针刺项八穴治疗椎基底动脉供血不足性眩晕临床观察  

Clinical Observation of Acupuncture at Eight Nape Points for Vertigo Due to Vertebrobasilar Arterial Insufficiency

作　　者：郎伯旭[1] 金灵青[1] 

机构地区：[1]台州学院医学院附属市立医院,台州318000

出　　处：《上海针灸杂志》2014年第10期890-892,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省中医药(中西医)重点学科经费资助(2012-XK-D20);浙江省中医药科研基金资助项目(2005C193);台州市科技局资金资助项目(043253)

摘　　要：目的观察针刺项八穴治疗椎基底动脉供血不足性眩晕的疗效。方法将150例椎基底动脉供血不足性眩晕患者随机分为针刺1组、针刺2组、药物组,每组50例。针刺1组以针刺项八穴治疗,针刺2组以针刺百会、风池、天柱等穴治疗,药物组以口服西比灵治疗。观察3组患者治疗前后临床症状及TCD变化。结果治疗后针刺1组优良率为82.0%,针刺2组为62.0%,药物组为52.0%,针刺1组优良率与其他两组相比差异有统计学意义(P<0.01)。TCD检查结果显示针刺1组对两侧椎动脉的收缩期峰值血流速度(VS)、平均血流速度(VM)及动脉搏动指数(PI)均有明显改善作用,明显优于其他两组。结论针刺项八穴可明显改善椎基底动脉供血。Objective To observe the therapeutic efficacy of acupuncture at the eight nape points in treating vertigo due to vertebrobasilar arterial insufficiency. Method Totally 150 patients with vertigo caused by vertebrobasilar arterial insufficiency were randomized into acupuncture group 1, acupuncture group 2, and a medication group, 50 each. Acupuncture group 1 was intervened by acupuncture at the eight nape points, acupuncture group 2 was by acupuncture at Baihui （GV20）, Fengchi （GB20）, Tianzhu （BL 10）, etc, and the medication group was by oral administration of Flunarizine. The symptoms and Transcranial Doppler （TCD） results were observed before and after intervention in the 3 groups. Result After treatment, the excellent rate was 82.0%in acupuncture group 1, versus 62.0%in acupuncture group 2 and 52.0%in the medication group, and the excellent rate of acupuncture group 1 was significantly different from that of the other two groups （P〈0.01）. TCD showed that the systolic velocity, mean velocity, and pulsatility index of the bilateral vertebral arteries were markedly improved in acupuncture group 1, significantly better than that of the other two groups. Conclusion Acupuncture at the eight nape points can significant improve the vertebrobasilar arterial blood supply.

关 键 词：针刺 穴位 头颈部 椎底动脉供血不足 眩晕 

分 类 号：R246.6[医药卫生—针灸推拿学]