本文選題：頸性眩暈 + 四步手法　； 參考：《陜西中醫(yī)學院》2013年碩士論文

【摘要】：目的 通過觀察四步手法與傳統(tǒng)穴位推拿治療頸性眩暈的療效比較，探討四步手法治療頸性眩暈的臨床療效及作用機理，從而證實四步手法治療頸性眩暈簡單實用、科學規(guī)范、療效確切、安全無副作用。 方法 將90例入選的頸性眩暈患者，隨機分成兩組：試驗組45人，對照組45人。實驗組采用四步手法治療；對照組采用傳統(tǒng)穴位推拿法治療。分別治療4個周后，觀察2組患者TCD、X線的變化及治療前后中醫(yī)臨床癥狀的變化，并對上述結果進行統(tǒng)計學處理。 結果 1、觀察指標的變化：與治療前比較，治療后2組的TCD、X線均有改善，有顯著性差異（p0.01）；2組治療前后中醫(yī)癥狀積分比較具有顯著性差異（p0.01），四步手法治療組中醫(yī)癥狀積分改善優(yōu)于傳統(tǒng)穴位推拿治療組。 2、療效評價：四步手法治療組與傳統(tǒng)穴位推拿治療組無顯著性差異（p0.05），，四步手法治療組療效高于傳統(tǒng)穴位推拿治療組（p0.01）；中醫(yī)癥候療效：四步手法治療組與傳統(tǒng)穴位推拿治療組有明顯差異，差異具有統(tǒng)計學意義(P0.05)，四步手法治療組療效高于傳統(tǒng)穴位推拿治療組（p0.01）。 3、安全性評價:本項臨床試驗研究期間，實驗組和對照組均未發(fā)現(xiàn)不良反應。 結論 四步手法能有效緩解頸性眩暈，并能改善患者臨床癥狀，達到改善椎-基底動脈供血，療效可靠，安全無副作用，四步手法在緩解疼痛方面和傳統(tǒng)穴位推拿法無差異，在改善椎-基底動脈供血方面優(yōu)于傳統(tǒng)穴位推拿法，是治療頸性眩暈的有效方法。
[Abstract]:Purpose The clinical efficacy and mechanism of four-step manipulation in the treatment of cervical vertigo were discussed by observing the curative effect of four-step manipulation and traditional acupoint massage in the treatment of cervical vertigo, which proved that four-step manipulation was simple, practical and scientific in treating cervical vertigo. It is effective and safe without side effects. Method Ninety patients with cervical vertigo were randomly divided into two groups: experimental group (n = 45) and control group (n = 45). The experimental group was treated with four-step manipulation and the control group with traditional acupoint massage. After 4 weeks of treatment, the changes of TCD X ray and the changes of clinical symptoms of TCM before and after treatment were observed, and the above results were analyzed statistically. Result 1. The changes of the indexes: compared with before treatment, the TCD-X ray of the two groups were improved after treatment. There was significant difference in the scores of TCM symptoms before and after treatment. The improvement of TCM symptom score in four-step manipulation group was better than that in the traditional acupoint massage treatment group. 2.Therapeutic evaluation: there was no significant difference between the four-step manipulation treatment group and the traditional acupoint massage treatment group, the curative effect in the four-step manipulation treatment group was higher than that in the traditional acupoint massage treatment group, and the curative effect of TCM syndrome: the four-step manipulation treatment group and the traditional acupoint therapy group. There was significant difference in massage treatment group. The difference was statistically significant (P 0.05). The curative effect of four-step manipulation group was higher than that of traditional acupoint massage group (P 0.01). 3, safety evaluation: during this clinical trial, no adverse reactions were found in the experimental group and the control group. Conclusion The four-step manipulation can effectively relieve cervical vertigo and improve the clinical symptoms of the patients. It can improve the blood supply of vertebrobasilar artery with reliable curative effect and no side effects. There is no difference between four-step manipulation and traditional acupoint massage in relieving pain. It is superior to the traditional acupoint massage in improving the blood supply of vertebrobasilar artery and is an effective method in the treatment of cervical vertigo.
【學位授予單位】：陜西中醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R244.1

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