Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo

Abstract

Objective

To observe the clinical efficacy and action mechanism of Jin’s three-needle acupuncture plus Long’s chiropractic tuina manipulations in treating cervical vertigo.

Methods

By adopting a randomized controlled method, 80 eligible patients were randomized into an observation group of 41 cases and a control group of 39 cases. The control group was intervened by Jin’s cervical three-needle acupuncture plus acupuncture at the vertigo-pain points and Fengchi (GB 20); the observation group was by Long’s chiropractic tuina manipulations in addition to the treatment given to the control. For both groups, the intervention was given once a day, 7 sessions as a treatment course, with a 1-day interval after a course, for 2 courses in total. The therapeutic efficacy was evaluated after the first session and the second treatment course, at the 3-month and 6-month follow-ups.

Results

After the first session, the recovery plus markedly effective rate of the observation group was significantly higher than that of the control group (P<0.01); the rate was markedly higher in the observation group than that in the control group after 2 treatment courses (P<0.01); at the 3-month follow-up, the relapse rate was 2.5% in the observation group versus 13.5% in the control, and the between-group difference was statistically insignificant (P>0.05); the 6-month follow-up study showed that the relapse rate was 5.0% in the observation group versus 21.6% in the control group, and the between-group difference was statistically significant (P<0.05); at the 6-month follow-up, the total relapse rate was 7.5% in the observation group versus 35.1% in the control group, and the inter-group difference was statistically significant (P<0.01).

Conclusion

The two treatment protocols are both effective in treating cervical vertigo. However, due to its more significant efficacy, more efficient action and lower relapse rate compared to acupuncture alone, acupuncture plus tuina can be regarded as a verified protocol for cervical vertigo.

摘要

目的

观察靳三针结合龙氏推拿正骨法治疗颈性眩晕的临床疗效和机理。

方法

采取随机对照的方法,将符合纳入标准的80 例患者随机分为观察组41 例和对照组39 例。对照组采用靳氏颈三针、晕痛针加风池治疗;观察组在对照组治疗基础上加用龙氏推拿正骨治疗。两组均每日治疗1 次, 7 次为1 个疗程, 疗程间休息1 d, 共治疗2 个疗程。观察治疗1 次、2 个疗程结束后和治疗结束3 个月、6 个月随访时的疗效。

结果

观察组治疗1次后的愈显率明显优于对照组(P<0.01); 2 个疗程结束后观察组愈显率明显优于对照组(P<0.01); 随访3 个月时观察组复发率为2.5%, 对照组为13.5%, 但两组复发率无统计学差异(P>0.05); 随访6 个月时观察组复发率为5.0%,对照组为21.6%, 两组复发率有统计学差异(P<0.05); 6 个月随访时观察组总复发率7.5%, 对照组为35.1%, 两组总复发率有统计学意义(P<0.01)。

结论

两种治疗方案对颈性眩晕均有疗效, 但针刺结合推拿疗效优于单纯针刺治疗, 具有见效快、复发率低的特点, 可作为治疗颈性眩晕的可行方案。