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[1]鄭勝明,陳鵬,張海芬.單次仰臥位拔伸手法在頸性高血壓診斷中的應(yīng)用[J].中醫(yī)正骨,2012,24(04):19-21.
　ZHENG Sheng-ming*,CHEN Peng,ZHANG Hai-fen.*.Study on the application of single pulling-extending manipulation in supine position in the diagnosis of cervicogenic hypertension[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(04):19-21.
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單次仰臥位拔伸手法在頸性高血壓診斷中的應(yīng)用()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年04期
頁(yè)碼:
19-21
欄目:
臨床研究
出版日期:
2012-04-30

文章信息/Info

Title:
Study on the application of single pulling-extending manipulation in supine position in the diagnosis of cervicogenic hypertension
作者:
鄭勝明; 陳鵬; 張海芬
浙江省浙江醫(yī)院,浙江 杭州 310013
Author(s):
ZHENG Sheng-ming*; CHEN Peng; ZHANG Hai-fen.*
Zhejiang Hospital of Zhejiang Province,Hangzhou 310013,Zhejiang,China
關(guān)鍵詞:
頸椎病 高血壓 診斷; 鑒別 手法; 捏脊 治療; 臨床研究性
Keywords:
Cervical spondylosis;  Hypertension;  Diagnosis; differential;  Manipulation; chiropractic;  Therapies; investigational
摘要:
目的:探討單次仰臥位拔伸手法在頸性高血壓診斷中的作用。方法:選取60例頸椎病伴高血壓患者,首先測(cè)量其血壓,然后采用仰臥位拔伸手法治療1次,將治療后血壓下降明顯的30例患者納入實(shí)驗(yàn)組,血壓下降不明顯的30例患者納入對(duì)照組。分組后采用枕頜四頭帶牽引+常規(guī)頸椎病推拿手法對(duì)2組患者進(jìn)行治療,2個(gè)療程后觀察2組患者的頸椎病和高血壓治療效果。結(jié)果:①頸椎病療效。治療2個(gè)療程后,2組患者的頸椎病癥狀均明顯改善,且療效相當(dāng)(U=1.462,P=0.144)。②高血壓療效。治療后實(shí)驗(yàn)組患者的收縮壓和舒張壓均明顯降低(t=8.500,P=0.000; t=3.681,P=0.001),對(duì)照組患者治療后收縮壓和舒張壓均無明顯變化(t=1.111,P=0.271; t=1.055,P=0.296)。結(jié)論:單次仰臥位拔伸手法可用于鑒別頸性高血壓和頸椎病合并原發(fā)性高血壓。
Abstract:
Objective:To explore the effect of single pulling-extending manipulation in supine position in the diagnosis of cervicogenic hypertension.Methods:Sixty patients with both cervical spondylosis and hypertension were firstly administrated with blood pressure measurement,then they were treated by single pulling-extending manipulation in supine position.After the treatment,30 patients with significant fall of blood pressure were included into experimental group,while the others with insignificant fall of blood pressure were included into control group.After grouping,patients in the 2 groups were all administrated with occipito-mandibular traction with four head belts combined with regular manipulation maneuver for cervical spondylosis.The curative effects on cervical spondylosis and hypertension for the patients were all observed after 2 courses of treatment.Results:①Curative effect on cervical spondylosis:after 2 courses of treatment,the cervical spondylosis symptoms of the patients were all obviously improved,and there was no significant difference in curative effects between the 2 groups(U=1.462,P=0.144).②Curative effect on hypertension:after the treatment,there was significant fall of systolic pressure and diastolic pressure for patients in the experimental group(t=8.500,P=0.000; t=3.681,P=0.001),while there was no obvious changes in systolic and diastolic pressure for patients in the control group(t=1.111,P=0.271; t=1.055,P=0.296).Conclusion:The method of single pulling-extending manipulation in supine position can be applied to distinguish cervicogenic hypertension from primary hypertension combined with cervical spondylosis.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
2011-07-12收稿 2012-02-02修回
基金項(xiàng)目:浙江省中醫(yī)藥科技計(jì)劃項(xiàng)目(2008YB004)
更新日期/Last Update: 2012-04-30