国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2009年
4期
314-316
,共3页
寰枢关节半脱位%手法整复%牵引%临床研究%前瞻性随机对照研究
寰樞關節半脫位%手法整複%牽引%臨床研究%前瞻性隨機對照研究
환추관절반탈위%수법정복%견인%림상연구%전첨성수궤대조연구
Atlantoaxial subluxation. Manipulative therapy%Traction%Prospective randomized control study%Clinical
目的 研究手法整复治疗侧向旋转型寰枢关节半脱位的疗效.方法 经X线片证实的侧向旋转型寰枢 关节半脱位患者128例,随机分为两组各64例,治疗组采用手法定位旋转复位法治疗,对照组采用常规牵引治疗,观察比较两组的临床疗效,并用X片证实.结果 治疗后X片证实齿状突偏移调整情况,两组差异具有统计学意义(P<0.01).椎基底动脉的血流量改善两组差异具有统计学意义(P<0.05).治疗组总有效率95.3%,对照组总有效率78.1%,两组对比差异具有统计学意义(P<0.01):随访1年,治疗组复发6例,对照组复发13例,差异有统计学意义(P<0.05).结论 手法整复治疗寰枢关节半脱位较牵引治疗更能针对病因、整复寰枢椎之间的位置关系,恢复颈椎的力学稳定性,改善患者的椎基底动脉血流量.
目的 研究手法整複治療側嚮鏇轉型寰樞關節半脫位的療效.方法 經X線片證實的側嚮鏇轉型寰樞 關節半脫位患者128例,隨機分為兩組各64例,治療組採用手法定位鏇轉複位法治療,對照組採用常規牽引治療,觀察比較兩組的臨床療效,併用X片證實.結果 治療後X片證實齒狀突偏移調整情況,兩組差異具有統計學意義(P<0.01).椎基底動脈的血流量改善兩組差異具有統計學意義(P<0.05).治療組總有效率95.3%,對照組總有效率78.1%,兩組對比差異具有統計學意義(P<0.01):隨訪1年,治療組複髮6例,對照組複髮13例,差異有統計學意義(P<0.05).結論 手法整複治療寰樞關節半脫位較牽引治療更能針對病因、整複寰樞椎之間的位置關繫,恢複頸椎的力學穩定性,改善患者的椎基底動脈血流量.
목적 연구수법정복치료측향선전형환추관절반탈위적료효.방법 경X선편증실적측향선전형환추 관절반탈위환자128례,수궤분위량조각64례,치료조채용수법정위선전복위법치료,대조조채용상규견인치료,관찰비교량조적림상료효,병용X편증실.결과 치료후X편증실치상돌편이조정정황,량조차이구유통계학의의(P<0.01).추기저동맥적혈류량개선량조차이구유통계학의의(P<0.05).치료조총유효솔95.3%,대조조총유효솔78.1%,량조대비차이구유통계학의의(P<0.01):수방1년,치료조복발6례,대조조복발13례,차이유통계학의의(P<0.05).결론 수법정복치료환추관절반탈위교견인치료경능침대병인、정복환추추지간적위치관계,회복경추적역학은정성,개선환자적추기저동맥혈류량.
Objective To observe the clinical effect of treating atlanto-axial subluxation by manipulative reduction therapy. Methods 128 patients with atlanto-axial subluxation confirmed by cervical plain X ray were randomized into two groups: 64 in the treatment group treated by manipulative reduction therapy, and 64 in the control group treated by the routine cervical traction. The clinical effect was evaluated by both clinical and X-ray confirmation. Results The X-ray study showed that after treatment the reconstruction of excursion in odontoid process in the treatment group was better than that in the control group significantly (P<0.01). The improvement of vertebra basal artery blood flow in the treatment group was also better than that in the control group significantly (P<0.05). The total effective rate of the treatment group was 95.3%, while the control group was 78.1%. Conclusion The technique of manipulative reduction on atlanto-axial subluxation acts more directly on the cause of the disease than the routine traction, and exerts better results in restoring proper atlanto-axiai joint position and mechanics stability of cervical vertebra.. Thus it is the effective shortcut way with high safety and low cost.
