[1]韩俊 郑苏阳 郭杨 马勇△.中药结合颈椎牵引治疗成人寰枢关节半脱位疗效评价[J].中国中医骨伤科杂志,2017,25(03):14-16，20.
　HAN Jun ZHENG Suyang GUO Yang MA Yong.Clinical Effect of Traditional Chinese Medicine Combined with Cervical Traction Treating for Atlantoaxial Subluxation in Adults[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(03):14-16，20.
点击复制

中药结合颈椎牵引治疗成人寰枢关节半脱位疗效评价()
分享到：

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

卷:
第25卷
期数:
2017年03期
页码:
14-16，20
栏目:
临床研究
出版日期:
2017-03-08

文章信息/Info

Title:
Clinical Effect of Traditional Chinese Medicine Combined with Cervical Traction Treating for Atlantoaxial Subluxation in Adults
文章编号:
1005-0205(2017)03-0014-03
作者:
韩俊1 郑苏阳1 郭杨1 马勇2△
1.南京中医药大学骨伤研究所骨伤修复与重建新技术实 验室(南京,210023)
2.南京中医药大学附属医院骨伤科
△.通信作者 E-mail:Zhongyi-my@263.net
Author(s):
HAN Jun1 ZHENG Suyang1 GUO Yang1 MA Yong2△
1.Nanjing University of Traditional Chinese Medicine, Nanjing 210023, China;
2.Orthopedics Department, Affiliated Hospital to Nanjing University of Traditional Chinese Medicine, Nanjing 210029,China.
关键词:
成人寰枢关节半脱位;  项痹康;  颈椎牵引
Keywords:
adult atlantoaxial subluxation;  Xiangbikang decoction;  cervical traction
分类号:
R684.7
文献标志码:
A
摘要:
目的:观察中药自拟方项痹康内服结合颈椎牵引治疗成人寰枢关节半脱位临床疗效。方法:将符合纳入标准的72例患者随机分为治疗组和对照组,治疗组37例,对照组35例,治疗组采用中药项痹康内服+颈椎牵引治疗,对照组采用颈椎牵引治疗,治疗2周后复查X线测量两组患者寰齿前间隙(ADI),两侧寰齿侧间隙差值(VBLADS),观察两组数值的变化,并评定2组患者的临床疗效。结果:治疗组有6例脱落,对照组有5例脱落。治疗组治愈23例,改善6例,无效2例; 对照组治愈14例,改善11例,无效5例; 差异有统计学意义,治疗组临床疗效优于对照组(Z=-2.193,P=0.028)。治疗前两组ADI,VBLADS差异均无统计学意义(P=0.639,P=0.494),治疗结束后治疗组与对照组的ADI,VBLADS值均较治疗前改善,治疗组ADI较对照组改善明显,差异有统计学意义(P=0.003),而VBLADS差异无统计学意义(P=0.206)。结论:中药项痹康内服能够提高颈椎牵引治疗成人寰枢关节半脱位疗效,值得临床推广。
Abstract:
Objective:To observe the clinical effect of self-made oral decoction Xiangbikang combined with cervical traction in the treatment of atlantoaxial subluxation in adults. Methods:All 72 patients who met the inclusion criteria were randomly divided into treatment group and control group, 37 cases in the treatment group and 35 cases in the control group. After two weeks of treatingt, the atlanto-dental interval(ADI)and the value between lateral atlanto-dental spaces(VBLADS)were retested by the X-ray. The value change between the two groups was observed, and the clinical effect in two groups was evaluated. Results:In the treatment group, there were 6 cases out, 23 patients got an excellent result, 6 good and 2 poor; while there were 5 cases out, 14 patients got an excellent result, 11 good, and 5 poor in the control group. And there was statistically significant difference. The clinical effect of the treatment group was better than that of control group(Z=-2.193, P=0.028). There was no significant difference in ADI and VBLADS between the two groups before treatment(P=0.639,P=0.494), while after treatment, ADI and VBLADS in two groups were all improved. ADI in the treatment group was significantly improved than that of the control group(P=0.003), while VBLADS had no significant difference(P=0.206). Conclusion:The traditional Chinese medicine Xiangbikangoral decoction can improve the curative effect of cervical traction treating for atlantoaxial subluxation in adults, and it is worth popularizing in clinic.

参考文献/References:

[1] 周学龙.寰枢关节半脱位的结构因素及其伴发症状概述[J].医学综述,2008,14(18):2794-2796.
[2] 林红雨,王琦,刘桂芳.寰枢关节半脱位的影像诊断及临床应用[J].齐鲁医学杂志,2014,29(6):562-564.
[3] 谢再明,王兆杰.寰枢关节半脱位临床诊断的研究进展[J].安徽卫生职业技术学院学报,2014,13(6):25-26.
[4] 齐伟,王朝辉,王之虹.寰枢关节半脱位诊断标准研究[J].长春中医药大学学报,2012,28(4):638.
[5] 鲍铁周,李新生,李志强,等.诊断寰枢关节半脱位的一种新方法[J].中医正骨,2013,25(4):66-68.
[6] 杨子明.寰枢关节是否存在半脱位及其相关问题[J].中华外科杂志,2006,44(20):1369-1375.
[7] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:23.
[8] 孙传兴.临床疾病诊断依据治愈好转标准[M].2版.北京:人民军医出版社,2002:511.
[9] Debemardi A,D Aliberti G,Talamonti G,et al.Thecraniovertebral junction area and the role of the ligaments and membranes[J].Neurossurgery,2011,68(2):291-301.
[10] 韩应超,潘杰,王善金,等.上颈椎韧带对寰枢椎稳定性影响的生物力学研究[J].中华骨科杂志,2013,33(6):628-634.
[11] 黄一琳,侯晓桦.寰枢关节半脱位98例临床分析[J].颈腰痛杂志,2000,21(1):43-44.
[12] 李生泉.寰枢关节失稳80例临床影像表现分析[J].实用医技杂志,2009,16(7):544.
[13] 宋涛,童斌斌.CT检查寰枢关节周围关系在寰枢关节半脱位中的诊断价值[J].中国乡村医药,2015,22(22):61-62.
[14] 谢再明,王兆杰,何建垣.FSE PDWI联合T2WI STIR在寰枢关节半脱位诊断中的应用[J].西部医学,2015,27(2):212-214.
[15] 侯玉亭,刘辉,黄范利.环枢关节侧方滑脱的X线诊断[J].中国煤炭工业医学杂志,2001,4(10):838-838.
[16] 李晶,陈禾丽,吴望一.颈椎牵引的力学实验与临床运用.中华理疗杂志,1992,15(3):133.
[17] 杨利学,刘智斌,祝海滨.颈椎病角度牵引研究近况[J].中国中医骨伤科杂志,2006,14(6):82-84.
[18] 朱海波,贾连顺,寇庚,等.枢椎解剖学测量及临床意义[J].解剖学杂志,1997(4):305-309.
[19] 胡勇,杨述华,谢辉,等.人工寰齿关节设计依据及可行性分析[J].中国骨伤,2007,20(9):587-591.
[20] 徐军.脊柱牵引治疗技术(续三):颈椎牵引技术[J].中国临床康复,2002,6(6):778-781.
[21] 李勇,张泽胜,王伶俐,等.不同牵引角度治疗颈椎病的三维有限元分析研究[J].新中医,2008,40(9):63-64.

备注/Memo

备注/Memo:
基金项目:国家卫生计生委医药卫生科技发展研究中心 项目(W2015QJ056)
更新日期/Last Update: 2017-03-15