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[1]范德輝,林錦坤,張振寧,等.腹針療法聯(lián)合龍氏手法治療寰樞關(guān)節(jié)半脫位致頸性眩暈[J].中醫(yī)正骨,2014,26(04):19-22.
　Fan Dehui*,Lin Jinkun,Zhang Zhenning,et al.Observation on curative effects of abdominal acupuncture combined with Long's manipulation in the treatment of cervical vertigo caused by atlanto-axial subluxation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(04):19-22.
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腹針療法聯(lián)合龍氏手法治療寰樞關(guān)節(jié)半脫位致頸性眩暈()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期數(shù):
2014年04期
頁碼:
19-22
欄目:
臨床研究
出版日期:
2014-04-30

文章信息/Info

Title:
Observation on curative effects of abdominal acupuncture combined with Long's manipulation in the treatment of cervical vertigo caused by atlanto-axial subluxation
作者:
范德輝1; 林錦坤2; 張振寧2; 蘇美意2; 吳維2; 李錫行2; 羅孟西2; 魏美華2
1.廣東省第二中醫(yī)院,廣東 廣州 510095; 2.廣州中醫(yī)藥大學(xué),廣東 廣州 510405
Author(s):
Fan Dehui*; Lin Jinkun; Zhang Zhenning; Su Meiyi; Wu Wei; Li Xihang; Luo Mengxi; Wei Meihua.*
The Second Hospital of Traditional Chinese Medicine of Guangdong,Guangzhou 510095,Guangdong,China
關(guān)鍵詞:
眩暈 寰樞關(guān)節(jié) 脫位 針刺療法 腹針 手法; 捏脊 治療; 臨床研究性
Keywords:
Vertigo;  Atlanto-Axial joint;  Dislocations;  Acupuncture therapy;  Abdominal acupuncture;  Manipulation; chiropractic;  Therapies; investigational
摘要:
目的:比較龍氏手法、腹針療法與腹針療法結(jié)合龍氏手法治療寰樞關(guān)節(jié)半脫位致頸性眩暈的臨床療效。方法:將164例寰樞關(guān)節(jié)半脫位致頸性眩暈患者隨機(jī)分為3組,腹針手法組55例,腹針組53例和手法組56例。腹針手法組采用腹針療法聯(lián)合龍氏手法治療,腹針組采用腹針療法治療,手法組采用龍氏手法治療。治療2個療程后及治療結(jié)束后1個月,比較3組患者的臨床療效。結(jié)果:①治療結(jié)束后的即時療效。治療2個療程后,腹針手法組痊愈32例,顯效15例,有效5例,無效3例; 腹針組痊愈21例,顯效10例,有效13例,無效9例; 手法組痊愈25例,顯效11例,有效12例,無效8例。3組患者的臨床療效比較,差異有統(tǒng)計學(xué)意義(H=6.600,P=0.037)。進(jìn)一步兩兩比較(調(diào)整檢驗水準(zhǔn):α'=0.017),腹針手法組的臨床療效優(yōu)于腹針組(Z=-2.635,P=0.008); 腹針手法組的臨床療效與手法組比較,差異無統(tǒng)計學(xué)意義(Z=-2.028,P=0.043); 腹針組的臨床療效與手法組比較,差異無統(tǒng)計學(xué)意義(Z=-0.622,P=0.534)。②治療結(jié)束后1個月時的近期療效。治療結(jié)束后1個月,腹針手法組痊愈25例,顯效11例,有效12例,無效7例; 腹針組痊愈16例,顯效12例,有效10例,無效15例; 手法組痊愈12例,顯效9例,有效17例,無效18例。3組患者的臨床療效比較,差異有統(tǒng)計學(xué)意義(H=9.724,P=0.008)。進(jìn)一步兩兩比較(調(diào)整檢驗水準(zhǔn):α'=0.017),腹針手法組的臨床療效與腹針組比較,差異無統(tǒng)計學(xué)意義(Z=-1.930,P=0.054); 腹針手法組的臨床療效優(yōu)于手法組(Z=-3.128,P=0.001); 腹針組的臨床療效與手法組比較,差異無統(tǒng)計學(xué)意義(Z=-1.193,P=0.233)。結(jié)論:腹針療法聯(lián)合龍氏手法治療寰樞關(guān)節(jié)半脫位致頸性眩暈,可以改善患者的臨床癥狀與體征,提高患者生活質(zhì)量; 其治療結(jié)束后的即時療效優(yōu)于腹針療法,而治療結(jié)束后1個月時的近期療效優(yōu)于龍氏手法。但其即時療效與龍氏手法比較以及近期療效與腹針療法比較均無優(yōu)勢; 其臨床療效是否在不同時期均可達(dá)到協(xié)同的作用尚有待進(jìn)一步研究。
Abstract:
Objective:To compare the clinical curative effect of Long's manipulation,abdominal acupuncture and and their combination in the treatment of cervical vertigo caused by atlanto-axial subluxation.Methods:One hundred and sixty-four patients with cervical vertigo caused by atlanto-axial subluxation were randomly divided into 3 groups,55 cases were treated with abdominal acupuncture combined with Long's manipulation(combination therapy group),53 cases were treated with abdominal acupuncture(abdominal acupuncture group)and 56 cases were treated with Long's manipulation(manipulation group).The clinical curative effects were compared between the 3 groups after two courses of treatment and one month after the end of the treatment respectively.Results:Thirty-two patients obtained an excellent result,15 good,5 fair and 3 poor in the combination therapy group; while 21 patients obtained an excellent result,10 good,13 fair and 9 poor in the abdominal acupuncture group; and 25 patients obtained an excellent result,11 good,12 fair and 8 poor in the manipulation group after two courses of treatment.There were statistical differences in the curative effects between the 3 groups(H=6.600,P=0.037).Further pairwise comparison(αˊ=0.017)showed that the curative effect of combination therapy was better than that of abdominal acupuncture(Z=-2.635,P=0.008); there was no statistical difference in the curative effect between combination therapy and monotherapy of manipulation(Z=-2.028,P=0.043); there was no statistical difference in the curative effect between monotherapy of abdominal acupuncture and monotherapy of manipulation(Z=-0.622,P=0.534).One month after the end of the treatment,25 patients obtained an excellent result,11 good,12 fair and 7 poor in the combination therapy group; while 16 patients obtained an excellent result,12 good,10 fair and 15 poor in the abdominal acupuncture group; and 12 patients obtained an excellent result,9 good,17 fair and 18 poor in the manipulation group.There were statistical differences in the curative effects between the 3 groups(H=9.724,P=0.008).Further pairwise comparison(αˊ=0.017)showed that there was no statistical difference in the curative effect between combination therapy group and abdominal acupuncture group(Z=-1.930,P=0.054),and the curative effect of combination therapy was better than that of manipulation(Z=-3.128,P=0.001),and there was no statistical difference in the curative effect between abdominal acupuncture and manipulation(Z=-1.193,P=0.233).Conclusion:In the treatment of cervical vertigo caused by atlanto-axial subluxation,the therapy of abdominal acupuncture combined with Long's manipulation can improve the clinical symptoms and signs of patients and improve the patients' live quality; and its immediate curative effect is better than that of abdominal acupuncture after the end of the treatment,while its short-term curative effect is better than that of Long's manipulation one month after the end of the treatment.But the combination therapy has no advantage in immediate curative effect compared with Long's manipulation and in short-term curative effect compared with abdominal acupuncture.The synergistic clinical curative effect of combination therapy in different periods need to be further studied.

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更新日期/Last Update: 1900-01-01