龙氏正骨手法联合高压氧治疗椎动脉型颈椎病引发眩晕的疗效观察  

Observation on efficacy of Long’s bone setting manipulation combined with hyperbaric oxygen in the treatment of vertigo caused by cervical spondylosis of the vertebral artery type

作　　者：智兆军[1] 吴启龙[1] 杜敏 张琴 Zhi Zhaojun;Wu Qilong;Du Min;Zhang Qin(Department of Rehabilitation Medicine,The Second Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Rehabilitation,Children’s Hospital of Shanxi,Taiyuan 030013,China)

机构地区：[1]山西医科大学第二医院康复医学科,太原030001 [2]山西省儿童医院康复科,太原030013

出　　处：《中华航海医学与高气压医学杂志》2022年第2期203-207,共5页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

基　　金：山西省回国留学人员科研资助项目(2015-106)。

摘　　要：目的观察龙氏正骨手法联合高压氧(HBO)治疗椎动脉型颈椎病(CSA)引发眩晕的疗效。方法前瞻性纳入2019年4月至2020年7月在山西医科大学第二医院康复医学科就诊的143例CSA伴眩晕患者为研究对象, 依据随机数字表法将患者分为对照组(72例)与研究组(71例), 对照组接受龙氏正骨手法治疗, 研究组接受龙氏正骨手法联合HBO治疗。采用中医证候评分法评估并比较2组的整体疗效;采用眩晕残障评定量表(DHI)评估2组治疗前、后的眩晕状况;采用彩色多普勒超声仪测定2组治疗前、后的椎动脉血流动力学指标, 主要包括左侧椎动脉(LVA)、右侧椎动脉(RVA)、基底动脉(BA)血流参数。结果治疗后, 研究组整体治疗效果优于对照组, 差异有统计学意义(P<0.05);2组治疗前DHI评分、椎动脉血流动力学参数比较差异无统计学意义(P>0.05);治疗后, 研究组DHI评分低于对照组, LVA、RVA、BA参数高于对照组, 差异均有统计学意义(P<0.05)。结论龙氏正骨手法联合HBO治疗CSA引起的眩晕, 较单一龙氏正骨手法治疗效果好, 更利于减轻眩晕症状, 改善椎动脉血流动力学。Objective To observe the efficacy of Long’s bone setting manipulation combined with hyperbaric oxygen(HBO)in the treatment of vertigo caused by cervical spondylosis of the vertebral artery type(CSA).Methods A total of 143 patients with CSA and vertigo treated in the Department of Rehabilitation Medicine of the Second Hospital of Shanxi Medical University from April 2019 to July 2020 were prospectively included as the research subjects by a random number table.The patients were divided into control group(72 cases)and observation group(71 cases).The control group was treated with Long’s bone setting manipulation,while the observation group was treated with Long’s bone setting manipulation combined with HBO.The overall curative effect of the two groups was evaluated and compared by Traditional Chinese Medicine Syndrome Score Scale(TCMSSS).The vertigo symptom of the two groups was evaluated by Dizziness Handicap Inventory(DHI).The hemodynamic indexes of vertebral artery,including left vertebral artery(LVA),right vertebral artery(RVA)and basilar artery(BA),were detected and compared between the two groups by Doppler ultrasound.Results After treatment,the overall curative effect of the observation group was better than that of the control group,with statistically significant difference(P<0.05).No statistically significant difference in DHI scores or vertebral artery hemodynamic indexes between the two groups was observed before treatment(P>0.05).After treatment,the observation group had lower DHI scores while higher indexes of LVA,RVA and BA compared with those in the control group(P<0.05).Conclusion Long’s bone setting manipulation combined with HBO has better efficacy than Long’s bone setting manipulation alone in the treatment of vertigo caused by CSA,which is more conducive to reducing vertigo symptoms and improving vertebral artery hemodynamics.

关 键 词：椎动脉型颈椎病 眩晕 龙氏正骨手法 高压氧 血流动力学 

分 类 号：R681.55[医药卫生—骨科学]