针刺风池(GB20)、天柱(BL10)穴对椎基底动脉供血不足性眩晕的治疗作用  

The Therapeutic Effect of Acupuncture Treatment at Fengchi(GB 20)and Tianzhu(BL 10)on Vertigo of Vertebrobasilar Insuffiabstract Intelligence

作　　者：陈希平[1] 郑加平[1] 姜宝英[1] 赵刚[1] 杨芳[1] 王乃东[2] 

机构地区：[1]日照市人民医院神经内科,日照276826 [2]青岛大学附属医院急诊神经内科

出　　处：《临床急诊杂志》2007年第6期349-350,共2页Journal of Clinical Emergency

摘　　要：目的观察针刺疗法对椎基底动脉供血不足性眩晕患者的治疗作用。方法观察椎基底动脉供血不足性眩晕的急诊患者120例,随机分为2组。针刺组60例给以针刺风池、天柱两穴,每天1次,共6次。对照组给以静脉应用尼莫地平等药物,观察治疗前后的症状改善和 TCD 检查左右椎动脉和基底动脉的血流速度改善情况。结果针刺治疗对改善稚基底动脉供血不足性眩晕症状的总有效率为针刺1次后93%,6次后98%,并能显著增加椎基底动脉的平均血流速度,在急性期给与第1次治疗后的效果明显优于尼莫地平药物治疗(P<0.05)。结论针刺风池、天柱两穴对急性期控制椎基底动脉供血不足性眩晕症状,改善椎基底动脉供血疗效显著。Objective To evaluate the clinical effect of acupuncture at fengchi and tianzhu on vertigo of vertebrobasilar insufficiency （VBI）. Methods 120 cases of VBI were derided into two groups, 60 cases in each group. The cases of acupuncture group were treated with acupuncture at fengchi and tianzhu, once a day ,6 times totally. The control group was treated with nimodipine by iv drip. Clinical symptoms and the average blood flow rates of left vertebral artery （LVA） ,right vertebral artery （RVA） and basilar artery（BA） detected by transcranial TCD before and after treatment were investigated. Results The total effective rate of acupuncture treatment on eliminate vertigo symptoms ,one time treatment was 93% ,6 times treatments were 98%. Acupunture treatment can improve the flow rate of vertebrobasilar artery . At the acute stage,acupuncture had the better effect than control（ P 〈 0. 05 ）. Conclusion Acupuncture at fengchi and tianzhu had obvious therapeutic effect on vertigo of vertebrobasilar insufficiency, especially at acute stage.

关 键 词：椎基底动脉供血不足 眩晕 针刺疗法 风池穴 天柱穴 

分 类 号：R743[医药卫生—神经病学与精神病学]