太极云手对颈性眩晕患者的椎动脉血流动力学的影响及疗效分析.docxVIP

太极云手对颈性眩晕患者的椎动脉血流动力学的影响及疗效分析 　　[摘要] 目的 探讨太极云手治疗颈性眩晕的临床疗效及椎动脉血流的影响；方法 方便选取XX年3月―XX年2月于骨伤康复科门诊所有颈性眩晕患者70例按随机数字表法分为两组，对照组给予推拿、针灸、牵引等治疗，太极云手治疗组是在常规治疗组的基础上加练太极云手，观察治疗前后改善症状与功能量表评分、活动度、椎动脉血流速等变化。结果 经治疗后，治疗组功能评分分、旋转角度左旋°、右旋°及右侧椎动脉Vmcm/s、左侧椎动脉Vmcm/s等方面优于对照组，差异有统计学意义。结论 太极云手练习可以改善颈性眩晕患者症状与功能、活动度、椎动脉血流速度，可于临床推广。　　[关键词] 太极云手；颈性眩晕；经颅多普勒超声/血流速；颈肌功能测试仪　　[中图分类号] [文献标识码] A [文章编号] 1674--0088-03　　[Abstract] Objective This paper tries to discuss the clinical efficacy of Taiji cloud hand treatment of cervical vertigo and the influence of vertebral artery blood flow. Methods From March XX to February XX， 70 patients with cervical vertigo under orthopedic rehabilitation clinic were convenient selected and divided into two groups according to random number table： the control group was treated with massage， acupuncture， traction and so on. Taiji Cloud Hand Therapy Group was based on the conventional treatment group and practiced Taiji cloud hand， symptoms and functional scale score before and after treatment， activity， vertebral artery blood flow speed and other changes were observed. Results After treatment， function assessment score in the treatment group was points， the rotation angle of left ° and right of °and the right vertebral artery Vm cm/s， left vertebral artery Vm cm/s etc. better than the control group. There was statistical significance. Conclusion Taiji cloud hand exercises can improve the symptoms and function of patients with cervical vertigo， activity， vertebral artery blood flow velocity， which can be clinically promoted.　　[Key words] Taiji cloud hand； Cervical vertigo； Transcranial Doppler ultrasound / blood flow； MCU　　?i性眩晕是指由颈椎病变引起以眩晕及交感神经症状为主诉的症候群。如今普遍认为颈性眩晕是由于颈椎椎体、椎间盘及其周围软组织产生功能性或器质性变化，引起颈椎失稳，刺激椎动脉或其周围的交感神经丛导致椎动脉供血不足引起脑干、前庭平衡及视觉功能障碍而产生眩晕[1]。目前临床上有许多针对颈性眩晕治疗方案，保守治疗包括口服药物、针灸、推拿及其他理疗手段，手术多以重建颈椎稳定为主 [2]。　　姜南[3]研究证实，通过长期练习太极拳可恢复颈椎生理曲度及缓解颈部肌肉紧张度，从而改善颈椎的生物力学平衡，但是太极拳丰富的招式对于初学者而言过于复杂，需要长时间练习才能熟练并完整掌握动作要领，而且大部分初学者难以在短时间内领悟太极拳之内涵。云手作为最基础技术，被各家太极拳门派奉为“母式”，且素有“拳到无法为