摘要
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.
Abstract
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.
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