[1]姬成茂 袁小华 高有安 崔超伟 陈海城 陈水华 周丽萍 杨萍.龙氏正骨手法加星状神经节阻滞治疗颈源性眩晕38例[J].中国中医骨伤科杂志,2017,25(12):31-35.
　JI Chengmao YUAN Xiaohua GAO Youan CUI Chaowei CHEN Haicheng CHEN Shuihua ZHOU Liping YANG Ping.Clinical Study of Longshi Manipulation Combined with Stellate Ganglion Block in the Treatment of Cervical Vertigo[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(12):31-35.
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龙氏正骨手法加星状神经节阻滞治疗颈源性眩晕38例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年12期
页码:
31-35
栏目:
临床论著
出版日期:
2017-12-15

文章信息/Info

Title:
Clinical Study of Longshi Manipulation Combined with Stellate Ganglion Block in the Treatment of Cervical Vertigo
文章编号:
1005-0205(2017)12-0031-05
作者:
姬成茂1 袁小华1 高有安2 崔超伟1 陈海城1 陈水华1 周丽萍1 杨萍3
1广东东莞市第五人民医院,暨南大学医学院附属东莞医院 康复医学科(广东 东莞,523900) 2广东东莞市第五人民医院,暨南大学医学院附属东莞医院 神经内科 3广东东莞市第五人民医院,暨南大学医学院附属东莞医院
Author(s):
JI Chengmao1 YUAN Xiaohua1 GAO Youan2 CUI Chaowei1 CHEN Haicheng1 CHEN Shuihua1 ZHOU Liping1 YANG Ping3
1,2,3The Fifth People's Hospital of Dongguan, Dongguan 523900,Guangdong China.
关键词:
龙氏正骨手法;  星状神经节阻滞;  颈源性眩晕
Keywords:
Keywords: Long's manipulation;  stellate ganglion block;  cervical vertigo
分类号:
R274.39
文献标志码:
A
摘要:
目的:观察龙氏正骨手法加星状神经节阻滞治疗颈源性眩晕的临床疗效。方法:将76例颈源性眩晕患者,随机分为观察组(龙氏正骨手法+星状神经节阻滞组)38例和对照组(常规推拿手法+针灸组)38例。完成疗程后,评估两组患者临床有效率、VAS值、颈椎DR片参数、椎-基底动脉TCD参数和随访1年内复发率。结果:观察组总有效率(94.5%)高于对照组(86.2%),差异有统计学意义(P<0.05)。VAS测定结果,观察组治疗前后差异有统计学意义(P<0.01),对照组治疗前后差异有统计学意义(P<0.05); 依照VAS评分将两组患者的眩晕程度分为4个等级,以便于临床应对; 颈椎DR片颈椎生理弧度和颈椎屈伸度较治疗前均有改善,差异有统计学意义(P<0.05)。椎-基底动脉TCD检查结果,左侧椎动脉(LVA)、右侧椎动脉(RVA)、基底动脉(BA)舒张期血流速度,较治疗前均有明显改善,差异有统计学意义(P<0.05); 与对照组比较,观察组LVA,RVA和BA血流速度均优于对照组,组间比较差异有统计学意义(P<0.01)。观察组治疗1年后总复发率(24.3%)低于对照组(63.9%),组间差异有统计学意义(P<0.01)。结论:采用龙氏正骨手法加星状神经节阻滞治疗颈源性眩晕,具有良好的临床疗效和较低的复发率,其主要机制与改善颈椎结构异常和相应椎动脉灌注有关,是一种具有应用前景的治疗颈源性眩晕的方法。
Abstract:
Abstract Objective:To observe the clinical effect of the Long's manipulation plus stellate ganglion block in the treatment of cervical vertigo.Methods:Totally 76 cases with cervical vertigo were randomly divided into observation group and control group, 38 cases in each group. The observation group underwent Longshi manipulation plus stellate ganglion block, and the control group underwent conventional massage plus acupuncture. After one course, the clinical effective rate, VAS value, X-ray parameters of cervical spine, TCD parameters of vertebral basilar artery and recurrence rate in one year were evaluated between the two groups. Results:The total effective rate of the observation group(94.5%)was higher than that of the control group(86.2%), and the difference was statistically significant(P<0.05). The VAS score of the observation group had significant difference before and after treatment(P < 0.01), and also the VAS score of the control group had significant difference before and after treatment(P<0.05).According to the VAS score,the vertigo degree of the two groups was divided into four grades for the clinical response. On the DR film, the cervical lordosis and cervical flexion and extension were improved compared with those before treatment(P<0.05).TCD examination of vertebral basilar artery showed that the diastolic velocity of left vertebral artery(LVA), right vertebral artery(RVA)and basilar artery(BA)were significantly improved compared with those before treatment(P<0.05).The blood flow velocity of LVA, RVA and BA in the observation group was better than that in the control group, and the difference between the two groups was statistically significant(P<0.01). The total recurrence rate(24.3%)in the observation group was lower than that in the control group(63.9%)after one year, and the difference between the two groups was statistically significant(P<0.01). Conclusion:Long's manipulation plus stellate ganglion block has good effect and low recurrence rate in the treatment of cervical vertigo. The main mechanism is to improve cervical structural abnormalities and the vertebral artery perfusion, and it is a promising method for the treatment of cervical vertigo.

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更新日期/Last Update: 2017-12-08