中国中医科学院望京医院,北京市朝阳区花家地街6号,100102
zhangzhaojie2010@163.com
收稿:2021-04-24,
修回:2022-01-01,
纸质出版:2022-03-02
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李锐,张兆杰,张世民等.疏筋整复手法治疗寰枢关节错缝所致颈性眩晕65例临床观察[J].中医杂志,2022,63(05):450-454.
LI Rui,ZHANG Zhaojie,ZHANG Shimin,et al.Sinew Dredging and Reduction Manipulation for Treating 65 Cases of Atlantoaxial Joint Staggered Seam-induced Cervical Vertigo[J].Journal of Traditional Chinese Medicine,2022,63(05):450-454.
李锐,张兆杰,张世民等.疏筋整复手法治疗寰枢关节错缝所致颈性眩晕65例临床观察[J].中医杂志,2022,63(05):450-454. DOI: 10.13288/j.11-2166/r.2022.05.010.
LI Rui,ZHANG Zhaojie,ZHANG Shimin,et al.Sinew Dredging and Reduction Manipulation for Treating 65 Cases of Atlantoaxial Joint Staggered Seam-induced Cervical Vertigo[J].Journal of Traditional Chinese Medicine,2022,63(05):450-454. DOI: 10.13288/j.11-2166/r.2022.05.010.
目的
2
观察疏筋整复手法治疗寰枢关节错缝所致颈性眩晕的临床疗效。
方法
2
130例寰枢关节错缝所致颈性眩晕患者随机分为治疗组和对照组各65例。治疗组给予疏筋整复手法治疗,每次10~15 min,每周2次,间隔3天。对照组给予常规牵引治疗,每次20 min,每日1次。两组患者均治疗2周,治疗结束后3个月对患者进行随访。观察两组患者治疗前后颈椎开口位X线片枢椎齿突偏移程度和颈椎屈伸功能位寰枢关节活动度的变化情况,并在治疗后及随访时统计两组患者的临床疗效。
结果
2
治疗组治疗后、随访时的愈显率为87.69%、90.48%,分别高于对照组的69.23%、66.67%(
P
=0.01,
P
=0.001)。治疗后两组患者枢椎齿突偏移程度均较治疗前降低(治疗组
t
=13.643,
P
<0.001;对照组
t
=2.776,
P
=0.007),且治疗组低于对照组(
t
=-7.31,
P
<0.001),治疗组治疗前后差值大于对照组(
t
=10.010,
P
<0.001)。治疗后两组患者寰枢关节活动度均较治疗前明显增加(治疗组
t
=-9.135,
P
<0.001;对照组
t
=-11.653,
P
=0.007),且治疗组高于对照组(
t
=5.08,
P
<0.001),两组患者治疗前后差值比较差异有统计学意义(
t
=-6.232,
P
<0.001),治疗组优于对照组。
结论
2
疏筋整复手法对于寰枢关节错缝导致颈性眩晕有较好疗效,可以改善患者枢椎齿突偏移,增加寰枢关节活动度,效果优于常规牵引治疗。
Objective
2
To observe the effect of sinew dredging and reduction manipulation on cervical vertigo caused by the atlantoaxial joint staggered seam.
Methods
2
One hundred and thirty patients with atlantoaxial joint staggered seam-induced cervical vertigo were randomly divided into treatment group and control group, with 65 cases in each group. Treatment group was treated with sinew dredging and reduction manipulation, 10 to 15 minutes each time, twice a week, with an interval of 3 days; the control group received conventional traction, 20 minutes each time, once a day. Patients in both groups received 2-week treatment, and were followed up three months after treatment. The degree of axis odontoid deviation at the cervical opening position through X-rays, and the range of motion of atlantoaxial joint at the cervical flexion and extension position were measured before and after treatment. The clinical effect was analyzed after treatment at follow-up.
Results
2
The markedly effective and cure rate of the treatment group after treatment and at follow-up were 87.69% and 90.48%, respectively, while those of the control group were 69.23% and 66.67% (
P
=0.01 or
P
=0.001). The degree of the axis odontoid deviation in both groups significantly decreased than those before treatment (treatment group:
t
=13.643,
P
<0.001; control group:
t
=2.776,
P
=0.007); the degree was significantly lower in the treatment group than that in the control group (
t
=-7.31,
P
<0.001), and the difference before and after treatment in the treatment group was larger than that in the control group (
t
=10.010,
P
<0.001). The motion range of atlantoaxial joint after treatment were significantly higher than those before treatment in both groups (treatment group:
t
=-9.135,
P
<0.001; control group:
t
=-11.653,
P
=0.007), and the treatment group was superior to that of control group after treatment (
t
=5.08,
P
<0.001); treatment group was superior to the control group in terms of the before-after changes (
t
=-6.232,
P
<0.001).
Conclusion
2
Sinew dredging and reduction mani-pulation has better effects than conventional traction in the treatment of cervical vertigo caused by atlantoaxial joint staggered seam, which can redress the degree of axial odontoid deviation and increase the range of motion of atlantoaxial joint.
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