整复手法治疗寰枢关节紊乱并颈性眩晕的临床疗效研究-中医骨伤科学专业论文.docxVIP

中文摘要目的：通过整复手法治疗与药物对照治疗寰枢关节紊乱并颈性眩晕,观察整复手法治疗寰枢关节紊乱的临床疗效。方法：将60例寰枢关节紊乱并颈性眩晕的患者按随机数字表法分成两组。治疗组30例，采用整复手法纠正寰枢关节紊乱并按摩局部软组织治疗；对照组30例，给予西比灵胶囊口服和复方丹参静脉滴注治疗。观察两组病例治疗前后疗效、X线片和经颅彩色多普勒（TCD）检查的变化来评估其疗效。结果：治疗组30例，其中痊愈13例，显效10例，好转5例，无效2例，总有效率93.33%；对照组30例，其中痊愈6例，显效5例，好转9例，无效10例，总有效率66.67%。说明在对寰枢关节紊乱并颈性眩晕病症的治疗中，整复手法治疗的临床疗效优于药物治疗（P＜0.01）。通过对治疗组治疗前后X线片所示寰枢关节紊乱改善值的比较，显示差异有显著性意义（P＜0.01）。经颅彩色多普勒（TCD）检查，治疗组和对照组，组内治疗前后对比和组间治疗后对比，差异有显著性意义（P＜0.01）。结论：手法整复治疗寰枢关节紊乱并颈性眩晕病症的临床疗效确切，并且优于单纯药物治疗。关键词：寰枢关节紊乱；颈性眩晕；整复手法ClinicalResearch OfRestorationTechniquesTreatmentOf Atlanto-axialJointDisorderAnd CervicalVertigo AbstractObjective:Through theentiretreatmentandrehabilitation ofdrugin thetreatmentofatlanto-axialdisordersandvertigo,observationoftheentirecomplexdisorderoftheatlanto-axialjointmanipulationtreatmentofclinicalefficacy.Methods:60patientswithatlanto-axialdisordersandinpatientswithcervicalvertigobyrandomlydividedintotwogroups.30patientstreatedbyatlanto-axialreductionmanipulationstocorrectdisordersandtreatmentoflocalsofttissuemassage;Controlgroupof30patientsreceivedoraladministrationofflunarizinecapsulesandintravenousinfusionofDanshentreatment.Effectsobservedtwogroupsofpatients,X-rayfilmandtranscranialDoppler(TCD)examinationtoassesstheirefficacychanges.Results:Treatmentgroup,30cases,ofwhich13caseswerecured,effective10cases,5casesimproved,2cases,totaleffectiverate93.33%;Controlgroupof30cases,ofwhich6caseswerecured,5casesmarkedlyimprovedandin9cases,ineffectivein10cases,totaleffectiverate66.67%.Restitutionmeansthattheclinicalefficacyoftreatmentwassignificantlybetterthandrugtreatment (P0.01).Beforeand after treatment byX-ray filmshowntoimprovethevalueoftheatlantoaxialjointdisordercomparisonshowedsignificantdifference(P0.01).TranscranialDoppler(TCD)examination,treatmentandcontrolgroups,beforeandaftertreatmentgroupcomparisonandcontrastbetweenthetwogroupsaftertreatment,thedifferencewassignificant(P0.01).Conclusion:ManipulationTreatmentofatlanto-axialdisordersandtheclinical symptoms of cervical vertigo