整脊推拿结合化痰祛瘀方治疗颈源性眩晕伴颈动脉斑块43例

目的:观察整脊推拿结合中药化痰祛瘀方治疗颈源性眩晕伴颈动脉斑块的的效果及安全性。方法:伴有颈动脉斑块的颈源性眩晕患者按随机数字表法分为两组,对照组45例采用基础治疗联合中药化痰祛瘀方,观察组43例在对照组基础上结合整脊推拿干预,治疗后统计比较两组眩晕指征和血脂改善情况。结果:治疗后两组患者眩晕、耳鸣、恶心欲呕、头痛、视力障碍、猝倒发作、颈项不适、反应迟钝等症状的恢复率比较,差异有统计学意义(P<0.01);治疗结束后观察组的总有效率为95.35%,明显优于对照组的77.78%,差异有统计学意义(P<0.05);疗程结束后两组患者血脂均较治疗前有所改善(P<0.05),观察组中的总胆固醇(TC)、低密度脂蛋白(LDL)明显低于对照组,高密度脂蛋白(HDL)明显高于对照组,差异均有统计学意义(P<0.05),但三酰甘油(TG)和对照组比较差异无统计学意义(P> 0.05)。结论:整脊推拿结合化痰祛瘀方治疗颈源性眩晕伴颈动脉斑块,在改善眩晕相关指征和血脂方面疗效较好。

Chiropractic Tuina Combined with Huatan Quyu Decoction in Treating 43 Patients with Cervical Vertigo with Carotid Plaque

Objective:To observe the therapeutic effect and safety of chiropractic tuina combined with Huatan Quyu Decoction in treating cervical vertigo with carotid plaque. Methods:Patients with cervical vertigo with carotid plaque were randomized into 2 groups. The control group with 45 patients received basic treatment and Huatan Quyu Decoction while the treatment group with 43 cases patients received basic treatment,Huatan Quyu Decoction combined with chiropractic tuina. Vertigo indications and blood lipid were recorded after the total treatment. Results:The main indications including:vertigo,tinnitus,nausea,headache,visual disturbance,sudden attack,neck discomfort and slow reaction were improved significantly after treatment and the differences of recovery rate in the two groups were statistically significant(P< 0.01). The total effective rate in the treatment group was 95.35% which was better than 77.78% in the control group,there was statistical significance(P< 0.05). After treatment,the blood lipid levels in both groups were improved significantly(P< 0.05),total cholesterol(TC) and low density lipoprotein(LDL) in the treatment group were lower than those in the control group,and high density lipoprotein(HDL) in the treatment group was higher than that in the control group(P< 0.05). Trilaurate glycerin(TG) in both groups did not change significantly(P> 0.05). Conclusion:Chiropractic tuina combined with Huatan Quyu Decoction treating patients with cervical vertigo with carotid plaque could safely and effectively improve vertigo related indications and blood lipid.