枕下缘针刀松解结合端提整脊法治疗颈性眩晕疗效分析

Efficacy of needle-knife lytic method on suboccipital soft tissues combined with lifting chiropractic in treatment of cervical vertigo

目的观察枕下缘针刀松解结合端提整脊法治疗颈性眩晕的疗效。方法将我院134例颈性眩晕患者随机分为针刀整脊组(68例)与电针整脊组(66例)。针刀整脊组采用枕下缘针刀松解结合端提整脊法治疗,而电针整脊组则采用电针结合端提整脊法治疗。观察比较两组患者疗效治疗前和末次治疗后1 d及3、6、18个月的眩晕障碍量表(DHI)评分和改善指数、颈椎功能障碍指数(NDI)评分变化及复发情况。结果治疗后,针刀整脊组总有效率高于电针整脊组(P<0.05)治疗后1d、3个月、6个月、18个月,两组的DHI评分和NDI评分均低于治疗前,针刀整脊组的DHI评分和NDI评分均低于同期电针整脊组(P<0.05),针刀整脊组的DHI改善指数均高于同期电针整脊组(P<0.05);随访18个月显示针刀整脊组和电针整脊组的复发率差异无统计学意义(P>0.05)。结论枕下缘针刀松解结合端提整脊法治疗颈性眩晕有良好的近远期疗效,可在临床开展此疗法。

Objective To observe the clinical effect of needle-knife lytic method on suboccipital soft tissues combined with lifting chiropractic in treatment of cervical vertigo.Methods A total of 134 patients with cervical vertigo treated in were randomly divided into nee dle-knife chiropractic group(68 cases)and electroacupuncture(EA)chiropractic group(66 cases).Needle-knife chiropractic group was treated by needle-knife lytic method on suboccipital soft tissues combined with lifting chiropractic,and EA chiropractic group was treated by EA combined with lifting chiropractic.The clinical efficacy,Dizziness Handicap Inventory(DHI)score,improvement rates of DHI and Neck Disability Index(NDI)scores and the recurrent rate of the two groups were observed and compared.Results The total effective rate of needle-knife chiropractic group was higher than that of EA chiropractic group(P<0.05).At 1 day,3 months,6 months and 18 months after treatment,the DHI score and NDI score of both groups were lower than those before treatment,and were lower in needle-knife chiropractic group than those in EA chiropractic group(P<0.05),and the DHI score of needle-knife chiropractic group was higher than that of EA chiropractic group(P<0.05);the 18-month follow-up showed that there was no significant difference in the recurrence rate between the two groups(P>0.05).Conclusion Needle-knife lytic method on suboccipital soft tissues combined with lifting chiropractic has good short-term and long-term efficacy on cervical vertigo,and this therapy can be carried out clinically.