腹针疗法联合龙氏手法治疗寰枢关节半脱位致颈性眩晕  

Observation on curative effects of abdominal acupuncture combined with Long's manipulation in the treatment of cervical vertigo caused by atlanto-axial subluxation

作　　者：范德辉[1] 林锦坤 张振宁[2] 苏美意[2] 吴维[2] 李锡行 罗孟西 魏美华[2] 

机构地区：[1]广东省第二中医院,广东广州510095 [2]广州中医药大学,广东广州510405

出　　处：《中医正骨》2014年第4期19-22,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:比较龙氏手法、腹针疗法与腹针疗法结合龙氏手法治疗寰枢关节半脱位致颈性眩晕的临床疗效。方法:将164例寰枢关节半脱位致颈性眩晕患者随机分为3组,腹针手法组55例,腹针组53例和手法组56例。腹针手法组采用腹针疗法联合龙氏手法治疗,腹针组采用腹针疗法治疗,手法组采用龙氏手法治疗。治疗2个疗程后及治疗结束后1个月,比较3组患者的临床疗效。结果:①治疗结束后的即时疗效。治疗2个疗程后,腹针手法组痊愈32例,显效15例,有效5例,无效3例;腹针组痊愈21例,显效10例,有效13例,无效9例;手法组痊愈25例,显效11例,有效12例,无效8例。3组患者的临床疗效比较,差异有统计学意义(H=6.600,P=0.037)。进一步两两比较(调整检验水准:α'=0.017),腹针手法组的临床疗效优于腹针组(Z=-2.635,P=0.008);腹针手法组的临床疗效与手法组比较,差异无统计学意义(Z=-2.028,P=0.043);腹针组的临床疗效与手法组比较,差异无统计学意义(Z=-0.622,P=0.534)。②治疗结束后1个月时的近期疗效。治疗结束后1个月,腹针手法组痊愈25例,显效11例,有效12例,无效7例;腹针组痊愈16例,显效12例,有效10例,无效15例;手法组痊愈12例,显效9例,有效17例,无效18例。3组患者的临床疗效比较,差异有统计学意义(H=9.724,P=0.008)。进一步两两比较(调整检验水准:α'=0.017),腹针手法组的临床疗效与腹针组比较,差异无统计学意义(Z=-1.930,P=0.054);腹针手法组的临床疗效优于手法组(Z=-3.128,P=0.001);腹针组的临床疗效与手法组比较,差异无统计学意义(Z=-1.193,P=0.233)。结论:腹针疗法联合龙氏手法治疗寰枢关节半脱位致颈性眩晕,可以改善患者的临床症状与体征,提高患者生活质量;其治疗结束后的即时疗效优于腹针疗法,而治疗结束后1个月时的近期疗效优于龙氏手法。但其即时疗效与龙氏手法比较以及近期疗效与腹针疗法比较均无�Objective： To compare the clinical curative effect of Long＇s manipulation,abdominal acupuncture and and their combination in the treatment of cervical vertigo caused by atlanto- axial subluxation. Methods： One hundred and sixty- four patients with cervical vertigo caused by atlanto- axial subluxation were randomly divided into 3 groups,55 cases were treated with abdominal acupuncture combined with Long＇s manipulation（ combination therapy group）,53 cases were treated with abdominal acupuncture（ abdominal acupuncture group） and 56 cases were treated with Long＇s manipulation（ manipulation group）. The clinical curative effects were compared between the 3 groups after two courses of treatment and one month after the end of the treatment respectively. Results： Thirty- two patients obtained an excellent result,15 good,5 fair and 3 poor in the combination therapy group; while 21 patients obtained an excellent result,10 good,13 fair and 9 poor in the abdominal acupuncture group; and 25 patients obtained an excellent result,11 good,12 fair and 8 poor in the manipulation group after two courses of treatment. There were statistical differences in the curative effects between the 3 groups（ H = 6. 600,P = 0. 037）. Further pairwise comparison（ αˊ= 0. 017） showed that the curative effect of combination therapy was better than that of abdominal acupuncture（ Z =- 2. 635,P = 0. 008）; there was no statistical difference in the curative effect between combination therapy and monotherapy of manipulation（ Z =- 2. 028,P = 0. 043）; there was no statistical difference in the curative effect between monotherapy of abdominal acupuncture and monotherapy of manipulation（ Z =- 0. 622,P = 0. 534）. One month after the end of the treatment,25 patients obtained an excellent result,11 good,12 fair and 7 poor in the combination therapy group; while 16 patients obtained an excellent result,12 good,10 fair and 15 poor in the abdominal acupuncture group; and 12 patients obtained an excellent result,9 good,1

关 键 词：眩晕 寰枢关节 脱位 针刺疗法 腹针 手法 捏脊 治疗 临床研究性 

分 类 号：R274.2[医药卫生—中医骨伤科学]