颈复汤联合针刀和手法对颈性眩晕患者的影响

Effects of Jingfu Decoction Combined with Needle-knife and Techniqueon the Patients with Cervical Vertigo

目的:观察颈复汤联合针刀和手法治疗颈性眩晕的临床疗效及对患者血清C反应蛋白(C-reactionprotein,CRP)、肝功能的影响。方法:将106例患者随机分为两组,每组53例。对照组行颈复汤治疗,观察组行颈复汤联合针刀和手法治疗,均治疗2个疗程。观察两组症状与颈性眩晕症状与功能评估量表(evaluation scale for cervical vertigo,ESCV)、血清C反应蛋白(C-reaction protein,CRP)水平、肝功能天门冬氨基转移酶(aspartate aminotransferase,AST)、丙氨酸氨基转移酶(alanine aminotransferase,ALT)、谷氨酰转肽酶(gamma-glutamyl transferase,GGT)、临床疗效。结果:治疗后,观察组ESCV各项评分及总分高于对照组及治疗前,血清CRP水平低于对照组及治疗前,差异均有统计学意义(P<0.05)。治疗后两组AST、ALT、GGT水平均改善,治疗前后组内比较差异有统计学意义(P<0.05),治疗后组间比较,差异无统计学意义(P>0.05)。观察组治疗总有效率98.11%(52/53),高于对照组75.47%(40/53),差异有统计学意义(P<0.05)。结论:颈复汤联合针刀和手法治疗颈性眩晕可显著改善患者症状与功能,降低血清CRP水平,调节肝功能,提高临床疗效。

Objective:To observe clinical effects of Jingfu decoction combined with needle-knife and technique in treating cervical vertigo and its influence on C-reation protein(CRP)and liver function.Methods:A total of 106 patients were randomized into two groups,53 cases each group.The control group were treated by Jingfu decoction,and the observation group Jingfu decoction combined with needle-knife and technique,they were treated for two courses.To observe ESCV,liver function(AST,ALT and GGT)and clinical effects of both groups.Results:After treating,the scores of different items of ESCV and total scores of the observation group were higher than these of the control group and the observation group before treating,the levels of CRP lower than these of the control group and the observation group before treating,and the difference showed statistical meaning(P<0.05).The levels of AST,ALT and GGT of both groups were improved after treating,the difference had statistical meaning within two groups(P<0.05),the difference had no statistical meaning between both groups after treating(P>0.05).Total effective rate of the observation group was 98.11%(52/53),higher than 75.47%(40/53)of the control group,and the difference was statistically significant(P<0.05).Conclusion:Jingfu decoction combined with needle-knife and technique in treating cervical vertigo could notably improve the symptoms and function of the patients notably,reduce the levels of CRP,regulate liver function and raise clinical effects.