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[1]羅建昌,郎伯旭,金靈青.針刺配合手法治療“腦外傷后綜合征”的臨床研究[J].中醫(yī)正骨,2014,26(07):13-16.
　Luo Jianchang*,Lang Boxu,Jin Lingqing..Clinical study on acupuncture therapy combined with manipulation therapy for post-concussion syndrome[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(07):13-16.
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針刺配合手法治療“腦外傷后綜合征”的臨床研究()
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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07期
頁碼:
13-16
欄目:
臨床研究
出版日期:
2014-07-28

文章信息/Info

Title:
Clinical study on acupuncture therapy combined with manipulation therapy for post-concussion syndrome
作者:
羅建昌; 郎伯旭; 金靈青
浙江省臺(tái)州市立醫(yī)院,浙江 臺(tái)州 318000
Author(s):
Luo Jianchang*; Lang Boxu; Jin Lingqing.
*Taizhou Municipal Hospital,Taizhou 318000,Zhejiang,China
關(guān)鍵詞:
腦震蕩后綜合征 頸椎 針刺療法 正骨手法 治療; 臨床研究性
Keywords:
Post-concussion syndrome;  Cervical vertebrae;  Acupuncture therapy;  Bone setting manipulation;  Therapies; investigational
摘要:
目的:觀察針刺配合手法治療“腦外傷后綜合征”的臨床療效,探討“腦外傷后綜合征”的發(fā)病原因。方法:將符合要求的191例腦外傷后綜合征患者隨機(jī)分為2組,觀察組95例,對(duì)照組96例。觀察組采用針刺風(fēng)池穴、風(fēng)府穴、大椎穴和“項(xiàng)四花穴”,配合改良的馮氏旋轉(zhuǎn)復(fù)位手法進(jìn)行治療,對(duì)照組采用藥物治療。分別于治療前和治療6周后觀察2組患者的椎動(dòng)脈血流速度和精神狀態(tài),并于治療結(jié)束2個(gè)月后采用《神經(jīng)病學(xué)》中腦外傷后綜合征的療效標(biāo)準(zhǔn)評(píng)定患者的臨床綜合療效。結(jié)果:①椎動(dòng)脈血流速度。治療前2組患者左側(cè)椎動(dòng)脈血流速度比較,差異無統(tǒng)計(jì)學(xué)意義[(41.24±6.63)cm·s-1,(40.68±7.76)cm·s-1,t=0.541,P=0.589;(17.24±4.41)cm·s-1,(16.68±4.06)cm·s-1,t=0.922,P=0.358)]; 治療后2組患者左側(cè)椎動(dòng)脈收縮期和舒張期血流速度均增大(t=21.930,P=0.000; t=32.298,P=0.000; t=9.645,P=0.000; t=7.640,P=0.000); 治療后觀察組左側(cè)椎動(dòng)脈收縮期和舒張期血流速度均大于對(duì)照組[(55.72±9.29)cm·s-1,(47.67±7.22)cm·s-1,t=6.685,P=0.000;(21.92±6.43)cm·s-1,(19.61±5.58)cm·s-1,t=2.644,P=0.009]。治療前2組患者右側(cè)椎動(dòng)脈血流速度比較,差異無統(tǒng)計(jì)學(xué)意義[(42.98±7.33)cm·s-1,(41.76±7.46)cm·s-1,t=0.753,P=0.415;(18.05±5.38)cm·s-1,(17.75±5.63)cm·s-1,t=0.487,P=0.627]; 治療后2組患者右側(cè)椎動(dòng)脈收縮期和舒張期血流速度均增大(t=19.457,P=0.000; t=30.621,P=0.000; t=13.271,P=0.000; t=3.357,P=0.002); 治療后觀察組右側(cè)椎動(dòng)脈收縮期和舒張期血流速度均大于對(duì)照組[(56.84±8.43)cm·s-1,(47.73±7.68)cm·s-1,t=11.254,P=0.000;(22.76±7.16)cm·s-1,(19.82±5.58)cm·s-1,t=4.165,P=0.001]。②精神狀態(tài)。2組患者治療前90項(xiàng)癥狀清單評(píng)分比較,差異無統(tǒng)計(jì)學(xué)意義(t=0.471,P=0.639); 治療后2組患者的評(píng)分均降低[(169.07±28.23)分,(133.17±24.05)分,t=37.861,P=0.000;(171.05±29.84)分,(144.79±25.17)分,t=21.355,P=0.000]; 觀察組治療后評(píng)分低于對(duì)照組(t=3.273,P=0.001)。③臨床綜合療效。觀察組痊愈60例、好轉(zhuǎn)30例、無效5例; 對(duì)照組痊愈28例、好轉(zhuǎn)47例、無效21例。觀察組臨床綜合療效優(yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(Z=-5.009,P=0.000)。結(jié)論:針刺配合手法是治療腦外傷后綜合征的有效方法,腦外傷后綜合征的發(fā)病可能與隱匿性上頸椎損傷有關(guān)。
Abstract:
