针刀治疗寰枢椎半脱位的临床研究

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1、分类号——UDC密级学校代码学位论文10662针刀治疗寰枢椎半脱位的临床研究赵向超指导老师姓名：歪置盐熬援申请学位级别：亟±专业名称：钍煎推室堂论文提交日期：垒Q!星生墨旦论文答辩日期：2Q!垄生墨旦学位授予单位和日期：贵田生医堂瞳星Q!星生鱼旦贵阳中医学院硕士学位论文相关声明原创性声明lUllIIIIIIIIIIIIIlY2277468本文声明，所呈交的学位论文是本人在导师指导下进行的研究工作及取得的研究成果。尽我所知，除了论文中特别加以标注和致谢的地方外，论文中不包含其他人已经发表论文中撰写过的研究成果，也不包含为获得贵阳中医学院或其他单位

2、的学位或证书而使用过的材料。与我共同工作的同志对本研究所作的贡献均已在论文中作了明确说明。l作者．勉伺超日期：洳7≯年与月叫日关于学位论文使用授权说明本文了解贵阳中医学院有关保留、使用学位论文的规定，即：学校有权保留学位论文，允许学位论文被查阅和借阅；学校可以公布学位论文的全部或部分内容，可以采用复印、缩印或其他手段保存学位论文；学校可根据国家或贵州省有关部门规定送交学位论文。储签魄饲握雌锈彩碑吼矽僻夕月7日目录中文摘要·······················一一··一一一一一一一一·1英文摘要······················

3、·············一一一一一·2引言···················································5正文····················-···························⋯6l研究对象及方法·············⋯······⋯⋯······⋯一62结果⋯································⋯············103讨论··················································l2结论··

4、················································20全文总结与展望···⋯····································2l参考文献·········································⋯··22附录一中英文缩略词表⋯⋯⋯····⋯········⋯·········⋯⋯··23附录二综述··⋯⋯················⋯·········⋯·······24附录三知情同书····⋯···························

5、················4l附录四病例报告表⋯·······⋯⋯····⋯⋯······⋯·············42附录五．临床研究观表······”······································43附录六临床研究观表··············································44致谢········⋯···⋯···⋯····⋯····⋯········⋯45个人简介··⋯···················⋯··················46贵阳中医学院硕士学位

6、论文中文摘要目的：通过观察单纯针刀、正骨手法两种不同治疗方法对寰枢椎半脱位(atlantoaxialsubluxation)患者治疗前后临床症状的改善程度、X光片显示寰枢椎齿突侧块间距差值的的改变情况和椎动脉彩超结果显示的椎动脉总血流量的改变程度，来评价针刀对寰枢椎半脱位的临床疗效，同时对其作用机理做初步探讨。方法：将60例寰枢椎半脱位患者，采用随机分组对照法，分为单纯针刀治疗组、正骨手法对照组，每组30例。治疗组针刀治疗点取：上下项线内侧、头后大、小直肌起止点、头上、下斜肌起止点、C2棘突、项韧带旁侧压痛点。每周1次，4次为l疗程，对照组采用

7、王氏卧位成角定点复位手法对寰枢椎位置关系进行调整，每周2次，8次为一疗程，1个疗程后对患者治疗前后I临床症状的改善程度、x光片显示寰枢椎齿突侧块间距差值的的改变情况和椎动脉彩超显示的椎动脉总血流量的改变程度相关数据进行比较、分析及评价。结果：两组的总体疗效愈显率比较，针刀治疗组明显高于手法对照组，有显著性差异(P<0．01)。针刀治疗组和手法对照组治疗前后各自总体疗效评分(i4-s)比较，均P

8、显优于手法对照组。针刀组治疗前后椎动脉总血流量比较，PO．0