矫正颈椎“筋出槽骨错缝”手法治疗颈性眩晕的远期疗效观察

目的观察矫正颈椎"筋出槽骨错缝"手法治疗方案对颈性眩晕的远期临床疗效。方法选择30例颈性眩晕患者,运用矫正颈椎"筋出槽骨错缝"手法配合自我功法练功方案治疗,疗程为4周。分别于治疗前、治疗后,以及第8周、第12周、第24周、第36周和第52周观察眩晕残障程度(DHI)、颈椎活动度(CROM)以及颈性眩晕、颈痛(NRS)情况,并评价临床疗效。结果本研究共29例病例完成试验。经1个疗程的治疗,所有患者均获疗效。治疗前后比较,DHI功能、情绪、生理和总积分,以及NRS颈性眩晕、颈痛积分均明显减少(P0.001);治疗后(4周)至52周各观察时点之间上述各项评分差异均无统计学意义(P0.05)。与治疗前比较,患者在治疗后颈椎活动度明显改善(P0.001),治疗后与第52周颈椎各方向活动值差异无统计学意义(P0.05)。结论矫正颈椎"筋出槽骨错缝"手法治疗方案安全性较高,不仅能在短期内明显改善颈性眩晕患者的眩晕症状,并且可以保持长期疗效的稳定。

Long-term clinical observation on cervical joints semidislocation rectification manipulation for the treatment of cervicogenic dizziness

Objective To observe the long-term clinical efficacy of cervical joints semidislocation rectification manipulation in treating cervicogenic dizziness. Methods A total of 30 patients with cervicogenic dizziness were treated by cervical joints semidislocation rectification manipulation and exercises, with the course of d- weeks. The scores of dizziness handicap inventory （ DHI）, cervical range of motion （ CROM ） and nmnerieal rating scale （ NRS ） were measured before treatment and at the 8th, 12th, 24th, 36th, 52nd weeks after treatment, and the clinical efficacy was evaluated. Results Twenty-nine cases were finished this trail. After one course of treatment, all the cases were effectively treated. After treatment, the scores of DHI and scores of NRS of cervicogenic dizziness were reduced significantly （P 〈0.001 ）; after treatment, no significant difference was found in the scores at each the time-points form the 4th to the 52nd week （ P 〉 O. 05 ）. the cervical range of motion was improved markedly after treatment （P 〈 0. 001 ） , no significant difference was found in cervical range of motion to different directions between after treatment and the 52nd week （ P 〉 0.05 ）. Conclusion The therapeutic regimen of cervical joints semidislocation rectification manipulation is safe. Not only can significantly improve dizziness in a short term. but also can maintain a stable lone-term efficacy.