推拿结合睡枕的调节治疗寰枕后膜挛缩症的研究

Treatment of Contracture of Posterior Atlantooccipital Membrane with Massage Combined and Sleeping Pillow

目的:探讨推拿结合睡枕的调节治疗寰枕后膜挛缩症的临床疗效。方法:收集寰枕后膜挛缩症患者300例,随机分为A、B、C三组,每组100例。A组采用手法推拿治疗;B组采用量身定做的孙思邈五行颈枕治疗;C组采用推拿结合睡枕治疗。观察三组患者的临床疗效、治疗前后寰枕后间距及双侧椎动脉平均血流流速、随访3个月内复发情况。结果:C组总有效率为98%,明显高于A组的81.1%和B组的79.3%(P<0.05);C组治疗后寰枕后间距明显大于A组和B组(P<0.05);C组治疗后双侧椎动脉平均血流流速明显快于A组和B组(P<0.05);C组复发率明显低于A组和B组(P<0.05)。结论:推拿结合睡枕的调节治疗寰枕后膜挛缩症疗效显著,值得临床推广。

Objective： To explore the clinical effects of massage combined with sleeping pillow in the treatment of contracture of posterior atlantooccipital membrane. Methods： 300 Cases with contracture of posterior atlantooccipital membrane were randomly divided into A, B and C groups, 100 cases in each group. The group A was treated by manipulation massage; the group B was treated individually by SUN Si-miao five elements neck pillow; the group C was treated by massage combined with pillow. All of the patients in the three groups were followed for 3 months. Results： The total effective rate in group C was 98%, significantly higher than that in the group A （82%, P^0.05） and that in the group B （80%, P〈0.05）; the posterior occipital space in the group C was significantly bigger thClateral vertebral artery in the group C was significantly faster than that in the group A and the group B （P〈0.05）; the recurrence rate in the group C was significantly lower than that in the group A and the group B （P〈0.05）. Conclusion： The clinical effects of massage combined with sleeping pillow in the treatment of contracture of posterior atlantooccipital membrane are very good, it is worthy of clinical promotion.