火针治疗痰浊上蒙型颈性眩晕疗效观察  

Therapeutic Observation of Fire-needle Acupuncture for Cervical Vertigo Due to Upward Disturbance of Phlegm-turbidity

作　　者：范春兰[1] 许金海[2] 莫文[2] 

机构地区：[1]上海市浦东新区南码头社区卫生服务中心,上海200125 [2]上海中医药大学附属龙华医院,上海200032

出　　处：《上海针灸杂志》2016年第12期1448-1450,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市浦东新区卫生和计划生育委员会卫生科技项目(PW2015C-16);上海市进一步加快中医药事业发展三年行动计划(ZY3-LCPT-1-1003)

摘　　要：目的观察火针和温针治疗痰浊上蒙型颈性眩晕的即刻与近期疗效,比较两种方法的差异性。方法将84例痰浊上蒙型颈性眩晕患者随机分为火针组和温针组,每组42例。每日1次,分别治疗10次。采用改良后颈性眩晕症状与功能评估量表在第2次治疗前和治疗10次后对患者症状、功能及总分进行评定,同时根据中医临床症候评价量表观察疗效。结果两组治疗10次后与治疗前比较差异均有统计学意义(P<0.05);第2次治疗前两组比较,火针组症状积分及总分改善明显优于温针组(P<0.05);治疗10次后两组症状、功能及总分比较差异亦有统计学意义(P<0.05);火针组临床控制率为26.2%,总有效率为95.2%,温针组临床控制率为9.5%,总有效率为90.5%,两组疗效比较有显著性差异(P<0.05)。结论火针与温针均能有效治疗痰浊上蒙型颈性眩晕,火针可即刻改善眩晕症状,近期疗效也优于温针。Objective To observe the real-time and short-term therapeutic efficacies of fire-needle acupuncture and warm needling in treating cervical vertigo due to upward disturbance of phlegm-turbidity, and compare the two treatment methods. Method Eighty-four patients with cervical vertigo due to upward disturbance of phlegm-turbidity were randomized into a fire-needle acupuncture group and a warm needling group, 42 cases in each group. The two groups received treatment once a day, respectively for 10 sessions. The symptoms, functions and total score were evaluated by adopting the modified Cervical Vertigo Symptoms and Functions Assessment Scale before the second treatment session and after 10 treatment sessions; the therapeutic efficacy was evaluated based on the traditional Chinese medicine symptoms scale. Result The scores after 10 treatment sessions were significantly different from that before treatment in the two groups （P〈0.05）;before the 2nd treatment session, the improvements of the symptoms and total scores in the fire-needle acupuncture group were more significant than that in the warm needling group （P〈0.05）;after 10 sessions, there were significant differences in comparing the symptoms, functions and total scores between the two groups （P〈0.05）;the clinical control rate was 26.2%and total effective rate was 95.2%in the fire-needle acupuncture group, versus 9.5%and 90.5%in the warm needling group, and there was a significant difference in comparing the therapeutic efficacy between the two groups. Conclusion Fire-needle acupuncture and warm needling both are effective in treating cervical vertigo due to upward disturbance of phlegm-turbidity, while fire-needle acupuncture can improve the vertigo symptoms in a real-time manner, and its short-term therapeutic efficacy is also superior to that of warm needling.

关 键 词：颈椎病 颈性眩晕 火针疗法 温针疗法 痰浊上蒙 

分 类 号：R246.2[医药卫生—针灸推拿学]