圆利针合谷刺法治疗后循环缺血性眩晕的临床研究

发布时间：2018-05-12 11:08

本文选题：后循环缺血 + 圆利针　；参考：《黑龙江省中医药科学院》2017年硕士论文

【摘要】：目的:本研究采用圆利针合谷刺法治疗后循环缺血性眩晕患者,通过观察患者的中医症状评分和经颅多普勒超声(Transcranial Doppler,TCD)的检查情况,探讨圆利针合谷刺法对后循环缺血性眩晕患者的治疗效果,为临床治疗此病提供安全性高、疗效好、价格低廉的治疗方法。方法:选取符合后循环缺血性眩晕的中医诊断标准和西医诊断标准的患者共63例,按随机对照的原则将63例患者分为两组,即治疗组(圆利针合谷刺组)32例和对照组(盐酸氟桂利嗪组)31例。治疗组给予圆利针合谷刺法,隔日进行治疗一次,5次为一个疗程,一共两个疗程。对照组则给予口服盐酸氟桂利嗪,5mg每次,每晚服用一次。治疗过程中通过观察并记录患者在治疗前与治疗后的中医症状评分、眩晕评定量表、TCD检查的各项指标,分析并评价两种治疗方法对本病的治疗效果。结果:通过两个疗程的治疗,两组患者的中医症状评分均比治疗前有所改善,但治疗组改善更明显,差异具有统计学意义(P0.05),TCD的检查结果也比治疗前有所改善,且具有统计学意义(P0.05)。结论:1圆利针合谷刺法治疗后循环缺血在改善眩晕症状、中医症状评分方面疗效显著,且优于西药盐酸氟桂利嗪。2圆利针合谷刺法能明显改善椎基底动脉的供血、增加患者的脑血流量,且优于西药盐酸氟桂利嗪。
[Abstract]:Objective: to observe the TCM symptom score and transcranial Doppler ultrasound (TCD) examination in patients with circulatory ischemic vertigo treated with circular acupuncture and Hegu acupuncture. To explore the therapeutic effect of Yuanli Acupuncture Hegu method on patients with posterior circulation ischemic vertigo, and to provide a safe, effective and inexpensive method for clinical treatment of this disease. Methods: a total of 63 patients with posterior circulation ischemic vertigo were selected and divided into two groups according to the principle of random control. There were 32 cases in the treatment group and 31 cases in the flunarizine hydrochloride group. The treatment group was treated with Yuanli Acupuncture Hegu method and treated every other day five times as a course of treatment, a total of two courses. The control group was given 5 mg flunarizine hydrochloride once a night. In the course of treatment, we observed and recorded the scores of TCM symptoms before and after treatment, the indexes of vertigo rating scale and TCD examination, and analyzed and evaluated the therapeutic effect of the two treatment methods on this disease. Results: after two courses of treatment, the scores of TCM symptoms were improved in both groups, but the improvement was more obvious in the treatment group, and the difference was statistically significant. And it has statistical significance (P 0.05). Conclusion the treatment of circulatory ischemia with 1: 1 round and sharp needle is effective in improving vertigo symptom, and it is superior to flunarizine hydrochloride in improving the blood supply of vertebrobasilar artery, which is superior to that of flunarizine hydrochloride, which is better than that of flunarizine in western medicine, which can improve the blood supply of vertebrobasilar artery. Increased cerebral blood flow, and better than western medicine flunarizine hydrochloride.
【学位授予单位】：黑龙江省中医药科学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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