| 引用本文:赵兴玮，毕方杉.旋提手法配合中药治疗颈性眩晕[J].世界中医药,2015,10(09):. |
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| 旋提手法配合中药治疗颈性眩晕 |
| Treating Cervical Vertigo by Rotatiing and Tracting Manipulation and Herbal Decoction |
| 投稿时间：2015-04-19 |
| DOI：10.3969/j.issn.1673-7202.2015.09.026 |
| 中文关键词: 颈性眩晕 眩晕 旋提手法 中药 牵引 盐酸氟桂利嗪胶囊 |
| English Keywords:Cervical vertigo Vertigo Rotating and tracting manipulation Herbal decoction Traction Flunarizine Hydrochloride Capsules |
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| 中文摘要: |
| 目的：评价旋提手法配合中药治疗颈性眩晕的疗效及安全性，探讨其作用机制。方法：共纳入颈性眩晕患者82例，随机分为治疗组和对照组，治疗组采用旋提手法加口服中药，对照组采用牵引疗法加口服盐酸氟桂利嗪胶囊。将2组患者治疗前后即初诊首日和治疗后第14天的疼痛视觉模拟评分(Visual Analogous Scale，VAS)评分、SF-36评分、中医病证诊断疗效标准、彩色多普勒检测的椎动脉相关数据等进行比较。治疗前后所做血常规、肝肾功能检验结果作为安全性观测统计资料。结果：1)治疗组总有效率达到85.37%，而对照组为65.85%。治疗组优于对照组(P<0.05);2)治疗组在改善眩晕程度、颈肩痛、LVA及BA方面优于对照组(P<0.05)，而2组在SF-36评分这一项上，差异并无统计学意义(P>0.05);3)本研究中82名患者在治疗期间，均未出现不良反应。结论：旋提手法配合中药治疗颈性眩晕是安全、有效的，能够有效改善眩晕程度、颈肩痛及椎动脉供血状况。 |
| English Summary: |
| To evaluate the effects of rotating and tracting manipulation combined with herbal decoction in treating cervical vertigo and to discuss its mechanism. Methods： Cervical vertigo patients of 82 cases were randomly allocated to testing group (treated with rotating and tracting manipulation combined with herbal decoction) and control group (treated with traction combined with Flunarizine Hydrochloride Capsules). Two groups were evaluated by Visual Analogous Scale (VAS)， Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)， standard of diagnosis and therapeutic effect of TCM and the relevant data of colored Doppler detection of the vertebral artery at the first day of the diagnosis and fourteen days after. The statistics of patients’ routine blood test， liver and kidney functions tests results on the first day and the 14th day were used as safety observation data. Results： Firstly， the total effective rate of treatment group was 85.37%， while the control group 65.85%. The result of the treatment group was better than that of the control group (P<0.05). Secondly， the treatment group has better results in improving these vertigo and shoulder pain and cervicodynia， LVA and BA than the control group (P<0.05). But there was no significant difference of SF-36 evaluation (P>0.05). Thirdly， during the whole treatment， the 82 patients showed no adverse reaction. Conclusion： The rotating and tracting manipulation combined with herbal decoction in the treatment of cervical vertigo is safe and effective， for it can effectively improve the vertigo condition， shoulder pain and cervicodynia and vertebral artery blood supply situation. |
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