【摘要】：目的:通過(guò)觀察頸椎臥位多向調(diào)整手法和常規(guī)推拿手法治療頸源性眩暈的臨床療效,初步探討頸椎臥位多向調(diào)整手法的療效依據(jù)和作用機(jī)理,為臨床治療頸源性眩暈提供一種安全有效的治療方法。方法:將符合納入標(biāo)準(zhǔn)的60例頸源性眩暈患者采用隨機(jī)數(shù)字表法分為觀察組和對(duì)照組,每組30例。觀察組采用頸椎臥位多向調(diào)整手法治療,對(duì)照組采用常規(guī)推拿手法治療。療程結(jié)束后,觀察兩組患者雙側(cè)椎動(dòng)脈Vs、Vd的血流變化及頸源性眩暈癥狀與功能積分改變,并對(duì)所收集的數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)分析,得出結(jié)論。結(jié)果:1.頸源性眩暈癥狀與功能積分:兩組患者療程結(jié)束后癥狀與功能總積分、眩暈積分較治療前均有改善,差異具有統(tǒng)計(jì)學(xué)意義(P0.05);兩組患者療程結(jié)束后癥狀與功能總積分,眩暈積分進(jìn)行組間比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.01),說(shuō)明兩種治療方法均能改善患者的癥狀體征,但觀察組癥狀體征改善明顯優(yōu)于對(duì)照組。2.TCD數(shù)據(jù):療程結(jié)束后兩組患者雙側(cè)椎動(dòng)脈Vs、Vd數(shù)值均較治療前改善,與治療前進(jìn)行組內(nèi)對(duì)比,其差異具有統(tǒng)計(jì)學(xué)意義(P0.05),兩組患者療程結(jié)束后雙側(cè)椎動(dòng)脈Vs、Vd值進(jìn)行組間比較,經(jīng)t檢驗(yàn)P值均小于0.01,具有統(tǒng)計(jì)學(xué)意義。3.在臨床療效方面:兩組的療效差異具有統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明觀察組療效優(yōu)于對(duì)照組。結(jié)論:1.頸椎臥位多向調(diào)整手法能有效緩解患者臨床癥狀,有效改善頸源性眩暈癥狀與功能。2.頸椎臥位多向調(diào)整手法能增加椎動(dòng)脈供血,有效增加腦部供血。3.頸椎臥位多向調(diào)整手法治療頸源性眩暈臨床療效優(yōu)于常規(guī)推拿手法組,值得臨床推廣與應(yīng)用。
[Abstract]:Objective: to observe the clinical effect of cervical vertebra supine position multidirectional adjustment manipulation and conventional massage manipulation in the treatment of cervical vertigo, and to explore the curative effect and mechanism of cervical supine position multidirectional adjustment manipulation. To provide a safe and effective treatment for cervical vertigo. Methods: 60 patients with cervical vertigo were randomly divided into observation group (n = 30) and control group (n = 30). The observation group was treated by multi-directional manipulation of cervical vertebra supine position, and the control group was treated by conventional massage manipulation. After the course of treatment, the changes of blood flow, the symptoms and functional scores of cervical vertigo in bilateral vertebral arteries were observed, and the collected data were statistically analyzed, and the conclusion was drawn. The result is 1: 1. Cervical vertigo symptoms and functional score: the two groups of patients after the end of the course of treatment symptoms and functional total score, vertigo scores were improved compared with before treatment, the difference was statistically significant (P0.05); two groups of patients after the end of the course of treatment symptoms and total functional score, 2 groups of patients after the end of the course of treatment and the total score of function, The dizziness score was compared between the two groups, and the difference was statistically significant (P0.01), which indicated that the two treatment methods could improve the symptoms and signs of the patients. However, the improvement of symptoms and signs in the observation group was significantly better than that in the control group. 2. TCD data: after the treatment, the VsVd values of bilateral vertebral arteries in the two groups were improved compared with those before treatment, and were compared with those before treatment. The difference was statistically significant (P0.05). The VsV d value of bilateral vertebral artery was compared between the two groups after the end of the course of treatment, P value of t test was less than 0.01, with statistical significance. 3. In terms of clinical efficacy: the difference between the two groups was statistically significant (P0.05), indicating that the observation group is better than the control group. Conclusion 1. Multi-directional manipulation in the supine position of cervical spine can effectively relieve the clinical symptoms and improve the symptoms and functions of cervical vertigo. Multi-directional manipulation of cervical vertebra supine position can increase blood supply of vertebral artery and increase blood supply of brain effectively. The treatment of cervical vertigo by multidirectional manipulation in the supine position of cervical spine is better than that in the conventional massage manipulation group, and it is worth popularizing and applying.
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R244.1

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