超微针刀结合三维平衡整脊治疗颈性眩晕的临床研究

Clinical Observation of Ultrastructural Acupotomy Combined with Three-dimensional Balance Chiropractic on Cervical Vertigo

目的比较超微针刀结合三维平衡整脊与常规针刺治疗颈性眩晕的疗效差异并探讨其机制。方法将60例颈性眩晕患者随机分为治疗组和对照组,各30例。治疗组先用超微针刀松解下项线及第1、2颈椎横突处的痛性结节,再用三维平衡整脊手法对颈椎进行整脊微调,间隔2 d治疗1次,3次为1个疗程;对照组用平补平泻手法针刺风池、风府、颈夹脊、百会、合谷,每日1次,10次为1疗程,1个疗程后观察疗效。结果两组方法均可改善颈性眩晕的症状,治疗组愈显率及总有效率分别为86.67%和96.67%,优于对照组的63.33%和80.00%(均P<0.01);两组治疗后患者症状与功能评分及椎-基底动脉血流动力学指标均明显改善,其中治疗组改善更明显(P<0.01)。结论超微针刀结合三维平衡整脊能有效改善颈性眩晕症状、椎-基底动脉血流动力学指标,效果优于针刺组。

Objective： To compare the difference between the clinical efficacy of the ultrastructural acupotomy combined with three-dimensional balance chiropractic on cervical vertigo with that of routine acupuncture and explore its mechanism. Methods： Sixty patients of cervical vertigo were randomly divided into the treatment group and the control group,with 30 cases in each. The treatment group was treated with ultrastructural acupoto- my at painful nodules on the inferior nuchal line and the first and second cervical vertebrae transverse process, and then finely adjusted at cervical spine using three-dimensional balance chiropractic. In the control group, the reinforcing-reducing method was used once a day at Fenchi （GB20）,Fengfu （GV16）,Jingjiaji （C3-7）,Baihui （GV20） ,Hegu （LI4） ,and 10 times of treatment made one course;the efficacy was observed after 1 course. Re- sults ： The symptoms of cervical vertigo were relieved in both groups. The markedly effective rate and total effec- tive rate of the treatment group were 86.7% and 96.7%, respectively,better than those of the control group （63.3% and 80% ,respectively）（P〈 0.01 ）. The symptom and function score of the two groups after treatment and the ver- tebral basilar artery hemodynamics were significantly improved,and the improvement of the treatment group was more obvious （P〈 0.01）. Conclusion： The uhrastructural acupotomy combined with three-dimensional balance chiropractic can improve the cervical vertigo symptoms and the vertebral basilar artery hemodynamics index,bet- ter than routine acupuncture.