| 微针刀治疗颈源性眩晕病例对照研究 |
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投稿时间：2021-01-17
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| 作者 | Author | 单位 | Address | E-Mail |
| 郎伯旭 |
LANG Bo-xu |
台州市立医院, 浙江 台州 318000 |
Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
tsylbx@126.com |
| 罗建昌 |
LUO Jian-chang |
台州市立医院, 浙江 台州 318000 |
Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
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| 郎珈望 |
LANG Jia-wang |
上海中医药大学附属曙光医院骨伤科, 上海 200120 |
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| 王罗丹 |
WANG Luo-dan |
台州市立医院, 浙江 台州 318000 |
Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
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| 徐文斌 |
and XU Wen-bin |
台州市立医院, 浙江 台州 318000 |
Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2022年，第35卷，第2期，第153-158页 |
| DOI：10.12200/j.issn.1003-0034.2022.02.012 |
| 基金项目:浙江省中医药科研基金项目（编号：2020ZT011）；浙江省名中医工作室项目（浙卫发[2018]69号）；浙江省中医药重点学科经费资助项目（2012-XK-D20） |
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中文摘要:
目的：观察微针刀疗法对颈源性眩晕的临床疗效。
方法：将2017年1月1日至2019年12月31日收治的300例颈源性眩晕患者按随机数字表法分为微针刀组（96例，脱落4例），常规针刺组（96例，脱落4例）和口服药物组（95例，脱落5例）。微针刀组给予上颈段局部微针刀治疗，隔日1次，共治疗7次；常规针刺组给予常规针刺治疗，每日1次，连续治疗2周；口服药物组给予敏使朗片（甲磺酸倍他司汀片）口服，每次6 mg，每天3次，连续口服2周。分别于治疗前、疗程结束时和治疗结束后3个月随访，观察眩晕障碍量表（dizziness handicap inventory，DHI）并根据DHI评分进行疗效评定。
结果：疗程结束时和结束后3个月随访，3组患者DHI评分较治疗前均明显下降（P<0.01），微针刀组治疗后同时间点DHI评分低于常规针刺组和药物组（P<0.01），常规针刺组和口服药物组治疗后同时间点比较差异无统计学意义（P>0.05）。根据DHI评分进行疗效评定：微针刀组痊愈50例，显效28例，好转14例，总有效率95.83%；常规针刺组痊愈28例，显效26例，好转24例，总有效率81.25%；药物组痊愈18例，显效20例，好转28例，总有效率69.47%；微针刀组总有效率明显高于另两组（χ2=45.956，P=0.000）。3组治愈患者中，微针刀组所需时间明显少于常规针刺组和药物组（F=18.796，P=0.000）。
结论：微针刀松解寰枢段软组织对颈源性眩晕具有明显疗效，临床治愈率及有效率以及痊愈患者所需治疗时间均优于常规针刺及口服药物。 |
| 【关键词】眩晕 针刀疗法 铍针 病例对照研究 |
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| A case control study: the treatment of cervical vertigo with micro needle knife |
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ABSTRACT
Objective: To observe the clinical efficacy of micro needle knife therapy on cervical vertigo.
Methods: A total of 300 patients with cervical vertigo treated from January 1,2017 to December 31,2019 were randomly divided into micro needle knife group (96 cases,4 cases falling off),traditional acupuncture group (96 cases,4 cases falling off) and oral drug group(95 cases,5 cases falling off). The micro needle knife group was treated with micro needle knife in the local upper cervical segment once every other day for 7 times; the traditional acupuncture group was treated with traditional acupuncture once a day for 2 weeks;the oral drug group was given Merislon (betahistine mesilate tablets) orally,6 mg each time,3 times a day for 2 weeks. The patients were followed up before treatment,at the end of treatment and 3 months after treatment. The dizziness handicap inventory(DHI) was observed and the curative effect was evaluated according to the DHI score.
Results: At the end of the course of treatment and 3 months after the treatment,DHI scores of the three groups were significantly lower than those before treatment(P<0.01),and the DHI scores of micro needle knife group were lower than those of traditional acupuncture group and oral drug group at the same time point after treatment (P<0.01). There was no statistically significant difference in DHI scores between traditional acupuncture group and oral drug group at the same time after treatment(P<0.05). The curative effect was evaluated according to DHI score:in micro needle knife group,50 cases were cured,28 cases were markedly effective,14 cases were improved,the total effective rate was 95.83%; in traditional acupuncture group,28 cases were cured,26 cases were markedly effective,and 24 cases were improved,with the total effective rate of 81.25%;in oral drug group,18 cases were cured,20 cases were markedly effective,and 28 cases were improved,with the total effective rate of 69.47%. The total effective rate of micro needle knife group was significantly higher than that of other two groups (χ2=45.956,P=0.000). Among the cured patients in the three groups,the time required in the micro needle knife group was significantly less than that in the traditional acupuncture group and oral drug group(F=18.796,P=0.000).
Conclusion: Micro needle knife loosening atlantoaxial soft tissue has obvious curative effect on cervical vertigo which clinical cure rate,effective rate and treatment time required for cured patients are better than traditional acupuncture and oral drug. |
| KEY WORDS Vertigo Acupotomy therapy Sword-like needle Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 郎伯旭,罗建昌,郎珈望,王罗丹,徐文斌.微针刀治疗颈源性眩晕病例对照研究[J].中国骨伤,2022,35(2):153~158 |
| 英文格式: | LANG Bo-xu,LUO Jian-chang,LANG Jia-wang,WANG Luo-dan,and XU Wen-bin.A case control study: the treatment of cervical vertigo with micro needle knife[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(2):153~158 |
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