點穴經筋療法治療頸性眩暈臨床效果

呂亞南+傅敏+高新

[摘要] 目的 觀察點穴經筋療法中點穴經筋手法治療頸性眩暈的臨床效果。 方法 選取2013年7月～2016年9月廣西壯族自治區人民醫院推拿科收治的72例頸性眩暈患者，并按隨機數字表法分為治療組和對照組，每組各36例。治療組采用點穴經筋療法中點穴經筋手法；對照組采用普通推拿套路手法治療，兩組均每天治療1次，共治療10次。比較兩組患者臨床療效及頸性眩暈癥狀與功能評估量表評分。 結果 治療后，治療組臨床療效高于對照組（P < 0.05）。治療前，兩組患者頸性眩暈癥狀與功能評估量表評分比較，差異無統計學意義（P > 0.05）；治療后兩組量表評分均高于治療前，且治療組評分明顯高于對照組（P < 0.01）。 結論 點穴經筋手法與普通推拿套路手法對頸性眩暈患者均有效，但點穴經筋手法療效優于普通套路手法。

[關鍵詞] 頸性眩暈；點穴經筋療法；手法；推拿

[中圖分類號] R274 [文獻標識碼] A [文章編號] 1673-7210（2017）12（a）-0086-04

[Abstract] Objective To observe the clinical curative effect of digital acupoint pressure therapy in the treatment of cervical vertigo. Methods From July 2013 to September 2016， 72 cases of cervical vertigo were selected， which were treated in Massage Department， the People′s Hospital of Guangxi Zhuang Autonomous Region. They were divided into treatment group and control group by random number table， with 31 cases in each group. The treatment group was treated with digital acupoint pressure therapy， while the control group was treated with general massage therapy， both groups were treated once a day and treated 10 times. The curative effects and the scores of cervical vertigo symptom and functional assessment scale in the two groups were compared. Results After treatment， the curative effect in the treatment group was higher than that in the control group （P < 0.05）. Before treatment， there was no statistically significant difference in the score of cervical vertigo and functional assessment scale between the two groups （P > 0.05）. After treatment， the scores in the two groups were increased， and the score in the treatment group were significantly higher than that in the control group （P < 0.05）. Conclusion It is effective for the patients with cervical vertigo through the digital acupoint pressure therapy and general massage therapy， while the digital acupoint pressure is better than the massage therapy.

[Key words] Cervical vertigo； Digital acupoint pressure therapy； Skill； Massage

頸性眩暈是源于頸椎，以眩暈、頸項不適疼痛、發作時多伴有惡心、嘔吐，有的發作時出現瀕死感為主癥的一組臨床綜合征，是常見病、多發病。隨著人口老齡化、工作節奏加快、計算機應用普及、伏案工作時間增加、持續低頭看手機、缺乏鍛煉等，頸性眩暈發病率呈增加趨勢，并有年輕化趨勢[1]，嚴重影響人們的健康、生活質量和工作效率，研究有效可行的防治方案刻不容緩。本研究應用點穴經筋療法治療頸性眩暈，取得較好效果，現報道如下。

1 資料與方法

1.1 一般資料

2013年7月～2016年9月廣西壯族自治區人民醫院（以下簡稱“我院”）推拿科收治頸性眩暈患者72例，按隨機數字表法分為治療組與對照組，每組各36例。治療組中，男14例，女22例；年齡40～70歲，平均（45.95±9.18）歲；病程2 d～2.5年，平均（1.086±0.110）年。對照組中，男15例，女21例；……