Objective:To observe the clinical curative effects of acupuncture therapy combined with manipulation therapy in the treatment of post-concussion syndrome(PCS)and to explore the cause of PCS.Methods:One hundred and ninety-one patients with PCS enrolled in the study were randomly divided into observation group(95 cases)and control group(96 cases).The patients in observation group were treated with acupuncture therapy at Point GB20(Fengchi),Point GV16(Fengfu),Point GV14(Dazhui)and four nuchal points(Xiangsihua),combined with improved Feng's spinal manipulation(FSM)therapy,while the others in control group were treated with drug therapy.The blood flow velocity of vertebral artery and the mental state were observed and compared between the 2 groups before treatment and after 6-week treatment respectively,and the total clinical curative effects were also evaluated according to the therapeutical effect evaluation standard of PCS extracted from Neurology 2 months after the treatment.Results:There was no statistical difference in blood flow velocity of left vertebral artery in systolic phase and diastolic phase between the 2 groups before the treatment(41.24+/-6.63 vs 40.68+/-7.76 cm/s,t=0.541,P=0.589; 17.24+/-4.41 vs 16.68+/-4.06 cm/s,t=0.922,P=0.358),while the blood flow velocities of left vertebral artery in systolic phase and diastolic phase increased in both of the 2 groups after the treatment(t=21.930,P=0.000; t=32.298,P=0.000; t=9.645,P=0.000; t=7.640,P=0.000).The blood flow velocities of left vertebral artery in systolic phase and diastolic phase of observation group were greater than those of control group(55.72+/-9.29 vs 47.67+/-7.22 cm/s,t=6.685,P=0.000;21.92+/-6.43 vs 19.61+/-5.58 cm/s,t=2.644,P=0.009).There was no statistical difference in blood flow velocity of right vertebral artery in systolic phase and diastolic phase between the 2 groups before the treatment(42.98+/-7.33 vs 41.76+/-7.46 cm/s,t=0.753,P=0.415; 18.05+/-5.38 vs 17.75+/-5.63 cm/s,t=0.487,P=0.627),while the blood flow velocities of right vertebral artery in systolic phase and diastolic phase increased in both of the 2 groups after the treatment(t=19.457,P=0.000; t=30.621,P=0.000; t=13.271,P=0.000; t=3.357,P=0.002).The blood flow velocities of right vertebral artery in systolic phase and diastolic phase of observation group were greater than those of control group(56.84+/-8.43 vs 47.73+/-7.68 cm/s,t=11.254,P=0.000; 22.76+/-7.16 vs 19.82+/-5.58 cm/s,t=4.165,P=0.001).There was no statistical difference in symptom checklist-90 scores between the 2 groups before the treatment(t=0.471,P=0.639).The scores decreased in both the 2 groups after the treatment(169.07+/-28.23 vs 133.17+/-24.05 points,t=37.861,P=0.000; 171.05+/-29.84 vs 144.79+/-25.17 points,t=21.355,P=0.000).The scores of observation group were lower than those of control group after the treatment(t=3.273,P=0.001).Sixty patients obtained an excellent result,30 good and 5 poor in the observation group,while 28 patients obtained an excellent result,47 good and 21 poor in the control group.The observation group surpassed the control group in the total curative effect and there was statistical differences between the 2 groups(Z=-5.009,P=0.000).Conclusion:Combination of acupuncture therapy with manipulation therapy is effective in the treatment of PCS,and the cause of PCS may be concerned with the concealed upper cervical vertebra injury.

