悬吊运动疗法结合药物治疗老年人颈源性眩晕的临床疗效  

Treating Cervical Vertigo of Elderly Patients through Sling Exercise Combined with Drug

作　　者：秦江[1] 石秀秀[1] 胡鸢[1] 唐金树[1] 侯树勋[1] 任能[1] 田宇[1] 张铁松[1] 王晓晶[1] 王金云[1] 

机构地区：[1]解放军总医院第一附属医院骨科全军骨科研究所北京市骨科植入医疗器械工程技术研究中心,北京100048

出　　处：《中国运动医学杂志》2017年第6期531-535,共5页Chinese Journal of Sports Medicine

摘　　要：目的:探讨悬吊运动疗法结合药物治疗老年人颈源性眩晕的临床疗效。方法:前瞻性收集2011年1月至2014年7月我院收治的49例老年颈源性眩晕患者,随机分为观察组(n=27)和对照组(n=22),观察组予以悬吊运动疗法(sling exercise therapy,S-E-T)结合规律服用银杏叶提取物药物治疗,进行6周的颈部稳定性及牵伸训练,侧重颈部整体肌、局部稳定肌的康复训练,每次治疗40分钟,隔日1次;药物治疗服用6周。对照组仅行相同剂量和疗程的药物治疗。两组患者治疗期间由同一名治疗师进行健康宣教,治疗结束后6个月不接受其他治疗。分别于治疗前、治疗结束后当天及末次随访时比较两组患者颈椎残障指数(neck disability index,NDI)、视觉模拟评分(visual analogue scale,VAS)以及颈性眩晕症状与功能评分(evaluation scale for cervical vertigo,ESCV),并在治疗前及末次随访时进行颈椎X线片检查以及激痛点查体。结果:49例患者均获得随访,随访时间为4.83~6.70个月,平均6.01±0.49个月。两组患者治疗后ESCV均较治疗前有显著改善(P<0.01),观察组NDI及VAS治疗结束后当天以及末次随访时与治疗前比较均有显著改善(P<0.01),而对照组则在末次随访时可见改善(P<0.05);两组患者治疗前后颈椎X线片中椎体骨赘形成及关节突关节、钩椎关节退变情况未见显著差异(P>0.05),合并颈项部激痛点人数两组有显著差异(P<0.05)。结论:悬吊运动疗法结合药物治疗对老年性颈源性眩晕患者颈部功能、疼痛以及眩晕症状均有明显改善,且半年随访疗效良好,其效果优于单独使用药物治疗。Objective To observe the clinical effect of sling exercise therapy（S-E-T）combined with drug treatment for cervical vertigo in elderly patients. Methods Forty-nine elderly patients with cervical vertigo admitted to our hospital between January 2011 and July 2014 were randomly dividedinto an observation group（n=27）and a control group（n=22）. The observation group was given 80 mgGinaton（Extract of Ginkgo Biloba Leaves Tablets）produced by German Dr. Willmar Schwabe Gmb H Co. KG three times a day,combined with S-E-T,including cervical stability and stretching training for40 min,focusing on the neck global muscle and local stabilize muscle rehabilitation,once every otherday. The control group was provided with the same drug treatment. During the 6-month intervention,both groups were given health education by the same therapist. Both groups were assessed using theneck disability index（NDI）,visual analogue scale（VAS）and evaluation scale for cervical vertigo（ESCV）before and after the intervention,as well as at the last follow-up visit. Before the treatment and at thelast follow-up visit,the cervical X-ray examination and trigger point check were also conducted forboth groups. Results All the forty-nine patients were followed up for 4.83 to 6.70 months,with anaverage of（6.01 ± 0.49）months. Significant improvement was observed in the average ESCV score forboth groups after the treatment. Compared with before the treatment,there was significant improvementin the average NDI and VAS right after the treatment and at the last follow-up visit in theobservation group,but only at the last follow-up visit in the control group. From the cervical X-ray,nosignificant differences were found in the vertebral osteophyte formation,facet joints and uncovertebraljoint degeneration between the 2 groups（P〉0.05）,while significant differences were observed in thenumber of the neck trigger points（P〈0.05）. Conclusion The sling exercise therapy combined with drugtreatment can significantly improve cervic

关 键 词：悬吊运动疗法 眩晕 颈椎 康复 药物治疗 老年人 

分 类 号：R681.5[医药卫生—骨科学]