世界中医药
世界中醫藥
세계중의약
World Chinese Medicine
2015年
9期
1391-1394
,共4页
颈性眩晕%眩晕%旋提手法%中药%牵引%盐酸氟桂利嗪胶囊
頸性眩暈%眩暈%鏇提手法%中藥%牽引%鹽痠氟桂利嗪膠囊
경성현훈%현훈%선제수법%중약%견인%염산불계리진효낭
Cervical vertigo%Vertigo%Rotating and tracting manipulation%Herbal decoction%Traction%Flunarizine Hydrochlo-ride Capsules
目的：评价旋提手法配合中药治疗颈性眩晕的疗效及安全性，探讨其作用机制。方法：共纳入颈性眩晕患者82例，随机分为治疗组和对照组，治疗组采用旋提手法加口服中药，对照组采用牵引疗法加口服盐酸氟桂利嗪胶囊。将2组患者治疗前后即初诊首日和治疗后第14天的疼痛视觉模拟评分（Visual Analogous Scale，VAS）评分、SF-36评分、中医病证诊断疗效标准、彩色多普勒检测的椎动脉相关数据等进行比较。治疗前后所做血常规、肝肾功能检验结果作为安全性观测统计资料。结果：1）治疗组总有效率达到85．37％，而对照组为65．85％。治疗组优于对照组（P ＜0．05）；2）治疗组在改善眩晕程度、颈肩痛、LVA 及 BA 方面优于对照组（P ＜0．05），而2组在 SF-36评分这一项上，差异并无统计学意义（P ＞0．05）；3）本研究中82名患者在治疗期间，均未出现不良反应。结论：旋提手法配合中药治疗颈性眩晕是安全、有效的，能够有效改善眩晕程度、颈肩痛及椎动脉供血状况。
目的：評價鏇提手法配閤中藥治療頸性眩暈的療效及安全性，探討其作用機製。方法：共納入頸性眩暈患者82例，隨機分為治療組和對照組，治療組採用鏇提手法加口服中藥，對照組採用牽引療法加口服鹽痠氟桂利嗪膠囊。將2組患者治療前後即初診首日和治療後第14天的疼痛視覺模擬評分（Visual Analogous Scale，VAS）評分、SF-36評分、中醫病證診斷療效標準、綵色多普勒檢測的椎動脈相關數據等進行比較。治療前後所做血常規、肝腎功能檢驗結果作為安全性觀測統計資料。結果：1）治療組總有效率達到85．37％，而對照組為65．85％。治療組優于對照組（P ＜0．05）；2）治療組在改善眩暈程度、頸肩痛、LVA 及 BA 方麵優于對照組（P ＜0．05），而2組在 SF-36評分這一項上，差異併無統計學意義（P ＞0．05）；3）本研究中82名患者在治療期間，均未齣現不良反應。結論：鏇提手法配閤中藥治療頸性眩暈是安全、有效的，能夠有效改善眩暈程度、頸肩痛及椎動脈供血狀況。
목적：평개선제수법배합중약치료경성현훈적료효급안전성，탐토기작용궤제。방법：공납입경성현훈환자82례，수궤분위치료조화대조조，치료조채용선제수법가구복중약，대조조채용견인요법가구복염산불계리진효낭。장2조환자치료전후즉초진수일화치료후제14천적동통시각모의평분（Visual Analogous Scale，VAS）평분、SF-36평분、중의병증진단료효표준、채색다보륵검측적추동맥상관수거등진행비교。치료전후소주혈상규、간신공능검험결과작위안전성관측통계자료。결과：1）치료조총유효솔체도85．37％，이대조조위65．85％。치료조우우대조조（P ＜0．05）；2）치료조재개선현훈정도、경견통、LVA 급 BA 방면우우대조조（P ＜0．05），이2조재 SF-36평분저일항상，차이병무통계학의의（P ＞0．05）；3）본연구중82명환자재치료기간，균미출현불량반응。결론：선제수법배합중약치료경성현훈시안전、유효적，능구유효개선현훈정도、경견통급추동맥공혈상황。
Objective:To evaluate the effects of rotating and tracting manipulation combined with herbal decoction in treating cer-vical vertigo and to discuss its mechanism.Methods:Cervical vertigo patients of 82 cases were randomly allocated to testing group (treated with rotating and tracting manipulation combined with herbal decoction)and control group (treated with traction combined with Flunarizine Hydrochloride Capsules).Two groups were evaluated by Visual Analogous Scale (VAS),Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36),standard of diagnosis and therapeutic effect of TCM and the relevant data of colored Doppler detection of the vertebral artery at the first day of the diagnosis and fourteen days after.The statistics of patients’ routine blood test,liver and kidney functions tests results on the first day and the 14th day were used as safety observation data. Results:Firstly,the total effective rate of treatment group was 85.37%,while the control group 65.85%.The result of the treat-ment group was better than that of the control group (P <0.05).Secondly,the treatment group has better results in improving these vertigo and shoulder pain and cervicodynia,LVA and BA than the control group (P <0.05).But there was no significant difference of SF-36 evaluation (P >0.05).Thirdly,during the whole treatment,the 82 patients showed no adverse reaction. Conclusion:The rotating and tracting manipulation combined with herbal decoction in the treatment of cervical vertigo is safe and effective,for it can effectively improve the vertigo condition,shoulder pain and cervicodynia and vertebral artery blood supply situ-ation.
