不同方法治疗颈性眩晕疗效对比观察  

Observation of therapeutic effects on cervical vertigo treated with different methods

作　　者：李建萍[1] 蔡俊[1] 干霞曼[1] 

机构地区：[1]上海市徐汇区中心医院针灸科,上海200031

出　　处：《中国针灸》2011年第5期405-408,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较常规针刺、电针、电针配合穴位注射治疗颈性眩晕的疗效差异。方法:采用随机的方法,将91例颈性眩晕患者分成常规针刺组(30例)、电针组(31例)和电针穴位注射组(30例),3组均取足三里、风池、安眠、太阳、合谷、印堂、百会、四神聪,常规针刺组用平补平泻法针刺,电针组加用G 6805电针治疗仪,电针穴位注射组在电针组治疗基础上,于风池或安眠穴采用维生素B120.5 mg及0.2%利多卡因2 mL穴位注射,治疗4周共20次。观察治疗前后椎动脉、基底动脉的平均血流速度的变化,采用颈性眩晕症状与功能评分法在治疗前后进行评分,并进行疗效评定。结果:3组治疗后椎动脉、基底动脉的平均血流速度及颈性眩晕症状与功能评分均较治疗前明显提高(均P<0.01),电针穴位注射组较其他两组改善更明显(P<0.05,P<0.01),电针组优于常规针刺组(P<0.05);常规针刺组总有效率为63.3%(19/30),电针组为80.6%(25/31),电针穴位注射组为90.3%(28/30),3组疗效比较差异均有统计学意义(P<0.05,P<0.01)。结论:常规针刺、电针、电针配合穴位注射治疗颈性眩晕均有效,其中电针穴位注射组疗效最好,电针组疗效次之,说明常规针刺、电针、穴位注射治疗在颈性眩晕上疗效有叠加效应。Objective To compare the therapeutic effects of routine acupuncture, the electroacupuncture and the combined therapy of electroacupuncture and acupoint injection. Methods Ninety-one cases were randomly di vided into a routine acupuncture group （30 cases）, an effectroacupuncture group （31 cases）, and a combined therapy of electroacupuncture and acupoint injection group （30 cases）. Zusanli （ST 36）, Fengchi （GB 20）, Anmian （Extra）, Taiyang （EX-HN 5）, Hegu （LI 4）, Yintang （EX-HN 3）, Baihui （GV 20） and Sishengcong （EX-HN1） were selected among 3 groups. Even manipulation was applied in routine acupuncture group; G 6805 electroacupuncture apparatus was added in electroacupuneture group; in combined therapy of electroacupuncture and acupoint injection group, electroacupuncture was applied, besides, Vitamin B12 0.5 mg and 0.2% Lidoeaine 2 mL were injected ＇at Fengchi （GB 20） and Anmian （Extra）. Twenty treatments were given in 4 weeks. The changes of average blood flow of vertebral artery and basilar artery before and after treatment were observed and graded by the cervical vertigo syndrome and function score; the therapeutic effects were evaluated as well. Results The average blood flow of vertebral artery and basilar artery, and the cervical vertigo syndrome and function score were improved in 3 groups （all P〈0.01）, in which, it was more obvious in combined therapy of electroacupuncture and acupoint injection group than in others （P〈0.05, P〈0.01）, and it in eleetroacupuncture group was superior to that in routine acupuncture group （P〈0.05）. The effective rate was 63.3% （19/30） in routine acupuncture group, 80.6% （25/31） in electroacupuncture group and 90.3%（28/30） in combined therapy of electroacupuncture and acupoint injection group, indicating the significant differences among them （P〈0.05, P〈0.01）. Conclusion The routine acupuncture, electroacupuncture, and combined therapy of eleetroaeupuncture and acupoint injection are eff

关 键 词：眩晕 电针 穴位注射 

分 类 号：R246.2[医药卫生—针灸推拿学]