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1、穴位组织松解与埋线合脊林微调手法治疗颈性眩晕的临床研究作者:刘保新,王力平,徐敏,黄承军,唐福宇单位:广西中医学院第三附属医院脊柱外科,广西柳州545()01【摘要】【目的】观察穴位软纽.织松解与皮下埋线合脊柱微调手法治疗颈性眩晕的临床疗效。【方法】将160例颈性眩晕患者随机分为对照纽与治疗组各80例。对照纽给沖尼莫地平与西比灵口服治疗,治疗纽•釆用穴位软纽织松解与皮下埋线合脊柱微调手法治疗。分别治疗2个月后,观察临床疗效与治疗前后经颅多普勒(TCD)左椎动脉(LVA)、右椎动脉(RVA)、基底动脉(BA)等收缩期血流速度的改变情况。【结果】治疗2个月后治疗组疗效优
2、于对照组(P<001)o对照纽与治疗组治疗后LVA、RVA及BA的平均血流速度均较治疗前明显上升(P&l(;005或P<0()1),其中治疗组上升更明显(与对照组比较01)。肋6个月,治疗纽复发率低于对照组(P&l(;001)o【结论】穴位软纽织松解与埋线合脊柱微调手法治疗颈性眩晕能有效改善患者的眩晕症状与脑血流,疗效确切。【关键词】颈性眩晕/中医疗法穴位埋线疗法脊柱微调手法ClinicalObservationofReleasingSoftTissueReleasePlusEmbeddingCatgutatAcupointsandSpineFineAd
3、justingManipulationinTreatingCervicalVertigoLIUBaoxin,WANGLiping,XUMin,HUANGChengjun,TANGFuyu,LOUYuming,LIANGZhu,WANGJi,LIANGDongbo,TANGHanwu(Dept,ofSpinalSurgerytheThirdAffiliatedHospitalofGuangxiCollegeofTCM,Liuzhou545001Guangxi,China)Abstract:ObyectiveToinvestigatethetherapeuticeffe
4、ctofreleasingsofttissueplusembeddingcatgutatacupointsandspinefineadjustingmanipulationoncerxicalvertigo.MethodsOnehundredandsixtycervicalvertigopatientswereequallyrandomizedintotwogroups:thecontrolgroupwasgivennimodipineandflunarizinetablets,andthetreatmentgroupreceivedreleasingsofttis
5、sueplusembeddingcatgutatacupointsandspinetineacljustingmanipulation.Aftertreatmentfortwomonths,thetherapeuticeffectinbothgroupswasevaluated,andthechangesofthemaximumflowrateinleftvertebralartery(EVA),rightvertebralartery(RVA)andbasilarartery(BA)wererecordedbytranscranialDopplersonograp
6、hy(TCD)beforeandaftertreatment.ResultsTheresultsofRidittestshowedthatthetherapeuticeffectinthetreatmentgroupwassuperiortothatinthecontrolgroup(P<O01).Aftertreatmentfortwomonths,theaveragebloodflowrateinLVA,RVAandBAwasincreasedinbothgroups(P&l(;005orP<O01comparedwiththatbeforetrea
7、tment),andtheincreaseinthetreatmentgroupwasobviousascomparedwiththatinthecontrolgroup(P&11;001).Theresultof6monthfollowupshowedthattherecurrencerateinthetreatmentgroupwaslowerthanthatinthecontrolgroup(P<O01).ConclusionReleasingsofttissueplusembeddingcatgutatacupointsandspinefinead