颅脑外伤中颈性眩晕的早期治疗研究  

Early therapy of cervical vertigo in head injury

作　　者：丁轩[1] 鲍洪[1] 吴开华[1] 招建华[1] 兰蒙[1] 

机构地区：[1]暨南大学医学院第三附属医院,广东省珠海市人民医院神经外科,珠海519000

出　　处：《中华神经医学杂志》2008年第8期832-834,共3页Chinese Journal of Neuromedicine

基　　金：珠海市科委课题立项（PC20052015）

摘　　要：目的探讨轻、中型颅脑外伤中颈性眩晕患者的早期治疗方案。方法将轻、中型颅脑外伤中颈性眩晕患者84例按随机数字表法分成治疗组（38例）与对照组（46例），治疗组采用颈椎牵引、星状神经节封闭、早期颈部理疗等方法并结合药物治疗，对照组采用单纯药物治疗，对其疗效进行非参数秩和检验分析。结果治疗组治愈29例，好转8例，无效1例，平均治疗时间20d；对照组治愈26例，好转15例．无效5例，平均治疗时间30d；治疗组疗效优于对照组，差异有统计学意义（P〈0．05）。结论对颅脑外伤中颈性眩晕患者早期采用针对性治疗，其疗效好于单纯药物治疗．且治疗时间缩短。Objective To discuss early therapy scheme for cervical vertigo in mild and moderate head injury. Methods Eighty-four patients suffering from cervical vertigo in mild or moderate head injury were randomly divided into 2 groups： combined therapy group （n=38） and control group （n=46）. In the combined therapy group, patients underwent cervical vertebra traction and stellate ganglion block and early physical therapy for cervix as well as medication; in the control group, simple medication was used. The results were analyzed by nonparametric rank sum test Ridit analysis. Results In the combined therapy group, 29 cases were cured, 8 got better, and 1 remained unchanged, average therapy duration 20 d, while in the control group, 26 were healed, 15 changed better, and 5 did not show a sign of recovery, average therapy duration 30 d. The curative effect was significantly different between the 2 groups, and the combined therapy group was better than the control group （P〈0.05）. Conclusion The early application of the combined therapy for cervical vertigo in mild and moderate head injury can improve the cure rate and reduce the therapy duration.

关 键 词：颅脑损伤 颈性眩晕 

分 类 号：R651.15[医药卫生—外科学]