针刺项三穴治疗颈性眩晕的临床观察

发布时间：2018-01-06 22:36

本文关键词：针刺项三穴治疗颈性眩晕的临床观察　出处：《浙江中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的观察并客观评价针刺项三穴(风池、天柱、天牖)治疗颈性眩晕的疗效,推广其应用;初步探讨针刺项三穴治疗颈性眩晕的机理。方法临床研究采用循证医学的方法,标准化的诊断和疗效评价标准,以患者治疗前后椎-基底动脉血流速度、眩晕病临床症候评价量表评分、整体疗效为观察指标,选择符合纳入标准的患者90例,随机分为治疗组、常规取穴组、西药组各30例进行对照治疗,并对其进行安全性评价。治疗组采取针刺“项三穴”治疗,即风池、天柱、天牖穴;常规取穴组采取针刺颈夹脊、大椎、天柱穴治疗;西药组口服倍他司汀(敏使朗)和盐酸氟桂利嗪胶囊(西比灵)治疗。每日1次,以20次为观察疗程。结果1.椎基底动脉血流速度比较:三组治疗均可改善椎-基底动脉的血流速度,治疗前后比较有显著性差异(P0.01)。三组组间血流速度比较发现,治疗组对血流速度改善的疗效优于西药组;且三组治疗方法中治疗组对血流速度改善最佳。2.症状评分比较:三组治疗后较治疗前症状评分均有改善,其中治疗组与常规取穴组效果更为显著。治疗组与常规取穴组治疗后症状评分比较有显著性差异(P0.01),提示治疗组对症状改善更为明显。3.整体疗效比较:治疗组总有效率96.7%;常规取穴组总有效率93.3%;西药组总有效率86.7%。治疗组愈显率均优于常规取穴组。结论针刺项三穴可显著改善椎-基底动脉血流速度及眩晕相关症状,且其作用及整体疗效均优于西药组及常规取穴组;针刺项三穴治疗颈性眩晕具有良好的安全性。
[Abstract]:Objective to observe and objectively evaluate the curative effect of acupuncture on cervical vertigo at three points (Fengchi, Tianzhu, Tianyou), and to popularize its application. Methods Evidence-based medicine, standardized diagnosis and evaluation criteria were used to evaluate the blood flow velocity of vertebrobasilar artery before and after treatment. The clinical symptom evaluation scale score of vertigo, the overall curative effect as an observation index, selected 90 patients who meet the inclusion criteria, randomly divided into treatment group, routine acupoint extraction group, western medicine group of 30 cases for control treatment. The treatment group was treated with acupuncture at "three points", namely Fengchi, Tianzhu and Tianyou points; The routine acupoint group was treated with acupuncture at the cervical spine, Dazhui and Tianzhu points. The patients in the western medicine group were treated with betastatin and flunarizine hydrochloride capsules once a day. Results 1. Comparison of blood flow velocity of vertebrobasilar artery: the blood flow velocity of vertebrobasilar artery could be improved in three groups. 2. There was significant difference in blood flow velocity between the three groups before and after treatment. The results showed that the improvement of blood flow velocity in the treatment group was better than that in the western medicine group. And the treatment group of the three treatment methods to improve the blood flow velocity is the best .2.Compared with the symptom score: the three groups after treatment compared with the pre-treatment symptom score improved. The effect of treatment group and conventional acupoint group was more significant. There was significant difference in symptom score between treatment group and conventional point group (P 0.01). It is suggested that the treatment group has more obvious improvement of symptoms. 3. Comparison of the overall curative effect: the total effective rate of the treatment group is 96. 7%; The total effective rate of conventional acupoint extraction group was 93.3; The total effective rate of the western medicine group was 86.7%. The effective rate of the treatment group was better than that of the routine acupoint extraction group. Conclusion Acupuncture at three points can significantly improve the blood flow velocity of vertebrobasilar artery and vertigo related symptoms. And its effect and the whole curative effect are superior to the western medicine group and the routine acupoint extraction group; Acupuncture at three points has good safety in the treatment of cervical vertigo.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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