龙氏手法结合刃针治疗颈性眩晕的临床效果观察

Clinical efficacy of Long’s Bonesetting combined with blade needle in treatment of cervical vertigo

目的观察龙氏手法结合刃针治疗颈性眩晕的临床疗效,评价该方法的有效性和安全性,为临床应用推广提供依据。方法采用随机数字表法将56例颈性眩晕患者分为治疗组和对照组各28例,治疗组采用龙氏手法复位结合刃针治疗,对照组采用单纯刃针治疗,两组均治疗2个疗程,比较两组颈性眩晕症状与功能评估量表评分。结果治疗后治疗组和对照组的颈性眩晕症状与功能评估量表评分均较治疗前显著升高,差异均有统计学意义(P<0.05);治疗组眩晕症状改善与功能评估量表评分高于对照组,差异有统计学意义(P<0.05)。治疗组的临床疗效显著优于对照组,差异有统计学意义(P<0.05)。结论龙氏手法结合刃针能够整复寰枢关节错位,松解颈枕部肌群、韧带的痉挛,从而缓解对神经、血管的压迫和刺激,达到治疗眩晕的目的,且临床疗效显著,操作安全,有较好的临床实用性,值得临床推广应用。

Objective To observe the clinical efficacy of Long′s Bonesetting combined with blade needle in treatment of cervical vertigo,to evaluate the effectiveness and safety of the treatment,and to provide reliable basis for clinical application of the treatment.Methods Fifty-six cases of cervical vertigo were randomly divided into treatment group and control group by random number table method,with 28 cases in each group.The treatment group was treated with Long′s Bonesetting combined with blade needle,and the control group received blade needle alone,with two courses of treatment in the two groups.The symptoms of cervical vertigo and the scores of Function Assessment Scales were compared between the two groups.Results Compared with those before treatment,the scores of symptoms of cervical vertigo and Function Assessment Scale were significantly elevated in both of the two groups after treatment(P<0.05).The treatment group had better effect of the symptom improvement and higher scores of Function Assessment Scale than the control group(P<0.05).The curative effect of the treatment group was significantly better than that of the control group(P<0.05).Conclusion Long′s Bonesetting combined with blade needle is safe and effective in treatment of cervical vertigo caused by subluxation of atlantoaxial joint and can release the spasm of the craniovertebral muscle groups and ligaments to relieve the oppression and excitement of the nerves and vessels leading to cervical vertigo.