推拿结合睡枕的调节对治疗寰枕后膜挛缩症的研究

目的：探索推拿结合睡枕治疗寰枕后膜挛缩的临床疗效。方法：收集寰枕后膜挛缩症患者300例，随机分成A、B、C组，每组100例，A组采用手法推拿治疗；B组采用量身定做的孙思邈五行颈枕；C组采用推拿结合睡枕的治疗方法。观察3组的疗效情况，随访3个月。 结果：C组总有效率为98%,明显高于A组的82%和B组的80%（P<0.05）；C组寰枕后间距明显大于A组和B组（P<0.05）C组双侧椎动脉平均血流流速明显快于A组和B组（P<0.05）；C组复发率明显低于A组和B组（P<0.05）。 结论：推拿结合睡枕的调节对治疗寰枕后膜挛缩症有显著疗效，值得临床推广。

Treatment of Contracture of Posterior Atlantooccipital Membrane with Massage Combined with Sleeping Pillow

A total of 300 cases with contracture of posterior atlantooccipital membrane were randomly divided into A, B and C groups, each group of 100 cases.The group A was treated by manipulation and massage; the group B was treated by Sun Simiao five rows of neck pillow; the group C was treated by massage combined with pillow.The total course of 20 days,the efficacy of the three groups were followed up for 3 months.Resuots: The group C total effective rate was 98%, significantly higher than the group A 82% and group B 80%(P<0.05); the group C Posterior occipital space were significantly bigger than the group A and group B (P<0.05); the group C Bilateral vertebral artery mean blood flow velocity was significantly faster than the group A and group B(P<0.05); the group C recurrence rate was significantly lower than the group A and group B (P<0.05). Conclusion: The clinical effects of massage combined with sleeping pillow in the treatment of contracture of posterior atlantooccipital membrane were Significant,worthy of clinical promotion.