目的 观察李业甫筋骨并举整脊法治疗颈性眩晕的临床疗效。方法 将80例颈性眩晕患者按照随机数字表法分为对照组和观察组，每组40例。对照组患者采用常规推拿治疗，观察组患者采用常规推拿结合李业甫筋骨并举整脊法治疗。比较两组患者临床疗效，治疗前后颈性眩晕症状与功能评分、眩晕残障程度评定量表（dizziness handicap inventory，DHI）评分及椎- 基底动脉血流速度。结果 两组患者临床疗效比较，差异有统计学意义（P＜0.05)，观察组的治疗效果优于对照组。两组治疗后颈性眩晕症状与功能评分均显著升高，DHI评分均显著降低（P＜0.05），且观察组改善程度显著优于对照组（P＜0.05)。两组治疗后左侧椎动脉、右侧椎动脉、基底动脉平均血流速度均有所增加（P＜0.05)，且观察组改善程度优于对照组（P＜0.05)。结论 李业甫筋骨并举整脊法可以有效调节椎- 基底动脉血流速度以减轻患者的眩晕症状。
Objective To investigate the clinical effect of Li Yefus tendon- bone manipulation as chiropractic therapy for cervical vertigo. Methods A total of 80 patients with cervical vertigo were divided into control group and observation group using a random number table, with 40 patients in each group. The patients in the control group were given conventional massage, and those in the observation group were given conventional massage combined with Li Yefus tendon- bone manipulation. The two groups were compared in terms of clinical outcome as well as evaluation scale for cervical vertigo (ESCV) score, dizziness handicap inventory (DHI) score, and blood flow velocity of the vertebrobasilar artery before and after treatment. Results There was a significant difference in clinical outcome between the two groups (P<0.05), and the observation group had a significantly better clinical outcome than the control group (P<0.05). Both groups had a significant increase in ESCV score and a significant reduction in DHI score after treatment (P<0.05), and the observation group had significantly greater improvements than the control group (P<0.05). Both groups had significant increases in the mean blood flow velocities of the left vertebral artery, the right vertebral artery, and the basilar artery after treatment (P<0.05), and the observation group had significantly greater improvements than the control group (P<0.05). Conclusion Li Yefus tendon- bone manipulation can effectively regulate the blood flow velocity of the vertebrobasilar artery and thus alleviate the symptom of vertigo.
殷文昊,郭庆军,蒋 涛,李 曼,张 飞.李业甫筋骨并举整脊法治疗颈性眩晕临床疗效观察[J].安徽中医药大学学报,2021,40(3):46-49复制