定点旋转复位手法治疗颈枕痛改善率最小为 78.0% ，最大为100%；痊愈率为28.3%（17/60 ），显效率为58.3%（35/60 ）， 有效率为13.3% （8/60 ），愈显率(痊愈率+显效率)为71.6% ，总有效 率为100%。⑫ 测量颈椎开口位