84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]金斌,鮑鐵周,宋永偉.三聯療法治療寰樞關節(jié)半脫位所致眩暈[J].中醫(yī)正骨,2013,25(03):44-46.
　JIN Bin*,BAO Tie-zhou,SONG Yong-wei..Curative effect and safety of triple therapy in the treatment of vertigo caused by subluxation of atlanto-axial joint[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(03):44-46.
點擊復制

三聯療法治療寰樞關節(jié)半脫位所致眩暈()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數:
2013年03期
頁碼:
44-46
欄目:
臨床研究
出版日期:
2013-03-20

文章信息/Info

Title:
Curative effect and safety of triple therapy in the treatment of vertigo caused by subluxation of atlanto-axial joint
作者:
金斌; 鮑鐵周; 宋永偉
河南省洛陽正骨醫(yī)院,河南 洛陽 471002
Author(s):
JIN Bin*; BAO Tie-zhou; SONG Yong-wei.
*Luoyang Orthopedic-Traumatological Hospital,Luoyang 471002,Henan,China
關鍵詞:
眩暈 寰樞關節(jié) 脫位 骨牽引復位法 舒筋整復手法 川芎嗪 治療; 臨床研究性
Keywords:
Vertigo;  Atlanto-Axial joint;  Dislocations;  Skeletal tracting reposition;  Muscle tendon relax reduction;  Tetramethylpyrazine;  Therapies; investigational
摘要:
目的:觀察三聯療法即頸椎牽引+鹽酸川芎嗪靜脈滴注+理筋整脊手法治療寰樞關節(jié)半脫位所致眩暈的臨床療效及安全性。方法:將符合要求的96例寰樞關節(jié)半脫位所致眩暈患者隨機分為治療組和對照組,每組48例。治療組采用頸椎牽引+鹽酸川芎嗪靜脈滴注+理筋整脊手法治療,對照組采用頸椎牽引+鹽酸川芎嗪靜脈滴注治療。治療1個療程后參照《臨床疾病診斷依據治愈好轉標準》和《中醫(yī)病證診斷療效標準》制定療效評定標準評定2組患者的臨床療效,并于治療結束后比較2組患者寰樞關節(jié)半脫位的改善情況。結果:①治療組治愈40例,好轉7例,無效1例; 對照組治愈30例,好轉14例,無效4例; 治療組臨床療效優(yōu)于對照組(Z=-2.333,P=0.020); ②治療組寰樞軸線與齒狀突軸線距離的改善及齒狀突與兩側塊間距差值的改善均優(yōu)于對照組(t=0.734,P=0.003; t=0.433,P=0.005); ③2組患者不良反應發(fā)生率比較,差異無統計學意義(P=1.000)。結論:采用頸椎牽引+鹽酸川芎嗪靜脈滴注+理筋整脊手法的三聯療法治療寰樞關節(jié)半脫位所致眩暈,能夠調整寰椎與樞椎的位置關系,明顯改善患者的眩暈癥狀,療效確切,且不良反應輕微,值得臨床推廣應用。
Abstract:
Objective:To observe the clinical curative effect and safety of triple therapy in the treatment of vertigo caused by subluxation of atlanto-axial joint.Methods:Ninety-six patients with vertigo caused by subluxation of atlanto-axial joint who met the requirements were randomly divided into treatment group and control group,48 cases in each group.Patients in the treatment group were administrated with cervical traction combined with intravenous drip of ligustrazine hydrochloride and tendon-regulation and orthopaedic-spinal manipulations,while the others in the control group were administrated with cervical traction combined with intravenous drip of ligustrazine hydrochloride.After one course of treatment,the clinical curative effects were evaluated according to the evaluation criteria in accordance with Standard for Diagnosis basis and Cure Improvement of Clinical Disease and Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes,and the improvements of subluxation of atlanto-axial joint were compared between the 2 groups after the treatment.Results:Forty patients got an excellent result,7 good,and 1 poor in the treatment group; while 30 patients got an excellent result,14 good,and 4 poor in the control group; therefore,the clinical curative effect of treatment group was better than that of control group(Z=-2.333,P=0.020).The treatment group was better than the control group in the improvement of distance between atlantoaxial axis and odontoid process axis,and the improvement of differences of distance between odontoid process and both lateral mass(t=0.734,P=0.003; t=0.433,P=0.005).There was no statistical difference in adverse effects rate between the 2 groups(P=1.000).Conclusion:The triple therapy,composed of cervical traction,intravenous drip of ligustrazine hydrochloride and tendon-regulation and orthopaedic-spinal manipulations,can not only adjust the positional relationship between atlas and axis,but also significantly improve the vertigo symptoms with exact curative effects and mild adverse reactions in the treatment of vertigo caused by subluxation of atlanto-axial joint,it is worth popularizing in clinic.

