颈椎手法推拿结合针灸治疗颈性眩晕的临床研究

Clinical Study on Cervical Manipulation of Tuina Combined with Acupuncture in Treating Cervical Vertigo

目的:探讨颈椎手法推拿结合针灸治疗颈性眩晕的临床疗效。方法:将110例颈性眩晕患者随机分为对照组和治疗组各55例,对照组给予针灸治疗,治疗组给予颈椎手法推拿结合针灸治疗,1个疗程后对比分析2组疗效及安全性。结果:治疗组总有效率98.18%明显优于对照组的85.45%,差异有性统计学意义(P<0.05);2组眩晕评分均较治疗前明显下降,但治疗组下降更为显著,差异均有统计学意义(P<0.05);2组均未出现明显不良反应。结论:颈椎手法推拿结合针灸治疗颈性眩晕,通络活血,荣窍定眩,可明显改善椎-基底动脉供血,缓解眩晕症状,安全高效,值得临床推广应用。

Objective：To investigate the clinical effect of cervical manipulation of Tuina combined with acupuncture in treating cervical vertigo. Methods：One hundred and ten patients with cervical vertigo were randomly divided into control group and treatment group. The 55 patients in the control group received acupuncture treatment, while the 55 patients in the treatment group were given cervical manipu- lation of Tuina combined with acupuncture. The therapeutic effect and safety of treatment after one treatment course were observed and compared. Results：The total effective rate in treatment group and control group were respectively 98.18% and 85.45%, which showed significant differences （P 〈 0. 05 ）. There were no adverse reactions occurred in both groups. Conclusion： Cervical manipulation of Tuina combined with acupuncture in treating cervical vertigo could improve the vertebrobasilar artery blood supply and alleviate symptoms of dizziness with definite safety and efficiency which is worth clinical application.