针刀配合手法治疗寰枕筋膜挛缩综合征48例疗效观察

目的:观察针刀配合手法治疗寰枕筋膜挛缩综合征的临床疗效.方法:将102例患者随机分为2组,治疗组48例行针刀配合手法治疗,对照组54例行针刺及推拿治疗,2个疗程后观察临床疗效.结果:治疗组痊愈30例,显效11例,有效4例,无效3例,总有效率为93.75%；对照组痊愈13例,显效18例,有效13例,无效10例,总有效率为81.48%.2组疗效比较差异有统计学意义(P＝0.001,χ2＝16.649).所有患者治疗过程中未发生明显不良反应.结论:针刀可松解紧张挛缩的寰枕筋膜,增大寰枕间隙,从而减轻或解除椎动脉及神经的压迫,配合手法可疏通经络、整复关节,两者结合能有效改善寰枕筋膜挛缩综合征患者的临床症状.

Curative Effects of Acupotomy and Manipulative Treatment in Treating 48 Cases of Atlas Occipital Fascia Spastic Syndrome

Objective： To evaluate curative effects of acupotomy combined with manipulation in the treatment of atlas occipital fascia spastic syndrome.Method： 102 patients were randomly divided into two groups.48 cases treatment group were administered with acupotomy and manipulation,while 54 cases of control group were treated with acupuncture and massage.Curative effects were observed after 2 courses of treatment.Result： After 2 courses of treatment,30 cases in treatment group were recovered,11 cases significantly effective,4 cases effective,3 cases ineffective,total effective rate was 93.75%;13 cases in control group were cured,18 cases significantly effective,13 cases effective,10 cases ineffective,total effective rate was 81.48.%.The comparison of both groups showed statistical meaning（P = 0.001,χ2 = 16.649）.There was no adverse effect during the treatment.Conclusion： Acupotomy can ease the tension and spasm of atlanto-occipital fascia,increases atlanto-occipital gap to relieve the pressure of vertebral artery and nerve;it can smooth meridians and recondition joint combined with manipulation.Acupotomy and manipulation can improve the symptoms of the patients with atlas occipital fascia spastic syndrome.