世界中医药
文章摘要
引用本文:王刚,傅艳倩,胡洪平,龙翔宇.针刀松解寰枕筋膜治疗颈源性眩晕的疗效研究[J].世界中医药,2020,(18):.  
针刀松解寰枕筋膜治疗颈源性眩晕的疗效研究
Therapeutic Effect of Acupotomy Releasing Atlantooccipital Fasciaon Method for Cervical Vertigo
投稿时间:2019-03-29  
DOI:10.3969/j.issn.1673-7202.2020.18.026
中文关键词:  针刀  寰枕筋膜  颈源性眩晕  松解术  有效率  眩晕评分  椎动脉血流动力学  生命质量
English Keywords:Acupotomy  Cervical vertigo  Cervical vertigo  Releasing method  Effectiveness  Vertigo score  Vertebral artery hemodynamics  Quality of life
基金项目:广东省中医药局科研项目(20183014)——中医理筋推拿技术操作标准化研究;佛山市卫生和计生局医学科研课题(20180189)——针刀松解寰枕筋膜治疗颈源性眩晕的疗效研究
作者单位
王刚,傅艳倩,胡洪平,龙翔宇 广东省佛山市健翔医院针灸科,佛山,258000 
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中文摘要:
      目的:研究针刀松解寰枕筋膜治疗颈源性眩晕的疗效。方法:选取2017年1月至2018年1月佛山市健翔医院收治的颈源性眩晕患者96例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组48例。对照组患者给予3次/周针灸、局部按摩治疗,观察组患者给予1次/周的针刀松解寰枕筋膜治疗,均治疗3周。依照《颈性眩晕评估量表(ESCV)》分析2组患者治疗前后颈性眩晕评分变化、椎动脉血流动力学变化,比较2组患者血清中内皮源性超极化因子(EDHF)的含量和一氧化氮(NO)水平,统计2组患者的治疗有效率、眩晕症状缓解时间及生命质量变化。结果:观察组患者治疗后总有效率为97.92%高于对照组的81.25%(P<0.05),眩晕有效缓解时间明显缩短,眩晕评分显著高于对照组(P<0.05);观察组患者治疗后椎动脉的平均血流、收缩期血流、舒张期血流速度、血清中NO及EDHF水平明显上升,血管搏动指数显著下降(P<0.05);生命质量评分显著升高(P<0.05)。结论:针刀松解寰枕筋膜能够通过改善颈源性眩晕患者的椎动脉血流动力学,有效治疗患者的颈源性眩晕。
English Summary:
      To observe the therapeutic effect of acupotomy releasing atlantooccipital fasciaon for cervical vertigo.Methods:Ninety-six patients with cervical vertigo admitted to,Foshan Jianxiang Hospital from January 2017 to January 2018 were selected and were randomly divided into control group and observation group according to the random number table method,with 48 cases in each group.Patients in the control group were treated with acupuncture and local massage,3 times a week,and patients in the observation group were treated with acupotomy releasing atlantooccipital fasciaon method once a week,both of which were treated for 3 weeks.According to the evaluation scale for cervical vertigo(ESCV),the changes in cervical vertigo scores and vertebral artery hemodynamic changes before and after treatment in the two groups were analyzed,and the levels of endothelial hyperpolarizing factor (EDHF) and nitric oxide (NO) in the serum of the two groups were compared.The effective rate of treatment,the remission time of vertigo symptoms and the quality of life changes in the two groups were statistically analyzed.Results:The total effective rate of patients in the observation group after treatment was 97.92%,higher than that of the control group (P<0.05),the onset remission time of vertigo was significantly shortened,and the vertigo score was significantly higher than that of the control group (P<0.05); Arterial average blood flow,systolic blood flow,diastolic blood flow velocity,serum NO and EDHF levels increased significantly,and the vascular pulsatility index decreased significantly (P<0.05); the quality of life score increased significantly (P<0.05).Conclusion:Acupotomy releasing atlantooccipital fasciaon method can effectively treat cervical vertigo by improving the vertebral artery hemodynamics.
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