吴氏手法联合J型针刀治疗颈性眩晕临床观察  

Wu’s Manipulation Combined with J-type Acupotomy in the Treatment of Cervical Vertigo

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作  者:何志芳[1] 胡思彦 彭天忠[1] HE Zhifang;HU Siyan;PENG Tianzhong(Department of Rehabilitation Medicine,Hongdu Hospital of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330000,China)

机构地区:[1]南昌市洪都中医院康复医学科,江西南昌330000

出  处:《中国中医药现代远程教育》2024年第23期122-124,共3页Chinese Medicine Modern Distance Education of China

基  金:江西省卫生健康委科技计划课题【No.202311318】。

摘  要:目的探讨采用吴氏手法联合J型针刀治疗颈性眩晕的效果及对椎动脉血流动力学的影响。方法抽取南昌市洪都中医院2021年5月—2022年5月收治的颈性眩晕患者60例作为研究对象,使用随机数字表法分为对照组和观察组,每组30例。对照组采用常规西医治疗,观察组采用常规西医+J型针刀+吴氏手法治疗,对比两组临床效果及治疗前后椎动脉血流动力学指标、眩晕严重程度和生活质量。结果观察组临床总有效率为93.33%(28/30),高于对照组的73.33%(22/30)(P<0.05)。治疗后,观察组双侧椎动脉舒张末期血流速度(Vd)、收缩峰期血流速度(Vp)及平均血流速度(Vm)均高于对照组,眩晕评定量表(DARS)、眩晕残障程度评定量表(DHI)评分均低于对照组(P<0.05)。结论颈性眩晕患者采用吴氏手法联合J型针刀治疗效果较显著,不仅能有效改善其椎动脉血流动力学情况,还能减轻眩晕程度、提高生活质量,临床可进一步推广应用。Objective To investigate the therapeutic effect of Wu’s manipulation combined with J-type acupotomy on cervical vertigo patients and the effect on vertebral artery hemodynamics.Methods A total of 60 patients with cervical vertigo admitted to Hongdu Hospital of Traditional Chinese Medicine from May 2021 to May 2022 were selected as the research objects of this study,and were divided into control group and observation group by random number table method,with 30 cases in each group.The treatment methods used in the control group and the observation group were conventional Western medicine treatment,conventional Western medicine treatment combined with J-type acupotomy treatment and Wu’s manipulation treatment.The total clinical response rate,vertebral arterial hemodynamics,vertigo severity and quality of life were compared between the two groups.Results The total effective rate of the observation group was 93.33%(28/30),which was higher than that of control group(73.33%,22/30)(P<0.05).After treatment,the end-diastolic blood flow velocity(Vd),peak systolic blood flow velocity(Vp)and average blood flow velocity(Vm)of bilateral vertebral arteries in the observation group were higher than those in the control group,and the scores of DARS and DHI were lower than those in the control group(P<0.05).Conclusion The effect of Wu’s manipulation combined with J-type acupotomy on cervical vertigo patients is significant.It can not only effectively improve the blood flow dynamics of vertebral artery,but also reduce the degree of vertigo and improve the quality of life of cervical vertigo patients,which can be further popularized in clinic.

关 键 词:颈性眩晕 吴氏手法疗法 J型针刀疗法 中医外治法 

分 类 号:R246.9[医药卫生—针灸推拿学]

 

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