单次仰卧位拔伸手法在颈性高血压诊断中的应用  

Study on the application of single pulling-extending manipulation in supine position in the diagnosis of cervicogenic hypertension

作　　者：郑胜明[1] 陈鹏[1] 张海芬[1] 

机构地区：[1]浙江省浙江医院,浙江杭州310013

出　　处：《中医正骨》2012年第4期19-21,23,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：浙江省中医药科技计划项目(2008YB004)

摘　　要：目的:探讨单次仰卧位拔伸手法在颈性高血压诊断中的作用。方法:选取60例颈椎病伴高血压患者,首先测量其血压,然后采用仰卧位拔伸手法治疗1次,将治疗后血压下降明显的30例患者纳入实验组,血压下降不明显的30例患者纳入对照组。分组后采用枕颌四头带牵引+常规颈椎病推拿手法对2组患者进行治疗,2个疗程后观察2组患者的颈椎病和高血压治疗效果。结果:①颈椎病疗效。治疗2个疗程后,2组患者的颈椎病症状均明显改善,且疗效相当(U=1.462,P=0.144)。②高血压疗效。治疗后实验组患者的收缩压和舒张压均明显降低(t=8.500,P=0.000;t=3.681,P=0.001),对照组患者治疗后收缩压和舒张压均无明显变化(t=1.111,P=0.271;t=1.055,P=0.296)。结论:单次仰卧位拔伸手法可用于鉴别颈性高血压和颈椎病合并原发性高血压。Objective：To explore the effect of single pulling-extending manipulation in supine position in the diagnosis of cervicogenic hypertension.Methods：Sixty patients with both cervical spondylosis and hypertension were firstly administrated with blood pressure measurement,then they were treated by single pulling-extending manipulation in supine position.After the treatment,30 patients with significant fall of blood pressure were included into experimental group,while the others with insignificant fall of blood pressure were included into control group.After grouping,patients in the 2 groups were all administrated with occipito-mandibular traction with four head belts combined with regular manipulation maneuver for cervical spondylosis.The curative effects on cervical spondylosis and hypertension for the patients were all observed after 2 courses of treatment.Results：①Curative effect on cervical spondylosis：after 2 courses of treatment,the cervical spondylosis symptoms of the patients were all obviously improved,and there was no significant difference in curative effects between the 2 groups（U=1.462,P=0.144）.②Curative effect on hypertension：after the treatment,there was significant fall of systolic pressure and diastolic pressure for patients in the experimental group（t=8.500,P=0.000;t=3.681,P=0.001）,while there was no obvious changes in systolic and diastolic pressure for patients in the control group（t=1.111,P=0.271;t=1.055,P=0.296）.Conclusion：The method of single pulling-extending manipulation in supine position can be applied to distinguish cervicogenic hypertension from primary hypertension combined with cervical spondylosis.

关 键 词：关键词颈椎病 高血压 诊断 鉴别 手法 捏脊 治疗 临床研究性 

分 类 号：R681.5[医药卫生—骨科学]