颈部牵引配合手法对颈性眩晕患者血液流变学的影响

目的：观察颈部牵引配合手法对颈性眩晕患者血液流变学的影响。方法收集2012年1月至2013年8月济南军区青岛第一疗养院中医科患者59例，按随机数字表法分为两组，对照组29例口服盐酸氟桂利嗪胶囊治疗，治疗组30例在对照组治疗基础上配合颈部牵引及手法治疗。两组均治疗1周为1个疗程，4个疗程后评价颈性眩晕症状与功能（ESOV），观察血液流变学变化。结果①ESOV评分比较：治疗后，两组ESOV评分均较同组治疗前改善（t值分别为11.028、5.825，P均＜0.01），且治疗组优于对照组（t＝3.606，P＜0.01）。②血液流变学变化比较：治疗后，治疗组全血黏度高切、中切、低切，全血还原黏度，红细胞聚集指数，红细胞比容均较同组治疗前改善（t值分别为3.356、13.245、3.650、7.443、9.912、3.113，P＜0.05或P＜0.01）；对照组全血黏度高切、中切、低切，全血还原黏度，红细胞聚集指数均较同组治疗前明显改善（t值分别为2.144、4.216、3.287、3.039、6.442，P＜0.05或P＜0.01）。治疗组全血黏度高切、中切，全血还原黏度，红细胞聚集指数与对照组比较，差异有统计学意义（t值分别为2.493、4.414、6.031、5.180，P＜0.05或 P＜0.01）。结论颈部牵引及手法配合服用盐酸氟桂利嗪胶囊对颈性眩晕患者ESOV评分有影响，患者的血液流变学也有相应改善。

Influence of cervical traction and manipulation on hemorheology of cervical vertigo patients

Objective To observe the influence of cervical traction and manipulation on hemorheology of cervical vertigo patients.Methods 59 patients in outpatients of our hospital from January 2012 to August 2013 were recruited and divided into a control group（29 patients）and a treatment group（30 patients）randomly. The control group was treated with flunarizine, and the treatment group was additionally treated with cervical traction and manipulation on the basis of the control group. After 4 therapeutic causes, evaluation of cervical vertigo symptoms and functions（ESOV）were performed and hemorheological changes were observed in both groups.Results① ESOV comparison： ESOV sores in both groupswere obviously improved after the treatment than the same group before the treatment（t=11.028, 5.825,all P〈0.01）the treatment group were significantly lower than that in the control group after treatment（t=3.6057,P〈0.01）.② hemorheology changes comparison： whole blood viscosity（high-, medium- , low shear）, whole blood reduction viscosity, erythrocyte aggregation index, hematocrit in the treatment group were improved obviously after the treatment than before（t=3.356, 13.245, 3.650, 7.443, 9.912, 3.113,P〈0.05 orP〈0.01）. The whole blood viscosity（high-, medium-shea）, blood reduction viscosity, erythrocyte aggregation index in the control group were obviously improved than the before（t=2.144, 4.216, 3.287, 3.039, 6.442,P〈0.05 orP〈0.01）. The difference between the two groups were also obvious after the treatment（P〈0.05 orP〈0.01）.Conclusions Cervical traction and manipulation combined with flunarizine can elevate ESOV score, improve hemorheology and therapeutic effect in patients with cervical vertigo.