首页|超声引导针刀松解椎枕肌群治疗颈源性眩晕的临床观察

超声引导针刀松解椎枕肌群治疗颈源性眩晕的临床观察

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目的 观察超声引导针刀松解椎枕肌群治疗颈源性眩晕的安全性及临床疗效.方法 将患者根据随机数字表法分为3组,A组采用超声引导针刀松解椎枕肌治疗;B组采用毫针针刺治疗;C组采用手法推拿椎枕肌治疗.治疗2周后将各组治疗前后的颈源性眩晕症状与功能评估量表(ESCV)评分、生活质量评分(SF-36)及左椎动脉(LVA)、右椎动脉(RVA)及基底动脉(BA)平均血流速度进行组间与组内的对比观察.结果 治疗2周后各组ESCV、SF-36评分,LVA、RVA及BA平均血流速度均较治疗前改善(P<0.05),治疗2周后A组ES-CV、SF-36评分,LVA、RVA及BA平均血流速度均优于B组和C组(P<0.05).结论 超声引导针刀松解椎枕肌群治疗颈源性眩晕具有较好的疗效,能够快速缓解颈源性眩晕,且治疗方法精准、安全、规范.
Clinical Study on the Treatment of Cervical Vertigo by Ultrasound Guided Acupotomy Release of Verte-bral Occipital Muscle Group
Objective:To evaluate the safety and clinical efficacy of ultrasound-guided acupotomy release of the vertebral occipital muscle group in the treatment of cervical vertigo.Methods:Patients were divided into three groups according to a random number table method.Group A was treated with ultrasound-guided acupotomy release of the vertebral occipital muscles.Group B was treated with filiform needle acupuncture.Group C was treated with manual massage of the vertebral occipital muscles.After 2 weeks of treatment,the evaluation scale for cervical vertigo(ESCV)scores,quality of life scores(short form 36 questionnaire,SF-36),and average blood flow velocities of the left vertebral artery(LVA),right vertebral artery(RVA),and basilar artery(BA)were compared and observed among and within the three groups before and after treatment.Results:After 2 weeks of treatment,there was a significant improvement in the ESCV,SF-36 scores,LVA,RVA,and BA mean blood flow velocity in each group(P<0.05);after 2 weeks of treatment,the ESCV,SF-36 scores,LVA,RVA,and BA average blood flow velocity in Group A were better than those in Group B and Group C,with statistically significant differences(P<0.05).Conclusion:Ultrasound guided acupotomy release of the vertebral occipital muscle group has a good thera-peutic effect on cervical vertigo,can quickly alleviate cervical vertigo,and the treatment method is accurate,safe,and standardized,which is suitable for clinical promotion and application.

Cervical vertigoUltrasound guidanceAcupotomyVertebral occipital muscle groupPrecision treat-ment

李明波、付高勇、陈晓英、卿帅、刘婷、罗渊、张健豪、余泽芸

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四川省宜宾市第一人民医院,四川 宜宾 644000

四川省宜宾市中医院,四川 宜宾 644600

颈源性眩晕 超声引导 针刀 椎枕肌群 精准治疗

四川省科技厅项目四川省中医药局项目宜宾市科技计划

2021ZYSF0112020LC02382021SF006

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(6)
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