[1]杨晓伟,盛锋△,王赛娜,等.手法结合揿针治疗颈性眩晕的临床观察[J].中国中医骨伤科杂志,2025,33(10):15-18.[doi:10.20085/j.cnki.issn1005-0205.251003]
　YANG Xiaowei,SHENG Feng,WANG Saina,et al.Clinical Observation of the Treatment of Cervical Vertigo with Manipulation Combined with Acupuncture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(10):15-18.[doi:10.20085/j.cnki.issn1005-0205.251003]
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手法结合揿针治疗颈性眩晕的临床观察()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年10期
页码:
15-18
栏目:
临床研究
出版日期:
2025-10-15

文章信息/Info

Title:
Clinical Observation of the Treatment of Cervical Vertigo with Manipulation Combined with Acupuncture
文章编号:
1005-0205(2025)10-0015-04
作者:
杨晓伟1; 盛锋1△; 王赛娜1; 王志超1; 成磊1; 龚辰1; 吴艺1
1上海中医药大学附属龙华医院(上海,200032)
Author(s):
YANG Xiaowei1; SHENG Feng1△; WANG Saina1; WANG Zhichao1; CHENG Lei1; GONG Chen1; WU Yi1
1Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China.
关键词:
颈性眩晕;  手法治疗;  揿针;  颈椎;  椎动脉超声
Keywords:
cervical vertigo;  manual therapy;  acupuncture;  cervical spine;  vertebral artery ultrasound
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.251003
文献标志码:
A
摘要:
目的:采用量表及经颅多普勒超声诊断仪(TCD)观察手法配合揿针治疗颈性眩晕的临床疗效。方法:将符合诊断标准的120例颈性眩晕患者,随机分为单纯手法治疗组(对照组)和手法配合揿针组(观察组),经2周治疗后,观察两组治疗前后临床疗效,并进行比较。1个月后对患者进行随访,统计复发情况。结果:手法配合揿针组与单纯手法治疗组比较,有效率差异无统计学意义(P>0.05),复发率差异有统计学意义(P<0.05),症状评分改善情况视觉模拟量表(VAS)评分差异无统计学意义(P>0.05),颈椎功能障碍指数(NDI)及颈部疼痛和残疾量表(NPAD)差异有统计学意义(P<0.05),椎动脉血流速度差异有统计学意义(P<0.05)。结论:手法治疗颈性眩晕效果良好,手法配合揿针疗效更好,揿针可减轻颈部不适症状,远期临床疗效明显提高,对降低颈性眩晕发作频率、减少发作时间有明显作用,对颈性眩晕治疗疗效确切。
Abstract:
Objective:The clinical efficacy of manipulation combined with acupuncture for the treatment of cervical vertigo was observed using scoring scales and transcranial Doppler(TCD)ultrasound.Methods:A total of 120 patients with cervical vertigo who met the diagnostic criteria were randomly divided into simple manipulation treatment group and manipulation combined with acupuncture group.After 2 weeks of treatment,the clinical efficacy of the two groups was observed before and after treatment and compared.The patients were followed up one month later and the recurrence was statistically analyzed.Results:There was no significant difference in the effective rate between the manipulation combined with acupuncture group and the simple manipulation treatment group(P>0.05); the difference in recurrence rate was statistically significant(P<0.05); there was no significant difference in visual analogue scale(VAS)score for symptom score improvement(P>0.05); there were significant differences in neck disability index(NDI)and neck pain and disability scale(NPAD)between the two groups(P<0.05); there was significant difference in vertebral artery blood flow velocity between the two groups(P<0.05).Conclusion:The manipulation therapy has a good effect on the treatment of cervical vertigo.The manipulation combined with acupuncture has a higher effect.Acupuncture can relieve the symptoms of neck discomfort and significantly improve the long-term clinical efficacy.It has a significant effect on reducing the frequency and duration of attacks and has a definite therapeutic effect on cervical vertigo.

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(收稿日期:2025-05-09)

备注/Memo

备注/Memo:
基金项目:上海市中医薄弱领域专科建设项目(BRZK2016001)
△通信作者 E-mail:drsheng120@163.com
更新日期/Last Update: 2025-10-10