CAJ | 학술논문

目的探讨轻、中型颅脑外伤中颈性眩晕患者的早期治疗方案.方法将轻、中型颅脑外伤中颈性眩晕患者84例按随机数字表法分成治疗组(38例)与对照组(46例),治疗组采用颈椎牵引、星状神经节封闭、早期颈部理疗等方法并结合药物治疗,对照组采用单纯药物治疗,对其疗效进行非参数秩和检验分析.结果治疗组治愈29例,好转8例,无效1例,平均治疗时间20d;对照组治愈26例,好转15例,无效5例,平均治疗时间30 d;治疗组疗效优于对照组,差异有统计学意义(P＜0.05).结论对颅脑外伤中颈性眩晕患者早期采用针对性治疗,其疗效好于单纯药物治疗,且治疗时间缩短.
목적 탐토경、중형로뇌외상중경성현훈환자적조기치료방안.방법 장경、중형로뇌외상중경성현훈환자84례안수궤수자표법분성치료조(38례)여대조조(46례),치료조채용경추견인、성상신경절봉폐、조기경부리료등방법 병결합약물치료,대조조채용단순약물치료,대기료효진행비삼수질화검험분석.결과 치료조치유29례,호전8례,무효1례,평균치료시간20d;대조조치유26례,호전15례,무효5례,평균치료시간30 d;치료조료효우우대조조,차이유통계학의의(P＜0.05).결론대로뇌외상중경성현훈환자조기채용침대성치료,기료효호우단순약물치료,차치료시간축단.
Objective To discuss early therapy scheme for cervical vertigo in mild and moderate head injury. Methods Eighty-four patients suffering from cervical vertigo in mild or moderate head injury were randomly divided into 2 groups: combined therapy group (n=38) and control group (n=46). In the combined therapy group, patients underwent cervical vertebra traction and stellate ganglion block and early physical therapy for cervix as well as medication; in the control group, simple medication was used. The results were analyzed by nonparametric rank sum test Ridit analysis. Results In the combined therapy group, 29 cases were cured, 8 got better, and 1 remained unchanged, average therapy duration 20 d, while in the control group, 26 were healed, 15 changed better, and 5 did not show a sign of recovery, average therapy duration 30 d. The curative effect was significantly different between the 2 groups, and the combined therapy group was better than the control group (P<0.05). Conclusion The early application of the combined therapy for cervical vertigo in mild and moderate head injury can improve the cure rate and reduce the therapy duration.