定点三向仰正法治疗寰枢关节旋转半脱位源性眩晕

Fixed-direction Twirling Therapy on the Treatment of Vertigo Caused by Atlantoaxial Rotatory Subluxation

目的观察定点三向仰正法治疗寰枢关节旋转半脱位源性眩晕的临床疗效及安全性。方法将60例寰枢关节旋转半脱位源性眩晕患者随机分为治疗组和对照组,各30例。治疗组给予定点三向仰正法治疗,1次/d,10次为1疗程;对照组给予坐式牵引治疗,1次/d,6次为1个疗程;2组均治疗2个疗程,疗程间休息1 d。比较2组治疗前后主要症状、体征积分和X线片(ADI、VBLADS)变化情况,评价临床疗效及安全性。结果治疗组和对照组的总有效率分别是93.33%和73.33%,差异有统计学意义(P <0. 05);治疗组主要症状、体征积分和X线片(ADI、VBLADS)情况与对照组比较,差异有统计学意义(P <0. 05)。2组均无不良反应发生。结论定点三向仰正法治疗寰枢关节旋转半脱位源性眩晕较坐式牵引疗法治疗效果好,通过手法整复错位关节,达到通利关节、疏通经络、行气活血的目的,进而改善患者眩晕症状。

Objective Observe clinical efficacy and safety of vertigo caused by atlantoaxial rotatory subluxation byfixed-direction twirling therapy. Methods 60 patients with vertigo caused by atlantoaxial rotatory subluxation divided into treatment group and control group with 30 cases each. The treatment group was treated with fixed-direction twirling therapy, the control group was treated by sitting traction. Two groups were treated once a day, 10 times is a course of treatment for the treatment group, 6 times is a course of treatment for the control group, two courses of rest 1 day, a total of 2 courses of treatment. The main symptoms, signs and X-ray(ADI, VBLADS) were compared between the two groups before and after treatment. The clinical efficacy and safety were evaluated after treatment.Results The total effective rate was 93.33% in the treatment group and 73.33% in the control group, the dif ference is statistically significant.(P < 0.05). The main symptoms, signs and X-ray(ADI, VBLADS) in the treatment group were significantly different from those in the control group(P < 0.05). There were no adverse reactions in both groups. Conclusion Fixed-direction twirling therapy treatment of vertigo caused by atlantoaxial rotatory subluxation is more efficient and safe than sitting traction therapy. This method can play the purpose of promoting the joint, dredging the meridian and activating blood circulation and improve the symptoms of vertigo in patients.