參考文獻/References:

[1] 劉慶華,張明英.環(huán)樞關節(jié)半脫位的影像診斷[J].中國實用醫(yī)藥,2008,3(5):70.
[2] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標準[S].南京:南京大學出版社,1994:23.
[3] 孫傳興.臨床疾病診斷依據治愈好轉標準[M].2版.北京:人民軍醫(yī)出版社,2002:511.
[4] 徐立偉,樊旭,宋鳳明.從環(huán)樞椎論治頸性眩暈的臨床研究[J].遼寧中醫(yī)藥大學學報,2008,10(5):92-93.
[5] 范炳華,吳良浩,張杰,等.椎動脈性眩暈的血管形態(tài)學變化及分型研究[J].中國骨傷,2005,18(9):527-529.
[6] 游勇,謝宗貴,胡元明,等.頸性眩暈與環(huán)樞關節(jié)紊亂的臨床和X線表現分析[J].現代醫(yī)用影像學,2008,17(3):114-115.
[7] 梁樹藝.刺絡拔罐加手法治療環(huán)樞關節(jié)紊亂眩暈癥50例[J].福建中醫(yī)藥, 2009,40(1):28-29.
[8] 周學龍.寰樞關節(jié)半脫位并眩暈患者的手法治療[J].中國中醫(yī)藥信息雜志,2008,15(11):58-59.

相似文獻/References:

[1]孫獻武,于香蘭,邵海燕,等.應用三維動靜態(tài)平衡康復模式治療 非脊髓型頸椎病的臨床研究[J].中醫(yī)正骨,2015,27(11):8.
　SUN Xianwu,YU Xianglan,SHAO Haiyan,et al.Clinical study on three-dimensional dynamic and static equilibrium rehabilitation modality in the treatment of non-myelopathy type cervical spondylosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):8.
[2]寧興明,伍亮,王廷,等.五禽戲配合核心肌力訓練治療非特異性腰痛的臨床研究[J].中醫(yī)正骨,2015,27(11):25.
　NING Xingming,WU Liang,WANG Ting,et al.Clinical study on five mimic-animal boxing combined with core muscular strength exercise for the treatment of nonspecific low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):25.
[3]沈海,劉昕,彭玉蘭,等.復位架牽引下手法復位經皮穿針內固定治療 兒童肱骨髁上骨折的臨床研究[J].中醫(yī)正骨,2015,27(10):1.
　SHEN Hai,LIU Xin,PENG Yulan,et al.Clinical study on reduction frame traction combined with manipulative reduction and percutaneous Kirschner wire internal fixation for treatment of humeral supracondylar fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):1.
[4]葛波涌,王玉波,王明太,等.交鎖髓內釘內固定治療脛骨干骨折的臨床研究[J].中醫(yī)正骨,2015,27(10):8.
　GE Boyong,WANG Yubo,WANG Mingtai,et al.Clinical study on the internal fixation with interlocking intramedullary nail for the treatment of tibial shaft fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):8.
[5]梁朝,蔡靜怡,閆立,等.針刀療法改善膝骨關節(jié)炎早期疼痛癥狀的療效評價[J].中醫(yī)正骨,2015,27(09):9.
　LIANG Zhao,CAI Jingyi,YAN Li,et al.Evaluation of the curative effect of needle-knife therapy for relieving knee pain in patients with early knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):9.
[6]邢金明.切開復位鎖定鋼板內固定術和人工半肩關節(jié)置換術 治療老年肱骨近端復雜骨折的對比研究[J].中醫(yī)正骨,2015,27(08):11.
　XING Jinming.A retrospective trial of open reduction and locking plate internal fixation versus artificial shoulder hemiarthroplasty for complicated proximal humeral fractures in old patients[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):11.
[7]帥波,沈霖,楊艷萍,等.加味青娥丸治療膝骨關節(jié)炎的作用機制研究[J].中醫(yī)正骨,2015,27(07):15.
　SHUAI Bo,SHEN Lin,YANG Yanping,et al.Study on the mechanism of action of Jiawei Qing'e Wan(加味青娥丸)for the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):15.
[8]黃楊,王昌興,鄒陽.AO鈦制彈性髓內釘內固定與切開復位鋼板內固定治療 小兒肱骨干中下段骨折的比較研究[J].中醫(yī)正骨,2015,27(07):22.
　HUNAG Yang,WANG Changxing,ZOU Yang.A comparative study of AO titanium elastic stable intramedullary nail internal fixation versus open reduction plate osteosynthesis for the treatment of mid-distal humeral fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):22.
[9]梅其杰,袁長深,段戡,等.壯藥骨痹方燙熨聯合運動療法治療膝骨關節(jié)炎的臨床研究[J].中醫(yī)正骨,2015,27(07):27.
　MEI Qijie,YUAN Changshen,DUAN Kan,et al.Clinical study of the curative effect of hot compressing and rubbing with packet of Gubi Fang(骨痹方)combined with exercise therapy in the treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):27.
[10]王丹輝,張燕,劉麗娟,等.重組人Ⅱ型腫瘤壞死因子受體-抗體融合蛋白 關節(jié)腔注射聯合中藥薰洗治療膝骨關節(jié)炎的臨床研究[J].中醫(yī)正骨,2015,27(07):31.
　WANG Danhui,ZHANG Yan,LIU Lijuan,et al.Clinical study on intra-articular injection of TypeⅡrecombinant human tumor necrosis factor receptor-Fc fusion protein combined with Chinese herbal steaming and washing therapy for treatment of knee osteoarthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):31.

更新日期/Last Update: 2013-03-20