针刺益脑方加肾俞穴对颈性眩晕患者椎—基底动脉血流动力学的影响

发布时间：2018-06-16 05:21

本文选题：益脑方 + 肾俞　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:通过针刺颈性眩晕患者益脑方(百会、风府)加双侧肾俞穴,与单纯针刺益脑方相对照,观察针刺两组穴对椎—基底动脉血流动力学的影响,以探讨针刺益脑方加双侧肾俞穴是否可更好改善颈性眩晕患者椎—基底动脉血流动力学,为临床处方选穴提供客观依据。方法:研究共纳入60例颈性眩晕患者,采用随机数字表法按1:1比例随机分为观察组和对照组各30例。观察组取百会、风府(益脑方)加双肾俞穴,对照组取益脑方。采用TCD检测针刺前后椎—基底动脉血流速度变化,并进行统计学分析,比较两组针刺治疗效果的异同。结果:针刺治疗前后组间及组内比较,统计学分析显示:针刺益脑方及加双侧肾俞穴两种取穴治疗对PICA低血流速均有较好的治疗效果,针刺前后比较均有极显著差异(P0.01);针刺益脑方加双侧肾俞穴对BA及VA高血流速改善较好,针刺前后比较均有显著性差异(P0.05),比单纯针刺益脑方效果明显。结论:针刺益脑方加双侧肾俞穴对颈性眩晕患者椎—基底动脉血流动力学具有较好的改善作用,为临床治疗颈性眩晕的处方选穴提供了客观依据。
[Abstract]:Objective: to observe the effect of acupuncture on vertebrobasilar artery hemodynamics in patients with cervical vertigo by acupuncture of Yinao Fang (Baihui, Fengfu) and bilateral Shenshu acupoints. To explore whether acupuncture Yinao Fang and bilateral Shenshu point can improve the vertebrobasilar artery hemodynamics in patients with cervical vertigo, and provide objective basis for the clinical prescription of acupoints selection. Methods: 60 patients with cervical vertigo were randomly divided into observation group (30 cases) and control group (30 cases). The observation group received Baihui, Fengfu (Yinao Fang) plus Shuangshenshu point, and the control group took Yinao recipe. The changes of blood flow velocity of vertebrobasilar artery before and after acupuncture were measured by TCD, and statistical analysis was carried out to compare the effect of acupuncture between the two groups. Results: before and after acupuncture treatment, the comparison between the two groups and within the group, statistical analysis showed that acupuncture Yinao Fang and combined with the two sides of Shenshu acupoint extraction treatment for PICA low blood flow rate has a better therapeutic effect. There were significant differences before and after acupuncture (P0.01A), acupuncture of Yi-Nao Fang plus bilateral Shenshu point could improve the blood flow velocity of BA and VA, and there was significant difference before and after acupuncture (P0.05N), which was more effective than that of Yi-Naofang alone. Conclusion: acupuncture of Yinao Fang plus bilateral Shenshu points can improve the vertebrobasilar artery hemodynamics in patients with cervical vertigo, and provide an objective basis for clinical treatment of cervical vertigo.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

【参考文献】