进火补针刺法治疗颈性眩晕临床观察

发布时间：2018-02-15 20:59

本文关键词： 颈性眩晕进火补针刺法　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察头针与颈夹脊穴相结合施以进火补法治疗颈性眩晕的临床疗效。方法:所纳入病例均来自于黑龙江中医药大学附属第一医院针灸三科门诊自2015年1月至2017年4月期间就诊患者。其中符合纳入标准的70例患者按照随机数字表法分成治疗组与对照组,每组各35例。治疗组采用头针结合颈夹脊穴,操作手法施以进火补针刺法进行诊治。对照组选穴原则同治疗组并施以平补平泻的针刺手法进行诊治。治疗组与对照组每次都进行50min,1次/日,7日是一个疗程,连续进行诊疗2个疗程。两组患者治疗前分别同第一疗程治疗后和第二疗程治疗后的数据进行对比,分析临床疗效差异。比较两组患者颈性眩晕症状与功能评估量表(ESCV)评分和经颅多普勒超声(TCD)测出椎—基底动脉平均血流速度(Vm)。以上所有数据分析均运用SPSS17.0统计学软件进行统计。结果:1.ESCV评分比较:两组颈性眩晕患者分别在治疗1周,2周时,ESCV评分均较疗前明显升高,具有统计学差异(P0.01);说明两组方法对治疗颈性眩晕均由一定的疗效,且治疗组优于对照组(P0.05)。2.TCD平均血流速度比较:治疗前两组患者LVA、RVA、BA的Vm组间比较,差异均无统计学意义,具有可比性(P0.05);治疗后两组患者LVA、RVA、BA的Vm组间比较,具有显著差异,差异有统计学意义(P0.05);两组患者治疗前后LVA、RVA、BVA的Vm比较,椎-基底动脉Vm均得到改善,具有显著差异,差异有统计学意义(P0.05)。3.两组综合疗效比较:治疗组治愈率35.29%,愈显率79.41%,总有效率97.06%;对照组治愈率20.59%,愈显率47.06%,总有效率82.35%。经Ridit分析,P=0.007(P0.01),有极显著性差异,具有统计学意义。结论:1.头针配合颈夹脊穴施以进火补针刺法可改善椎动脉供血。2.头针配合颈夹脊穴施以进火补针刺法可缓解CV症状。3.头针配合颈夹脊穴施以进火补针刺法治疗CV疗效稳定、操作便捷、无副作用,患者耐受度良好,可在临床进行推广和运用。
[Abstract]:Objective: to observe the clinical curative effect of scalp acupuncture combined with cervical Jiaji point on treating cervical vertigo. Methods: all the cases were collected from the third Department of Acupuncture and moxibustion Department of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine since January 2015. Between April 2017 and April 2017, 70 patients who met the inclusion criteria were divided into treatment group and control group according to random number table. There were 35 cases in each group. The treatment group was treated with scalp acupuncture combined with cervical Jiaji point. The principle of acupoint selection in the control group was the same as that in the treatment group and the treatment group was treated with the acupuncture technique of flat tonifying and purging. The treatment group and the control group were given 50 mins / day each time, and 7th was a course of treatment. Two consecutive courses of diagnosis and treatment. The data of the two groups before and after treatment were compared with the data after the first course of treatment and the second course of treatment, respectively. To compare the scores of symptom and function evaluation of cervical vertigo and transcranial Doppler echocardiography (TCD) to measure the average blood flow velocity of vertebrobasilar artery (VMV). All the above data were analyzed by SPSS17.0 statistics. Results 1. Comparison of ESCV score: two groups of patients with cervical vertigo were significantly higher than those before treatment at 1 week and 2 weeks after treatment. There was significant difference between the two groups in the treatment of cervical vertigo, and the mean blood flow velocity of the treatment group was better than that of the control group (P 0.05). 2. There was no significant difference between the two groups before the treatment, and there was no significant difference between the two groups before the treatment. After treatment, there was significant difference in VM of LVAn RVABA between the two groups, and there was significant difference between the two groups before and after treatment, and there was significant difference in VM between the two groups before and after treatment, and there was a significant difference in VM of vertebrobasilar artery between the two groups before and after treatment. The difference was statistically significant (P 0.05) .3.Compared with the two groups, the cure rate of the treatment group was 35.29 and the effective rate was 79.41. The total effective rate was 97.06. In the control group, the cure rate was 20.59, the recovery rate was 47.06, and the total effective rate was 82.35.After Ridit analysis, there was a very significant difference. Conclusion: 1. Scalp acupuncture combined with neck Jiaji point can improve blood supply of vertebral artery. 2. Scalp acupuncture combined with neck Jiaji point can relieve CV symptoms. 3. Scalp acupuncture combined with neck Jiaji point can improve blood supply of vertebral artery. The curative effect of Fire-tonifying Acupuncture on CV was stable. Convenient operation, no side effect, good patient tolerance, can be popularized and applied in clinic.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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