醒脑开窍针法配合雷火灸治疗椎基底动脉供血不足疗效观察  

Therapeutic Observation of Xing Nao Kai Qiao Needling plus Thunder-fire Moxibustion for Vertebrobasilar Ischemia

作　　者：方芳[1,2] 陈秀华[2] 石尧[2] 薛道金[2] 郭丽[2] 

机构地区：[1]广州中医药大学,广州510120 [2]广东省中医院,广州510120

出　　处：《上海针灸杂志》2015年第11期1043-1045,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省中医药管理局课题(20142068)

摘　　要：目的观察醒脑开窍针法配合雷火灸治疗椎基底动脉供血不足的临床效果。方法将55例椎基底动脉供血不足患者随机分为治疗组26例和对照组29例。治疗组采用醒脑开窍针法配合雷火灸治疗,对照组采用口服养血清脑颗粒治疗。两组分别采用多普勒脑血流超声检测仪观察治疗前后椎基底动脉的血流变化,并比较两组临床疗效。结果治疗组愈显率和总有效率分别为61.5%和96.2%,对照组分别为34.5%和89.7%,两组比较差异均具有统计学意义(P<0.01,P<0.05)。治疗组治疗后椎动脉VS、VD及基底动脉VS与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组治疗后基底动脉VS与同组治疗前比较,差异具有统计学意义(P<0.05)。治疗组治疗后椎动脉和基底动脉VS与对照组比较,差异均具有统计学意义(P<0.05)。结论醒脑开窍针法配合雷火灸是一种治疗椎基底动脉供血不足的有效方法。Objective To observe the clinical efficacy ofXing Nao Kai Qiao （brain-awakening and orifice-opening） needling plus thunder-fire moxibustion in treating vertebrobasilar ischemia.Method Fifty-five patients with vertebrobasilar ischemia were randomized into a treatment group of 26 cases and a control group of 29 cases. The treatment group was intervened byXing Nao Kai Qiao needling plus thunder-fire moxibustion, while the control group was by oral administration ofYangxue Qingnao granules. The blood flow of vertebrobasilar arteries were observed by using ultrasonic Doppler blood-flow detector before and after intervention, and the clinical efficacies were compared between the two groups.Result The recovery and markedly-effective rate and total effective rate were respectively 61.5% and 96.2% in the treatment group, versus 34.5% and 89.7% in the control group, and the differences were statistically significant （P〈0.01,P〈0.05）. The VS and VD of vertebral arteries and VS of basilar arteries were significantly changed after intervention in the treatment group （P〈0.05）. The VS of basilar arteries was significantly changed after intervention in the control group （P〈0.05）. After treatment, The VS of vertebral and basilar arteries in the treatment group was significantly different from that in the control group （P〈0.05）.ConclusionXing Nao Kai Qiao needling plus thunder-fire moxibustion is an effective approach in treating vertebrobasilar ischemia.

关 键 词：针灸疗法 醒脑开窍 雷火针灸疗法 椎底动脉供血不足 艾条灸 

分 类 号：R246.6[医药卫生—针灸推拿学]