王焕勇

[摘要] 目的 探讨整脊手法结合传统推拿治疗寰枢关节半脱位的临床疗效。 方法 选取2016年1月～2017年12月于我院就诊符合标准的患者63例随机分为两组，治疗组（n=33）采用整脊手法结合传统推拿治疗，对照组（n=30）采用间歇牵引治疗，对患者治疗前后的症状、体征及影像检查进行积分评价，通过疗效评价指数确定疗效。 结果 治疗组中痊愈28例，好转5例，总有效率100.00%，对照组中痊愈10例，好转11例，无效9例，总有效率70.00%，整脊手法结合传统推拿疗效明显优于对照组。 结论 整脊手法结合传统推拿治疗寰枢关节半脱位疗效显著。

[关键词] 整脊手法；传统推拿；牵引；寰枢关节半脱位

[中图分类号] R274.9 [文献标识码] B [文章编号] 1673-9701（2018）30-0093-04

[Abstract] Objective To investigate the clinical efficacy of chiropractic manipulation combined with traditional manipulation in the treatment of atlantoaxial subluxation. Methods A total of 63 patients who met the criteria in our hospital from January 2016 to December 2017 were randomly divided into two groups. The 33 patients in the treatment group were treated with chiropractic manipulation combined with traditional massage， and the 30 patients in the control group were treated with intermittent traction. The patients were scored for the symptoms， signs and imaging examinations before and after treatment， and the efficacy was evaluated by the efficacy evaluation index. Results In the treatment group， 28 cases were cured， 5 cases were improved， and the total effective rate was 100.00%. In the control group， 10 cases were cured， 11 cases were improved， 9 cases were ineffective， and the total effective rate was 70.00%. The effect of chiropractic manipulation combined with traditional massage was significantly better than that of the control group. Conclusion Chiropractic manipulation combined with traditional massage for the treatment of atlantoaxial subluxation is effective.

[Key words] Chiropractic manipulation；Traditional massage；Traction；Atlantoaxial subluxation

寰枢关节半脱位[1]，中医称为“骨错缝”，是一种临床常见病、多发病。其症状与颈椎病、落枕等多有相似之处，临床上极易漏诊或误诊。寰枢关节位于颈椎上端，是颈椎屈伸、旋转及侧屈的主要发起点。在外伤、劳累、姿势不当、局部炎症等因素作用下，寰枢关节功能失调，出现关节移位，严重者可压迫脊髓而引起生命危险[2]。近年来，随着电脑及智能手机的普及，发病率逐年增高。因此，探索合理、高效的治疗方法已成为当务之急，本课题组将整脊手法与传统推拿有机结合，治疗寰枢关节半脱位取得良好疗效，现报道如下：

1资料与方法

1.1 一般资料

本研究所选对象均为2016年1月～2017年12月于我院推拿科门诊就诊患者，选取符合标准的患者63例，随机分为两组。两组在性别、年龄、病程等方面比较，差异无统计学意义（P>0.05），具有可比性。……