正骨手法治疗单纯收缩期高血压伴颈椎病的病例对照研究

目的:探索正骨手法治疗单纯性收缩期高血压伴随颈椎病的疗效及安全性。方法:自2012年1 月至2015 年1 月,收治单纯收缩期高血压伴颈椎病患者320 例,分为治疗组和对照组。治疗组160例,男84例,女76例,平均年龄(39.82±10.33)岁,平均血压(149.61±10.75)/(81.01±8.25) mmHg,NPQ评分24.61±8.14;对照组160例,男90例,女70例,平均年龄(41.37±9.42)岁,平均血压(151.48±11.32)/(79.65±9.32) mmHg,NPQ评分25.78±9.53.治疗组予颈椎屈顶旋锁定正骨手法治疗,每2日1次,连续20 d;对照组予坐位颈椎旋转复位法治疗,每2日1次,连续20 d.于治疗前后测量血压及填写NPQ量表以评估疗效。结果:治疗前及1个疗程结束后收缩压,治疗组分别为(149.61±10.75) mmHg和(129.67±12.26) mmHg,对照组分别为(151.48±11.32) mmHg和(132.02±11.73) mmHg,两组治疗后收缩压均较治疗前下降,治疗后治疗组收缩压改善优于对照组。治疗前后舒张压,治疗组分别为(81.01±8.25) mmHg和(78.15±10.34) mmHg,对照组分别为(79.65±9.32) mmHg和(76.89±9.79) mmHg,两组舒张压变化差异无统计学意义。治疗前后NPQ 评分,治疗组分别为24.61±8.14和12.46±7.94,对照组分别为25.78±9.53和14.17±8.86,两组治疗后评分均优于治疗前,治疗后两组评分差异无统计学意义。总体疗效比较,治疗组优于对照组。结论:单纯收缩期高血压伴颈椎病患者早期行正骨手法治疗效果显着,颈椎屈顶旋锁定正骨手法效果较传统坐位颈椎旋转复位法疗效更佳,更为安全。

Case-control study on bone-setting manipulation for the treatment of isolated systolic hypertension combined with cervical spondylosis

Objective:To investigate clinical effect and safety of bone-setting manipulation in treating isolated systolic hypertension combined with cervical spondylosis. Methods:From January 2012 to January 2015,320 patients suffered from isolated systolic hypertension combined with cervical spondylosis were randomly divided into treatment group and control group. In treatment group,there were 160 patients including 84 males and 76 females with an average age of (39.82±10.33) years old,average blood pressure was (149.61±10.75)/(81.01±8.25) mmHg,NPQ score was 24.61±8.14; treated with flexion top spin and lock bone-setting manipulation of cervical spine,once every two days for 20 days. While in control group,there were 160 patients including 90 males and 70 females with an average age of(41.37±9.42) years old,average blood pressure was (151.48±11.32)/(79.65±9.32) mmHg,NPQ score was 25.78±9.53;treated with manipulation of reposition cervical spine by rotation,once every two days for 20 days. Blood pressure and NPQ score were tested and compared for evaluating clinical effects. Results:Before and after a period treatment,systolic pressure in treatment group was(149.61±10.75) mmHg and(129.67±12.26) mmHg;(151.48±11.32) mmHg and (132.02±11.73) mmHg in control group. After treatment,systolic pressure in both two groups was obviously decreased,and treatment group was better than control group. Before and after a period treatment,diastolic pressure in treatment group was (80.01±8.25) mmHg and (78.15±10.34) mmHg,(79.65±9.32) mmHg and (76.89±9.79) mmHg in control group,and there was no significant difference between two groups. NPQ score in treatment group was 24.61±8.14 before treatment,12.46±7.94 after treatment,while in control group was 25.78±9.53,14.17±8.86;NPQ score of the two groups after treatment was better than before treatment,while there was no obviously significance between two groups after treatment. The whole clinical effect in treatment group was better than control group. Conclusion:Bone-setting manipulation for isolated systolic hypertension combined with cervical spondylosis at early stage could receive good clinical result,and flexion top spin and lock bone-setting manipulation of cervical spine was better and safety than manipulation of reposition cervical spine by rotation.