热敏灸结合仰头摇正手法治疗颈性眩晕临床研究

Clinical Study of Thermosensitive Moxibustion Combined with Face Upward Rotation Bonesetting Manipulation Treatment in Cervical Vertigo

目的:观察热敏灸结合仰头摇正手法治疗颈性眩晕的临床疗效。方法:运用随机数字表法随机将67例颈性眩晕患者分为治疗组34例和对照组33例,治疗组给予热敏灸结合仰头摇正手法治疗,对照组予甲磺酸倍他司汀片口服及天麻素注射液静脉滴注治疗。并分别在治疗结束时、结束后3个月、6个月对患者跟踪随访,观察2组患者的近期及远期疗效。结果:治疗组治疗结束时治愈显效率为88.24%,治疗后3个月随访时治愈显效率为91.18%,治疗后6个月随访时治愈显效率为94.12%,均优于对照组的61.29%、67.74%与70.97%,比较有统计学意义(均P﹤0.05);2组患者治疗结束时、治疗后3个月及6个月随访时症状与功能评分与治疗前相比差异均有统计学意义(均P﹤0.01);与对照组相比,治疗组于治疗结束时、治疗后3个月及6个月随访时在改善颈性眩晕临床症状及功能评分上差异均有统计学意义(均P﹤0.01)。结论:热敏灸结合仰头摇正手法治疗颈性眩晕在近期、远期疗效方面均优于药物治疗,其治疗操作安全,费用低且无药物毒副作用,值得在临床上推广运用。

Objective： To observe the clinical curative effect of thermosensitive moxibustion combined with face upward rotation bonesetting manipulation in treating cervical vertigo. Methods： By random number table method 67 cases of cervical vertigo patients were divided into treatment group of 34 cases and control group（ 33 cases）. The treatment group was given thermosensitive moxibustion combined with face upward rotation bonesetting manipulation,while the control group was treated with Betahistine Mesilate Tablets and Gastrodin injection. The patients were followed up to observe the shortterm and long-term curative effect of the 2 groups at the end of treatment,3 months and 6 months after the treatment respectively. Results： The cure rate of the treatment group was 88. 24% at the end of the treatment,91. 18% 3 months follow-up after treatment,94. 12% 6 months follow-up after treatment,. All were better than that of the control group（ 61. 29%,67. 74% and 70. 97%）. There was significantly statistical difference（ P〈0. 05）; Compared with before treatment,symptoms and function scores of the two groups were statistically significant at the end of treatment,3 months and 6 months after treatment（ P〈0. 01）; Compared with the control group at the end of treatment,3 months and 6months after treatment,the treatment group in improving the clinical symptoms and functional scores of cervical vertigo were statistically significant（ P〈0. 01）. Conclusion： The clinical short-term and long-term curative effect of thermosensitive moxibustion combined with face upward rotation bonesetting manipulation in treating cervical vertigo are superior to drug therapy; the operation of this treatment is safe,low cost and no toxic and side effects of the drug. It is worthy of promotion in clinical use.