“动留针术”治疗寰枢关节紊乱型眩晕的临床研究
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摘要
目的观察"动留针术"治疗寰枢关节紊乱型眩晕的临床疗效。方法患者64例采用随机数字表法分为"动留针术"组、普通针刺组,每组32例,"动留针术"组用采用王毅刚老师的"动留针术"治疗,普通针刺组采用常规针刺治疗,每日1次,共治疗7 d。7 d治疗结束后分别观察两组治疗前后症状总积分、眩晕症状、发作频次、持续时间的改变,计算总有效率,并进行对比分析。结果 1)两组在眩晕症状总积分、眩晕发作程度、眩晕发作频率方面差异有统计学意义(P <0.05),而在眩晕持续时间方面差异无统计学意义(P> 0.05)。2)在临床疗效方面,两者比较差异具有统计学意义(P <0.05),说明"动留针术"组疗效优于普通针刺组。3)在不良反应方面,两组均未出现明显不良反应,说明操作安全性可靠。结论 "动留针术"治疗寰枢关节紊乱型眩晕临床疗效明显优于普通针刺治疗,可明显改善眩晕症状,减少发作频率,疗效显著,安全可靠。
Objective: To observe the clinical therapeutic efficacy of the "moving left pyonex" for the vertigo caused by the atlanto-axial joint disorder. Methods: 64 patients were randomly divided into the "moving left Pyonex" group and the general acupuncture group,32 cases in each. The "moving left pyonex" group was treated with the "moving left pyonex";the general acupuncture group was treated with the conventional acupuncture,once a day. The treatment course lasted seven days. The symptom integral,vertigo symptom,seizure frequency and vertigo duration′ s change before and after the treatment were observed;the total effective was calculated. Through statistical analysis,the results were obtained and compared. Results: 1)The total score of vertigo symptoms,the degree of vertigo attack and the frequency of vertigo attack in the two groups had statistical significance(P <0.05),but there was no statistical significance in the duration of vertigo(P > 0.05). 2)There was a significant difference in clinical efficacy between the two groups(P < 0.05). The curative effect of the "moving left pyonex" group is better than that of the general acupuncture group. 3)In terms of adverse reactions,there were no adverse reactions in both groups,indicating that the operation was safe and reliable. Conclusion: "Moving left pyonex" method can obviously improve the vertigo symptoms and reduce the frequency of attack,with remarkable curative effect and high safety,worthy of clinical promotion.
Objective: To observe the clinical therapeutic efficacy of the "moving left pyonex" for the vertigo caused by the atlanto-axial joint disorder. Methods: 64 patients were randomly divided into the "moving left Pyonex" group and the general acupuncture group,32 cases in each. The "moving left pyonex" group was treated with the "moving left pyonex";the general acupuncture group was treated with the conventional acupuncture,once a day. The treatment course lasted seven days. The symptom integral,vertigo symptom,seizure frequency and vertigo duration′ s change before and after the treatment were observed;the total effective was calculated. Through statistical analysis,the results were obtained and compared. Results: 1)The total score of vertigo symptoms,the degree of vertigo attack and the frequency of vertigo attack in the two groups had statistical significance(P <0.05),but there was no statistical significance in the duration of vertigo(P > 0.05). 2)There was a significant difference in clinical efficacy between the two groups(P < 0.05). The curative effect of the "moving left pyonex" group is better than that of the general acupuncture group. 3)In terms of adverse reactions,there were no adverse reactions in both groups,indicating that the operation was safe and reliable. Conclusion: "Moving left pyonex" method can obviously improve the vertigo symptoms and reduce the frequency of attack,with remarkable curative effect and high safety,worthy of clinical promotion.
引文
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[18]巢元方.诸病源候论[M].北京:人民卫生出版社,2013:18.
[2]薛传疆,温鑫柱,周波.寰枢关节紊乱症的临床诊疗研究概述[J].国际中医中药杂志,2009,32(2):182-184
[3]边俊莉.颈性眩晕的病因及发病机制研究[D].泰安:泰山医学院,2014.
[4]舒剑锋,范炳华.颈性眩晕发病机制研究进展[J].中医外治杂志,2013,22(1):51-54.
[5]马明,周卫.寰枢段因素致颈性眩晕的研究进展[J].中国骨伤,2004,18(5):63-65.
[6]王蔚琳.颈性眩晕的中西医病因分析及治疗现状研究[J].中国实用医药,2018,13(35):189-191.
[7]罗益滨.伴交感神经症状颈椎病后纵韧带神经纤维致病机制的研究[D].上海:中国人民解放军海军军医大学,2018.
[8] PASCAL DIETHELM.针刺配合电针与肌内效贴布疗法治疗非特异性颈痛的临床研究[D].济南:山东中医药大学,2017.
[9]赵辉.旋扳手法结合针刀松解剥离术治疗臀上皮神经卡压综合征的临床观察[D].哈尔滨:黑龙江中医药大学,2017.
[10]潘之清.实用脊柱病学[M].济南:山东科学技术出版社,1996:340.
[11]黄如训,梁秀龄,刘悼霖.临床神经病学[M]. 2版.北京:人民卫生出版社,2004:152.
[12]高树中,杨骏.全国中医药行业高等教育“十二五”规划教材·全国高等中医药院校规划教材:针灸治疗学[M]. 9版.北京:中国中医药出版社,2016.
[13]黄龙祥,赵京生,韩钟,等.中华人民共和国国家标准(GB/T 12346-2006)《腧穴名称与定位》[M].北京:中国标准出版社,2006.
[14]王楚怀,卓大宏.颈性眩晕患者症状与功能评估的初步研究[J].中国康复医学杂志,1998,13(6):245-247.
[15]中国人民解放军总后勤部卫生部.临床疾病诊断依据治愈好转标准[M].北京:人民军医出版社,2013:82.
[16]乔秀兰,王毅刚.王毅刚主任中医师“动留针术”治疗妊娠合并尿路结石所致腹痛穴法探讨[J].中国中医急症,2016,25(8):1521-1522.
[17]苟春雁.顺势而为的“动留针术”导气法初探[A].中国针灸学会针灸临床分会.中国针灸学会临床分会2014年年会暨第二十一次全国针灸临床学术研讨会论文集[C].中国针灸学会针灸临床分会:中国针灸学会,2014:2.
[18]巢元方.诸病源候论[M].北京:人民卫生出版社,2013:18.
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