【摘要】 目的：探讨手法复位配合针灸治疗寰枢关节错位型颈椎病的临床效果。方法：选取2020年4月—2022年3月湛江市第一中医医院收治的60例寰枢关节错位型颈椎病患者作为研究对象，根据随机数字表法分为观察组与对照组，各30例。对照组采用针灸治疗，观察组采用手法复位配合针灸治疗，对比两组临床疗效、颈性眩晕症状与功能评估量表评分、寰枢关节指标及颈部动脉血管流速。结果：观察组治疗总有效率高于对照组，差异有统计学意义(P=0.008)。治疗前，两组头颈痛、眩晕、生活心理适应评分及总分比较，差异无统计学意义(P>0.05)；治疗后，观察组头颈痛、眩晕、生活心理适应评分及总分均高于对照组，差异有统计学意义(P<0.05)。治疗前，两组齿突寰椎轴线差值、齿突侧块间距差值比较，差异无统计学意义(P>0.05)；治疗后，观察组齿突寰椎轴线差值、齿突侧块间距差值均小于对照组，差异有统计学意义(P=0.000)。治疗前，两组左侧椎动脉(VA)、右侧VA、基底动脉(BA)流速比较，差异无统计学意义(P>0.05)；治疗后，观察组左侧VA、右侧VA、BA流速均小于对照组，且观察组治疗前后左右侧VA差值大于对照组，差异有统计学意义(P<0.05)。结论：手法复位配合针灸治疗寰枢关节错位型颈椎病的临床效果显著，能有效改善患者临床症状，减慢颈部动脉血流速度，促进寰枢关节错位恢复，具有积极的临床意义。更多还原

【Abstract】 Objective: To investigate the clinical effect of manipulative reduction combined with acupuncture and moxibustion in the treatment of atlantoaxial dislocation cervical spondylosis. Methods: From April 2020 to March 2022, 60 patients with atlantoaxial dislocation cervical spondylosis in Zhanjiang First Hospital of Traditional Chinese Medicine were selected as the study subjects. They were divided into control group and observation group according to random number table method, with 30 cases in each group. The control group was treated with acupuncture and moxibustion, and the observation group was treated with manipulative reduction combined with acupuncture and moxibustion. The clinical efficacy, cervical vertigo symptoms and functional assessment scale scores, index of atlantoaxial joint, and neck artery flow velocity were compared between two groups.Results: The overall effective rate of treatment in the observation group was higher than that in the control group, and the difference was statistically significant(P=0.008). Before treatment, there was no significant difference in the scores of head and neck pain, vertigo, and life psychological adaptation and total scores between the two groups(P>0.05). After treatment, the scores of head and neck pain, vertigo, and life psychological adaptation and total scores in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). Before treatment, there was no significant difference in the atlas, axis and odontoid axis difference value and the odontoid lateral mass difference value between the two groups(P>0.05). After treatment, the atlas, axis and odontoid axis difference value and the odontoid lateral mass difference value in the observation group were lower than those in the control group, and the difference was statistically significant(P=0.000).Before treatment, there was no significant difference in the flow rates of left vertebral artery(VA), right VA and basilar artery(BA)between the two groups(P>0.05). After treatment, the flow rates of left VA, right VA and BA in the observation group were smaller than those in the control group, and the difference in the left and right VA before and after treatment in the observation group was greater than that in the control group, and the difference was statistically significant(P<0.05). Conclusion: Manipulative reduction combined with acupuncture and moxibustion has significant clinical effect in the treatment of atlantoaxial dislocation cervical spondylosis, which can effectively improve the clinical symptoms, slow down the blood flow rate of the neck artery, and promote the recovery of atlantoaxial dislocation, with positive clinical significance.更多还原