理脊通脉手法配合脉络宁治疗颈源性眩晕42例疗效观察

Treatment of Cervical Vertigo by Liji Tongmai Manipulation Associated with Mailuoning: A Clinical Observation of 42 Cases

目的:观察理脊通脉手法配合脉络宁静脉滴注治疗颈源性眩晕的临床疗效。方法:将82例患者随机分成2组。治疗组42例应用理脊通脉手法配合脉络宁静脉滴注治疗;对照组40例应用颈椎牵引、颈托固定法配合西比灵口服治疗,观察2组的治疗效果;另外,治疗组选取30例应用彩色多谱勒(TCD)观测治疗前后椎-基底动脉的供血情况。结果:治疗组痊愈、显效36例,愈显率85.71％;对照组痊愈、显效26例,愈显率65.00％。2组愈显率比较,差异有显著性意义(P<0.05),治疗组疗效优于对照组。治疗组治疗前后椎动脉(VA)和基底动脉(BA)的平均血流速度(Vm值)比较,差异有非常显著性意义(P<0.01);血管搏动指数(PI)比较,差异亦有非常显著性意义(P<0.01),治疗后明显低于治疗前。结论:理脊通脉手法配合脉络宁静脉滴注治疗颈源性眩晕具有较好的临床疗效,并且安全可靠,治疗后椎-基底动脉系统的血管顺应性加强,血管阻力减小,舒缩功能改善,血液灌流增加。

Objective: To observe the curative effect of Liji Tongmai manipulation(LTM) associated with intravenous drip of Mailuoning (MLN)for cervical vertigo(CV). Methods: 82 cases of CV were allocated to 2 groups: Treatment group(42 cases) treate<l by LTM associated with intravenous drip of MLN and control group(40 cases)by traction and tixa-tion associated with flunarizini hydrochloruli for oral use. and the curative effects were observed In addition, the blood supply of vertebrobasilar artery was observed by TCD in 30 cases selected from the treatment group before and after treatment. Results: 36 cases(85. 7 1% ) were cured or markedly effective in treatment group and 26 eases(65. 00% ) in control group ( P<0. 05). The average velocity of blood flow (Vmvalue)of bilateral vertebral artery(V A)and basilar artery(B A) were compared in treatment group before and after treatment, showing significant difference( P <0. 01): the pulsation index (PI) showed a very significant difference( P < 0. 01), that after treatment being markedly lower than before treatment. Conclusion: LTM associated with intravenous drip o( MLN possesses good curative elfect for CV and is safe and reliable. The compliance of blood vessels oi vertebrobasilar artery system is enhanced, the resistance of blood vessels is reduced, the vasodilalive and vasoconstrictive function is improved, and the blood perfusion is increased.