【摘要】 目的:对坐位拔伸微调法与常规推拿方法治疗颈性眩晕的临床疗效进行观察、比较以及评价。方法:选取145例颈性眩晕患者,随机将其分为拔伸微调组和常规推拿组。将两组治疗前后的疗效分别使用通用的临床评价方法、NDI和改良后《颈性眩晕症状与功能评估量表》进行分析比较及评估。结果:拔伸微调组及常规推拿组总有效率分别为94.59%和85.92%,且两组之间差异具有统计学意义(P<0.05);NDI指数评估方法显示:拔伸微调组和常规推拿组治疗后NDI评分均显著改善(P<0.01),而拔伸微调组改善显著优于常规推拿组(P<0.05);眩晕量表评估结果显示:两组治疗方法均可明显改善颈性眩晕患者的眩晕、颈肩部疼痛、头痛、日常生活和工作、心理以及社会适应等症状(P<0.01),而拔伸微调组较常规推拿组对于改善眩晕、头痛、日常生活和工作、心理及社会适应等症状更为显著(P<0.05,P<0.01),对于颈肩疼痛症状两组改善未见显著差异。结论:常规推拿方法和坐位拔伸微调法对于颈性眩晕的治疗,均有显著的临床疗效,且坐位拔伸微调法疗效更为显著。更多还原

【Abstract】 Objective: To observe, compare and assess the clinical effect of treating cervical spandylosis of vertebral arterytype(CSA) by the method of micro-regulating with sitting traction and usual tuina method. Methods: Select 145 patients of CSA and separate them into traction micro-regulating group and usual tuina group in random. Assesses, compares and analyses the clinical effect, evaluating the NDI and vertigo score for the clinical symptoms and function. Results: The effective rate of traction micro-regulating group and usual tuina group were 94.59% and 85.92%, the difference of the effective rate was distinctly(P<0.05). In both groups, the scores of NDI were improved distinctly(P<0.01) after treatment, but in traction micro-regulating group the improvement was more distinct(P<0.05) than usual group; In two groups, the evaluating scores for vertigo symptoms and function after treatment both improved distinctly(P<0.01) and traction micro-regulating group improved more distinctly(P<0.05, P<0.01), for the pain of neck, shoulder had no distinct difference. Conclusion: The clinical effect of treating CSA by tuina and traction micro-regulating with sitting are good, but the method of traction micro-regulating with sitting is much better than tuina.更多还原