腹针辨证治疗颈性眩晕的临床观察  

Clinical Observation of Abdomenal Acupuncture Dialectics Treat Cervical Vertigo

作　　者：谢文霞[1] 董海欣[1] 叶天申[1] 张劲军[1] 夏君慧[1] 黄河[1] 

机构地区：[1]温州医学院附属第一医院康复理疗科,浙江温州325000

出　　处：《中华中医药学刊》2008年第5期1032-1034,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：温州市科技局资助课题(Y20060093)

摘　　要：目的:比较腹针治疗不同中医分型的颈性眩晕的疗效。方法:将75例确诊为颈性眩晕的病人根据中医辨证分型分成气血亏虚组、肝肾阴亏组、痰湿阻滞组3组,分别观察各组治疗前后的积分的改变情况与观察每个患者治疗前后TCD数值的改变。结果:观察3组患者的有效率,气血亏虚组最高、痰湿阻滞组最低,两组对比P<0.05,具统计学意义;从积分的改变来看,3组组内在治疗前后的积分对比都具统计学意义;观察治疗前后TCD检测数据,发现椎-基底动脉的血流加快患者,治疗后血流明显减慢,椎-基底动脉的血流减慢的患者治疗后血流明显增加,治疗前后对比具统计学意义。结论:腹针治疗不同中医分型的颈性眩晕都有效,尤以气血亏虚型为佳;腹针具有双向调节作用。Objective ： Comparing the therapeutic effects of abdominal acupuncture for treatment of different types cer- vical vertigo in TCM. Methods： 75 patients of cervical vertigo patients according to TCM are randomly divided into different groups： Blood deficiency group, Liver and Kidney Yin deficiency group and phlegm stagnation group. Accumulated scores and TCD numerical changes are observed before and after treatment. Results ： The effect of Blood deficiency group is better than phlegm stagnation group（ P 〈 0.05） ; Accumulated scores of three groups before and after treatment have statistical significance. According to TCD detection, the speed of Vertebra - basal artery blood flow in speed up blood flow patients slow down significantly after the treatment, and speed up significantly of the slow down blood flow patients. Both groups have statistical significance of group inside comparison. Conclusion： Abdominal acupuncture is a effective treatment for different types of cervical vertigo in TCM, particularly for the type of blood deficiency. Abdominal acupuncture have two -ways regulation function.

关 键 词：眩晕 腹针 中医分型 TCD 积分 

分 类 号：R255.3[医药卫生—中医内科学]