基于肌筋膜疼痛触发点的四种方法治疗颈性眩晕的疗效观察

Clinical observation for treatment of cervical vertigo with 4 methods based on the principle of myofascial trigger points

目的本文研究性多年来应用肌筋膜疼痛触发点诊断和治疗原理,以四种组合治疗方法,治疗颈源性眩晕治疗的临床效果观察,分析和比较它们的疗效。方法 100例诊断和被评分的眩晕患者,33例经过湿针,22例干针,21例手法,24例综合湿针和手法治疗。详述了各种方法的技术。对治疗疗程前后进行了眩晕评分和统计学处理。结果四种方法的有效率100%,治疗后的治愈率分别为:湿针85%,干针73%,手法48%,综合治疗96%。治疗后两个月随访,未完全愈合的23例中,综合组的1例和针法2组的8例均痊愈,手法组8例反弹,占了本组的38%。最后剩余14例和手法反弹的8例,共22例进入第二个疗程,以综合方法治疗。第二个综合治疗后,这22例全部治愈,评分都在13-16分。所有病例一年后追踪随访,无一例复发。结论综合组明显优于其它三组,湿针组倾向优于干针组,最差是手法组而且复发率较高。

Objective To analyze the treatment effects of cervical vertigo with 4 methods focus- ing on myofascial trigger points and compare their curative effects. Methods 100 patients with cervical vertigo were involved,including 33 cases in wet needling,22 cases in dry needling,21 cases in massage and manipulation,24 cases in the treatment of combination of wet needling and manipulation. All cases were evaluated with vertigo assessment scale before and after treatment, and analyzed with statistics. Results 100% effective rate was obtained with all 4 methods,but curative rates were different. After treatment,the curative rates were 85% in wet needling,73% in dry needling,48% in manipulation and 96% in combination. 23 eases could not completely be cured. After 2 months of follow-up in treatment, 1 case in combination, 8 cases in 2 needling groups hecame normal with no vertigo,but 8 cases of manipulation became recurrence, occupied 38% in total. Therefore,14 cases and 8 cases of manipulation recurrence,total 22 cases entered into the second therapeutic course with the combination methods. After that,the 22 cases were all cured with assessment in 13-16 scores. In one year follow-up,no case was relapsed. Conclusion The effect of combination is more excellent than the groups,wet needling tends to be better than dry needling,the worse method is manipulation with a high recurrence.