针刺结合梅花针叩刺治疗颈性眩晕（肝阳上亢型）的临床观察

发布时间：2018-08-18 09:36

【摘要】：目的:本课题观察针刺结合梅花针叩刺治疗颈性眩晕(肝阳上亢型)的临床疗效,为临床治疗颈性眩晕(肝阳上亢型)提供有效的治疗方法。方法:临床选取60例颈性眩晕(肝阳上亢型)患者,随机分为治疗组和对照组各30例。治疗组采用常规针刺结合梅花针叩刺治疗,对照组仅采用常规针刺治疗,7天为1疗程,每疗程间隔1天,治疗3个疗程。分别于治疗前后对患者基底动脉(BA)及双侧椎动脉(VA)血管的收缩峰期血流速度(Vs)、舒张末期血流速度(Vd)、平均血流速度(Vm)、血管搏动指数(PI)进行检测,根据颈性眩晕症状与功能评估量表进行评分,根据国家中医药管理局制定的《中医病证诊断疗效标准》进行疗效判定,统计数据并进行分析。结果:1.治疗组的30例患者中,痊愈20例,显效6例,有效2例,无效2例,总有效率93.33%;对照组的30例患者中,痊愈15例,显效7例,有效4例,无效4例,总有效率86.67%。在痊愈率和总有效率两方面,治疗组明显高于对照组。2.在改善椎-基底动脉血流速度方面,双侧椎动脉、基底动脉血流速度变化差异有显著性意义(P0.05),提示针刺结合梅花针叩刺在一定程度上能改善血流速度。3.在改善颈性眩晕症状方面,针刺结合梅花针叩刺的疗效优于常规针刺治疗,差异有统计学意义(P0.05),提示针刺结合梅花针叩刺能够明显改善颈性眩晕症状。结论:1.针刺结合梅花针叩刺治疗颈性眩晕临床效果显著,可明显缓解或消除眩晕症状。2.通过治疗组和对照组对比,针刺结合梅花针叩刺治疗颈性眩晕优于常规针刺。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with plum-blossom acupuncture in the treatment of cervical vertigo (liver-yang hyperactivity type), and to provide an effective treatment method for cervical vertigo (liver-yang hyperactivity type). Methods: 60 patients with cervical vertigo (liver-yang hyperactivity) were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with routine acupuncture combined with plum-blossom acupuncture, while the control group was treated with routine acupuncture for 7 days as a course of treatment, the interval of each course was 1 day, and there were 3 courses of treatment. Systolic peak velocity (Vs),) end-diastolic velocity (Vd),) mean blood velocity (Vm),) pulsatility index (PI) of basilar artery (BA) and bilateral vertebral artery (VA) were measured before and after treatment. According to the evaluation scale of cervical vertigo symptom and function, and according to the National Administration of traditional Chinese Medicine (TCM) to determine the efficacy of the criteria for diagnosis of disease and syndrome, statistical data and analysis. The result is 1: 1. In the treatment group, 20 cases were cured, 6 cases were markedly effective, 2 cases were ineffective, the total effective rate was 93.33%, while in the control group, 15 cases were cured, 7 cases were markedly effective, 4 cases were ineffective, and the total effective rate was 86.67%. In both the cure rate and the total effective rate, the treatment group was significantly higher than the control group. 2. 2. In improving the blood flow velocity of vertebrobasilar artery, there was significant difference in blood flow velocity between bilateral vertebral artery and basilar artery (P0.05), indicating that acupuncture combined with plum-blossom acupuncture can improve blood flow velocity to a certain extent. 3. In improving the symptoms of cervical vertigo, acupuncture combined with plum-blossom acupuncture is better than conventional acupuncture treatment, the difference is statistically significant (P0.05), indicating that acupuncture combined with plum acupuncture can significantly improve the symptoms of cervical vertigo. Conclusion 1. The clinical effect of acupuncture combined with plum-blossom acupuncture on cervical vertigo was remarkable, and the symptoms of vertigo could be alleviated or eliminated significantly. Compared with control group, acupuncture combined with plum-blossom acupuncture was superior to conventional acupuncture in the treatment of cervical vertigo.
【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】：R246.9

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