| 张婷,万文俊,马朝阳.Mulligan手法结合人迎穴改良针刺法治疗椎动脉型颈椎病的疗效观察[J].中国康复,2016,31(4):267-269 |
| Mulligan手法结合人迎穴改良针刺法治疗椎动脉型颈椎病的疗效观察 |
| Effects of Mulligan technique combined with improved acupuncture Rényíng in the treatment of cervical spondylosis of vertebral artery type |
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| DOI： |
| 中文关键词: Mulligan手法 针刺 人迎穴 椎动脉型颈椎病 |
| 英文关键词: Mulligan technique acupuncture Rényíng cervical spondylosis of vertebral artery type |
| 基金项目:湖北省卫计委中医药中西医结合资助项目(2013Z-Y29) |
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| 中文摘要: |
| 目的：观察Mulligan手法结合人迎穴改良针刺法治疗椎动脉型颈椎病（CSA）的疗效。方法：60例CSA患者随机分为观察组和对照组各30例，2组均给予口服止晕药物、牵引及红外线治疗，观察组同时加用Mulligan手法联合人迎穴改良针刺治疗，对照组仅加用人迎穴改良针刺治疗。治疗前后分别采用经颅多普勒超声(TCD)、《颈性眩晕症状与功能评估量表》（ESCV）进行测评。结果：治疗1及2周后分别与治疗前比较，2组ESCV评分及VA、BA的Vm值均有明显增高(P＜0.01)。治疗2周后与治疗1周时比较，观察组ESCV评分及VA、BA的Vm值均有显著性增高(P<0.05)，对照组各项评分比较无显著性差异。治疗1周时，2组间ESCV评分无明显统计学差异，观察组VA、BA的Vm值更高于对照组（P<0.05）。治疗2周后，观察组ESCV评分及VA、BA的Vm值均明显高于对照组（P<0.05,0.01）。结论：Mulligan手法联合人迎穴改良针刺治疗CSA患者，能够快速有效且持续的改善患者的临床症状、提高患者的生活质量。 |
| 英文摘要: |
| Objective: To observe the efficacy of Mulligan technique combined with improved acupuncture Rényíng in the treatment of cervical spondylosis of vertebral artery type (CSA). Method: Sixty case of CSA were randomly divided into observation group and control group, n=30 in each group. Both groups were given drugs of relieving vertigo symptoms, traction therapy and infrared therapy as a common treatment, and the observation group was treated by Mulligan technique combined with improved acupuncture Rényíng for 2 weeks additionally, while the control group was given improved acupuncture Rényíng alone. Both groups were assessed with transcranial color Doppler ultrasound (TCD) and evaluation scale for cervical vertigo (ESCV) with double blind method before and after treatment. Result: One week and 2 weeks after treatment, the ESCV scores, the mean blood flow velocity (Vm) of vertebral artery (VA) and basilar artery (BA) in both groups were remarkably higher than those before treatment (P<0.01). The ESCV scores and Vm of VA and BA in observation group between 1 week and 2 weeks were obviously different (P<0.05) but not in control group. After 1 week of treatment, the ESCV scores between the two groups showed no significant difference, but the Vm of VA and BA in the observation group was higher than in the control group (P<0.05). As compared with the control group, the ESCV scores and Vm of VA and BA in the observation group were significantly elevated (P<0.05, and 0.01) after treatment for 2 weeks. Conclusion: The Mulligan technique combined with improved acupuncture Rényíng provides a fast and efficient treatment method for patients with CSA, and has been continuously improving the clinical symptoms of dizziness and the quality of life of CSA patients. |
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