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目的观察肌肉起止点疗法结合颈椎定点伸引术治疗颈源性高血压的临床效果。方法选取颈源性高血压患者106例,随机分成二组,观察组53例,对照组53例;二组均服用常规降压药,对照组只用颈椎定点伸引术,5～7d1次,共治疗10次,治疗组除应用颈椎定点伸引术,再加用肌肉起止点疗法,隔日1次,每周3次,共治疗15次。二组患者治疗前后用台式袖带血压计各测量1次血压,评定治疗效果,同时进行疗效评定。结果二组治疗后颈肩部症状较治疗前均有改善,总有效率治疗组与对照组分别为96.23%、88.67%,临床治愈率分别为67.92%、49.06%,治疗组优于对照组,P<0.05;治疗后二组血压较治疗前均有改善,差异有统计学意义(P<0.01),治疗组优于对照组,P<0.01。降压总有效率治疗组与对照组分别为94.33%、88.67%,显效率分别为58.49%、37.74%,治疗组优于对照组,P<0.05。结论肌肉起止点疗法结合颈椎定点伸引术治疗颈源性高血压效果理想。
Objective To observe the clinical effect of muscle start-point therapy and cervical vertebral fixed-point technique in the treatment of cervical hypertension. Methods 106 cases of patients with cervical hypertension were randomly divided into two groups, 53 cases in the observation group and 53 cases in the control group. The two groups were given conventional antihypertensive drugs. The control group only received fixed-point cervical spine surgery for 5-7 days, A total of 10 treatments, the treatment group in addition to the use of fixed-point cervical spine surgery, plus the use of muscle start and stop therapy, every other day 1 times, 3 times a week, a total of 15 treatments. Two groups of patients before and after treatment with a desktop cuff sphygmomanometer each measurement of blood pressure, assess the therapeutic effect, while the efficacy evaluation. Results The symptoms of neck and shoulder in both groups were improved after treatment. The total effective rate was 96.23% and 88.67% in the treatment group and the control group respectively. The clinical cure rates were 67.92% and 49.06% respectively. The treatment group was superior to the control group, P <0.05; after treatment, the blood pressure of the two groups improved compared with that before treatment, the difference was statistically significant (P <0.01), the treatment group was better than the control group, P <0.01. Total antihypertensive treatment group and control group were 94.33%, 88.67%, respectively, markedly effective rates were 58.49%, 37.74%, the treatment group was better than the control group, P <0.05. Conclusions The muscle start and end point therapy and cervical vertebra fixed point extension are effective in treating cervical hypertension.