颈椎微调手法治疗寰枢关节紊乱性眩晕临床研究

Clinical Study on Micro-Adjustment Manipulation of Cervical Vertebrea for Vertigo of Atlantoaxial Instability Type

目的:观察颈椎微调手法治疗寰枢关节紊乱性眩晕的临床疗效。方法:将40例寰枢关节紊乱性眩晕患者按随机数字表法分为观察组和对照组各20例。2组均给予药物治疗、牵引治疗及功能锻炼,对照组加用传统推拿治疗,观察组加用颈椎微调手法治疗。比较2组临床疗效及治疗前后眩晕症状评分及血流动力学指标。结果:观察组总有效率为95.00%,高于对照组60.00%,差异有统计学意义(P<0.05)。治疗前,2组各项症状评分及总分比较,差异无统计学意义(P>0.05)。治疗后,2组各项症状评分及总分高于治疗前,且观察组各项症状评分及总分均高于对照组,差异均有统计学意义(P<0.05)。治疗前,2组左侧椎动脉(LVA)、右侧椎动脉(RVA)以及基底动脉(BA)血流速度比较,差异均无统计学意义(P>0.05)。治疗后,2组LVA、RVA、BA血流速度较治疗前升高,且观察组LVA、RVA、BA血流速度高于对照组,差异均有统计学意义(P<0.05)。结论:颈椎微调手法配合颈椎牵引治疗寰枢关节紊乱性眩晕,可以改善临床症状,提高血流速度,临床疗效较好。

Objective:To observe the clinical effect of micro-adjustment manipulation of cervical vertebrea for vertigo of atlantoaxial instability type. Methods:A total of 40 cases of patients with vertigo of atlantoaxial instability type were divided into the observation group and the control group according to the random number table method,20 cases in each group. Both groups were given medication treatment,traction therapy,and functional exercise. The control group was additionally given traditional tuina therapy. The observation was additionally given micro-adjustment manipulation of cervical vertebrae. The clinical effect was compared between the two groups. The symptom score of vertigo,and hemodynamic indexes before and after treatment were compared between the two groups. Results:The total effective rate was 95.00% in the observation group,higher than that of 60.00% in the control group,the difference being significant(P<0.05). Before treatment,when compared each symptom score and the total score between the two groups,there was no significance being found in the difference(P>0.05). After treatment, each symptom score and the total score in the two groups were higher than those before treatment,and each symptom score and the total score in the observation group were higher than those in the control group, differences being significant(P<0.05). Before treatment, when compared the blood flow velocity of left vertebral artery(LVA), right vertebral artery(RVA) and basilar artery(BA) between the two groups, there was no significance being found in differences(P>0.05). After treatment,the blood flow velocity of LVA,RVA and BA in the two groups was increased when compared with that before treatment,and the blood flow velocity of LVA,RVA and BA in the observation group was higher than that in the control group, differences being significant(P<0.05). Conclusion: In the treatment of vertigo of atlantoaxial instability type, the therapy of micro-adjustment manipulation of cervical vertebrea and cervical traction can improve clinical symptoms and enhance blood flow velocity with good clinical effect.