旋提手法配合针刺治疗颈性眩晕的疗效分析

Observation of Rotation-Traction Manipulation with Acupuncture Treatment on Cervical Vertigo

目的：观察旋提手法配合针刺治疗颈性眩晕的疗效,并探讨其作用机理。方法：将颈性眩晕患者60例随机分为治疗组和对照组各30例。治疗组采用旋提手法配合针刺治疗,对照组应用颈椎牵引疗法。两组连续治疗2周。结果：治疗组总有效率为96.67%（95%CI=82.75%～99.20%）,对照组为83.33%（95%CI=69.99%～96.67%）,两组综合疗效比较（u=2.131 9,P=0.033 3）,差异有显著性意义;与对照组比较,治疗组可明显降低症状积分参数（t=-3.590 9,P〈0.01）、眩晕积分参数（t’=-8.934 2,P〈0.01）。结论：采用旋提手法配合针刺治疗颈性眩晕的疗效优于颈椎牵引疗法,其收益为OR=0.17（95%CI=0.02～1.58）,NN=7（95%CI=3.51～61.84）。

Objection： To observe the effect of rotation-traction manipulation with acupuncture treatment on cervical vertigo,and explore its mechanism of action. Methods： 60 cases of patients with cervical vertigo were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was given rotation-traction manipulation with acupuncture treatment,while the control group was treated with cervical traction. The treatments of two groups were cotinued to two weeks. Results： The total effective rate of treatment group was 96. 67%（ 95% CI = 82. 75% ～ 99. 20%）,while the control group was 83. 33%（ 95% CI = 69. 99% ～96. 67%）,comparing the comprehensive efficacies of two groups comparing（ u = 2. 131 9,P = 0. 033 3）,the difference were significant. Compared with control group,the treatment group could obviously decrease symptom integral parameter（ t =- 3. 590 9,P〈0. 01）,vertigo integral parameter（ t＇ =- 8. 934 2,P〈0. 01）. Conclusion：The efficacy of rotation-traction manipulation with acupuncture treatment on cervical vertigo was better than cervical traction treatment. Its benefits were OR = 0. 17（ 95% CI = 0. 02 ～ 1. 58）,NN = 7（ 95% CI = 3. 51 ～ 61. 84）.