针刺配合手法治疗“脑外伤后综合征”的临床研究

目的：观察针刺配合手法治疗“脑外伤后综合征”的临床疗效，探讨“脑外伤后综合征”的发病原因。方法：将符合要求的191例脑外伤后综合征患者随机分为2组，观察组95例，对照组96例。观察组采用针刺风池穴、风府穴、大椎穴和“项四花穴”，配合改良的冯氏旋转复位手法进行治疗，对照组采用药物治疗。分别于治疗前和治疗6周后观察2组患者的椎动脉血流速度和精神状态，并于治疗结束2个月后采用《神经病学》中脑外伤后综合征的疗效标准评定患者的临床综合疗效。结果：①椎动脉血流速度。治疗前2组患者左侧椎动脉血流速度比较，差异无统计学意义[（41．24±6．63）cm·s-1，（40．68±7．76）cm·s-1，t＝0．541，P＝0．589；（17．24±4．41）cm·s-1，（16．68±4．06）cm·s-1，t＝0．922，P＝0．358）]；治疗后2组患者左侧椎动脉收缩期和舒张期血流速度均增大（t＝21．930，P＝0．000；t＝32．298，P＝0．000；t＝9．645，P＝0．000；t＝7．640，P＝0．000）；治疗后观察组左侧椎动脉收缩期和舒张期血流速度均大于对照组[（55．72±9．29）cm·s-1，（47．67±7．22）cm·s-1，t＝6．685，P＝0．000；（21．92±6．43）cm·s-1，（19．61±5．58）cm·s-1，t＝2．644，P＝0．009]。治疗前2组患者右侧椎动脉血流速度比较，差异无统计学意义[（42．98±7．33）cm·s-1，（41．76±7．46）cm·s-1，t＝0．753，P＝0．415；（18．05±5．38）cm·s-1，（17．75±5．63）cm·s-1，t＝0．487，P＝0．627]；治疗后2组患者右侧椎动脉收缩期和舒张期血流速度均增大（t＝19．457，P＝0．000；t＝30．621，P＝0．000；t＝13．271，P＝0．000；t＝3．357，P＝0．002）；治疗后观察组右侧椎动脉收缩期和舒张期血流速度均大于对照组[（56．84±8．43） cm·s-1，（47．73±7．68）cm·s-1，t＝11．254，P＝0．000；（22．76±7．16）c

Clinical study on acupuncture therapy combined with manipulation therapy for post-concussion syndrome

Objective：To observe the clinical curative effects of acupuncture therapy combined with manipulation therapy in the treat-ment of post-concussion syndrome（PCS）and to explore the cause of PCS.Methods：One hundred and ninety-one patients with PCS enrolled in the study were randomly divided into observation group（95 cases）and control group（96 cases）.The patients in observation group were treated with acupuncture therapy at Point GB20（Fengchi）,Point GV16（Fengfu）,Point GV14（Dazhui）and four nuchal points（Xiangsi-hua）,combined with improved Feng’s spinal manipulation（FSM）therapy,while the others in control group were treated with drug therapy. The blood flow velocity of vertebral artery and the mental state were observed and compared between the 2 groups before treatment and after 6-week treatment respectively,and the total clinical curative effects were also evaluated according to the therapeutical effect evaluation standard of PCS extracted from Neurology 2 months after the treatment.Results：There was no statistical difference in blood flow velocity of left vertebral artery in systolic phase and diastolic phase between the 2 groups before the treatment（41.24 ＋/-6.63 vs 40.68 ＋/-7.76 cm/s,t=0.541,P=0.589;17.24＋/-4.41 vs 16.68＋/-4.06 cm/s,t=0.922,P=0.358）,while the blood flow velocities of left verte-bral artery in systolic phase and diastolic phase increased in both of the 2 groups after the treatment（t=21.930,P=0.000;t=32.298, P=0.000;t=9.645,P=0.000;t=7.640,P=0.000）.The blood flow velocities of left vertebral artery in systolic phase and diastolic phase of observation group were greater than those of control group（55.72 ＋/-9.29 vs 47.67 ＋/-7.22 cm/s,t =6.685,P=0.000;21.92＋/-6.43 vs 19.61 ＋/-5.58 cm/s,t=2.644,P=0.009）.There was no statistical difference in blood flow velocity of right vertebral artery in systolic phase and diastolic phase between the 2 groups before the treatment（42.98＋/-7.33 vs 41.76＋/-7.46 cm/s,t=0.753, P=0.415;18.05 ＋/-5.38