侧牵推正法治疗颈性眩晕临床观察  

Clinical Observation of the Lateral Traction and Correction Technique for Cervical Vertigo

作　　者：朱立建 徐彬彬 许瑞旭 蔡耿辉 苏智圣 Zhu Lijian;Xu Binbin;Xu Ruixu;Cai Genghui;Su Zhisheng(Quanzhou First Hospital Affiliated to Fujian Medical University,Fujian,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属泉州第一医院,福建泉州362000 [2]厦门医学院,福建厦门361021 [3]天然化妆品福建省高校工程研究中心,福建厦门361021

出　　处：《中国中医急症》2025年第1期113-116,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：福建省自然科学基金(2017J01350);颈性眩晕中医特色专病诊疗团队项目(泉州一院医[2021]391号);福建省大学生创新创业训练计划项目(S202212631028)。

摘　　要：目的 观察筋骨平衡理论指导下的侧牵推正法治疗颈性眩晕的临床疗效及对颈椎生理曲度的影响。方法 64例颈性眩晕患者采用随机数字表法分为观察组与对照组各32例。对照组予常规推拿治疗,观察组予常规推拿+侧牵推正法治疗。对比两组患者治疗前后颈性眩晕症状与功能评估量表(ESCV)评分、经颅多普勒超声检测仪(TCD)[椎-基底动脉血流速度左侧椎动脉(RVA)、右侧椎动脉(LVA)及基底动脉(BA)]、颈椎Borden值的变化,观察治疗后颈椎曲度改善率,并比较两组总有效率和复发率。结果 治疗后两组ESCV均有所提高(P<0.05),观察组治疗后总积分、眩晕及头颈痛积分高于对照组(P<0.05),两组治疗后生活心理适应积分比较无明显差异(P> 0.05)。治疗后两组RVA、LVA、BA血流速度、颈椎曲度均较前改善(P<0.05),改善幅度观察组优于对照组(P<0.05)。治疗后观察组颈椎曲度改善率为75.00%,高于对照组的40.62%(P<0.05)。观察组总有效率为90.62%,高于对照组的78.12%(P<0.05)。对两组痊愈患者随访6个月,观察组复发率较对照组更低(P<0.05)。结论 侧牵推正法治疗颈性眩晕的疗效更为显著,可有效缓解临床症状,改善椎基底动脉血运情况,并能纠正颈椎曲度,复发率较低,手法获效的可能机理之一是恢复颈椎生理曲度。Objective:To observe the clinical efficacy of the lateral traction and correction technique guided by the theory of muscle-bone balance in treating cervical vertigo and its impact on the physiological curvature of the cervical spine. Methods:A total of 64 patients with cervical vertigo were randomly divided into an observation group and a control group using a random number table method,each with 32 patients. The control group received conventional Tuina therapy,while the observation group received a combination of conventional Tuina therapy and the lateral traction and correction technique. The Cervical Vertigo Symptom and Function Assessment Scale(ESCV),transcranial Doppler ultrasound(TCD)measurements[blood flow velocity in the left vertebral artery(LVA),right vertebral artery(RVA),and basilar artery(BA)],and changes in the Borden value of the cervical spine before and after treatment were compared. The improvement rate of cervical curvature after treatment was observed,and the overall effective rates and recurrence rates between the two groups were compared. Results:After treatment,the ESCV scores improved in both groups(P< 0.05). The total score,dizziness score,and neck pain score in the observation group were significantly higher than those in the control group(P< 0.05). There was no significant difference in the psychological adaptation score between the two groups(P >0.05). After treatment,the blood flow velocities in the RVA,LVA,and BA,as well as the cervical curvature,improved in both groups(P< 0.05),with greater improvements in the observation group(P< 0.05). The improvement rate of cervical curvature in the observation group was 75.00%,which was significantly higher than 40.62% in the control group(P< 0.05). The overall effective rate in the observation group was 90.62%,which was higher than 78.12% in the control group(P< 0.05).During a 6-month follow-up of the cured patients,the recurrence rate in the observation group was lower than that in the control group(P< 0.05). Conclusion:The lateral traction

关 键 词：颈性眩晕 侧牵推正手法 颈椎曲度 血流速度 推拿 

分 类 号：R681.5+5[医药卫生—骨科学]