国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2015年
1期
40-43
,共4页
寰枢关节紊乱%颈性眩晕%手法整复%椎动脉供血不足
寰樞關節紊亂%頸性眩暈%手法整複%椎動脈供血不足
환추관절문란%경성현훈%수법정복%추동맥공혈불족
Atlantoaxial joint disorder%Cervical vertigo%Manipulation%Vertebral artery insufficiency of blood
目的：观察手法整复治疗寰枢关节紊乱所致颈性眩晕的临床疗效。方法收集2010年7月－2014年7月广东潮州市潮州医院门诊患者86例，按随机数字表法将患者分为2组各43例，对照组静脉滴注倍他司汀氯化钠，治疗组在对照组基础上联合手法整复治疗。治疗1周后观察2组患者眩晕症状及体征的变化，以及左侧椎动脉（LVA）、右侧椎动脉（RVA）、基底动脉（BA）的平均血流速度（Vm），并比较寰齿前间隙（ADI）、双侧齿突侧块间距差（VBLADI）、齿突生长性偏移值（DO），判定眩晕患者临床疗效。结果治疗后，治疗组眩晕症状及体征的改善情况优于对照组（t＝12.655，P＜0.01），ADI、VBLADI关节间隙缩小情况优于对照组（t值分别为2.888、5.334，P＜0.05），RVA、LVA、BA的Vm 值升高情况优于对照组（t值分别为4.710、3.534、5.335，P＜0.01）。结论手法整复联合静脉滴注盐酸倍他司汀氯化钠注射液可有效改善患者眩晕症状，降低ADI、VBLADI、DO的CT值，缩小ADI、VBLADI，纠正寰枢关节紊乱。
目的：觀察手法整複治療寰樞關節紊亂所緻頸性眩暈的臨床療效。方法收集2010年7月－2014年7月廣東潮州市潮州醫院門診患者86例，按隨機數字錶法將患者分為2組各43例，對照組靜脈滴註倍他司汀氯化鈉，治療組在對照組基礎上聯閤手法整複治療。治療1週後觀察2組患者眩暈癥狀及體徵的變化，以及左側椎動脈（LVA）、右側椎動脈（RVA）、基底動脈（BA）的平均血流速度（Vm），併比較寰齒前間隙（ADI）、雙側齒突側塊間距差（VBLADI）、齒突生長性偏移值（DO），判定眩暈患者臨床療效。結果治療後，治療組眩暈癥狀及體徵的改善情況優于對照組（t＝12.655，P＜0.01），ADI、VBLADI關節間隙縮小情況優于對照組（t值分彆為2.888、5.334，P＜0.05），RVA、LVA、BA的Vm 值升高情況優于對照組（t值分彆為4.710、3.534、5.335，P＜0.01）。結論手法整複聯閤靜脈滴註鹽痠倍他司汀氯化鈉註射液可有效改善患者眩暈癥狀，降低ADI、VBLADI、DO的CT值，縮小ADI、VBLADI，糾正寰樞關節紊亂。
목적：관찰수법정복치료환추관절문란소치경성현훈적림상료효。방법수집2010년7월－2014년7월엄동조주시조주의원문진환자86례，안수궤수자표법장환자분위2조각43례，대조조정맥적주배타사정록화납，치료조재대조조기출상연합수법정복치료。치료1주후관찰2조환자현훈증상급체정적변화，이급좌측추동맥（LVA）、우측추동맥（RVA）、기저동맥（BA）적평균혈류속도（Vm），병비교환치전간극（ADI）、쌍측치돌측괴간거차（VBLADI）、치돌생장성편이치（DO），판정현훈환자림상료효。결과치료후，치료조현훈증상급체정적개선정황우우대조조（t＝12.655，P＜0.01），ADI、VBLADI관절간극축소정황우우대조조（t치분별위2.888、5.334，P＜0.05），RVA、LVA、BA적Vm 치승고정황우우대조조（t치분별위4.710、3.534、5.335，P＜0.01）。결론수법정복연합정맥적주염산배타사정록화납주사액가유효개선환자현훈증상，강저ADI、VBLADI、DO적CT치，축소ADI、VBLADI，규정환추관절문란。
Objective To study the clinical effect of manipulation in the treatment of cervical vertigo due to atlantoaxial joint disorder. Methods A total of 86 patients in our hospital from year of July, 2010 to 2014, with cervical vertigo due to atlantoaxial joint disorder were divided into a control group and a treatment group randomly, with 43 patients in each group. The control group was treated by intravenous dripping of betahistine hydrochloride sodium chloride injection, while the treatment group was additionally treated by manipulation on the basis of the control group. The efficacy and symptoms changes together with average blood flow rate of LVA, RVA, BA, and the value of ADI, VBLADI, and DO were compared between the two groups after one week of the treatment. Results After the treatment, the improvement of vertigo and symptoms of the treatment group was between than the control group(t=12.655, P<0.05); the value of ADI and VBLADI decreased lower in the treatment group than the control group (t were 2.888 and 5.334 respectively, P<0.05);Vm of RVA, LVA and BA increased higher in the treatment group than the control group (t were 4.710, 3.534 and 5.335 respectively, P<0.01). Conclusions Manipulation combined with intravenous dripping of betahistine hydrochloride sodium chloride injection is effective in improving vertigo, decreasing ADI and VBLADI, and correcting atlantoaxial joint disorder.
