颈椎三扳法治疗颈性眩晕的临床观察

Clinical observation on the curative effect of three-type pulling method on cervical vertigo

目的:观察颈椎三扳法治疗颈性眩晕的临床疗效。方法:将符合要求的60例患者随机分为实验组和对照组,每组30例。实验组采用颈椎三扳法治疗,对照组采用常规手法治疗。均每周治疗2次,共治疗5周。分别于治疗前和治疗5周后采用椎动脉型颈椎病症状评分标准对2组患者的临床症状进行评分,同时采用自拟的疗效评定标准在治疗5周后评定2组患者的临床疗效。结果:①症状评分。治疗前2组患者的眩晕、颈肩痛、头痛评分比较,差异无统计学意义(t=-0.648,P=0.519;t=-1.000,P=0.321;t=-1.645,P=0.105);治疗5周后实验组患者的眩晕、颈肩痛、头痛评分均小于对照组(t=-6.193,P=0.000;t=-6.874,P=0.000;t=-8.678,P=0.000)。②临床疗效。治疗5周后2组患者临床疗效比较,实验组优于对照组(Z=-2.286,P=0.022)。结论:颈椎三扳法能有效改善颈性眩晕患者的眩晕、头痛及颈肩痛症状,临床疗效显著,是治疗该病的有效方法。

Objective ：To observe the clinical curative effect of three-type pulling method on cervical vertigo. Methods：Sixty patients met the requirements were randomly divided into experimental group and control group ,30 cases in each group. Patients in the experimental group were administrated with three-type pulling method in cervical vertebra, while the others in the control group were administrated with common manipulations. Clinical symptoms of patients in the 2 groups were scored according to symptom scoring criteria of vertebral artery type of cervical spondylosis before the treatment and after 5 weeks of treatment respectively. After 5 weeks of treatment, the clinical curative effects of patients in the 2 groups were evaluated according to the self-designed standard of curative effect. Results ： （1）There were no statistical difference in scores of vertigo,neck and shoulder pain and headache of patients between the 2 groups before the treatment（ t = - 0. 648, P = 0. 519 ;t = - 1. 000, P = 0. 321 ; t = - 1. 645, P = 0. 105 ）. After 5 weeks of treatment, scores of vertigo, neck and shoulder pain and headache of patients in the experimental group were lower than those of control group （ t = - 6. 193, P = 0. 000 ; t = - 6. 874, P = 0. 000 ; t = - 8. 678, P = 0. 000 ）. （2）Affter 5 weeks of treatment, clinical curative effect of experimental group was better than that of control group （ Z = -2. 286 ,P = 0. 022 ）. Conclusion： Three-type pulling method in cervical vertebra can effectively relieve the symptoms of vertigo, headache, neck and shoulder pain for patients with cervical vertigo, therefore, it is an effective method in the treatment of cervical vertigo.