世界中医药

作者	单位
王石¹ 鹿青² 佟颖³	1 哈尔滨市道外区太平人民医院针灸理疗科，哈尔滨，150050； 2 哈尔滨市道外区太平人民医院脑超室，哈尔滨，150050； 3 黑龙江中医药大学附属第一医院，哈尔滨，150040

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中文摘要:

目的：探讨整脊手法治疗颈源性眩晕的治疗机理，重新认识颈源性眩晕及眩晕性疾病的病因病理。方法：对131例颈源性眩晕患者进行整脊手法治疗，恢复其颈胸椎曲度，术前术后即刻TCD检查以比较椎动脉血流变化，再予拔罐和红外线治疗3天，之后间隔性调整治疗。结果：治愈121例，占92.37%，好转8例，占6.11%，无效2例，1.53%。即时缓解129例，占98.47%。结论：整脊手法治疗颈源性眩晕疗效明确，但椎动脉血流并未单纯增加或减少，故反思眩晕性疾病的中西医病因病理，提出眩晕性疾病结构异常和急慢损伤两大病因；病理和解剖方面的多机制变化，尤其颈部的结构变化在眩晕性疾病中的重要作用；治疗上凡眩晕者，必正其骨。

English Summary:

To study the therapeutic mechanism of spinal rotation massage treating cervicogenic dizziness, and acquire the etiology and pathology of cervicogenic dizziness and other dizziness diseases.Methods:One hundred and thirty one patients with cervicogenic dizziness were given treatment of spinal rotation, their cervical and thoracic vertebrae curvatures were aimed to recover. Immediate TCD examinations were given before and after the operation to compare the vertebral artery blood flow changes. Patients had cupping and infrared therapy for 3 days. Then intermittent adjusted treatment were given.Results:Among the 131 patients,121 cases were cured, accounting for 92.37%;conditions of 8 cases were improved, accounting for 6.11%; and 2 cases were ineffective, accounting for 1.53%.Conditions of 129 cases were immediately relieved after the operation, accounting for 98.47%.Conclusion:There is definite effect of spinal rotation massage in treatment of cervicogenic dizziness, while there is no simple increase and decrease of vertebral artery blood flow. Hence the etiology and pathology of dizziness diseases are brought to be structural abnormalities and acute and chronic injuries; there are multiple mechanism changes of pathology and anatomy, particularly structural changes of the neck; in order to treat these kind of dizziness diseases, bones must be set.

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