中药联合颈部肌训练治疗颈性源性眩晕的临床研究

Clinical Study of Traditional Chinese Medicine Combined with Neck Muscle Training in Treatment of Cervical Vertigo

目的:观察中药配合颈部肌群的综合训练治疗颈性眩晕的临床疗效。方法:将符合纳入标准的192例患者随机分为观察组(90例)和对照组(102例)。观察组使用益气养血活血中药(八珍汤加减)加Thera-Band渐进式弹性阻力带的运动康复训练法;对照组采用传统的颈椎牵引加口服眩晕宁片。观察患者临床症状、头颈活动度、椎-基底动脉供血的变化情况和复发率。结果:观察组、对照组总有效率分别为94.44%、86.27%;组间比较,差异有统计学意义(P<0.05)。观察组2周痊愈24例,占47.06%,对照组2周内痊愈7例,占18.42%,差异有统计学意义(P<0.05)。治疗后两组患者颈椎活动度均得以改善。组间比较,左右侧屈度差异均有统计学意义(P<0.05)。两组椎-基底动脉供血均得以改善,与本组治疗前比较,差异有统计学意义(P<0.01,P<0.05);治疗后组间比较,差异有统计学意义(P<0.05)。观察组复发率8.70%,低于对照组的14.71%。结论:益气养血活血的中药联合运动疗法治疗颈性眩晕的临床疗效良好,在减轻眩晕和颈部胀痛不适症状、改善头颈活动度和椎-基底动脉供血情况等方面均优于牵引疗法;特别在降低复发率方面优势更显著。

Objective ： To observe the clinical effect of traditional Chinese medicine combined with comprehensive training of cervical muscle for the treatment of cervical vertigo. Methods ： 192 patients were randomly divided into the observation group （90 cases） and control group （ 102 cases） accord with the standards. The observation group used Yiqi Yangxue Huoxue herbs （ Bazhen Decoction） plus Thera - Band elastic progressive resistance exercise rehabilitation training; the control group used the traditional cervical traction plus oral Xuanyunning tablet. The changes of clinical symptoms,and recurrent head and neck mobility, and vertebrobasilar rate were observed. Results ： The total effective rates of the observation group and the control group were 94.44%, 86.27% ;comparison between groups had statistically significant difference （P 〈 0.05 ）. 24 cases were cured in the observation group in 2 weeks, accounting for 47.06%. and in control group ,there were 7 cases recovered in 2 weeks, accounted for 18.42%. The difference was statistically significant （ P 〈 0.05 ）. After treatment of cervical activity, two group patients were improved. Comparison between groups showed left and right lateral bending had statistically significant differences （ P 〈 0.05 ）. Two groups vertebrobasilar ischemia conditions were improved, compared with the group before treatment, the difference was statistically significant （ P 〈 0.01, P 〈 0.05 ） ; after treatment between two groups, the difference was statistically significant （ P 〈 0.05 ）. The observation group recurrence rate was 8.70% ,lower than that in the control group 14.71%. Conclusion：The clinical curative effect of traditional Chinese medicine combined with exercise therapy in treating cervical vertigo can supplement qi and nourish blood and promot blood circulation, alleviate the symptoms,improviethe head and neck mobility, which were superior to traction therapy; in particular,it can redtlce the recurrence rate more significantly.