參考文獻(xiàn)/References:

[1] 吳承遠(yuǎn),劉玉光.臨床神經(jīng)外科學(xué)[M].北京:人民衛(wèi)生出版社,2001:219-220.
[2] 王忠誠(chéng).王忠誠(chéng)神經(jīng)外科學(xué)[M].武漢:湖北科學(xué)技術(shù)出版社,2004:489-490.
[3] 曹仁發(fā).中醫(yī)推拿學(xué)[M].2版.北京:人民衛(wèi)生出版社,2007:97-98.
[4] 王征宇.癥狀自評(píng)量表(SCL-90)[J].上海精神醫(yī)學(xué),1984(2):68-70.
[5] 趙雅度.神經(jīng)系統(tǒng)外傷[M]//王新德.神經(jīng)病學(xué).11版.北京:人民軍醫(yī)出版社,2001:104-105.
[6] Kuhl DE,Alavi A,Hoffman EJ,et al.Local cerebral blood volume in head-injured patients.Determination by emission computed tomography of 99mTc-labeled red cells[J].J Neurosurg,1980,52(3):309-320.
[7] 龍厚滿,張可帥.經(jīng)顱多普勒超聲在腦外傷后綜合征血流動(dòng)力學(xué)中的臨床應(yīng)用[J].中國(guó)傷殘醫(yī)學(xué),2014,22(1):171-171.
[8] 傅鵬,徐惠康,王樹新,等.顱腦傷后綜合征與 SPECT 的觀察[J].中華神經(jīng)外科雜志,1993,9(5):286.
[9] 黃有榮.腦外傷后綜合征的發(fā)病及其診治[J].中醫(yī)正骨,1998,10(6):51-52.
[10] 劉詩翔,劉波,梁燕,等.腦外傷后綜合征與重型顱腦外傷的腦血流和血液流變學(xué)研究[J].中國(guó)康復(fù)理論與實(shí)踐,2005,11(5):386-387.
[11] 李常偉,周斌,羅晨,等.顱腦外傷后外傷性頸椎病的診治分析[J].浙江創(chuàng)傷外科,2013,18(5):649.
[12] 徐道志,初海濱,孫晉客.顱腦損傷合并頸椎損傷26例漏診原因分析[J].中醫(yī)正骨,2009,21(11):74-75.
[13] 戴學(xué)東,顧向進(jìn),王仕國(guó),等.顱腦損傷合并頸椎損傷的診治體會(huì)[J].臨床神經(jīng)外科雜志,2008,5(4):217.
[14] 余英教,白奕斌,伍志德,等.重型顱腦損傷合并上頸椎損傷臨床分析[J].中華創(chuàng)傷雜志,2004,20(9):536-538.
[15] 馬奎云,馬長(zhǎng)路,陳香才,等.兔頭受傷部位與齒突偏移及腦病理變化的關(guān)系[J].河南醫(yī)科大學(xué)學(xué)報(bào),1998,33(2):37-39.
[16] 張仁元.中西醫(yī)結(jié)合揭開臨床多學(xué)科中不明病因癥狀和疾病的奧秘——樞椎旋轉(zhuǎn)半脫位[J].中國(guó)中醫(yī)基礎(chǔ)醫(yī)學(xué)雜志,2003,9(1):60-66.
[17] 徐建鐘,郭紅建.不同手法針刺風(fēng)池穴對(duì)椎-基底動(dòng)脈供血的影響[J].中醫(yī)藥信息,2013,30(3):120-121.
[18] 徐天舒.針刺對(duì)老年眩暈癥病人血液流變學(xué)的影響[J].針刺研究,2000,25(4):280-282.

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備注/Memo

備注/Memo:
基金項(xiàng)目:浙江省中醫(yī)藥(中西醫(yī))重點(diǎn)學(xué)科經(jīng)費(fèi)資助(2012-XK-D20),浙江省中醫(yī)藥科研基金資助項(xiàng)目(2006C116)
通訊作者:郎伯旭 E-mail:[email protected]
更新日期/Last Update: 2014-07-28