针刀同时松解枕后三角和肩胛提肌与单独松解枕后三角治疗颈性眩晕的效果比较

摘要

Objective To compare the effect of acupotomy in the treatment of cervical vertigo with simultaneous release of posterior occipital triangle and levator scapular muscle and the single release of posterior occipital triangle.Methods From May 2015 to December 2016,42 patients with cervical vertigo treated in Department of Tuina,the People's Hospital of Guangxi Zhuang Autonomous Region were selected and divided into two groups according to the random number table method.In the treatment group,both posterior occipital triangle and levator scapular were loosened by acupotomy at the same time.In the control group,single posterior occipital triangle was loosened by acupotomy,both groups were treated for 5 times,with each treatment interval of 2 days.Before and after treatment,the cervical vertigo symptoms and function evaluation scale of two groups were compared,and the clinical efficacy of the two groups was evaluated.Results After treatment,the scores of cervical vertigo symptoms and function evaluation scale of treatment group and control group [(24.29±3.57),(21.14±2.95) points] were significantly higher than those before treatment [(16.90± 4.30),(16.76±3.73) points],and the scores of cervical vertigo symptoms and function evaluation scale of treatment group were significantly higher than those of control group,the differences were statistically significant (P ＜ 0.05).The curative effect of the two groups was evaluated,there were 15 cases of cure,5 cases of effective,1 case of invalid in the treatment group and 6 cases of cure,13 cases of effective,2 cases of invalid in the control group,the difference was statistically significant (Z =2.62,P ＜ 0.05).Conclusion The effect of acupotomy in the treatment of cervical vertigo with simultaneous release of posterior occipital triangle and levator scapular muscle is better.%目的 比较针刀同时松解枕后三角和肩胛提肌与针刀单独松解枕后三角治疗颈性眩晕的效果.方法 选取2015年5月～2016年12月在广西壮族自治区人民医院推拿科就诊的颈性眩晕患者42例,按照随机数字表法分为两组.治疗组采用针刀同时松解枕后三角和肩胛提肌,对照组采用针刀单独松解枕后三角,两组均治疗5次,每次治疗间隔2d.治疗前后比较两组颈性眩晕症状与功能评估量表评分,评价两组临床疗效.结果 治疗后,治疗组和对照组颈性眩晕症状与功能评估量表评分[(24.29±3.57)、(21.14±2.95)分]均较治疗前[(16.90±4.30)、(16.76±3.73)分]显著升高,且治疗组治疗后颈性眩晕症状与功能评估量表评分显著高于对照组,差异均有统计学意义(P＜ 0.05).两组疗效评估,治疗组治愈15例,有效5例,无效1例,对照组治愈6例,有效13例,无效2例,两组比较差异有统计学意义(Z=2.62,P＜0.05).结论 针刀同时松解枕后三角和肩胛提肌治疗颈性眩晕临床效果更佳.