针刀松解枕下肌群治疗颈性眩晕42例临床观察

Clinical observation on 42 cases of cervical vertigo treated by needle scalpel relaxing suboccipital muscle group

目的观察针刀松解枕下肌群治疗颈性眩晕的临床疗效。方法将84例颈性眩晕患者采用随机数字表法分为对照组和治疗组,各42例。对照组给予常规针刺治疗,治疗组给予针刀松解枕下肌群治疗。2组均以5 d为1个疗程,2个疗程后比较2组的临床疗效及治疗前后的眩晕障碍量表(DHI)、视觉模拟评分法(VAS)评分。结果对照组总有效率为61.9%(26/42),治疗组为85.7%(36/42),2组比较差异有统计学意义(P<0.01);治疗后2组DHI、VAS评分均明显降低,与同组治疗前比较差异有统计学意义(P<0.01),且治疗组降低更明显,与对照组治疗后比较差异有统计学意义(P<0.05)。结论针刀松解枕下肌群治疗颈性眩晕临床疗效显著,可明显改善患者的眩晕症状,值得临床推广应用。

Objective To observe the clinical efficacy of cervical vertigo treated by needle scalpel relaxing suboccipital muscle group.Methods Eighty-four patients with cervical vertigo were divided into control group and treatment group according to random number table method,with 42 cases in each.The control group was treated with routine acupuncture,while the treatment group was treated by needle scalpel relaxing suboccipital muscle group.Five days constituted 1 course of treatment for the 2 groups.After 2 courses,the clinical efficacy,dizziness handicap inventory(DHI)scores and visual analogue scale(VAS)scores before and after treatment of the 2 groups were compared.Results The total effective rate of the control group was 61.9%(26/42),that of the treatment group was 85.7%(36/42),and the difference was statistically significant between the 2 groups(P<0.01);after treatment,DHI scores and VAS scores of the 2 groups all significantly decreased,and the difference was statistically significant compared with the same group before treatment(P<0.01),moreover,the treatment group decreased more significantly,and the difference was statistically significant compared with the control group after treatment(P<0.05).Conclusion It has marked clinical efficacy,can markedly improve the vertigo symptoms of the patients to use needle scalpel relaxing suboccipital muscle group in the treatment of cervical vertigo,which deserves clinical promotion and application.