针灸联合中药天麻钩藤饮治疗颈性眩晕的临床观察

发布时间：2018-03-01 05:05

本文关键词： 颈性眩晕针灸治疗天麻钩藤饮　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察针灸结合中药天麻钩藤饮加减治疗颈性眩晕的临床疗效方法：将符合纳入标准的60例患者随机分为西药组及针灸结合口服中药组,两组均为30例,西药组选用口服倍他司汀及补液长春西汀治疗,针灸结合中药组选用针刺颈部俞穴为主结合辩证服用天麻钩藤饮加减治疗,比较两组的临床疗效,并通过临床症状的改善、功能评估表评分及TCD指标等的变化评价其疗效。结果：临床疗效：针灸结合中药组总有效率明显优于西药组。颈性眩晕症状及功能评估表评分：两组在治疗后评分均明显高于治疗前,针灸结合中药组治疗前后评分差值明显高于西药组。椎-基动脉血流动力学变化：两组治疗后双侧椎动脉(VA)及基底动脉(BA)收缩期流速峰值(Vs)均较治疗前有明显改善,针灸结合中药组疗效优于西药对照组。结论：1.针灸结合中药天麻钩藤饮在改善颈性眩晕患者临床症状方面效果显著。2.针灸结合中药天麻钩藤饮作用机制可能与改善椎-基底动脉供血,缓解局部肌肉痉挛、炎性反应有关。3.针灸结合中药天麻钩藤饮加减叠加了两种中医疗法的双重功效,不仅有较好的临床疗效,而且在简便性、安全性、稳定性上具有独特优势,有助于提高患者日常生活质量,患者依从性良好,是中医治疗方案的优化组合,值得临床推广。
[Abstract]:Objective: to observe the clinical effect of acupuncture and moxibustion combined with Tianma Gouteng decoction on cervical vertigo. 60 patients with cervical vertigo were randomly divided into western medicine group and acupuncture combined oral Chinese medicine group with 30 cases in both groups. The western medicine group was treated with oral Betastine and vinpocetine, and the acupuncture combined with traditional Chinese medicine group was treated with acupuncture at the point of neck Shu and dialectical use of Gastrodia glutinosa decoction. The clinical effects of the two groups were compared, and the clinical symptoms were improved. Results: clinical efficacy: the total effective rate of acupuncture combined with traditional Chinese medicine group was significantly better than that of western medicine group. Evaluation of symptoms and function of Cervical Vertigo: two groups were evaluated after treatment. The scores were significantly higher than those before treatment. The difference between acupuncture and moxibustion combined with traditional Chinese medicine before and after treatment was significantly higher than that in the western medicine group. The changes of vertebrobasilar artery hemodynamics: the peak systolic velocity (VS) of bilateral vertebral artery (VA) and basilar artery (BAB) in both groups were significantly improved compared with those before treatment. Conclusion 1. Acupuncture combined with Tianma Gouteng decoction can improve the clinical symptoms of patients with cervical vertigo. 2. The mechanism of acupuncture combined with traditional Chinese medicine Tianma Gouteng decoction may be improved. Good vertebrobasilar artery supply, Relieving local muscle spasm, inflammatory reaction. 3.Acupuncture and moxibustion combined with the addition and subtraction of Gastrodia Gouteng decoction have the dual effects of two kinds of TCM therapy, which not only have better clinical efficacy, but also have unique advantages in simplicity, safety and stability. It is helpful to improve the quality of daily life of patients and good compliance of patients. It is an optimized combination of traditional Chinese medicine (TCM) treatment scheme and worthy of clinical promotion.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R255.3

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