定向旋提手法治疗寰枢关节不稳的临床观察  

Clinical Observation of the Treatment of Atlantoaxial Instability by Directional Rotation Manipulation

作　　者：李远峰[1] 张茜 王震[1] 姜益常[1] 曹童 康杰 LI Yuanfeng;ZHANG Qian;WANG Zhen;JIANG Yichang;CAO Tong;KANG Jie(The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院,哈尔滨150040 [2]黑龙江中医药大学

出　　处：《中国中医骨伤科杂志》2025年第2期45-49,54,共6页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：黑龙江省中医药科研项目(ZHY2023-002)。

摘　　要：目的:探讨基于筋伤骨错理论运用定向旋提手法治疗寰枢关节不稳的临床疗效及治疗机制。方法:将60例患有寰枢关节不稳的患者随机分成观察组和对照组,每组各30例。观察组30例患者予定向旋提手法治疗,对照组30例患者予常规整复手法治疗,对比两组患者的临床疗效。结果:定向旋提手法在改善患者颈枕部疼痛、减小齿状突轴线与寰椎轴线偏移距离方面均优于常规整复手法,差异有统计学意义(P<0.05),其总有效率达90%。结论:定向旋提手法可明显缓解或消除颈部疼痛,通过纠正寰枢椎的解剖异常移位而取得显著疗效。Objective:To investigate the clinical efficacy and mechanism of directional rotation in the treatment of atlantoaxial joint instability based on the theory of tendon injury and bone malocclusion.Methods:60 patients with atlantoaxial instability were randomly divided into observation group and control group,with 30 cases in each group.30 patients in the observation group were treated with directional lifting manipulation,and 30 patients in the control group were treated with conventional reduction manipulation.The clinical efficacy of the two groups was compared.Results:The directional lifting maneuver was superior to the conventional reduction maneuver in relieving pain in the cervicooccipital region and reducing the distance between the axis of odontoid process and the axis of atlas(P<0.05),and the total effective rate was 90%.Conclusion:The directional rotation maneuver can effectively relieve or eliminate neck pain,and achieve remarkable curative effect by correcting the abnormal anatomical displacement of atlantoaxial spine.

关 键 词：寰枢关节不稳 手法整复 筋伤骨错 寰枢椎相对旋转角度 齿突侧块间距 

分 类 号：R684[医药卫生—骨科学]