刃针治疗寰枢关节紊乱所致颈性眩晕临床研究

目的观察刃针结合肌筋膜激痛点(myofascial trigger point,MTrP)原理治疗颈性眩晕的临床疗效。方法将84例颈性眩晕患者随机分为治疗组42例,对照组42例。治疗组采用刃针结合MTrP原理治疗,对照组用毫针针刺颈夹脊穴为主治疗,两组治疗后均予龙氏正骨手法治疗,治疗2周后(共治疗5次)统计疗效。结果治疗组临床疗效显著优于对照组(Z=-2.453,P0.014);在提高眩晕症状和功能评分及椎-基底动脉平均血流速度方面,以及在降低齿突生长性偏移(odontoid growth offset value,DO)、双侧齿突侧块间距差(bilateral odontoid lateral mass spacing difference,VBLADI)方面,治疗组显著优于对照组(P0.05,或P0.01)。结论刃针结合MTrP原理治疗颈性眩晕在提高临床疗效、改善血流速度、缓解颈性眩晕症状及恢复功能等方面均有明显的优势。

Clinical Effect of Blade Needle Treatment for Cervical Vertigo Caused by Atlanto-axial Joint Disorder

Objective To observe the clinical effect of blade needle treatment combined with myofascial trigger point (MTrP) therapy in the treatment of cervical vertigo. Methods Eighty-four patients with cervical vertigo were randomly divided into treatment group (n= 42) and control group (n=42). The treatment group received blade needle treatment combined with MTrP therapy, while the control group mainly received filiform needle acupuncture at cervical Jiaji points; both groups underwent Long's bone-setting manipulation after treatment. The clinical effects were evaluated after 2-week treatment (5 times).Results The treatment group had a significantly higher overall response rate than the control group (Z=-2.453, P<0.014). Compared with the control group, the treatment group had significantly higher vertigo symptom and function scores and mean blood flow velocity of the vertebrobasilar artery and significantly lower odontoid growth offset value (DO) and bilateral odontoid lateral mass spacing difference (VBLADI) (P<0.05 or P<0.01). Conclusion Blade needle treatment combined with MTrP therapy can lead to significant improvements in treatment outcome, blood flow velocity, and cervical vertigo symptoms and functions in patients with cervical vertigo.