不同手法与牵引中药组合治疗寰枢节段不稳症疗效观察  

Therapeutic effect of different manoeuvres combined with traction andTCM on atlanto-axial joint unstable syndrome

作　　者：杨荣洲[1] 

机构地区：[1]广西壮族自治区玉林市第二人民医院中医科,广西玉林537000

出　　处：《河北中医》2008年第1期65-67,共3页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的观察不同手法与牵引中药组合治疗寰枢节段不稳症的临床疗效。方法将126例寰枢节段不稳症患者随机分为2组。治疗组63例采用正骨手法与牵引中药组合治疗方案,对照组63例采用理筋手法与牵引中药组合治疗方案。2组均20日为1个疗程,1个疗程后统计疗效。结果治疗组和对照组治疗效果优良率分别为87.3%、85.7%,总有效率分别为96.8%、95.2%,2组比较差异均无统计学意义(P>0.05)。结论正骨手法或理筋手法与牵引中药组合治疗寰枢节段不稳症均有较好临床效果。对于寰枢节段不稳症之寰枢椎解剖移位,不必过于强调正骨复位操作,通过理筋手法配合牵引、中药内服,大部分病例可获得满意纠正。Objective To observe the therapeutic effect of different manoeuvres combined with traction and TCM onaflanto- axial joint unstable syndrome, Methods 126 patients with onaflanto- axial joint unstable syndrome were randomly divided into two groups, 63 patients in treatment group were treated by bone- setting manipulation combined with traction and TCM; 63 patients in control group were treated by manipulation for soothing the injured soft tissues combined with traction and TCM, with a treatment course of one month for both groups. The therapeutic effects were observed after one treatment course. Results The effective rate in treatment group and control group was 87.3 % and 85.7 % respectively, and the total effective rate was 96,8% and 95.2% respectively. There was no significant difference between two groups（ P 〉 0,05）. Conclusion Both methods have good therapeutic effects on onatlanto- axial joint unstable syndrome, It is not necessary to be emphasized too much on bone - setting manipulation, the manipulation for soothing the injured soft tissues combined with traction and TCM can also get good efficacy in most cases.

关 键 词：颈椎节段性不稳 推拿 牵引术 

分 类 号：R682.12[医药卫生—骨科学] R244.1[医药卫生—外科学]