国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2014年
11期
985-987
,共3页
颈性眩晕%牵引疗法%正骨手法
頸性眩暈%牽引療法%正骨手法
경성현훈%견인요법%정골수법
Cervical vertigo%Traction%Manipulation
目的：观察颈部牵引配合手法对颈性眩晕患者血液流变学的影响。方法收集2012年1月至2013年8月济南军区青岛第一疗养院中医科患者59例，按随机数字表法分为两组，对照组29例口服盐酸氟桂利嗪胶囊治疗，治疗组30例在对照组治疗基础上配合颈部牵引及手法治疗。两组均治疗1周为1个疗程，4个疗程后评价颈性眩晕症状与功能（ESOV），观察血液流变学变化。结果①ESOV评分比较：治疗后，两组ESOV评分均较同组治疗前改善（t值分别为11.028、5.825，P均＜0.01），且治疗组优于对照组（t＝3.606，P＜0.01）。②血液流变学变化比较：治疗后，治疗组全血黏度高切、中切、低切，全血还原黏度，红细胞聚集指数，红细胞比容均较同组治疗前改善（t值分别为3.356、13.245、3.650、7.443、9.912、3.113，P＜0.05或P＜0.01）；对照组全血黏度高切、中切、低切，全血还原黏度，红细胞聚集指数均较同组治疗前明显改善（t值分别为2.144、4.216、3.287、3.039、6.442，P＜0.05或P＜0.01）。治疗组全血黏度高切、中切，全血还原黏度，红细胞聚集指数与对照组比较，差异有统计学意义（t值分别为2.493、4.414、6.031、5.180，P＜0.05或 P＜0.01）。结论颈部牵引及手法配合服用盐酸氟桂利嗪胶囊对颈性眩晕患者ESOV评分有影响，患者的血液流变学也有相应改善。
目的：觀察頸部牽引配閤手法對頸性眩暈患者血液流變學的影響。方法收集2012年1月至2013年8月濟南軍區青島第一療養院中醫科患者59例，按隨機數字錶法分為兩組，對照組29例口服鹽痠氟桂利嗪膠囊治療，治療組30例在對照組治療基礎上配閤頸部牽引及手法治療。兩組均治療1週為1箇療程，4箇療程後評價頸性眩暈癥狀與功能（ESOV），觀察血液流變學變化。結果①ESOV評分比較：治療後，兩組ESOV評分均較同組治療前改善（t值分彆為11.028、5.825，P均＜0.01），且治療組優于對照組（t＝3.606，P＜0.01）。②血液流變學變化比較：治療後，治療組全血黏度高切、中切、低切，全血還原黏度，紅細胞聚集指數，紅細胞比容均較同組治療前改善（t值分彆為3.356、13.245、3.650、7.443、9.912、3.113，P＜0.05或P＜0.01）；對照組全血黏度高切、中切、低切，全血還原黏度，紅細胞聚集指數均較同組治療前明顯改善（t值分彆為2.144、4.216、3.287、3.039、6.442，P＜0.05或P＜0.01）。治療組全血黏度高切、中切，全血還原黏度，紅細胞聚集指數與對照組比較，差異有統計學意義（t值分彆為2.493、4.414、6.031、5.180，P＜0.05或 P＜0.01）。結論頸部牽引及手法配閤服用鹽痠氟桂利嗪膠囊對頸性眩暈患者ESOV評分有影響，患者的血液流變學也有相應改善。
목적：관찰경부견인배합수법대경성현훈환자혈액류변학적영향。방법수집2012년1월지2013년8월제남군구청도제일요양원중의과환자59례，안수궤수자표법분위량조，대조조29례구복염산불계리진효낭치료，치료조30례재대조조치료기출상배합경부견인급수법치료。량조균치료1주위1개료정，4개료정후평개경성현훈증상여공능（ESOV），관찰혈액류변학변화。결과①ESOV평분비교：치료후，량조ESOV평분균교동조치료전개선（t치분별위11.028、5.825，P균＜0.01），차치료조우우대조조（t＝3.606，P＜0.01）。②혈액류변학변화비교：치료후，치료조전혈점도고절、중절、저절，전혈환원점도，홍세포취집지수，홍세포비용균교동조치료전개선（t치분별위3.356、13.245、3.650、7.443、9.912、3.113，P＜0.05혹P＜0.01）；대조조전혈점도고절、중절、저절，전혈환원점도，홍세포취집지수균교동조치료전명현개선（t치분별위2.144、4.216、3.287、3.039、6.442，P＜0.05혹P＜0.01）。치료조전혈점도고절、중절，전혈환원점도，홍세포취집지수여대조조비교，차이유통계학의의（t치분별위2.493、4.414、6.031、5.180，P＜0.05혹 P＜0.01）。결론경부견인급수법배합복용염산불계리진효낭대경성현훈환자ESOV평분유영향，환자적혈액류변학야유상응개선。
Objective To observe the influence of cervical traction and manipulation on hemorheology of cervical vertigo patients.Methods 59 patients in outpatients of our hospital from January 2012 to August 2013 were recruited and divided into a control group(29 patients)and a treatment group(30 patients)randomly. The control group was treated with flunarizine, and the treatment group was additionally treated with cervical traction and manipulation on the basis of the control group. After 4 therapeutic causes, evaluation of cervical vertigo symptoms and functions(ESOV)were performed and hemorheological changes were observed in both groups.Results① ESOV comparison: ESOV sores in both groupswere obviously improved after the treatment than the same group before the treatment(t=11.028, 5.825,all P<0.01)the treatment group were significantly lower than that in the control group after treatment(t=3.6057,P<0.01).② hemorheology changes comparison: whole blood viscosity(high-, medium- , low shear), whole blood reduction viscosity, erythrocyte aggregation index, hematocrit in the treatment group were improved obviously after the treatment than before(t=3.356, 13.245, 3.650, 7.443, 9.912, 3.113,P<0.05 orP<0.01). The whole blood viscosity(high-, medium-shea), blood reduction viscosity, erythrocyte aggregation index in the control group were obviously improved than the before(t=2.144, 4.216, 3.287, 3.039, 6.442,P<0.05 orP<0.01). The difference between the two groups were also obvious after the treatment(P<0.05 orP<0.01).Conclusions Cervical traction and manipulation combined with flunarizine can elevate ESOV score, improve hemorheology and therapeutic effect in patients with cervical vertigo.
